CTPHC Outside Vendor Tool Inventory Form (5).pdf

PDF 223 KB Posted

Attached to
Mobile X-Ray Services at Clifton T. Perkins Hospital Center
Solicitation number
BPM053986
Issued by
Maryland

About this file

CTPHC Outside Vendor Tool Inventory Form

This document is an Outside Vendor Tool Inventory Form for Clifton T. Perkins Hospital Center (CTPHC), a Maryland state facility. The form serves as an equipment tracking and management document for external vendors providing services at the hospital center. The inventory form is structured to capture vendor-supplied equipment and tools that are brought onto the facility's premises, with designated fields for vendor identification, equipment descriptions, quantities, serial numbers, condition assessments, and tracking documentation. The form establishes accountability measures for all outside vendor equipment maintained at the facility and requires vendors to document each item brought into the hospital center, ensuring proper inventory control and asset management throughout the duration of service contracts, including the three-year Mobile X-Ray Services contract that Clifton T. Perkins Hospital Center is currently procuring.

The inventory form functions as an administrative control mechanism to monitor and document all equipment provided by external vendors contracted to deliver services at the facility. By requiring vendors to maintain detailed records of tools and equipment on-site, the form supports risk management, security protocols, and operational oversight of third-party service providers. This documentation requirement is standard practice for healthcare facilities managing multiple vendor relationships and supports compliance with hospital policies regarding equipment accountability and facility security.

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

TOOLS AND EQUIPMENT INVENTORY CONTROL FORM

OUTSIDE VENDOR COMPANY:

Time In: Time Out:

Hammer Phillips Head Screw Drivers Flat Head Screw Drivers Slip Joint Pliers Needle-nose Pliers Adjustable Wrenches Open Ended Wrenches Pipe Wrenches Tape Measures Levels Utility Knives Chisels Hand Saws Power Drill / Drivers Stud Finder Caulk Gun Caulk Flashlight Pipe Cutters Soldering Torches Wire strippers Voltage testers Conduit Benders Nails Screws

Inventory Date:

Contractor Name: Check In Sec. Insp. Name:

Contractor Signature: Check Out Sec. Insp. Name:

🗹 if Present Item Description

Check in Quantity on Hand

Check Out QuantityQuantity

Used

Damaged / Properly

Discarded

Quantity Lost

Changes for Consumables Quantity

*Requires

MVR

🗹 if Present Item Description

Check in Quantity on Hand

Check Out QuantityQuantity

Used

Damaged / Properly

Discarded

Quantity Lost

Changes for Consumables Quantity

*Requires

MVR

File details come from the government source that posted it. Updated .