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Sample Work Order Form

The document is a sample work order form designed for equipment maintenance, consisting of three copies for different files. It includes sections for the user to detail the equipment issue, for maintenance heads to track requests, and for technicians to report on repairs. The completed form is to be filed in the Equipment History File after maintenance is performed.

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Dheresa Ligaba
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41 views3 pages

Sample Work Order Form

The document is a sample work order form designed for equipment maintenance, consisting of three copies for different files. It includes sections for the user to detail the equipment issue, for maintenance heads to track requests, and for technicians to report on repairs. The completed form is to be filed in the Equipment History File after maintenance is performed.

Uploaded by

Dheresa Ligaba
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Sample Work Order Form

Note: this is a triplicate form


 1st sheet is the User File copy
 2nd sheet is the Maintenance Progress File copy
 3rd sheet is the Equipment History File copy

SECTION A: To Be Completed By User

Equipment Type: Inventory Number:

Item Location:

Name of person making request: Date:

Description of Problem:

Troubleshooting performed (if relevant):


SECTION B: To Be Completed By Head Of Equipment Maintenance

Date request received: Work order number:

Priority of task (high/medium or low): Task allocated to:

SECTION C: To be completed by Maintenance Technician

Was item repaired? Yes No

If Yes, complete Maintenance Report Form. If No, state reason work not completed
Return Item to User. and
return Work Order Form to Head of
Equipment returned to: Equipment Maintenance for follow up
and
completion of Work Order (by assignin
Date returned: another technician or outsourcing):

Name of Maintenance Technician: Signature:

After corrective maintenance is completed the Work Order Form and Corrective
Maintenance Log Form should be filed together in the Equipment History File.

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