Exhibit J_Equipment Inventory Form.docx

This is an Equipment Inventory Form (Exhibit J) for the Irrigation System Maintenance & Service contract at Austin State Hospital (ASH) in Texas. The form is designed to be completed jointly by the Contractor's on-site supervisor and an ASH Representative each time the contractor enters and exits patient-accessible areas, as required by Section 5.7 of the contract. The form contains a table with ten numbered line items for documenting equipment descriptions, quantities upon entry and exit, and verification that all items are accounted for. The form requires completion of the courtyard or area designation, contractor company name, entry and exit times, verification signatures from ASH Representatives, and a section for noting any discrepancies discovered during the inspection process.

This inventory control document serves as a critical accountability measure for the contractor's equipment and materials when accessing restricted patient areas at the facility. By requiring dual verification at both entry and exit points, the form ensures transparency and reduces the risk of equipment loss, theft, or unauthorized removal from patient-accessible zones. The form's structure enables systematic documentation and tracking, supporting compliance with facility security and asset management protocols throughout the duration of the maintenance and service contract.