CTPHC Outside Vendor Tool Inventory Form (7).pdf
PDF 223 KB Posted
- Solicitation number
- BPM057647
- Issued by
- Maryland
About this file
This is a Tools and Equipment Inventory Control Form for outside vendors working with Clifton T. Perkins Hospital Center in Maryland. The form is designed to track tools and equipment provided to contractors performing maintenance services, specifically for the piping and recirculation pump repair project in the Central Kitchen Area's Dietary section. The inventory tracking document lists common hand tools and equipment such as hammers, screwdrivers, pliers, wrenches, tape measures, levels, utility knives, power drills, and specialized items including stud finders, caulk guns, flashlights, pipe cutters, soldering torches, wire strippers, voltage testers, and conduit benders. The form requires contractors to document time in and time out, along with check-in and check-out procedures overseen by a Security Inspector, with spaces to record inventory quantities, items used, damaged or discarded items, lost items, and charges for consumables.
The form establishes accountability procedures for all tools and equipment issued to outside vendors by requiring both the contractor's signature and the Security Inspector's verification at check-in and check-out. Items are tracked by quantity on hand, quantity used during the project, quantity damaged or properly discarded, and quantity lost, with a notation that any lost items require a Motor Vehicle Report (MVR). This inventory control mechanism ensures proper management of hospital property and helps document the condition and accountability of equipment throughout the duration of the maintenance contract for the piping and pump repair work.
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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 .