TE 3 Preventive Maintenance Report.xlsx

This is a Preventive Maintenance Report template for large equipment maintenance at dining facilities. The form is designed to document preventive maintenance activities for equipment such as refrigerators and other commercial kitchen appliances at US Army Hawaii installations. Key data fields include facility/building number, equipment manufacturer and model information, serial numbers, technician name, date and time of completion, deficiencies identified during the inspection, actions taken to address those deficiencies, and operational status following maintenance. The example provided documents a refrigerator maintenance visit on January 1, 2025, where an interior light was replaced and a door seal cracking issue was documented for further work request submission, with the equipment remaining operational after the service visit.

This report template directly supports the solicitation W912CN-27-Q-A009 for US Army Hawaii Dining Facilities' Large Equipment Preventative Maintenance & Repair Services. The solicitation is a 100% small business set-aside for a single, firm fixed-priced contract covering one base year and four option years to provide maintenance and repair services for large equipment at dining facilities on Oahu and the Big Island. Contractors must be registered in the System for Award Management (SAM) and submit a completed quote, spreadsheet, and required documentation to be considered. The work encompasses all resources necessary to maintain equipment functionality at Army dining facilities in Hawaii under the Regional Contracting Office Hawaii (RCO-HI).