WORK ORDER

REPAIR #

_________

DATE: ____________ TIME: __________

 ROUTINE	______________________________
 EMERGENCY	REQUESTED BY:	ext.
 VIOLATION	______________________________
 PROJECT	APPROVED BY:	ext.	

SCHOOL/BUILDING	

MACHINE #	
Room #	

		CREW ASSIGNMENTS:
	00. MAINT. TECH.
	01. HVAC TECH
	02. CARPENTER
	03. ELECTRICIAN
	04. PLUMBER
	05. PAINTER
	06. CUSTODIAN
	07. SUPERVISOR
	08. DRIVER
	09. SECRETARY
	10. OTHER	

	CAUSE:
	0. PM DIRECTED
	1. PREV. MAINT.
	2. FAILURE
	3. VANDALISM
	4. PROJECT
	5. SAFETY
	6. TRAINING
	7. ADMINISTRATION
	8.TOILET/DRAIN PROB
	9. CIRCUIT BREAKER
	A. OTHER	

DESCRIPTION OF PROBLEM:

	

LIST BELOW ACTUAL WORK DONE:	
DONE BY:
DATE:	INITIALS:	
WORK TIME:
HRS.       MIN.	

	

	

		
	MATERIALS
LINE	
QUANTITY	
DESCRIPTION	
COST	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

	

TOTAL:  	

	SUPERVISION USE ONLY
WAITING FOR PARTS	
SCHEDULE	

PURCH
ORDER #:	
START:	

DATE
ORDERED:	
COMPLETE:	

DATE
RECEIVED:	
REVIEWED:	

NOTES:

	

White – facilities Dept./Yellow – Return to Issuer/Pink – School or Dept. Requesting