A corrective maintenance work order form to be used in executing maintenance in cases of breakdowns, emergencies and when an immediate action is required.

1. Maintenance Work Order
Work Request “to be filled by Originator”
Work Type: (Breakdown BD, Corrective Maintenance CM, Projects)
Scheduling: (Planned / unplanned)
Line status: (Working / Stopped)
Shift:……… Originator:……….. Request dept:……… Date:…../…../…… Time:………
Cost Center:………… Location:………. Equipment name:……….. Equipment code:…………. Responsibility….
Problem description:……………………………………………………………………………………………………………………………………………………..
…………………………………………………………………………………………………………………………………………………………………………………
Problem Code:………….
SupervisorMaintenanceTo be filled by theSection
PhaseWork Order Execution
TimeCodeTechnicians
1.
2.
3.
Equipment Downtime:…………………….
Used Spare Parts:
QuantityCodeSpare Parts description
Used Tools:
QCodeNameQCodeName
Notes:______________________________________________________
__________________________________________________________________
WO Closing”Signatures”
Technician:…………… Supervisor:…………….. Originator:……………
Failure Code:Failure Description:
Cause Code:Cause:
Action Code:Remedy:
Clarification at the back of the paper!
Priority Check: Safety
High
Normal