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Facilities Service Request
Request Form
Job Card / Service Request form
Please complete all the information below for your request:
* indicates required fields
Describe your Request
*
Describe the detailed job you need done or request you have
0/300
Department
*
Please Select
SMD 1
SMD 2
PMD 1
PMD 2
Fibex
Stems
Filter Department
Box Making
Metalizing
Engineering
Quality
Finance
HR
Leaf Warehouse
Material Warehouse
Finished Goods Warehouse
Sub Store
Engineering store
Container Handling
Facilities
Canteen
Social Club
Admin Block
Fish Bowl
Supply Chain
IT
Security
Boilerhouse
Transport
Palatiser
AMETC
Dispatch
HRD
Department where requested job is situated
Sub Area
*
The are within the above department where the request needs to be completed
General nature of your request
*
Buildings and infrastructure
Plumbing or Water problems
Electrical, Lighting or power trips
Utilities : Compressed air , Vacuum , Sprinklers or Steam
Airconditioning
Painting
Mechanical fitting / Machining
Welding
Drawing / Printing /Engraving
Safety
Waste Removal
Security Request
Security Systems/Cameras / Access Control
Transport / Vehicle
Cleaning
Canteen / Catering
Social Club function
General - none of the above
Reason for work to be done
*
Fixing an unsafe condition
Maintenance
Project work
Breakdown
Damage to property
Action from EHS inspection
Contact Person's Name
*
Person's name AND Surname who we can contact to get more info
Contact Person's Tel number
*
cellphone or landline number
Approved by
Request has to be approved by Cost Center owner and Signed HERE: ______________
Date Needed
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a year
2022
2021
2020
Year
Cost Center
*
Please add the cost Center for this request
GL account number
GL account for Catering, Bar and cleaning
Attach a Photo (optional)
A picture speaks a 1000 words...
Job Completed?
*
Not Started
Completed
On Hold
PO created
First Quote Received
Second Quote Received
Quotes submitted for Approval to function
Requested Quotes
Escalate to Utilities Team
Escalated to Handy Man
Escalated to Cleaning company
Escalated to Projects Team
Escalated to Risk and Security
Escalated to EHS
Priority?
P1
P2
P3
P4
Progress / Status
First Quote request Date
-
Month
-
Day
Year
Date
First Quote Supplier
First Quote received Date
-
Month
-
Day
Year
Date
First Quote Value (excl VAT)
Second Quote request Date
-
Month
-
Day
Year
Date
Second Quote Supplier
Second Quote received Date
-
Month
-
Day
Year
Date
Second Quote Value (excl VAT)
Third Quote request Date
-
Month
-
Day
Year
Date
Third Quote Supplier
Third Quote received Date
-
Month
-
Day
Year
Date
Third Quote Value (excl VAT)
Quote Approval Date
-
Month
-
Day
Year
Date
Approved Supplier
PO number
Work start Date
-
Month
-
Day
Year
Date
Work Completed Date
-
Month
-
Day
Year
Date
GR number
Enter your email address to receive a copy of your request
*
Please enter the email address in the format name_surname@bat.com
Should be Empty: