WASTE MATERIALS REPORT

_______________________________________
Agency
Place of Storage: Date:
ITEMS FOR DISPOSAL
ITEMS RECORD OF SALES
FOR
DISPOSA QTY. UNIT DESCRIPTION
O.R. No. Amount
L
1
2
3
4
5
6
7
8
9
10
TOTAL
Certified
Correct: Disposal Approved:
_________________________________ ____________________________________
Property Officer
CERTIFICATE OF INSPECTION
I hereby certify that the property enumerated above was disposed of as follows:

Destroye
Item d
Item Sold at private sale
Item Sold at public auction
Item Transferred without cost to _________

Property Inspector: (Name and Signature) Witness to disposition:

ANNEX C
CHECKLIST FOR UNSERVICEABLE EQUIPMENT:
VEHICLES/HEAVY EQUIPMENT
Equipment Description/Type____________________Prop.No.__________
Unit Serial No._________________________Engine Serial No. __________
Acquisition Cost_____________________________Date__________________
Date Reported as Unserviceable ____________________________________

LEGEND:
S = Serviceable X = Unserviceable
M = Missing NA = Not Applicable
ENGINE: SUSPENSIONS:
Operating Condition FrontSpringAssembly
Injection Pump Assembly RearSpringAssembly
Injection/Nozzle Assy.
Fuel Pump Assembly WHEELS:
Cylinder Head Assembly
Water Pump Assembly Tires Front
Radiator Assembly Tires Rear
Air Cleaner Assembly Spare Tire
Carburetor Assembly
Governor Assembly PROPELLER SHAFT ASSY.:
Turbo Charger
Oil Cooler Assembly Front
No. of Cylinders Rear
ELECTRICAL DIFFERENTIAL ASSY.:
Generator/Alternator Front
Assembly Rear
Starter Assembly
Voltage Regulator Assy. FINAL DRIVE
Solenoid Assembly
Ignition Coil Assy. Sprocket Assembly
Magneto Drive Chain
Distributor Assembly
2/cap , rotor UNDERCARRIAGES:
Wiper Assembly
Headlight Assembly Track Link Assembly
Stop & Tail Light Assy. Idler Assembly
Directional Light Assy. Track Adjuster Assy.
(front & rear) Track Roller Assy.
Battery Carrier Roller Assy.
CLUTCH ASSEMBLY TORQUE CONVERTER
CUSHIONS: BODY/CAB/FENDERS
Front Seat CHASSIS/FRAME
Rear Seat WINDSHIELD
Operator’s Seat FUEL TANK ASSEMBLY
GAUGES: HYDRAULIC SYSTEM:
Hour/Service Meter Hydraulic Pump Assembly
Speedometer Hydraulic Motor Assembly
Tachometer Hydraulic Hoses
Temperature Gauges Control Valve Assembly
(water) Hydraulic Cylinders
Oil Pressure Gauges
Converter oil Temperature TRANSMISSION ASSEMBLY
Gauges TRANSFERCASE ASSEMBLY
BRAKE SYSTEM: WINDSHIELD
Master Cylinder Assembly FUEL TANK ASSEMBLY
STEERING SYSTEM:
Power Steering System
Steering Clutch Assembly with Disc Plate & Brake Lining
ACCESSORIES:
Dozer/Blade Assembly Riper Assembly
Cutting Edges End Bits
Dragline Bucket Clamshell Bucket
Backhoe Bucket Ditching Bucket
Fairlead assembly Tagline Assembly
(for crane) (for crane)
Compressor Cables
Boom Assembly Boom Pulley
Lifting Block Others
REMARKS:

Inspected by:

(NAME)

(DESIGNATION)
ANNEX D
CHECKLIST OF PROPERTIES FOR DISPOSAL
AIRCON/REFRIGERATOR/FREEZER
Equipment Description/Type____________________________________
Unit Serial No.________________________Prop.No._________________
Acquisition Cost_______________________Date____________________
Date Reported as Unserviceable ________________________________

LEGEND:
S = Serviceable X = Unserviceable
M= Missing NA = Not Applicable

ELECTRICAL: MECHANICAL:

Motor Compressor Compressor

Running Capacitor Thermostat
Starting Capacitor Condenser
Selector Switch Evaporator
Magnetic Contactor Filter Drier
Relay Capillary Tube
Overload Protector H/L Pressure Switch
Condensed Fan Motor Expansion Valve
Fan Motor Strainer
Time Relay Switch Surge Tank
Wiring Heat Exchanger
Solenoid Sight Glass

OTHERS:

Body
Casing
Front Cover
Air Filter Element

Inspected by:

______________________________
(NAME)
______________________________
(DESIGNATION)
ANNEX E

Republic of the Philippines

XYZ Corporation
DISPOSAL COMMITTEE
Manila

APPRAISAL REPORT
Date:_____________

Subject: Appraisal of various properties intended for disposal as listed

under attached _______ page/s Inventory and Inspection Report
of Unserviceable Property (I & I Report) dated
______________.

Findings/Observations:

1. The subject properties were all kept inside a guarded bodega

and systematically arranged in accordance with the listings
indicated under I & I Report.
2.

3.

Note: With individual Checklist and pictures hereto attached.

Valuation Procedures/Consideration:

1. The condition of the above-subject properties has been

assessed thru ocular inspection.

2. The vehicle was appraised on the basis of the available Current

Market Value (CMV) taken from advertised price of used vehicle
of the same make and model from “ABC” magazine, May 2,
2000 issue.

3.

4.

5. Determination of the appraised value is based on the COA

Revised Guidelines on Appraisal of Property other than Real
Estate, Antique Property and Works of Art.
6. The total appraised value of the above subject properties arrived
at is P_____________, broken down as follows:

Item Description Appraised Value

a. ______________
b. ______________
c. ______________

Total Appraised Value P ____________

Prepared by:

JUAN DELA CRUZ

Member
Disposal Committee
TABLES
TABLE 1. COMPONENT RATING TABLES

(Source: NIA; Bureau of Equipment; USIPHIL; Monark; Maxima)

Type %

A. VEHICLES
Engine 23
Body and Chassis 35
Transmission 7
Differential 5
Others 30

B. PASSENGER BUS
Body and Chassis 41
Engine 25
Transmission 7
Differential 5
Others 22

C. HEAVY EQUIPMENT
Grader
Body and Chassis 35
Engine 25
Transmission 20
Others 20

Bulldozer
Body and Chassis 35
Engine 25
Differential 11
Transmission 8
Others 21

Dump Truck 6 Wheeler 10 Wheeler

Body and Chassis 35 25
Engine 25 19
Differential 11 14
Transmission 8 9
Others 21 33

8
 Type %

Concrete Mixer
Engine 45
Mixing Drum 35
Body/Chassis/spring/tires/etc. 20

Crane Crawler
Engine 25
Upper Machinery 30
Track group 25
Body/chassis 10
Others, boom bucket, acc. 10

Crane Truck Mounted

Engine (2) 35
Upper Machinery 25
Track group 20
Body/chassis 10
Others, boom bucket, acc. 10

Loader with Backhoe

Engine 25
Transmission 20
Body Chassis 30
Bucket, backhoe, tires & hydraulic 25

Loader Wheel Crawler

Engine 25 30
Transmission 20 25
Body Chassis 35 15
Bucket, tires, hydraulic 20 30

Excavators/Backhoe
Engine 25
Hydraulic System 25
(cyl., valves, hose, pipings)
Track group 25
Body, frame, arms & boom 25
others, bucket, etc.

Farm Tractor
Engine 30
Transmission 25
Body Chassis 20
Others, tires & attachment 25

9
 Type %

Truck Tractor
Engine 30
Transmission 10
Differential (tandem) 10
Body Chassis 25
Others, tires, spring, elect., etc. 25

Trailer for Jeep

Body, chassis 80
Wheel, tires, axle 20

Trailer for Truck Tractor 25 tons Capacity

Body Chassis 60
Wheel, tires, axle 40

Road Roller 1 Drum 2 Drum Pneumatic Roller

Engine 50 40 40
Transmission 20 20 25
Drum 15 25 20 (Tire)
Body Chassis 15 15 15

Roller Vibratory
Engine 40
Transmission 20
Drum 25 (including hydraulic system)
Body Chassis 15

Tractor Crawler
Engine 30
Transmission Steering (Front Drive) 25
Track group 30
Body Chassis/dozer 15

Forklift
Engine 35
Transmission 10
Body/Chassis 25
Hydraulic, Tires & 30
Others

D. AIRCONDITIONING UNIT (WINDOW)

Compressor 41
Condenser 14
Evaporator 12
Fan Motor 20
Filter/Drier 3
Others 10
Type %

10
E. TYPEWRITER (MANUAL)
Carriage Assembly 48
Type Basket Mechanism 35
Keyboards 11
Others 6

F. DENTAL EQUIPMENT
Dental Unit & Chair 62
Air Scaler 14
Air Motor 14
Compressor ¼ HP 5
High Speed 3
Dental Stool 2

G. MOTORCYCLE
Engine 23
Clutch, transmission, 35
sprocket & chain
Body/Chassis, shock 30
absorber & tank
Others, wheel tires, 12
electrical

H. OTHERS

Concrete Vibrator
Engine 85
Vibrator 15

Pump
Engine 65
Pump 35

Generating Set
Engine 60
Generator 40

Welding Machine
Engine 60
Generator 40

11
 Type %

Air Compressor
Engine 50
Compressor 30
Body & Others 20

Chainsaw
Engine 80
Saw, etc. 20

Computers, tools and devices, furniture and fixtures are

appraised based on their scrap value, thus, component rating is not
applicable.

12