Maintenance Request Master Form
Internal
Maintenance staff reporting
Date
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Hour Minutes
Name of Building
Please Select
Cedar Plaza
Harbour Point
Oakwood Centre
Parkview Towers
Riverside House
Umhlanga Office Park
Property Zone
Commercial
Tenants
Accommodation
Location
Entrance
Foyer
Common Area
Unit
Floor Number
Unit Number
Emergency
Yes
No
Request Priority
High Priority
Medium Priority
Low Priority
Routine Maintenance
Fault category
Electrical
Plumbing
Painting
Handyman
Infrastructure-related
Lift
Other
If other, please specify
Maintenance Type
Reactive
Preventative
Predictive
Any immediate action taken?
Yes
No
Provide detail of immediate action taken
Detail of request
Name of Requester
Capture photo of issue
Maintenance Planner
Work Source
Internal
External
Maintenance Allocation
Mr A
Mr B
Mr C
Materials required for job request
Yes
No
Source of stock
In stock on site
Requires purchase
Items to order (List item description and quantity required)
Location stock items required
Light Bulbs
Copper pipe
50mm
100mm
Paint
Name of Service Provider
Cost estimate
Quotation
Invoice
Value of Quotation/ Invoice
Capture quotation/ invoice for approval
Quotation/ Invoice approved
Yes
No
Payment Terms
Deposit paid
Full payment on completion
Service provider contacted
Yes
No
Date work scheduled
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Job Completed
Yes
No
Capture completion Photo
Supervisor sign off
Yes
No
Job card closed
Yes
No
Job Status
Please Select
Open
In-Progress
Closed
On-hold
Invoice submitted for payment
Yes
No
Service provider paid
Yes
No
Part-paid
If other, please specify
Cost of repairs (Rands)
Number of days to close job card (from reporting)
Number of days to close job card (from allocation)
Submit
Should be Empty: