Work Order Form

Work Order Form

Submit a request and the BML admin team will track it through to completion. Document control: BML/QM/FRM/FAC/013/V02.
Need something fixed, replaced, or purchased? Submit a work order and the BML admin team will track it through to completion. The Admin Use Only section at the bottom is filled in by staff after the work is done — please leave it blank.
Section 1 | Request Identification
Date Needed By

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Submitted By

First NameLast Name
Position/ Title
Phone

Area CodePhone Number
Email
Subject / Short Summary
Short summary

For BML Admin Use Only
Section 4 | Receipt & Assignment
Submitters: please leave this section blank. The BML admin team fills these fields in after the work is started and completed. Just click Submit Work Order at the bottom.
Request Date (MM/DD/YYYY)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
[Admin] Date Received

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Priority (Optional)
[Admin] Received by

First NameLast Name
[Admin] Assigned Date (Optional)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
[Admin] Assigned Vendor
[Admin] Assigned To

First NameLast Name
[Admin] Vendor Contact (Optional)
[Admin] Under warranty / service contract
[Admin] Approved By (required for purchases over B$ limit)
Section 5 | Work Performed
[Admin] Date Started / Addressed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
[Admin] Date Completed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
[Admin] Corrective Action / Work Performed — what was done, parts replaced, follow-up scheduled
[Admin] Downtime / Operational Impact — was testing affected? backup or contingency used?
Section 6 | Cost, Resolution & Return
[Admin] Invoice / PO # (Optional)
[Admin] Parts / Materials Cost (B$) (Optional)
[Admin] Labour Cost (B$) (Optional)
[Admin] Total Cost (B$) (Optional)
[Admin] Resolution Status
[Admin] Equipment Return to Service
[Admin] Returned to Service — Verified By
[Admin] Return to Service Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date Completion Confirmed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
[Admin] Completion Confirmed By

First NameLast Name
Should be Empty:

Work Order Form

Section 1 | Request Identification

Section 2 | Location & Department

Section 3 | Request Details

For BML Admin Use Only

Section 4 | Receipt & Assignment

Section 5 | Work Performed

Section 6 | Cost, Resolution & Return