Lemery Colleges, Inc.

A Bonifacio St., Bagong Sikat, Lemery, Batangas

FACILITIES MANAGEMENT DEPARTMENT

PREVENTIVE MAINTENANCE FORM
BUILDING NAME MAIN BUILDING DATE July 7, 2021
AREA/ROOM NO. LC CULINARY KITCHEN

Functional/ In
Fixtures Quantity good Needs Repair Remarks
condition
Light switches ✓
Light bulbs ✓
Power outlet ✓
Ceiling Fan
Electric Fan ✓
Airconditioning unit
Chairs ✓
Table/s ✓
Whiteboard
Cabinet
Window/s 3 Unable to close properly due to broken locks.
Door/s
TV ✓
Others: ✓ Ceiling and wall - water leakage from rain especially during extensive rain.
Wall along Lab II - need to repaint

Prepared by: Noted by:

Signature:
Name: JULIUS B. SALVIEJO ENGR. ADRIEL B. MARASIGAN
Designation: Facilities Management Staff Facilities Management Engineer
Date: July 7, 2021 July 7, 2021

FM_FORM 01
 Lemery Colleges, Inc.
A Bonifacio St., Bagong Sikat, Lemery, Batangas

FACILITIES MANAGEMENT DEPARTMENT

PREVENTIVE MAINTENANCE FORM
BUILDING NAME MAIN BUILDING DATE July 7, 2021
AREA/ROOM NO. CORPORATE OFFICE

Functional/ In
Fixtures Quantity good Needs Repair Remarks
condition
Light switches ✓
Light bulbs ✓
Power outlet 2 ✓ For replacement
Ceiling Fan ✓
Electric Fan ✓
Airconditioning unit ✓
Chairs ✓
Table/s ✓
Whiteboard
Cabinet
Window/s ✓
Door/s ✓
TV
Others:

Prepared by: Noted by:

Signature:
Name: JULIUS B. SALVIEJO ENGR. ADRIEL B. MARASIGAN
Designation: Facilities Management Staff Facilities Management Engineer
Date: July 7, 2021 July 7, 2021

FM_FORM 01
 Lemery Colleges, Inc.
A Bonifacio St., Bagong Sikat, Lemery, Batangas

FACILITIES MANAGEMENT DEPARTMENT

PREVENTIVE MAINTENANCE FORM
BUILDING NAME MAIN BUILDING DATE July 7, 2021
AREA/ROOM NO. CORPORATE OFFICE

Functional/ In
Fixtures Quantity good Needs Repair Remarks
condition
Light switches ✓
Light bulbs ✓
Power outlet 2 ✓ For replacement
Ceiling Fan ✓
Electric Fan ✓
Airconditioning unit ✓
Chairs ✓
Table/s ✓
Whiteboard
Cabinet
Window/s ✓
Door/s ✓
TV
Others:

Prepared by: Noted by:

Signature:
Name: JULIUS B. SALVIEJO ENGR. ADRIEL B. MARASIGAN
Designation: Facilities Management Staff Facilities Management Engineer
Date: July 7, 2021 July 7, 2021

FM_FORM 01
 Lemery Colleges, Inc.
A Bonifacio St., Bagong Sikat, Lemery, Batangas

FACILITIES MANAGEMENT DEPARTMENT

PREVENTIVE MAINTENANCE FORM
BUILDING NAME MAIN BUILDING DATE July 7, 2021
AREA/ROOM NO. LAB 1

Functional/ In
Fixtures Quantity good Needs Repair Remarks
condition
Light switches ✓
Light bulbs ✓
Power outlet 2 ✓ For replacement
Ceiling Fan 2 ✓ For repair
Electric Fan ✓
Airconditioning unit ✓
Chairs ✓
Table/s 1 ✓
Whiteboard ✓
Cabinet
Window/s ✓
Door/s ✓
TV
Others:

Prepared by: Noted by:

Signature:
Name: JULIUS B. SALVIEJO ENGR. ADRIEL B. MARASIGAN
Designation: Facilities Management Staff Facilities Management Engineer
Date: July 7, 2021 July 7, 2021

FM_FORM 01
 Lemery Colleges, Inc.
A Bonifacio St., Bagong Sikat, Lemery, Batangas

FACILITIES MANAGEMENT DEPARTMENT

PREVENTIVE MAINTENANCE FORM
BUILDING NAME MAIN BUILDING DATE July 7, 2021
AREA/ROOM NO. REGISTRAR OFFICE

Functional/ In
Fixtures Quantity good Needs Repair Remarks
condition
Light switches ✓
Light bulbs 1 ✓ Busted – for replacement
Power outlet 2 ✓ For replacement
Ceiling Fan 1 ✓ For replacement
Electric Fan ✓
Airconditioning unit ✓
Chairs ✓
Table/s ✓
Whiteboard ✓
Cabinet
Window/s ✓
Door/s ✓
TV
Others: ✓ Ceiling - water leakage from rain especially during extensive rain.

Prepared by: Noted by:

Signature:
Name: JULIUS B. SALVIEJO ENGR. ADRIEL B. MARASIGAN
Designation: Facilities Management Staff Facilities Management Engineer
Date: July 7, 2021 July 7, 2021

FM_FORM 01
 Lemery Colleges, Inc.
A Bonifacio St., Bagong Sikat, Lemery, Batangas

FACILITIES MANAGEMENT DEPARTMENT

PREVENTIVE MAINTENANCE FORM
BUILDING NAME MAIN BUILDING DATE July 7, 2021
AREA/ROOM NO. CANTEEN AREA/STUDENT LOUNGE/

Functional/ In
Fixtures Quantity good Needs Repair Remarks
condition
Light switches ✓
Light bulbs ✓
Power outlet 1 ✓ Unstable power supply due to short circuit
Ceiling Fan ✓
Electric Fan ✓
Airconditioning unit ✓
Chairs ✓
Table/s ✓
Whiteboard ✓
Cabinet
Window/s ✓
Door/s ✓
TV
Others: ✓ Ceiling and wall- water leakage from rain especially during extensive rain.
Gate - need to repaint

Prepared by: Noted by:

Signature:
Name: JULIUS B. SALVIEJO ENGR. ADRIEL B. MARASIGAN
Designation: Facilities Management Staff Facilities Management Engineer
Date: July 7, 2021 July 7, 2021

FM_FORM 01
 Lemery Colleges, Inc.
A Bonifacio St., Bagong Sikat, Lemery, Batangas

FACILITIES MANAGEMENT DEPARTMENT

PREVENTIVE MAINTENANCE FORM
BUILDING NAME MAIN BUILDING DATE August 6, 2021
AREA/ROOM NO. HALLWAY

Functional/ In
Fixtures Quantity good Needs Repair Remarks
condition
Light switches 1 ✓ Check electrical connection
Light bulbs ✓
Power outlet ✓
Ceiling Fan
Electric Fan
Airconditioning unit
Chairs
Table/s
Whiteboard
Cabinet
Window/s
Door/s
TV
Others: ✓ Ceiling and wall- water leakage from rain especially during extensive rain.

Prepared by: Noted by:

Signature:
Name: JULIUS B. SALVIEJO ENGR. ADRIEL B. MARASIGAN
Designation: Facilities Management Staff Facilities Management Engineer
Date: August 6, 2021 August 6, 2021

FM_FORM 01
 Lemery Colleges, Inc.
A Bonifacio St., Bagong Sikat, Lemery, Batangas

FACILITIES MANAGEMENT DEPARTMENT

PREVENTIVE MAINTENANCE FORM
BUILDING NAME HERNANDEZ BUILDING DATE August 6, 2021
AREA/ROOM NO. HALLWAY

Functional/ In
Fixtures Quantity good Needs Repair Remarks
condition
Light switches ✓ Check electrical connection
Light bulbs ✓ Check electrical connection
Power outlet
Ceiling Fan
Electric Fan
Airconditioning unit
Chairs
Table/s
Whiteboard
Cabinet
Window/s ✓ 5 jalousies for replacement, 1 window grill detached from welding
Door/s
TV
Others: ✓ 1. Ceiling and wall- water leakage from rain especially during extensive rain.
2. CR FEMALE replacement of door knob, CR MALE no doors

Prepared by: Noted by:

Signature:
Name: JULIUS B. SALVIEJO ENGR. ADRIEL B. MARASIGAN
Designation: Facilities Management Staff Facilities Management Engineer
Date: August 6, 2021 August 6, 2021

FM_FORM 01
 Lemery Colleges, Inc.
A Bonifacio St., Bagong Sikat, Lemery, Batangas

FACILITIES MANAGEMENT DEPARTMENT

PREVENTIVE MAINTENANCE FORM
BUILDING NAME MERCADO BUILDING DATE August 6, 2021
AREA/ROOM NO. MB 101

Functional/ In
Fixtures Quantity good Needs Repair Remarks
condition
Light switches ✓ For replacement
Light bulbs ✓
Power outlet ✓
Ceiling Fan ✓
Electric Fan
Airconditioning unit
Chairs ✓
Table/s ✓
Whiteboard ✓
Cabinet
Window/s ✓
Door/s 1 ✓ Door knob to be replaced
TV ✓
Others: ✓ Wall and floor cracks

Prepared by: Noted by:

Signature:
Name: JULIUS B. SALVIEJO ENGR. ADRIEL B. MARASIGAN
Designation: Facilities Management Staff Facilities Management Engineer
Date: August 6, 2021 August 6, 2021

FM_FORM 01
 Lemery Colleges, Inc.
A Bonifacio St., Bagong Sikat, Lemery, Batangas

FACILITIES MANAGEMENT DEPARTMENT

PREVENTIVE MAINTENANCE FORM
BUILDING NAME MERCADO BUILDING DATE August 27, 2021
AREA/ROOM NO. COLLEGE FACULTY ROOM

Functional/ In
Fixtures Quantity good Needs Repair Remarks
condition
Light switches ✓
Light bulbs ✓
Power outlet ✓
Ceiling Fan ✓
Electric Fan
Airconditioning unit
Chairs ✓
Table/s ✓
Whiteboard ✓
Cabinet
Window/s 2 ✓ For replacement
Door/s ✓
TV ✓
Others:

Prepared by: Noted by:

Signature:
Name: JULIUS B. SALVIEJO ENGR. ADRIEL B. MARASIGAN
Designation: Facilities Management Staff Facilities Management Engineer
Date: August 27, 2021 August 27, 2021

FM_FORM 01
 Lemery Colleges, Inc.
A Bonifacio St., Bagong Sikat, Lemery, Batangas

FACILITIES MANAGEMENT DEPARTMENT

PREVENTIVE MAINTENANCE FORM
BUILDING NAME MERCADO BUILDING DATE August 27, 2021
AREA/ROOM NO. AVR

Functional/ In
Fixtures Quantity good Needs Repair Remarks
condition
Light switches ✓
Light bulbs ✓
Power outlet 1 ✓ For replacement
Ceiling Fan ✓
Electric Fan
Airconditioning unit 1 ✓ For cleaning
Chairs ✓
Table/s
Whiteboard ✓
Cabinet
Window/s ✓
Door/s ✓ For replacement
TV ✓
Others:

Prepared by: Noted by:

Signature:
Name: JULIUS B. SALVIEJO ENGR. ADRIEL B. MARASIGAN
Designation: Facilities Management Staff Facilities Management Engineer
Date: August 27, 2021 August 27, 2021

FM_FORM 01
 Lemery Colleges, Inc.
A Bonifacio St., Bagong Sikat, Lemery, Batangas

FACILITIES MANAGEMENT DEPARTMENT

PREVENTIVE MAINTENANCE FORM
BUILDING NAME MERCADO BUILDING DATE August 27, 2021
AREA/ROOM NO. MB 202

Functional/ In
Fixtures Quantity good Needs Repair Remarks
condition
Light switches ✓
Light bulbs ✓
Power outlet 2 ✓ For replacement
Ceiling Fan ✓
Electric Fan
Airconditioning unit
Chairs ✓
Table/s ✓
Whiteboard ✓
Cabinet
Window/s ✓
Door/s ✓
TV ✓
Others:

Prepared by: Noted by:

Signature:
Name: JULIUS B. SALVIEJO ENGR. ADRIEL B. MARASIGAN
Designation: Facilities Management Staff Facilities Management Engineer
Date: August 27, 2021 August 27, 2021

FM_FORM 01
 Lemery Colleges, Inc.
A Bonifacio St., Bagong Sikat, Lemery, Batangas

FACILITIES MANAGEMENT DEPARTMENT

PREVENTIVE MAINTENANCE FORM
BUILDING NAME MERCADO BUILDING DATE August 27, 2021
AREA/ROOM NO. MB 201

Functional/ In
Fixtures Quantity good Needs Repair Remarks
condition
Light switches ✓
Light bulbs ✓
Power outlet ✓
Ceiling Fan ✓
Electric Fan
Airconditioning unit
Chairs ✓
Table/s ✓
Whiteboard ✓
Cabinet
Window/s 1 ✓ For replacement
Door/s ✓
TV ✓
Others:

Prepared by: Noted by:

Signature:
Name: JULIUS B. SALVIEJO ENGR. ADRIEL B. MARASIGAN
Designation: Facilities Management Staff Facilities Management Engineer
Date: August 27, 2021 August 27, 2021

FM_FORM 01
 Lemery Colleges, Inc.
A Bonifacio St., Bagong Sikat, Lemery, Batangas

FACILITIES MANAGEMENT DEPARTMENT

PREVENTIVE MAINTENANCE FORM
BUILDING NAME MERCADO BUILDING DATE August 27, 2021
AREA/ROOM NO. MB 301

Functional/ In
Fixtures Quantity good Needs Repair Remarks
condition
Light switches ✓
Light bulbs ✓
Power outlet 1 ✓
Ceiling Fan ✓
Electric Fan
Airconditioning unit
Chairs ✓
Table/s ✓
Whiteboard ✓
Cabinet
Window/s 2 ✓ For replacement
Door/s 2 ✓ Door knob - for replacement
TV ✓
Others:

Prepared by: Noted by:

Signature:
Name: JULIUS B. SALVIEJO ENGR. ADRIEL B. MARASIGAN
Designation: Facilities Management Staff Facilities Management Engineer
Date: August 27, 2021 August 27, 2021

FM_FORM 01
 Lemery Colleges, Inc.
A Bonifacio St., Bagong Sikat, Lemery, Batangas

FACILITIES MANAGEMENT DEPARTMENT

PREVENTIVE MAINTENANCE FORM
BUILDING NAME MERCADO BUILDING DATE August 27, 2021
AREA/ROOM NO. MB 302

Functional/ In
Fixtures Quantity good Needs Repair Remarks
condition
Light switches 1 ✓
Light bulbs ✓
Power outlet 1 ✓
Ceiling Fan ✓
Electric Fan
Airconditioning unit
Chairs ✓
Table/s ✓
Whiteboard ✓
Cabinet
Window/s ✓
Door/s 1 ✓ Door knob - for replacement
TV ✓
Others:

Prepared by: Noted by:

Signature:
Name: JULIUS B. SALVIEJO ENGR. ADRIEL B. MARASIGAN
Designation: Facilities Management Staff Facilities Management Engineer
Date: August 27, 2021 August 27, 2021

FM_FORM 01
 Lemery Colleges, Inc.
A Bonifacio St., Bagong Sikat, Lemery, Batangas

FACILITIES MANAGEMENT DEPARTMENT

PREVENTIVE MAINTENANCE FORM
BUILDING NAME MERCADO BUILDING DATE August 27, 2021
AREA/ROOM NO. MB 303

Functional/ In
Fixtures Quantity good Needs Repair Remarks
condition
Light switches 1 ✓
Light bulbs ✓
Power outlet ✓
Ceiling Fan ✓
Electric Fan
Airconditioning unit
Chairs ✓
Table/s ✓
Whiteboard ✓
Cabinet
Window/s
Door/s 1 ✓ Door knob - for replacement
TV
Others: Wall & floor cracks

Prepared by: Noted by:

Signature:
Name: JULIUS B. SALVIEJO ENGR. ADRIEL B. MARASIGAN
Designation: Facilities Management Staff Facilities Management Engineer
Date: August 27, 2021 August 27, 2021

FM_FORM 01
 Lemery Colleges, Inc.
A Bonifacio St., Bagong Sikat, Lemery, Batangas

FACILITIES MANAGEMENT DEPARTMENT

PREVENTIVE MAINTENANCE FORM
BUILDING NAME HERNANDEZ BUILDING DATE August 27, 2021
AREA/ROOM NO. SOCI OFFICE

Functional/ In
Fixtures Quantity good Needs Repair Remarks
condition
Light switches ✓
Light bulbs ✓
Power outlet 1 ✓
Ceiling Fan ✓
Electric Fan
Airconditioning unit
Chairs ✓
Table/s ✓
Whiteboard ✓
Cabinet ✓
Window/s ✓
Door/s 1 ✓ Missing jalousie
TV
Others:

Prepared by: Noted by:

Signature:
Name: JULIUS B. SALVIEJO ENGR. ADRIEL B. MARASIGAN
Designation: Facilities Management Staff Facilities Management Engineer
Date: August 27, 2021 August 27, 2021

FM_FORM 01
 Lemery Colleges, Inc.
A Bonifacio St., Bagong Sikat, Lemery, Batangas

FACILITIES MANAGEMENT DEPARTMENT

PREVENTIVE MAINTENANCE FORM
BUILDING NAME HERNANDEZ BUILDING DATE August 27, 2021
AREA/ROOM NO. PROGRAMMING LAB

Functional/ In
Fixtures Quantity good Needs Repair Remarks
condition
Light switches ✓
Light bulbs ✓
Power outlet ✓
Ceiling Fan ✓
Electric Fan
Airconditioning unit ✓
Chairs ✓
Table/s ✓
Whiteboard ✓
Cabinet ✓
Window/s ✓
Door/s ✓
TV
Others:

Prepared by: Noted by:

Signature:
Name: JULIUS B. SALVIEJO ENGR. ADRIEL B. MARASIGAN
Designation: Facilities Management Staff Facilities Management Engineer
Date: August 27, 2021 August 27, 2021

FM_FORM 01
 Lemery Colleges, Inc.
A Bonifacio St., Bagong Sikat, Lemery, Batangas

FACILITIES MANAGEMENT DEPARTMENT

PREVENTIVE MAINTENANCE FORM
BUILDING NAME HERNANDEZ BUILDING DATE August 27, 2021
AREA/ROOM NO. MULTIMEDIA ROOM

Functional/ In
Fixtures Quantity good Needs Repair Remarks
condition
Light switches ✓
Light bulbs ✓
Power outlet ✓
Ceiling Fan ✓
Electric Fan
Airconditioning unit ✓
Chairs ✓
Table/s ✓
Whiteboard ✓
Cabinet ✓
Window/s ✓
Door/s ✓
TV
Others:

Prepared by: Noted by:

Signature:
Name: JULIUS B. SALVIEJO ENGR. ADRIEL B. MARASIGAN
Designation: Facilities Management Staff Facilities Management Engineer
Date: August 27, 2021 August 27, 2021

FM_FORM 01
 Lemery Colleges, Inc.
A Bonifacio St., Bagong Sikat, Lemery, Batangas

FACILITIES MANAGEMENT DEPARTMENT

PREVENTIVE MAINTENANCE FORM
BUILDING NAME HERNANDEZ BUILDING DATE August 27, 2021
AREA/ROOM NO. GYMNASIUM

Functional/ In
Fixtures Quantity good Needs Repair Remarks
condition
Light switches ✓
Light bulbs ✓
Power outlet ✓
Ceiling Fan
Electric Fan
Airconditioning unit ✓
Chairs
Table/s
Whiteboard
Cabinet ✓
Window/s ✓
Door/s ✓
TV
Others:

Prepared by: Noted by:

Signature:
Name: JULIUS B. SALVIEJO ENGR. ADRIEL B. MARASIGAN
Designation: Facilities Management Staff Facilities Management Engineer
Date: August 27, 2021 August 27, 2021

FM_FORM 01
 Lemery Colleges, Inc.
A Bonifacio St., Bagong Sikat, Lemery, Batangas

FACILITIES MANAGEMENT DEPARTMENT

PREVENTIVE MAINTENANCE FORM
BUILDING NAME HERNANDEZ BUILDING DATE August 27, 2021
AREA/ROOM NO. ACCREDITATION ROOM

Functional/ In
Fixtures Quantity good Needs Repair Remarks
condition
Light switches ✓
Light bulbs ✓
Power outlet ✓
Ceiling Fan
Electric Fan
Airconditioning unit ✓
Chairs ✓
Table/s ✓
Whiteboard
Cabinet ✓
Window/s ✓
Door/s ✓
TV
Others:

Prepared by: Noted by:

Signature:
Name: JULIUS B. SALVIEJO ENGR. ADRIEL B. MARASIGAN
Designation: Facilities Management Staff Facilities Management Engineer
Date: August 27, 2021 August 27, 2021

FM_FORM 01
 Lemery Colleges, Inc.
A Bonifacio St., Bagong Sikat, Lemery, Batangas

FACILITIES MANAGEMENT DEPARTMENT

PREVENTIVE MAINTENANCE FORM
BUILDING NAME MAIN BUILDING DATE January 10, 2022
AREA/ROOM NO. FACULY MALE AND FEMALE CR

Functional/ In
Fixtures Quantity good Needs Repair Remarks
condition
Light switches ✓
Light bulbs ✓
Power outlet
Ceiling Fan
Electric Fan
Airconditioning unit
Chairs
Table/s
Whiteboard
Cabinet
Window/s
Door/s
TV
Others: ✓ Leaking faucet

Prepared by: Noted by:

Signature:
Name: JULIUS B. SALVIEJO ENGR. ADRIEL B. MARASIGAN
Designation: Facilities Management Staff Facilities Management Engineer
Date: January 10, 2022 January 10, 2022

FM_FORM 01
 Lemery Colleges, Inc.
A Bonifacio St., Bagong Sikat, Lemery, Batangas

FACILITIES MANAGEMENT DEPARTMENT

PREVENTIVE MAINTENANCE FORM
BUILDING NAME MAIN BUILDING DATE January 10, 2022
AREA/ROOM NO. CLINIC

Functional/ In
Fixtures Quantity good Needs Repair Remarks
condition
Light switches ✓
Light bulbs ✓ For replacement
Power outlet ✓
Ceiling Fan ✓
Electric Fan ✓
Airconditioning unit
Chairs ✓
Table/s
Whiteboard
Cabinet
Window/s ✓
Door/s ✓
TV
Others:

Prepared by: Noted by:

Signature:
Name: JULIUS B. SALVIEJO ENGR. ADRIEL B. MARASIGAN
Designation: Facilities Management Staff Facilities Management Engineer
Date: January 10, 2022 January 10, 2022

FM_FORM 01
 Lemery Colleges, Inc.
A Bonifacio St., Bagong Sikat, Lemery, Batangas

FACILITIES MANAGEMENT DEPARTMENT

PREVENTIVE MAINTENANCE FORM
BUILDING NAME MERCADO BUILDING DATE January 10, 2022
AREA/ROOM NO. CONSULTATION ROOM

Functional/ In
Fixtures Quantity good Needs Repair Remarks
condition
Light switches ✓
Light bulbs ✓ ✓ For replacement
Power outlet ✓
Ceiling Fan ✓
Electric Fan
Airconditioning unit
Chairs ✓
Table/s ✓
Whiteboard
Cabinet
Window/s ✓
Door/s ✓ Transparent glass to be installed in the door
TV
Others:

Prepared by: Noted by:

Signature:
Name: JULIUS B. SALVIEJO ENGR. ADRIEL B. MARASIGAN
Designation: Facilities Management Staff Facilities Management Engineer
Date: January 10, 2022 January 10, 2022

FM_FORM 01
 Lemery Colleges, Inc.
A Bonifacio St., Bagong Sikat, Lemery, Batangas

FACILITIES MANAGEMENT DEPARTMENT

PREVENTIVE MAINTENANCE FORM
BUILDING NAME HERNANDEZ BUILDING DATE January 10, 2022
AREA/ROOM NO. ACCREDITITATION ROOM

Functional/ In
Fixtures Quantity good Needs Repair Remarks
condition
Light switches ✓
Light bulbs ✓ For replacement
Power outlet ✓
Ceiling Fan ✓
Electric Fan
Airconditioning unit ✓
Chairs ✓ Repaint of moving chairs
Table/s ✓
Whiteboard
Cabinet
Window/s ✓
Door/s ✓
TV
Others:

Prepared by: Noted by:

Signature:
Name: JULIUS B. SALVIEJO ENGR. ADRIEL B. MARASIGAN
Designation: Facilities Management Staff Facilities Management Engineer
Date: January 10, 2022 January 10, 2022

FM_FORM 01
 Lemery Colleges, Inc.
A Bonifacio St., Bagong Sikat, Lemery, Batangas

FACILITIES MANAGEMENT DEPARTMENT

FM_FORM 01