CTPHC Outside Vendor Tool Inventory Form (7).pdf

PDF 223 KB Posted

Attached to
Supplemental Locksmith Services at Clifton T. Perkins Hospital Center
Solicitation number
BPM057776
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 vendor contractors performing supplemental locksmith services. The form documents the check-in and check-out of hand tools and power equipment including hammers, screwdrivers, pliers, wrenches, tape measures, levels, utility knives, power drills, stud finders, caulk guns, flashlights, pipe cutters, soldering torches, wire strippers, voltage testers, and conduit benders, as well as consumable items such as nails and screws. Each inventory entry requires contractor identification, security inspector verification through signatures, and precise documentation of quantities on hand at check-in and check-out, quantities used during the work period, quantities damaged or properly discarded, and quantities lost. The form includes notation indicating that lost items marked with an asterisk require a Motor Vehicle Report (MVR).

The inventory control process establishes accountability measures between CTPHC and contracted locksmith vendors by requiring dual sign-off from both the contractor and security inspector personnel. The form serves as a property management and loss prevention tool to track tool utilization, identify damaged equipment requiring replacement or repair, and document missing items that may necessitate incident reporting. This systematic approach ensures proper stewardship of hospital equipment and maintains an accurate record of tool inventory status throughout the duration of supplemental locksmith work performed 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 .