PWS_Attch_S009_1.pdf
PDF 21 KB Posted
- Attached to
- NPS, Statue of Liberty Park Mechanical Services
- Solicitation number
- 140P4525R0004
About this file
This file is an attachment showing a sample Maintenance Equipment Form used at the Statue of Liberty National Monument. The form is designed to track maintenance activities on equipment installations, with fields for recording the major system, subsystem, component details, manufacturer information, equipment ratings, building/equipment numbers, and multiple location identifiers. The form includes space for up to 11 maintenance entries, requiring maintenance personnel to document their name, initials, division/company, start date/time, authorization number, completion date/time, and work performed. The instructions specify that the card must be installed on all equipment receiving preventive or corrective maintenance, and must be returned to maintenance when all lines are filled.
This document appears to be a supporting attachment to a pre-solicitation for mechanical operations and maintenance services at the Statue of Liberty National Monument and Ellis Island, being procured by the Department of the Interior National Park Service under solicitation number 140P4525R0004.
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Text version
Attachment No. S009 STLI Utilities Maintenance
The following is a sample of the Statue of Liberty “Maintenance Equipment Form”
MAINTENANCE EQUIPMENT FORM
CARD No.00001 Major System:
Sub System:
Component:
Symbol:
Equipment manufacturer:
Rating(S.)(tonnage\ BTU,HP):
Building number:
Equipment number:
Location 1 Location 2 Location 3 Notes:
Name Initial Division/Co. Date time WO No. Remarks performed 1 S
C 2 S
C 3 S
C 4 S
C 5 S
C 6 S
C 7 S
C 8 S
C 9 S
C 10 S
C 11 S
C
Instructions: This card is to be installed on each and every piece of equipment that is receiving maintenance, (Preventive Maintenance, corrective Maintenance etc.). The card will be completed and filled out as follows:
1. NAME: Print Last name legibly then first letter of given name.
2. INIT. Sign your Initials.
3. DIV/Co. The Company or Park Division your From.
4. START . The time and Date that work has begun.
DATE/TIME
5. AUTH No. Insert the Authorization Number given to the work which is being performed. E.g. (Shop work authorization No., Contract No. and Delivery Order No.,)
6. COMP: The Time and Date that the work is Completed on.
DATE/TIME
7. RMKS-WORK PERFORMED
THIS CARD MUST BE REMOVED, REPLACED AND RETURNED TO
MAINTENANCE WHEN ALL LINES ARE FULL!!!
File details come from the government source that posted it. Updated .