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Maintenance Request Form

Uploaded by

Mohamed Firdaus Bin Zakaria
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© © All Rights Reserved
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59 views

Maintenance Request Form

Uploaded by

Mohamed Firdaus Bin Zakaria
Copyright
© © All Rights Reserved
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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MAINTENANCE REQUEST FORM (MRF)

DDRSB
(770402-K)

Date (DD/MM/YY) :

Please tick (/) the services : PREVENTIVE -(PPM)


CORRECTIVE -(CM)
M&E C&S EXT WORK OTHERS USER REQUEST- (U/R)
BREAKDOWN -(B/D)

WORK REQUESTOR :

Name : Date :
Position : Time :
E-mail : Location :
Phone No. :

RESPONSE/ACTION BY :
Name Date Time
Start :
End :
ASSESSMENT/ROOT CAUSE :

WORK DESCRIPTION :

SPARE PART/ITEM USED:


Item Quantity U/F Cost Total Cost

Action By Checked By Verified By


(Technician) (Engineer/Manager) (Requestor)
Name :
Position :
Date :

Time :

:
Signature Date : Date :

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