THE HSWAGATA BUDDHA TOOTH RELIC PRESERVATION MUSEUM
FOR INTERNAL USE ONLY
Template No.: T252
Template Title: Maintenance & Repair Request Log
Related Research Case IDs / Cluster: _______
Linked Templates / Policies: _______________
Date of form: ____ / ____ / ______
Prepared by / Role: _______________________
Office / Unit: ____________________________
Country / Location: _______________________
Confidentiality Level:
Internal only [ ] Restricted [ ] Sacred-Restricted / Sensitive
Use of this form (tick):
New case / action [ ] Follow-up [ ] Annual review [ ] Archive only
T252 – Maintenance & Repair Request Log
Purpose:
This log records all maintenance and repair requests. It helps us prevent neglect and track what was fixed, when, and by whom.
Rules (tick when done):
Every request gets a log number. [ ]
Urgent issues are escalated the same day. [ ]
Completion must be recorded with a date and proof (photo, invoice, note). [ ]
A) Request details (for each repair)
Fill one line per request in the table below.
Urgency level key (tick one):
Routine (can wait) [ ] Urgent (within 7 days) [ ] Emergency (same day) [ ]
Status key: New / In progress / Waiting parts / Completed / Cancelled
B) Master log table (main fields)
(Required fields include: issue, place, urgency, date requested, date completed.)
| Log No. | Date requested | Requested by (name/role) | Issue (what is broken / needed) | Place (building/room) | Urgency | Safety risk? (Y/N) | Assigned to (staff/vendor) | Target date | Status | Date completed | Completion note / proof (work done, photo, invoice no.) |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MR-____ | //______ | Routine / Urgent / Emergency | Y / N | //______ | //______ | ||||||
| MR-____ | //______ | Routine / Urgent / Emergency | Y / N | //______ | //______ | ||||||
| MR-____ | //______ | Routine / Urgent / Emergency | Y / N | //______ | //______ | ||||||
| MR-____ | //______ | Routine / Urgent / Emergency | Y / N | //______ | //______ | ||||||
| MR-____ | //______ | Routine / Urgent / Emergency | Y / N | //______ | //______ |
(Add rows as needed.)
C) Escalation (for urgent/emergency)
If Urgent or Emergency, complete this section.
Escalated to (name/role): __________________________
Escalation date/time: ____ / ____ / ______ ______
Immediate safety step taken (if any): ________________________________
Does this affect relic rooms / sacred areas? Yes [ ] No [ ]
If yes, inform: Security [ ] Conservation [ ] Director/ED [ ]
D) Monthly summary (optional)
Month / Year: ________________
Total requests received: ________
Total completed: ________
Still open: ________
Top recurring issues (max 3):
____________________ 2) ____________________ 3) ____________________
E) Sign-off and archive
Prepared by: _______________________ Signature: ______________ Date: ____ / ____ / ______
Reviewed by (Facilities/Admin Head): __________________ Signature: ______________ Date: ____ / ____ / ______
Archive file code (T252): _______________________
Digital folder path: __________________________________________
