PS Form 4805, Maintenance Work Order Request - NALC Branch 78

U.S. Postal ServiceMaintenance Work Order RequestRegisterNumberWork OrderNumberSubsitePriorityWorkCodeEquipmentAcronymEquipmentNumberEqpt.ClassIssuedDate(MM-DD-YYYY) Crew No.Est. TimeWork Request (To be completed by the requesting office or organization)Office Name City State ZIP + 4Floor Area Room Person to ContactPhone (Include area code)Requested By (Name and title)Originating DepartmentPhone (Include area code)Date RequiredDescription of Work Requested (Equipment name and number if known)Approved By (Name, title, and signature)DateWork Order (To be completed by Maintenance)Description of Work PerformedWork Completed ByDateWork Accepted By (Close Work Order)DateParts Issue (Use this section to record parts issues when MARS is unavailable for use.)Part Number Nomenclature Quantity Issued By Issued ToOfficial Disposition (Use this section to verify work completion and closing of the Maintenance Work Order.)Maintenance Official Approval (Signature and title) Date Close Work Order (Maint. Ops. Support initials)PS Form 4805, June 1998

Equipment Breakdown Work OrderRegisterNumberWork OrderNumberSubsitePriorityWorkCodeEquipmentAcronymEquipmentNumberEqpt.ClassIssuedDate(MM-DD-YYYY) Crew No.Est. TimeInstructions1. Use this report to record informationabout all automation or mechanizationequipment breakdowns that last 18 minutesor more.2. Provide the work order number generatedby MARS associated with the breakdown.3. Provide detailed information about theproblem and the diagnostic action taken.Attach additional pages if necessary togive a complete picture of the downtimeevents.4. This report should be passed on to eachtour until the equipment has beenrepaired.5. This report should be reviewed andsigned by both Maintenance and Operationspersonnel.6. After the repairs are completed andsigned off on this report, forward thereport to the Maintenance Operation Supportunit.Work Order (To be completed by Maintenance)Description of Work PerformedWork Request (To be completed by the requesting office or organization)Office Name City State ZIP + 4Floor Area Room Person to ContactRequested By (Name and title)Originating DepartmentPhone (Include area code)Event Time Date Equipment Downtime Breakdown CodesBreakdownOccurredMaintenanceNotifiedReturned toOperation Status:::AMPMAMPMAMPMMail Processing Time LostTime (Amount).Due toMaintenancePartsUnavailableOtherMaintenance (Signature)...Downtime Cause CodePhone (Include area code)Date RequiredOperations (Signature)Work Completed ByDateParts Issue (Use this section to record parts issues when MARS is unavailable for use.)Part NumberNomenclature Quantity Issued By Issued ToOfficial Disposition (Use this section to verify work completion and closing of the Equipment Breakdown Work Order.)Maintenance Official Approval (Signature and title)DateClose Work Order (Maint. Ops. Support initials)PS Form 4805, June 1998 (Reverse)