Work Order (Monthly PM)

• Conducted on

  Date

• Prepared by

• Location
  Address

• Yes

  No

  N/A

Shop: AIR CONDITIONING

• 05/16/2022 12:00 AM

  Yes

  No

  N/A

• Priority: Routine

  Yes

  No

  N/A

Job Type: Preventive

Maintenance

• Created Date:

  Date

• Work Order Description:

• (HOODK39MO) CAFETERIA EXHAUST HOOD / Monthly / Maint. Group #145 HOOD (Monthly)

  Yes

  No

  N/A

• Task #

• (HOODK39MO) CAFETERIA EXHAUST HOOD

  Yes

  No

  N/A

• Task Description

• Prop ID

• Property Name

• Address / Unit / Property Group

Lease #

• Chancery

  Yes

  No

  N/A

HOOD, KITCHEN

EXH (PREP- ITEM 62)

HOOD, KITCHEN

• EXH (SERV - ITEM 75)

• Agency

  Yes

  No

  N/A

• STATE-OBO

  Yes

  No

  N/A

PROGRAM

• Location / Remarks

NOB 1ST FL KITCHEN 1330-2 /

Asset Type: HOOD, KITCHEN

• EXHAUST/(Code HOODK); CSI:

  Yes

  No

  N/A

114005; CRIT: 2; LOOP: NOB

FACILITY (KITCHEN)

NOB 1ST FL KITCHEN 1330-2 /

Asset Type: HOOD, KITCHEN

• EXHAUST/(Code HOODK); CSI:

  Yes

  No

  N/A

114005; CRIT: 2; LOOP: NOB

FACILITY (KITCHEN)

• Estimated Time (hours):

Preventive Maintenance Checklist:

• HOODK39MO

  Yes

  No

  N/A

• Code:

• Description:

• Asset Type:

  Yes

  No

  N/A

• Frequency: MO

• CAFETERIA EXHAUST HOOD

  Yes

  No

  N/A

• HOOD-KITCH-EXHAUST

  Yes

  No

  N/A

• (T)ools, (S)afety Equipment and (M)aterials

  Yes

  No

  N/A

Safety Guidelines

• Mechanics tool set

  Yes

  No

  N/A

• Filter replacement

  Yes

  No

  N/A

• Vacuum

  Yes

  No

  N/A

• Respirator

  Yes

  No

  N/A

• Goggles

  Yes

  No

  N/A

• Ladder if applicable

  Yes

  No

  N/A

• Schedule work with operating personnel

  Yes

  No

  N/A

• Perform the work before and during other scheduled maintenance

  Yes

  No

  N/A

• Follow site safety rules and your supervisor's instructions

  Yes

  No

  N/A

• Only qualified personnel shall perform this service

  Yes

  No

  N/A

• Obtain and review manufacturer's instructions

  Yes

  No

  N/A

• The work required may set off an alarm or a supervisory signal. The Field Office Manager and work begins

  Yes

  No

  N/A

• Report any problems you find

  Yes

  No

  N/A

Maintenance Procedures

• Remove dirty filters and replace with clean filters

  Yes

  No

  N/A

• Move dirty filters to cleaning station

  Yes

  No

  N/A

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Preventive Maintenance Checklist:

• HOODK39MO

  Yes

  No

  N/A

• Code:

• Description:

• Asset Type:

  Yes

  No

  N/A

• Frequency: MO

• CAFETERIA EXHAUST HOOD

  Yes

  No

  N/A

• HOOD-KITCH-EXHAUST

  Yes

  No

  N/A

• Estimated Time (hours):

• Approved By: GMMS/PM

  Yes

  No

  N/A

• Reviewed By:

• Work Hours

• Reg / OT

• Travel Time

  Date

• Reg / OT

• Wait Time

  Date

• Reg /OT

• Estimated Duration:

• Assigned To:

• Date

  Date

• Name

• UNASSIGNED

  Yes

  No

  N/A

• Work Accomplished:

• Material Used: (Use Other side as needed)

Part #

• Description

• Quantity Used

• Unit Cost (USD)

• Total Cost (USD)

• Work Completed Date Work Completed Time Customer's Signature:

  Date

Page 2 of 2