CTPHC Outside Vendor Tool Inventory Form (7).pdf

PDF 223 KB Posted

Attached to
Plumbing Services
Solicitation number
BPM058237
Issued by
Maryland

About this file

This is a Tools and Equipment Inventory Control Form for Clifton T. Perkins Hospital Center (CTPHC) in Maryland, designed to track tools and equipment provided to outside vendors performing plumbing services at the facility. The form documents the check-in and check-out of a comprehensive inventory of hand tools, power tools, and consumable supplies, including hammers, screwdrivers, pliers, wrenches, tape measures, levels, utility knives, power drills, caulk guns, flashlights, pipe cutters, soldering torches, wire strippers, voltage testers, conduit benders, nails, and screws. The form requires documentation of inventory quantities at check-in and check-out, with columns to track quantity used, items damaged or properly discarded, quantity lost, and charges for consumable items, with a notation that certain discrepancies require a Maintenance Variance Report (MVR).

The form serves as an accountability mechanism for contractor performance and asset management, requiring signatures from both the contractor and the security inspector at check-in and check-out, along with the inventory date and specific contractor identification. This tool tracking system ensures proper stewardship of hospital equipment and materials during plumbing service work and establishes a clear record of asset utilization, loss, and damage throughout the duration of vendor engagement at the facility.

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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 .