SAMPLE INSTITUTION HIGH SCHOOL

SAMPLE INSTITUTION ADDRESS, Davao Oriental

HOUSEKEEPING SCHEDULE

Qualification BREAD AND PASTRY PRODUCTION

NC-II
Area/section FOOD TRADE
In-charge COMPLETE NAME
RESPON Schedule for the of Month of MAY
ACTIVITIES SIBLE 2017
PERSON Daily Every Weekly Every Mo R
other 15th nt e
Day Day hl m
y ar
k
s
1. Clean measuring tools TEACHE / 
and utensils, cutting R AND 
tools: STUDEN
 Wash it with clean TS
water and soap.
 Wipe it with a clean
dry cloth
2. Clean the table, counters TEACHE /
and chairs R AND
 Wipe table counters STUDEN
and chairs with a clean TS
damp cloth.
3. Clean the refrigerator TEACHE /
 Wash inside shelves and R AND
trays . STUDEN
TS
4. Clean the cooking TEACHE /
equipment. R AND
 Clean the grates of the STUDEN
cooking range. TS
 Scrape grease from curbs
and openings hinges.
 Clean the burner
 Run oiled cloth over top of
range
5. Clean the sink and drains; TEACHE /
 Use force pump if drain R AND
is slow STUDEN
 Replace washers TS
immediately on leaking
faucets.
6. Clean the floor: TEACHE /
 Sweep the floor R AND
 Mop the floor STUDEN
TS
Prepared by: Date Prepared:

COMPLETE NAME
Trainer
Signature: ____________
 SAMPLE INSTITUTION HIGH SCHOOL
SAMPLE INSTITUTION ADDRESS, Davao Oriental

HOUSEKEEPING INSPECTION CHEKLIST

QUALIFICATION BREAD AND PASTRY PRODUCTION NC-II

AREA/SECTION Practical Work Area

IN-CHARGE COMPLETE NAME
YES NO INSPECTION ITEMS
1. Are all the measuring tools still have a labeled? For
the glass measuring cups have no cracked? Wash it
with clean water and soap? Wipe it with a clean dry
cloth? Are all the cutting tools are sharpened?
Handle is in tacked?
2. Are tables, counters and chairs cleaned?
Are the table counters and chairs with a clean
damp cloth were wiped with clean damped cloth?
3. Are shelves and trays of the refrigerator washed and
cleaned?
4. Are the cooking equipments cleaned? Grate of the
cooking range is removed? Is the grease from curbs
and openings hinges removed? Is the burner cleaned?
Is the top of the range oiled?
5. Are the sink and drains are cleaned? Is drain is not
slow? Is the faucets has leaks?

6. Are the floor cleaned thoroughly? Is the floor swept

and mopped?

Remarks

Inspected by: Date: May 5, 2017

Prepared by: Date: May 5, 2017

COMPLETE NAME
Trainer

Signature: ____________
 SAMPLE INSTITUTION HIGH SCHOOL
SAMPLE INSTITUTION ADDRESS, Davao Oriental

EQUIPMENT MAINTAINANCE SCHEDULE

EQUIPMENT TYPE GAS RANGE

EQUIPMENT CODE DRS072804-12
LOCATION BREAD AND PASTRY PRODUCTION
NC-II
PRACTICAL AREA
Schedule for the Month of May 2017
ACTIVITIES MANP EVER EVE M
DA WE
OWE IL Y
EK
RY ON
REMARKS
R OTHE 15TH TH
Y LY
R DAY DAY LY
1. Check the cooking tops. Stud Activity is
 Wash the top range. ents done
 Wipe the top cover of and X before and
the range. teach after using
 Clean each burner ers the
equipment
2. Check the oven Stud Activity is
 Clean and wash the ents done
shelves of the oven. and before and
 Wipe the shelves. teach after using
 Turn on and off the ers the
heat temperature equipment
button. X
 Clean the burner inside
the oven.
 Clean and wipe the
glass of the oven.
3. Check the gas tank Stud X Activity is
 Clean the valve of the ents done
tank and before and
 Check the tank if has a teach after using
content. ers the
equipment

Trainer: COMPLETE NAME

Prepared by: Date: May 5, 2017

COMPLETE NAME
Trainer

Signature: ____________
 SAMPLE INSTITUTION HIGH SCHOOL
SAMPLE INSTITUTION ADDRESS, Davao Oriental

EQUIPMENT MAINTENANCE INSPECTION CHECKLIST

Equipment Type : GAS RANGE

Property Code : DRS072804-12
Location :
Trainer –In- Charge: COMPLETE NAME
Yes No INSPECTION ITEMS

1. Are all the cooking tops were checked? Are the top
range was washed and the top cover was wiped?

2. Are the oven checked? Are all the shelves were

washed, cleaned and wiped ? Are the burner inside
the oven were cleaned? Are the thermostat, timer
and heat regulator button were checked

3. Are the glass of the oven were cleaned and wiped.

Remarks: All the task in equipment maintenance was being realized and it has
a very satisfactory result.

Inspected by: COMPLETE NAME Date: MAY 5, 2017

Prepared by: Date: May 5, 2017

COMPLETE NAME
Trainer

Signature: ____________
 SAMPLE INSTITUTION HIGH SCHOOL
SAMPLE INSTITUTION ADDRESS, Davao Oriental

BREAKDOWN / REPAIR REPORT

Property ID Number EQS052408-09

Property Name GAS RANGE
Location BREAD AND PASTRY PRODUCTION NC-II

Findings Recommendation
 MALFUNCTION HEAT  NEED TO REPAIR/
TEMPERATURE BUTTON TIGHTEN IT
Inspected by: Reported to:
JULIE AN DEGUITOS REYMAR TRINIDAD

Date: MAY 2, 2017 Date: MAY 2, 2017

Assigned to: Received Assignment:

EDGARDO Q. SANSAET EDGARDO Q. SANSAET
Date: MAY 2, 2017 Date: MAY 3, 2017

Subsequent Action Taken: Recommendation:

INSPECTION OF MACHINE NEED TO REPAIR BY TIGHTENING

IT

By technician: Reported to:

TITTO DELA VEGA COMPLETE NAME

Date: Date:
May 4, 2017 May 5, 2017

Prepared by: Date: May 5, 2017

COMPLETE NAME
Trainer

Signature: ____________
 SAMPLE INSTITUTION HIGH SCHOOL
SAMPLE INSTITUTION ADDRESS, Davao Oriental

TAG-OUT INDEX CARD

LOG SERIAL DATE ISSUED TYPE DESCRIPTION

(Danger/Caution) (SYSTEM
Components,
Test Reference,
etc.)

OUT OF ORDER/
MALFUNCTIONING/ REPAIRED
EQS052408-09 JULY 28, 2015
LOSS CONTROL
BUTTON

Prepared by: Date: May 5, 2017

COMPLETE NAME
Trainer

Signature: ____________
 SAMPLE INSTITUTION HIGH SCHOOL
SAMPLE INSTITUTION ADDRESS, Davao Oriental

WASTE SEGREGATION LIST

Qualification BREAD AND PASTRY PRODUCTION NC-II

Area/ Section PRACTICAL AREA
In-Charge COMPLETE NAME

GENERAL/ ACCUMULATED WASTE SEGREGATION METHOD

WASTES
Recycle Compose Dispose

PLASTIC BAGS

EMPTY GLASS BOTTLE

EMPTY SHELLS
CANS
BROKEN GLASSES
EGG TRAY
DAMAGED CHOPPING BOARD
FRUITS AND VEGETABLE
PEELING

Prepared by: Date: May 5, 2017

COMPLETE NAME
Trainer

Signature: ____________
 SAMPLE INSTITUTION HIGH SCHOOL
SAMPLE INSTITUTION ADDRESS, Davao Oriental

SALVAGE REPORT

AREA/ SECTION BREAD AND PASTRY PRODUCTION NC-II

IN-CHARGE COMPLETE NAME

FACILITY TYPE PART ID RECOMMENDATION

COOKING RANGE EQS052408-09 NEED TO BE
REPAIRED BY
ADJUSTING THE HEAT
TEMPERATURE
BUTTON

Prepared by: Date: MAY 5, 2017

COMPLETE NAME
Trainer

Signature: ____________