Exhibit J_Equipment Inventory Form.docx

Exhibit J is an Equipment Inventory Form required for the Irrigation System Maintenance & Service contract at Austin State Hospital (ASH) in Texas. This form must be completed jointly by the Contractor's on-site supervisor and the ASH Representative at every entry into and exit from patient-accessible areas, as specified in Section 5.7 of the contract. The form documents equipment movement through controlled areas by recording item descriptions, quantities upon entry and exit, and verification that all items are properly accounted for. The form includes designated fields for the date, courtyard or area designation, contractor company name, entry and exit times, verification signatures from ASH representatives, and a section for recording any discrepancies noted during the inventory process.

This form serves as a critical control mechanism to ensure accountability and security of contractor equipment within patient care environments. The requirement for dual verification by both contractor supervisory personnel and ASH representatives establishes a system of checks and balances to prevent loss, theft, or unauthorized use of equipment in sensitive hospital areas. The form's structure supports compliance with facility security protocols and operational procedures governing contractor access to restricted zones at Austin State Hospital.