FORM 1: HOW TO MAKE THE HOUSEKEEPING SCHEDULE FORM

1. Do not change the title of the form, it should only be HOUSEKEEPING

SCHEDULE regardless of your qualification.
2. Put your qualification name in the QUALIFICATION row.
3. Put your learning area of choice in the AREA/SECTION row.
4. Put someone other than yourself as the IN-CHARGE.
5. In the ACTIVITIES column, enumerate activities that have to be
accomplished to maintain the area you specified in the
AREA/SECTION row. These must be in direct sentence form and are
fairly specific.
6. Put the designated person in the RESPONSIBLE PERSON column.
7. In the row marked “Schedule for the First Semester, 2018”, you
may replace “First Semester, 2018” with your preferred school
calendar division (i.e. SCHOOL YEAR or SECOND SEMESTER).
8. Put a check mark () based on the frequency of the activities.
9. Put some remarks on the “REMARKS” column.
10. Refer to the example below.

HOUSEKEEPING SCHEDULE

Qualification COMPUTER SYSTEM SERVICING NC II

Area/Section Computer Laboratory/Practical Work Area
In-Charge Carl Jefferson Day

ACTIVITIES Responsible Schedule for the First Semester, 2018

Person
Monthly
15th Day

Remark
Weekly
Every

Every
other
Daily

Day

s
1. Clean and check Laboratory
Computer System Custodian/
from dust and dirt. Working X
scholar

2. Check the Laboratory

condition of the air Custodian/
conditioning units Working X
scholar

3. Clean and check Laboratory

the condition of the Custodian/
Computer tools, Working X
equipment and scholar
supplies; check
supplies for
replenishment.

4. Clean the Laboratory

Computer Keyboard Custodian/
Working
X
scholar/
Trainees

5. Clean Unnecessary Working

files scholar/
X
Trainees

6. Check Windows Working

Updated scholar/
X
Trainees

7. Run Disk Working

Management scholar/
X
Trainees

8. Empty all trash Working

cans/waste basket in scholar/
X
the work area. Trainees

9. Clean the area; Working

vacuum and mop the scholar/
floors keeping it from Trainees
being slippery, dust X
all furniture and
fixtures

10. Check and Laboratory

inspect the fire Custodian/
extinguishers Working X
scholar

11. Arrange and sort Laboratory

all instructional Custodian/
materials, check LCD Working
projectors, screen, scholar
X
etc., and the
condition of the
computer set.
12. Disposal of waste
Working
materials (follow
scholar/
waste segregation X
Trainees
system)
 FORM 2: HOW TO MAKE THE EQUIPMENT MAINTENANCE SCHEDULE
FORM

1. Choose one (1) equipment from the list of equipment specified in the
TR of your qualification. Hint: use something that may be considered
unique to your qualification.
2. Put in the EQUIPMENT TYPE the type of equipment that your chose.
To its right, place a generic image of the equipment.
3. For the EQUIPMENT CODE, you may create your own coding system.
4. For the LOCATION, place the learning area where the equipment is
most likely to be placed.
5. Like in Form 1, put specific activities for maintain chosen equipment
in the ACTIVITIES column. Again, be fairly specific.
6. Put the designated RESPONSIBLE PERSON in its column.
7. Put a check mark () based on the frequency of the activities.
8. Put some remarks on the “REMARKS” column.
9. Refer to the example below.

EQUIPMENT MAINTENANCE SCHEDULE

EQUIPMENT TYPE Desktop Computer

EQUIPMENT CODE CLCA-DPC-001 up to 010

LOCATION Computer Laboratory/Practical Work Area

Schedule for the 1st Semester, 2018

Responsible
ACTIVITIES
Person Every Semi-
Daily Weekly Monthly Remarks
15th Day annual

HARDWARE

1. Maintaining Work Area

a. Inspect the setup of the

computer. Be sure that Trainees

the area is dry and no
spilt liquid is nearby.
b. Check the stability of
Trainees
the computer and 
keyboard
c. Check power cords and
Trainees
cables. Check 
connections.
d. Wipe dust and remove Trainees

unnecessary objects
 that will obstruct the
use of the computer.
e. Turn on AVR/UPS and
Trainees 
then turn on the
computer.
f. Use the computer
properly. Avoid
Trainees 
downloading from
unrecognized/unsafe
sites.
g. Before using external
hard or flash drives,
scan and clean. After Trainees 
using, be sure to close
the document/program
and eject it.
h. Properly shut down the
Trainees 
computer when not in
use
i. Turn off the AVR/UPS
Trainees
after shutting down the 
computer.
j. Return the mouse and
Trainees 
keyboard to their
proper place after use.
k. To protect the desktop
Trainees 
computer, cover it (if
available)
2. Clean Internal Components

a. Remove dust Maintenance

Technician 

b. Inspect components for Maintenance

loose screws and Technician 
connectors
c. Clean as possible Maintenance
Technician 

i. Heat sink/fan Maintenance

assembly Technician 

ii. Video card Maintenance

Technician 

iii. Internal drives Maintenance

Technician 

3. Clean the Case

a. Clean the outside of Trainees 
the computer case.
b. While cleaning the
case, check for possible
Trainees 
missing or tangled
cables that can pull
free from the case.
4. Inspect Computer Components

Check/inspect the
following components to
Trainees 
ensure they are in order,
well-arranged and all
components are functional
A. Power devices Maintenance
Technician 

a. Power strips (replace Maintenance

if not working Technician 
properly)
b. Surge protectors Maintenance
Technician 

c. And UPS devices Maintenance

Technician 

d. Make sure there is

Maintenance
proper and 
Technician
unobstructed
ventilation
B. Loose Screws
Loose screws can cause
problems if they are
not immediately fixed Maintenance
or removed. A screw Technician 
may cause a short
circuit or roll into a
position where it is
hard to remove.
C. Keyboard and Mouse
Use compressed air or
a small vacuum cleaner Trainees 
to clean the keyboard
mouse, and mouse
sensor.
D. Cables Maintenance
Technician 
a. Examine all cable Maintenance
connections Technician 

b. Look for broken and Maintenance

bent pins Technician 

c. Ensure that all

Maintenance
connector retaining 
Technician
screws are finger-
tight.
SOFTWARE

1. Operating System Maintenance

Reformatting Technician 

2. Software Utilities Maintenance

Technician 

3. Disk Cleanup Maintenance

Technician 

4. Disk Defragmenting Maintenance

Technician 

5. Data Backup Maintenance

Technician 

6. Make sure that

Trainees 
unnecessary websites
are blocked
7. Check system for
Trainees 
viruses and other
malwares
 FORM 3: HOW TO MAKE THE HOUSEKEEPING INSPECTION
CHECKLIST FORM

1. Do not change the word HOUSKEEPING in the title of this form. The
title stays as it is.
2. Put your qualification name in the QUALIFICATION row.
3. Put your learning area of choice in the AREA/SECTION row.
4. Put someone other than yourself as the IN-CHARGE.
5. This form must be aligned with Form 1: Housekeeping Schedule.
6. The ACTIVITIES in Form 1 must be fairly aligned with the
INSPECTION ITEMS in Form 3, that is, simply translate the
ACTIVITIES from Form 1 into YES/NO questions and use them as the
INSPECTION ITEMS in Form 3.
7. Tick either the YES or NO column; this is for example only and will only
serve as your output for your portfolio.
8. Put some REMARKS.
9. Put a name in the INSPECTED BY: row and have it signed. Put the date
as well.
10. Refer to the example below.

HOUSEKEEPING INSPECTION CHECKLIST

Qualification Computer System Servicing NC II

Area/ Computer Laboratory/Practical Work Area
Section
In-Charge Carl Jefferson Day

YES NO INSPECTION ITEMS

 1. Are the computer systems free from dust and dirt?

 2. Are air conditioners in working order?
 3. Are the computer tools, equipment and supplies
in working order? Are the supplies replenished?
 4. Is the computer keyboard clean?
 5. Is the computer cleaned from unnecessary files?
 6. Is the Windows operating system updated?
 7. Has the Disk Management been ran? Were there
any problems?
 8. Are the trash bins empty of waste?
 9. Has the floor been mopped/vacuumed? Have the
fixtures been dusted clean?
  10. Have the fire extinguishers been checked? Are
they in working order?
 11. Are the instructional materials arranged? Are the
computer screens clean?
 12. Was the waste segregation system of disposing
waste materials followed?
Remarks:
Air conditioners are not working properly, have maintenance technician
check them. Trash bins are full, they must be emptied before the day
ends.

Inspected by:
Date:
JUVELYN L. PUGOY 4/30/18
FORM 4: HOW TO MAKE THE EQUIPMENT MAINTENANCE INSPECTION
CHECKLIST FORM

1. For this form, use the same equipment you used in Form 2: Equipment
Maintenance Schedule.
2. Fill out the following: EQUIPMENT TYPE, PROPERTY
CODE/NUMBER, LOCATION, PERSON IN CHARGE (NOT YOU), and
INSPECTED BY (could be you), DATE OF INSPECTION.
3. This form must be aligned with Form 2: Equipment Maintenance
Schedule.
4. The ACTIVITIES in Form 2 must be fairly (that is, not really one by one)
aligned with the INSPECTION ITEMS in Form 4, that is, simply
translate the ACTIVITIES from Form 2 into YES/NO questions and use
them as the INSPECTION ITEMS in Form 4.
5. Tick either the YES or NO column; this is for example only and will only
serve as your output for your portfolio.
6. Put some REMARKS.
7. Put a name in the INSPECTED BY: row and have it signed. Put the date
as well.
8. Refer to the example below.

EQUIPMENT MAINTENANCE INSPECTION CHECKLIST

Equipment Type : Desktop Computer

Property Code/Number : CLCA-DPC-001 up to 010

Location : Computer Laboratory / Practical Work Area

Person-In-Charge : Carl Jefferson Day

YES NO INSPECTION ITEMS

 1. Are the surroundings of the computer setup clean

and dry?
 2. Are the power cords and cables free from breaks,
damage and moisture? Is it in good condition?
 3. Are there no unnecessary objects that may
obstruct proper computer use?
 4. Is the keyboard free from dust, debris, and
moisture? Is it in good condition?
 5. Is the AVR free from dust, debris, and moisture?
Is it operational?
 6. Is the operating system working properly?

 7. Are the software programs running properly?

  8. Are the ports working properly?

 9. Is the computer system shut down properly after

use?
 10. Are there any loose screws, components or
connectors? (i.e., Heat sink, fan, video card,
internal drives)
 11. Is the outside case free from dust, debris,
and moisture?
 12. Is the system free from viruses?

REMARKS:
The AVR might need to be opened and cleaned, it makes a sound and
smells like burnt plastic after prolonged use.

One application opens and shows the splash screen only. It does not really
open. When observed in the Task Manager, the app is opened so it uses
memory.

Inspected by:

MARGIE S. ARDA

Date: 4/30/2018
 FORM 5: HOW TO MAKE THE WASTE SEGREGATION LIST FORM

1. Put the following: QUALIFICATION, AREA/SECTION (Use the one in

Form 1: Housekeeping Schedule), IN-CHARGE (Not You).
2. In the GENERATED/ACCUMULATED WASTE column, put at least ten
(10) possible wastage that may be produced during the course of your
training. In putting said wastage, place a descriptive word before them
i.e. “Damaged Computer Keyboard” or “Unusable Rags”
3. Place an “x” or “” for the WASTE SEGREGATION METHOD of choice
(RECYLCE, COMPOST and/or DISPOSE).
4. Put your name in the PREPARED BY: row and sign your name. (You
are the trainer, you should know the waste that might be produced
during your training).
5. Put the date.
6. Refer to the example below.

WASTE SEGREGATION LIST

Qualification Computer System Servicing NC II
Area/Section Computer Laboratory/Practical Work Area
In-Charge Carl Jefferson Day
GENERATED/ ACCUMULATED WASTE SEGREGATION METHOD
WASTE RECYCLE COMPOST DISPOSE
1. Accumulated waste in
x
bins

2. Broken glass x

3. Dented computer Case x x

4. Damaged Power Supply x

5. Damaged Computer
x
Keyboard

6. Damaged Computer
x
Mouse

7. Used rags x

8. Unusable plastic
x
containers

9. Used plastic water

x
bottles
10. Torn black bags x

11. Damaged Power Cord x

12. Unusable styrofoam x

Prepared by: Date:

Carl Jefferson Day 4/30/18

 FORM 6: HOW TO MAKE THE TAG-OUT BILL

1. You will decide how you want the LOG SERIAL to be.
2. Put the DATE ISSUED.
3. Put the TYPE of caution you wish the reader of the tag-out bill to take.
4. Put in the DESCRIPTION the equipment and its breakdown.
5. Put in the DATE COMPLETED when the tag was taken off.
6. Put your name in the REPORTED BY and write the name of your
supervisor in the APPROVED BY row. Don’t forget to have the names
signed.
7. Refer to the example below.

TAG-OUT BILL

DANGER/CAUTION TAG-OUT INDEX AND RECORD AUDITS

LOG DATE TYPE DESCRIPTION DATE

SERIAL ISSUED (Danger/ (System COMPLETED

Components, Test
Caution) Reference, etc.)

Cracked or blistered
2018-001 2/15/18 Danger Computer Monitor 02/18/18

2018-002 3/15/18 Out of Order Computer Table 03/30/18

Computer Power
2018-003 3/18/18 Out of 03/30/18
Supply
Calibration

2018-004 3/29/18 Out of Order Computer does not 3/30/18

have recognized OS
Reported by: Approved by:

Carl Jefferson Day Ms. Margie Arda

Trainer Supervisor
 FORM 7: HOW TO MAKE BREAKDOWN/REPAIR REPORT

1. From the Form 6: TAG OUT BILL, choose one (1) scenario to use in this
form.
2. Put the PROPERTY ID NUMBER, PROPERTY NAME, and LOCATION.
3. Put in the FINDINGS what was wrong with the equipment and who
inspected it (INSPECTED BY: This could be you). Write the
preliminary recommendation of the inspector in the
RECOMMENDATIONS column.
4. Put in the REPORTED TO column the name of your immediate
supervisor, as well as the date when the incident was reported.
5. Describe the SUBSEQUENT ACTION TAKEN after this incident was
reported; in the BY column below, put the name of the laboratory
technician or simply “LABORATORY TECHNICIAN”. Put the date also.
6. Write the name of the person whom the Lab technician reports to –
could be you. Put the date.
7. Don’t forget to sign all the names.
8. Refer to the example below.

BREAKDOWN / REPAIR REPORT

Property ID Number: CLCA-DPC-005

Property Name: Desktop Computer

Location: Computer Laboratory/Practical Work Area

Findings: Recommendations:

Missing OS Need to Reformat

Inspected by: Reported to:

Carl Jefferson Day Margie Arda

Date: Date:

March 29, 2018 March 29, 2018

Subsequent Action Taken: Recommendation:

PC was thoroughly checked for
other problems and the OS was Reformat disk and install working
found corrupted and was not able OS immediately
to load properly

By: Reported to:

Laboratory Technician Carl Jefferson Day

Date: Date:

March 30, 2018 March 30, 2018

 FORM 8: HOW TO MAKE THE SALVAGE REPORT

1. Put the AREA/SECTION and IN-CHARGE (could be you).

2. Indicate the FACILITY TYPE and PART IDentified as faulty to the point
of being unusable.
3. One thing that most of the trainees get wrong in MTF is this form.
SALVAGE is defined as something extracted (as from rubbish) as
valuable or useful. This means that RECOMMENDATIONS such as
“FOR REPAIR” and “FOR REPLACEMENT” are unacceptable for this
form. In this form, you are to recommend actions to be done to the
actual equipment/equipment part that has been deemed unusable.
Can they still be used for other than its original purpose? Can they still
be SALVAGED for usable parts?
4. Put at least three (3) scenarios for this form.
5. Put your name as the one who PREPARED this report. Put the date as
well.
6. Don’t forget to sign all the names.
7. Refer to the example below.

SALVAGE REPORT
AREA/SECTION Supplies/Computer Laboratory

IN CHARGE Carl Jefferson Day

FACILITY TYPE PART ID RECOMMENDATION

DESKTOP COMPUTER
Use as Instructional
Material for Computer
HARD DISK
Systems Servicing
Course

Forward to CITS for

DEFECTIVE PRINTER
INKJET PRINTER salvaging of useful
HEAD
electronic parts.

Prepared by:

CARL JEFFERSON DAY

Signature over printed name

Date: February 16, 2018

 FORM 9: HOW TO MAKE THE WORK REQUEST

1. Use the scenario from the BREAKDOWN/REPAIR REPORT for this

form. (i.e. the computer be installed with a new OS)
2. Fill out the details: UNIT (code is up to you), DESCRIPTION (of the
equipment), OBSERVATIONS (similar to FINDINGS in Form 7),
ACTIVITY (the WORK that your request for), REPORTED BY (could
be you), DATE REPORTED and DATE COMPLETED.
3. Have the report noted by your property custodian.
4. Put possible spare parts to complete the WORK/ACTIVITY requested.
5. Change the name in PREPARED BY to yours.
6. Don’t forget to sign all the names.
7. Refer to the example below.

WORK REQUEST
UNIT Description: Desktop Computer (Equipment Code:
001 CLCA-DPC-005)

Observations: The installed OS does Date Reported: March 30, 2018

not load properly, OS
is missing. Reported by: Carl Jefferson Day

Activity: Reformat disk/Clean

Date Completed: March 30, 2018
Installation

Noted by:

Sheila E. Perocho

Property Custodian

Spare parts used: Operating System Installation Disk

Prepared by:

CARL JEFFERSON DAY

Signature over printed name

Date: March 30, 2018

 FORM 10: HOW TO MAKE THE EQUIPMENT RECORD WITH CODE AND DRAWING

1. Use Landscape format for this form

2. Put at least five (5) equipment specified in the TR of your qualification.
3. NO. is simply the numbering of the equipment.
4. LOCATION is where the equipment is located.
5. EQUIPMENT NO. is the coding used to identify equipment, the formatting is up to you, be consistent with the
one used in the previous forms. (For example: <ACRONYM OF SCHOOL>-<ACRONYM OF EQUIPMENT>-
<SERIAL NO.> or ICST-DPC-001)
6. QTY is the quantity of equipment you have in said location (refer to TR).
7. TITLE is the generic name of the equipment
8. DESCRIPTION details the model, make and features of the equipment you actually have.
9. PO NO. is the Purchase Order Number, could be anything, up to you.
10. DRAWING REFERENCE is a picture of the equipment.
11. Put your name in the PREPARED BY, and put the date. Put the name of your supervisor/property custodian in
the NOTED section.
12. Don’t forget to sign all the names.
13. Refer to the example below.
 EQUIPMENT RECORD W/ CODE AND DRAWING
Equipm Qt
No. Location Title Description PO No. Drawing Reference
ent No. y

CLCA-
ASUS VE198T
Computer DPC-
19" WXGA+
1. Laboratory/ 001
10 Monitor 1440x900 DVI 667045
Practical (SCR) up
VGA Back-lit
Work Area to 010
LED
(SCR)

HP Pavillon,
Computer CLCA-
Laptop 4GB RAM, 500
2. Laboratory/ LPC-001
5 Comput HDD SATA, 650021
Practical up to
er Intel Core i5,
Work Area 005
Windows 10

Computer CLCA-
Laboratory/ AVR- Secure 220V
3.
Practical 001 up 12 AVR 665088
Computer AVR
Work Area to 012
 Intel i5-2320,
CLCA- 3.3 GHz with
DPC- Motherboard;
Computer
001 4GB DDR3
Laboratory/ System
4. (CPU)
Practical 10 Memory; 1GB 663131
up to Unit
Work Area NVIDIA
010 GeForce Video
(CPU) Card; 500
SATA II HDD
CLCA-
DPC-
Computer
001
Laboratory/ Keyboar Genius USB
5. (KBD)
Practical 10 661174
up to d Keyboard
Work Area
010
(KBD)

CLCA-
DPC-
Computer A4Tech N-
001
Laboratory/ 600X-1 V-
6. (MSE)
Practical 10 Mouse 659217
up to Track Optical
Work Area Mouse (Black
010
(MSE)
 Computer CLCA-
Laboratory/ HUB- LAN, Full
7. Hub/Sw
Practical 001 up 10 Duplex, 100 657260
itch
Work Area to 010 Mbps

Computer Linksys
Laboratory/ CLCA- ADSL WRT54GL,
8.
Practical RTR-001 1 Power supports 655303
Work Area Router 802.11b and
802.11g

Prepared:
Carl Jefferson Day Noted :
Date:
 FORM 11: HOW TO MAKE THE INSPECTION REPORT

1. Use Landscape format for this form

2. Put at least three (3) scenarios in this form as example.
3. Fill out the details: AREA/SECTION and IN-CHARGE (could be you or the Laboratory Technician).
4. In the FACILITY TYPE column, put the equipment of concern, just the generic name.
5. In the INCIDENT column, put the inspected incident of specified equipment.
6. In the ACTION TAKEN, put the action taken by the responsible person before the time of inspection.
7. In the PROGRESS/REMARKS column, put the progress of the incident as of time of inspection.
8. Put the name of the one who inspected the area. Don’t forget to sign all the names.
9. Refer to the example below.

INSPECTION REPORT
AREA/SECTION Computer Laboratory/Practical Work Area

IN CHARGE Carl Jefferson Day

FACILITY TYPE INCIDENT ACTION TAKEN PROGRESS/REMARKS

Desktop Computer Cannot Run OS Tried System Restore For reformatting

Hub / Switch Power Cord not Working Check Power Cord For replacement
Updated Anti-virus
Laptop Computer Attack by Virus For repair
Software
Blotted/truncated
USB Printer Cleaned head For refilling of ink tak
printouts
Reported by: Margie Arda Date: March 10, 2018
 FORM 12: HOW TO MAKE THE INSPECTION REPORT

1. If you have a sample PURCHASE REQUEST form from your school,

you can use it. Just fill it out properly and have it signed.
2. If none, you can use the example below.
3. Change the name of the school to the one you’re currently affiliated
with, if none, use ICST.
4. Request for material/tool/equipment that is specified in the TR of
your qualification. Put the unit cost, and total cost. Put your name as
the trainer and sign it.
5. Refer to the example below.

PURCHASE REQUEST

CHRISTIAN LEARNING CENTER OF ARGAO, CEBU, Inc.

Alcazaren Street, Argao
Cebu

Fund Cluster:
Department: ICT PR No.:2018-06-138 Date:
Responsibility Center Code:
Section: Laboratory

Stock/
Item Total
Property Unit Quantity Unit Cost
Description Cost
No.

1 pcs CPU 1 16,000.00 16,000.00

2 pcs Monitor 1 4,000.00 4,000.00

3 pcs Mouse 5 150.00 750.00

4 pcs Keyboard 2 250.00 500.00

5
TOTAL
21,250.00

Purpose:

Requested
by: Approved by:

Signature:
Printed Name: CARL JEFFERSON DAY
Designation: TRAINER