TE 7 Work Order Request Template.pdf

Work Order Request Template

Work Request

1. From: COR To: Contractor Request For Diagnosis/Estimate

Name: Phone: Email/Fax:

Location:

Project Title: Contract Number:

Equipment:

Problem:

Notes/Comments:

COR/AI Signature:

Date and Time Notified:

Work Request Number:

2. From: Contractor To: COR Diagnosis Report

Contractor Name: .

POC: Phone: Fax:

Detail Diagnosis:

Contractor Signature: Date and Time Diagnosis Completed:

3. From Contractor To: COR Repair And Cost Estimate

Estimated Cost of Materials $

Electronics Tech ET hr 0 Estimated date to complete

Electronics Tech ET-III hr Estimated Profit and OH on labor and materials

Machinery Mechanic MM hr Assessment Cost

Labor Totals ……. $0 Estimated Total Cost of Job $

Notes/Comments: Estimated Profit and Overhead is based on estimate of materials and labor cost without assessment cost and will be different on completion report. Total Cost of Job is Estimated cost of Materials plus Labor Totals plus Profit and OH on labor and materials plus assessment cost..____________________________________________

Work Order Request Template

Contractor Signature: Date and Time Cost Estimate Submitted:

Materials Breakdown Cost

Motor rebuild at shop (worst case), transportation to and from motor shop

Pump removal from well, shop work, re-install and test (worst case)

Any materials purchased will be charged at cost and materials estimate is not a fixed price for this work order. Subcontractor cost is a fixed price based on work required.

Total Materials Cost Estimate