Appendix 4

Maintenance work Order

BUILDING

VEHICLE
MACHINE

ENVIRONMENT

STATUS

From: DRIVING (DEPARTMENT).

To: MAINTENANCE COORDINATOR.
Description of Problem, Recommendations and Cost Involved (Labour, Market, Overhead)
1. 3000km Service (Preventive Maintenance )
2. Replacement of worn-out parts and general service (Corrective
Maintenance)
Date: .
Signature.
Recommendations by Maintenance Coordinator.

Date: . Signature:

Recommendations and Guidelines on procedures by PMU

Date: .. Signature:

Recommendations and directive by Authorizing Officer

Date: ..
Signature:
..
Work Accepted by: .. Signature:
Date: ..
Date completed..Name of Job
Executor.Signature:
Checked & Approved by in charge of Maintenance
Remarks:

Signature:

Date:


Work Order No: DRVNG/CM/NISSAN/2014/02
For Emergence work Put (E) for planned work Put (P)
Attached: BOQ ( ) Drawing
appropriate

( ) specimen ( ) Additional description (

) Put ( ) where

Appendix 4
Maintenance work Order for SU 39838
BUILDING

VEHICLE
MACHINE

ENVIRONMENT

STATUS

From: DRIVING (DEPARTMENT).

To: MAINTENANCE COORDINATOR.
Description of Problem, Recommendations and Cost Involved (Labour, Market, Overhead)
1. Purchase and Re-fix of center bearing-complete damage (Corrective
Maintenance )
2. Purchase and Replacement of fuel pump - worn out
Date: .
Signature.
Recommendations by Maintenance Coordinator.

Date: . Signature:

Recommendations and Guidelines on procedures by PMU

Date: .. Signature:

Recommendations and directive by Authorizing Officer

Date: ..
Signature:
..
Work Accepted by: .. Signature:
Date: ..
Date completed..Name of Job
Executor.Signature:

Checked & Approved by in charge of Maintenance

Remarks:

Signature:

Work Order No: DRVNG/CM/NISSAN/2014/03

Date:

For Emergence work Put (E) for planned work Put (P)
Attached: BOQ ( ) Drawing
appropriate

( ) specimen ( ) Additional description (

) Put ( ) where

Appendix 4
Maintenance work Order for SU 39838
BUILDING

VEHICLE
MACHINE

ENVIRONMENT

STATUS

From: DRIVING (DEPARTMENT).

To: MAINTENANCE COORDINATOR.
Description of Problem, Recommendations and Cost Involved (Labour, Market, Overhead)
1. Changing engine oil and filter (Preventive Maintenance )
2. Changing of rubber caliper ( Corrective maintenance)
Date: .
Signature.
Recommendations by Maintenance Coordinator.

Date: . Signature:

Recommendations and Guidelines on procedures by PMU

Date: .. Signature:

Recommendations and directive by Authorizing Officer

Date: ..
Signature:
..
Work Accepted by: .. Signature:
Date: ..
Date completed..Name of Job
Executor.Signature:
Checked & Approved by in charge of Maintenance
Remarks:

Signature:

Work Order No: DRVNG/CM/NISSAN/2014/04

Date:

For Emergence work Put (E) for planned work Put (P)
Attached: BOQ ( ) Drawing
appropriate

( ) specimen ( ) Additional description (

) Put ( ) where

Appendix 4
Maintenance work Order for SU 39838
BUILDING

VEHICLE
MACHINE

ENVIRONMENT

STATUS

From: DRIVING (DEPARTMENT).

To: MAINTENANCE COORDINATOR.
Description of Problem, Recommendations and Cost Involved (Labour, Market, Overhead)
1. General repair and service as directed by our qualified staff (see attached
inspection report) Corrective Maintenance
Date: .
Signature.
Recommendations by Maintenance Coordinator.
- I recommend repair to be in our workshop by our qualified personnel.
- Required parts and material should follow procurement procedures
Date: 13022015. Signature:

Recommendations and Guidelines on procedures by PMU

Date: .. Signature:

Recommendations and directive by Authorizing Officer

Date: ..
Signature:
..
Work Accepted by: .. Signature:
Date: ..
Date completed..Name of Job
Executor.Signature:
Checked & Approved by in charge of Maintenance
Remarks:

Signature:

Work Order No: DRVNG/CM/NISSAN/2015/01

Date:

For Emergence work Put (E) for planned work Put (P)
Attached: BOQ ( ) Drawing
appropriate

( ) specimen ( ) Additional description (

) Put ( ) where

Appendix 4
Maintenance work Order for SU 39838
BUILDING

VEHICLE
MACHINE

ENVIRONMENT

STATUS

From: DRIVING (DEPARTMENT).

To: MAINTENANCE COORDINATOR.
Description of Problem, Recommendations and Cost Involved (Labour, Market, Overhead)
1. 3000km service as per manufacturers directed (preventive maintenance)
2. General service

Date: .
Signature.
Recommendations by Maintenance Coordinator.
- I recommend repair to be in our workshop by our qualified personnel.
- Required parts and material should follow procurement procedures
Date: 20032015. Signature:

Recommendations and Guidelines on procedures by PMU

Date: .. Signature:

Recommendations and directive by Authorizing Officer

Date: ..
Signature:
..
Work Accepted by: .. Signature:
Date: ..
Date completed..Name of Job
Executor.Signature:
Checked & Approved by in charge of Maintenance
Remarks:

Signature:

Work Order No: DRVNG/CM/NISSAN/2015/02

Date:

For Emergence work Put (E) for planned work Put (P)
Attached: BOQ ( ) Drawing
appropriate

( ) specimen ( ) Additional description (

Appendix 4
Maintenance work Order for SU 39838

) Put ( ) where

BUILDING

VEHICLE
MACHINE

ENVIRONMENT

STATUS

From: DRIVING (DEPARTMENT).

To: MAINTENANCE COORDINATOR.
Description of Problem, Recommendations and Cost Involved (Labour, Market, Overhead)
1. Repair of defective turbo charger

Date: .
Signature.
Recommendations by Maintenance Coordinator.
- I recommend repair to done by a hired qualified personnel.
- Required parts and material should follow procurement procedures
Date: 13042015. Signature:

Recommendations and Guidelines on procedures by PMU

Date: .. Signature:

Recommendations and directive by Authorizing Officer

Date: ..
Signature:
..
Work Accepted by: .. Signature:
Date: ..
Date completed..Name of Job
Executor.Signature:
Checked & Approved by in charge of Maintenance
Remarks:

Signature:

Work Order No: DRVNG/CM/NISSAN/2015/03

Date:

For Emergence work Put (E) for planned work Put (P)
Attached: BOQ ( ) Drawing
appropriate

( ) specimen ( ) Additional description (

) Put ( ) where

Appendix 4
Maintenance work Order for SU 39838
BUILDING

VEHICLE
MACHINE

ENVIRONMENT

STATUS

From: DRIVING (DEPARTMENT).

To: MAINTENANCE COORDINATOR.
Description of Problem, Recommendations and Cost Involved (Labour, Market, Overhead)
1. Maintenance on the driving car (preventive maintenance)
2. General service
Date: .
Signature.
Recommendations by Maintenance Coordinator.
- I recommend repair to be in our workshop by our qualified personnel.
- Required parts and material should follow procurement procedures
Date: 18062015. Signature:

Recommendations and Guidelines on procedures by PMU

Date: .. Signature:

Recommendations and directive by Authorizing Officer

Date: ..
Signature:
..
Work Accepted by: .. Signature:
Date: ..
Date completed..Name of Job
Executor.Signature:
Checked & Approved by in charge of Maintenance
Remarks:

Signature:

Work Order No: DRVNG/CM/NISSAN/2015/04

Date:

For Emergence work Put (E) for planned work Put (P)
Attached: BOQ ( ) Drawing
appropriate

( ) specimen ( ) Additional description (

) Put ( ) where

Appendix 4
Maintenance work Order for SU 39838
BUILDING

VEHICLE
MACHINE

ENVIRONMENT

STATUS

From: DRIVING (DEPARTMENT).

To: MAINTENANCE COORDINATOR.
Description of Problem, Recommendations and Cost Involved (Labour, Market, Overhead)
1. Maintenance on the driving car (preventive maintenance)
Date: .
Signature.
Recommendations by Maintenance Coordinator.
- I recommend repair to be in our workshop by our qualified personnel.
- Required parts and material should follow procurement procedures
Date: 16022016. Signature:

Recommendations and Guidelines on procedures by PMU

Date: .. Signature:

Recommendations and directive by Authorizing Officer

Date: ..
Signature:
..
Work Accepted by: .. Signature:
Date: ..

Date completed..Name of Job

Executor.Signature:
Checked & Approved by in charge of Maintenance
Remarks:

Signature:

Work Order No: DRVNG/CM/NISSAN/2016/01

Date:

For Emergence work Put (E) for planned work Put (P)
Attached: BOQ ( ) Drawing
appropriate

( ) specimen ( ) Additional description (

) Put ( ) where

Appendix 4
Maintenance work Order for SU 39838
BUILDING

VEHICLE
MACHINE

ENVIRONMENT

STATUS

From: DRIVING (DEPARTMENT).

To: MAINTENANCE COORDINATOR.
Description of Problem, Recommendations and Cost Involved (Labour, Market, Overhead)
1. Maintenance on the cooling system replacement of hose pipe (preventive
maintenance)
Date: .
Signature.
Recommendations by Maintenance Coordinator.
- I recommend repair to be in our workshop by our qualified personnel.
- Required parts and material should follow procurement procedures
Date: 18032016. Signature:

Recommendations and Guidelines on procedures by PMU

Date: .. Signature:

Recommendations and directive by Authorizing Officer

Date: ..
Signature:
..
Work Accepted by: .. Signature:
Date: ..
Date completed..Name of Job
Executor.Signature:
Checked & Approved by in charge of Maintenance
Remarks:

Signature:

Work Order No: DRVNG/CM/NISSAN/2016/02

Date:

For Emergence work Put (E) for planned work Put (P)
Attached: BOQ ( ) Drawing
appropriate

( ) specimen ( ) Additional description (

) Put ( ) where

Appendix 4
Maintenance work Order for SU 39838
BUILDING

VEHICLE
MACHINE

ENVIRONMENT

STATUS

From: DRIVING (DEPARTMENT).

To: MAINTENANCE COORDINATOR.
Description of Problem, Recommendations and Cost Involved (Labour, Market, Overhead)
1. Re-threading front left stable axle (preventive maintenance)
Date: .
Signature.
Recommendations by Maintenance Coordinator.
- I recommend repair to be done by a hired qualified person.

Required parts and material should follow procurement procedures

Date: 18052016. Signature:

Recommendations and Guidelines on procedures by PMU

Date: . Signature:

Recommendations and directive by Authorizing Officer

Date: .
Signature:
..
Work Accepted by: . Signature:
Date: .
Date completed. Name of Job
Executor.Signature:
Checked & Approved by in charge of Maintenance
Remarks:

Signature:

Work Order No: DRVNG/CM/NISSAN/2016/03

Date:

For Emergence work Put (E) for planned work Put (P)
Attached: BOQ ( ) Drawing
appropriate

( ) specimen ( ) Additional description (

) Put ( ) where

Appendix 4
Maintenance work Order for SU 39838
BUILDING

VEHICLE
MACHINE

ENVIRONMENT

STATUS

From: DRIVING (DEPARTMENT).

To: MAINTENANCE COORDINATOR.
Description of Problem, Recommendations and Cost Involved (Labour, Market, Overhead)
1. Replacement of front left stub axle and its bearings (preventive
maintenance)
2. General service
Date: .
Signature
Recommendations by Maintenance Coordinator.
- I recommend repair to be done by a hired qualified person.
- Required parts and material should follow procurement procedures
Date: 19072016. Signature:

Recommendations and Guidelines on procedures by PMU

Date: . Signature:

Recommendations and directive by Authorizing Officer

Date: .
Signature:

Work Accepted by: . Signature:

Date: .
Date completed. Name of Job
Executor. Signature
Checked & Approved by in charge of Maintenance
Remarks:

Signature:

Work Order No: DRVNG/CM/NISSAN/2016/03

For Emergence work Put (E) for planned work Put (P)

Date:

Attached: BOQ ( ) Drawing

appropriate

( ) specimen ( ) Additional description (

) Put ( ) where

Appendix 4
Maintenance work Order for SU 39838
BUILDING

VEHICLE
MACHINE

ENVIRONMENT

STATUS

From: DRIVING (DEPARTMENT).

To: MAINTENANCE COORDINATOR.
Description of Problem, Recommendations and Cost Involved (Labour, Market, Overhead)
1. Replacement of worn out both Tarpaulin and air filter element (Corrective
maintenance)
Date: .
Signature
Recommendations by Maintenance Coordinator.
- I recommend repair and replacement to be done at workshop by our staff.
- Required parts and material should follow procurement procedures
Date: 23082016. Signature:

Recommendations and Guidelines on procedures by PMU

Date: . Signature:

Recommendations and directive by Authorizing Officer

Date: .
Signature:

Work Accepted by: . Signature:

Date: .
Date completed. Name of Job
Executor. Signature
Checked & Approved by in charge of Maintenance
Remarks:

Signature:

Work Order No: DRVNG/CM/NISSAN/2016/03

Date:

For Emergence work Put (E) for planned work Put (P)
Attached: BOQ ( ) Drawing
appropriate

( ) specimen ( ) Additional description (

) Put ( ) where