Template No.

HOUSEKEEPING SCHEDULE
Qualificatio Housekeeping
Housekeeping NC II Station/Bldg.
n Area
Area/
Practical Work Area
Section
In-Charge JUBIL P. TARUCAN
Schedule for Month of September
Responsible Daily Ever Week Ever Mont Remarks
ACTIVITIES y ly y hly
Person
othe 15th
r Day Day

Check the Trainees No signs of

area/laboratory X dirty

Clean and check Free from dust

floor, walls, X
windows, ceilings Trainees

Clean the trays Trainees/ Free from dust

and trolleys Technician X

Clean the Trainees/ Wiring are

tableware’s X safe

Clean, inspect air Maintenance No more

conditioning officer/utilit signs of
equipment: y dusts
X
• clean and dry
equipment

Prepared by: Approved by:

JUBIL RUNDY
JUBIL P. TARUCAN RUNDY C. SAŇADO
Trainer Supervisor

Date developed: Document No

MAY 09, 2022
HOUSEKEEPING Developed by: Issued Page 1 of
NC II JUBIL P. TARUCAN by: 12

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 Template No. 2

EQUIPMENT MAINTENANCE SCHEDULE

EQUIPMENT TYPE Trolley

EQUIPMENT CODE TCI- 009

LOCATION Practical Work Area

Schedule for the Month of September

ACTIVITIES MANPOWER Dail Ever Wee Ever Mon Remarks

y y kly y thly
Othe 15th
r Day
Day

Check trolleys Trainees Air condition

are already
• Clean and keep X
check
it dry

Check the Trainees Dust are

tableware’s /trainer removed
X
• Clean and keep
it dry

Check the dining Tableware’s,

area tableware’s, chairs and
table and chairs X
dining area are
already check

Check tables, Trainees Tables, chairs,

chairs, and table / trainer and tableware’s
ware’s X
are checked

Prepared by: Approved by:

JUBIL RUNDY
JUBIL P. TARUCAN RUNDY C. SAŇADO
Trainer Supervisor

Date developed: Document No

MAY 09, 2022
HOUSEKEEPING Developed by: Issued Page 2 of
NC II JUBIL P. TARUCAN by: 12

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 Template No. 3

HOUSEKEEPING INSPECTION CHECKLIST

Qualification HOUSEKEEPING NC II

Section/Area Practical Work Area

In-Charge JUBIL P. TARUCAN

INSPECTION ITEMS YES NO

Is the trays and trolley already clean and dry? /

Are dust in the ceiling, ventilation and air condition are /
cleaned? The cab wave is properly removed.

Are the windows wiped and ceiling is free from cobwebs? /

Are the walls and window edges are cleaned and properly wipe /
with the clean cloth?

Are the workings trays and trolleys are cleaned and properly /
wipe with the clean cloth?

Is the tablewares and chinawares, trolley and trays are /

properly clean and wipe with the clean cloth

Is the trays and trolleys properly put in the storage area after /
used?

Inspected by: Date:

Rundy C. Sañado
MAY. 09,
2022

Prepared by: Approved by:

JUBIL RUNDY
JUBIL P. TARUCAN RUNDY C. SAŇADO
Trainer Supervisor

Date developed: Document No

MAY 09, 2022
HOUSEKEEPING Developed by: Issued Page 3 of
NC II JUBIL P. TARUCAN by: 12

STII
 Template No. 4

EQUIPMENT MAINTENANCE INSPECTION CHECKLIST

Equipment Type : Trolleys

Property Code/Number: TCI- 009

Location : Practical Work Area

Person-In-Charge : JUBIL P. TARUCAN

Inspected by : Rundy C. Sañado

Date of Inspection : May 31, 2022

INSPECTION ITEMS YES NO

Is the trays and trolleys clean and dry? /

Is the tableware’s and chinaware’s area clean? /

Is the trolleys in good condition? /

Is the ventilation, ambiance in the room are clean? /

Prepared by: Approved by:

JUBIL RUNDY
JUBIL P. TARUCAN RUNDY C. SAŇADO
Trainer Supervisor

Date developed: Document No

MAY 09, 2022
HOUSEKEEPING Developed by: Issued Page 4 of
NC II JUBIL P. TARUCAN by: 12

STII
 Template No. 5

EQUIPMENT RECORD W/ CODE AND DRAWING

Eqpt. PO Drawing
No. Location Qty Title Description
No. No. Ref.

1 Practical 04568 Unit Trolley Serial No. JMA- T-009

Work 035467 376
Area

Prepared by: Approved by:

JUBIL RUNDY
JUBIL P. TARUCAN RUNDY C. SAŇADO
Trainer Supervisor

Date developed: Document No

MAY 09, 2022
HOUSEKEEPING Developed by: Issued Page 5 of
NC II JUBIL P. TARUCAN by: 12

STII
 Template No. 6

DANGER/CAUTION TAG-OUT INDEX AND RECORD AUDITS

LOG DATE TYPE DESCRIPTION DATE

SERIAL ISSUED ( Danger/Caution) (System Components, COMPLETED

Test reference ,etc.

05-897 May 31, Malfunction Trolley June 28,

2022 2022

Prepared by: Approved by:

JUBIL RUNDY
JUBIL P. TARUCAN RUNDY C. SAŇADO
Trainer Supervisor

Date developed: Document No

MAY 09, 2022
HOUSEKEEPING Developed by: Issued Page 6 of
NC II JUBIL P. TARUCAN by: 12

STII
 Template No. 7

WASTE SEGREGATION LIST

Section/Area Practical Work Area/ Housekeeping NC II

Laboratory

GENERATED / WASTE SEGREGATED METHOD

ACCUMULATED WASTE

Recycle Compost Dispose

1. Order Pad X

2. Tissue X

3. Toothpicks X

4. Condiments X

Prepared by: Approved by:

JUBIL RUNDY
JUBIL P. TARUCAN RUNDY C. SAŇADO
Trainer Supervisor

Date developed: Document No

MAY 09, 2022
HOUSEKEEPING Developed by: Issued Page 7 of
NC II JUBIL P. TARUCAN by: 12

STII
 Template No. 8

BREAKDOWN / REPAIR REPORT

Property ID Number  TCI-009

Property Name  Trolley

Location Practical Work Area/Housekeeping

Laboratory
Findings: Recommendations:

 Trolley Malfunction  New trolley

Inspected by: Reported to:

JUBIL P. TARUCAN Rundy C. Sañado

Date: MAY 09, 2021 Date: MAY 09, 2022
Subsequent Action Taken: Recommendation:

Inspection of the item trolley Replacement of trolley

By: Technician Reported to: Rundy C. Sañado

Prepared by: Approved by:

JUBIL RUNDY
JUBIL P. TARUCAN RUNDY C. SAŇADO
Trainer Supervisor

Date developed: Document No

MAY 09, 2022
HOUSEKEEPING Developed by: Issued Page 8 of
NC II JUBIL P. TARUCAN by: 12

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 Template No. 9

WORK REQUEST

Unit No. Description:

 009  Trolley

Observation: Date Reported:

 Malfunction MAY 09, 2022

Reported by:

Rundy C. Sañado
Activity: Date completed:

 Replacement of new Trolley MAY 09, 2022

Signature:

Spare parts used:

 Functional trolley

Prepared by: Approved by:

JUBIL RUNDY
JUBIL P. TARUCAN RUNDY C. SAŇADO
Trainer Supervisor

Date developed: Document No

MAY 09, 2022
HOUSEKEEPING Developed by: Issued Page 9 of
NC II JUBIL P. TARUCAN by: 12

STII
 Template No. 10

SALVAGE REPORT

Area / Section : Practical Work Area/Housekeeping Laboratory

In - Charge : JUBIL P. TARUCAN

Date : MAY 09, 2022

FACILITY TYPE PART ID RECOMMENDATION

Numatic Trolley Trolley For Training/learning

Prepared by: Approved by:

JUBIL RUNDY
JUBIL P. TARUCAN RUNDY C. SAŇADO
Trainer Supervisor

Date developed: Document No

MAY 09, 2022
HOUSEKEEPING Developed by: Issued Page 10
NC II JUBIL P. TARUCAN by: of 12

STII
 Template No. 11

INSPECTION REPORT

Area/Section Practical Work Area/Housekeeping Laboratory

JUBIL P. TARUCAN
In – Charge

Facility Type Incident Action Taken Progress /

Remarks

Numatic Trolley Malfunctioning Refer to Replace Trolley

supervisor

Reported by: Date:

JUBIL P. TARUCAN
MAY 09, 2022

Prepared by: Approved by:

JUBIL RUNDY
JUBIL P. TARUCAN RUNDY C. SAŇADO
Trainer Supervisor

Date developed: Document No

MAY 09, 2022
HOUSEKEEPING Developed by: Issued Page 11
NC II JUBIL P. TARUCAN by: of 12

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 Template No. 12

PURCHASE REQUEST FORM

Requested
Jubil P. Tarucan PR Number 067
By
Position Trainer Date 09-MAY - 2022
Departmen
Bachelor of Technical Vocational Teachers Education
t
Departmen
Joe Ann L. Pagara
t Head

Justification/Reasons for purchase:

To replaced items to be used to facilitate training

Purchase Details
No To be filled out by accounting
Unit Description
. Unit price Amount
PHP PHP
1 Unit Numatic Trolley PHP 55,999
55,999

Total Price PHP 55,999

Approvals
Position Name Signature Date Approved
Academic
Rundy C. Sañado RUNDY 09- MAY 2022
Dean

Items received by
Name Signature Date Received Remarks
Jubil P. Tarucan 09- MAY- 2022 Received

Prepared by: Approved by:

Jubil RUNDY
JUBIL P. TARUCAN RUNDY C. SAŇADO
Trainer Supervisor

Date developed: Document No

MAY 09, 2022
HOUSEKEEPING Developed by: Issued Page 12
NC II JUBIL P. TARUCAN by: of 12

STII