CTPHC Outside Vendor Tool Inventory Form (7).pdf
PDF 223 KB Posted
- Attached to
- Ligature Resistant Fitness Equipment for Hospital Patients at Clifton T. Perkins Hospital Center
- Solicitation number
- BPM055810
- Issued by
- Maryland
About this file
This is a Tools and Equipment Inventory Control Form used by Clifton T. Perkins Hospital Center (CTPHC) in Maryland for managing outside vendor tools and equipment during contracted work. The form functions as a check-in and check-out document designed to track 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, soldering torches, wire strippers, voltage testers, nails, and screws. The form requires contractor identification, security inspector names, and specific timestamps for tool receipt and return to ensure accountability and proper tracking of all items throughout the project duration.
The inventory form captures critical data points for each item, including check-in quantity on hand, check-out quantity, quantity used, items damaged or properly discarded, quantity lost, charges for consumables, and notation of any items requiring Motor Vehicle Report (MVR) documentation. This systematic tracking mechanism serves to protect hospital assets, identify missing or damaged equipment, document contractor accountability, and establish clear records of tool usage and condition upon return, ensuring proper equipment management and cost control during contracted maintenance and installation work 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 .