A work order authorization form is a document used to authorize work to be performed on a particular piece of equipment or in a particular area. The form will typically include information such as the name of the person who authorized the work, the date, and a description of the work that is to be done. Work orders should always be completed prior to any work being done, in order to ensure that everyone involved is aware of what is happening and has given their approval. Completing a work order authorization form can help avoid confusion and mistakes during large scale projects.
| Question | Answer |
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| Form Name | Work Order Authorization Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | work order authorization form template, work order authorization sample, work order authorization form, maintenance work authorization form |
WORK ORDER AUTHORIZATION
RELIABLE JET MAINTENANCE
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DATE: |
W/O: |
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Billing Information: |
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CUSTOMER NAME: |
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ADDRESS: |
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CITY: |
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STATE : |
ZIP CODE : |
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PHONE # : |
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FAX : |
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CELL PH # : |
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LOCAL ADDRESS : |
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ALL charges are COD unless PRIOR arrangements have been made |
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PAYMENT TYPE: |
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WIRE TRANSFER |
COMPANY CHECK |
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CASH |
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CREDIT CARD: _________________________________ |
EXP DATE: |
SEC CODE: |
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Services Information:
AIRCRAFT KEY : |
YES |
NO at ____________ |
AIRCRAFT/ENGINE LOGBOOKS PROVIDED: |
YES |
NO |
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EXPECTED DEPARTURE DATE: |
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TIME : |
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SERVICES REQUESTED: |
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Aircraft Information:
AIRCRAFT MODEL: |
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REG NO: |
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S/N: |
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AIRCRAFT TOTAL TIME: |
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TOTAL LDG: |
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HOBBS: |
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#1 ENGINE MODEL: |
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S/N: |
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TT: |
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TSCN: |
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#2 ENGINE MODEL: |
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S/N: |
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TT: |
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TSCN: |
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APU MODEL: |
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S/N: |
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HOURS: |
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MAINTENANCE TRACKING PROGRAM: |
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TYPE of OPERATION: |
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FAR 91 |
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FAR 135* |
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*If you are a FAR 135 operator please provide a copy of HAZMAT Compliance IAW FAR 135.505 (e)
I, as owner and/or authorized agent of the owner of the aircraft described herein, hereby authorize RELIABLE JET MAINTENANCE LLC, its agents and employees, to undertake and perform all repairs detailed herein, together with all necessary parts, materials and supplies required in order to effectuate same. RELIABLE JET MAINTENANCE LLC, its agents and employees, is/are further authorized to operate said aircraft for the purpose of testing and inspection. I understand and agree that all labor, parts, materials, supplies and work are performed on a C.O.D. basis unless other arrangements are made. In the event that payment is not made upon delivery, same shall be subject to a finance charge of 18% per annum, together with a parking fee of $50.00 per day for aircraft, which I agree to pay. In order to secure payment for all such parts, labor, material, supplied and work RELIABLE JET MAINTENANCE LLC is hereby granted an express mechanics lien per s329.51 and ch. 713, part II, Fla. Stats. In the event that it becomes necessary for RELIABLE JET MAINTENANCE LLC to employ the services of an attorney to enforce its rights hereunder to collect any balance due, or otherwise arise hereunder, the owner and/or agent agrees to pay all court costs and reasonable attorneys' fees incurred with regard thereto by RELIABLE JET MAINTENANCE LLC. RELIABLE JET MAINTENANCE LLC IS RELIEVED OF ALL RESPONSIBILITY FOR ALL LOSS OR DAMAGE TO SAID AIRCRAFT OR ARTICLES LEFT THEREIN IN THE EVENT OF FIRE, THEFT OR ANY OTHER CAUSE BEYOND THE DIRECT CONTROL OF RELIABLE JET MAINTENANCE LLC.
OVERTIME APPROVAL: |
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SIGNATURE: |
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DATE: |
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(OWNER/AGENT) |
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FAX TO: 561‐417‐5039 |
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Revised 8/14/09
ADDITIONAL TERMS AND CONDITIONS OF WORK AUTHORIZATION
1.Representation of Authority.
Owner (as identified in the Work Authorization) hereby represents to Reliable Jet Maintenance, LLC (“RJM”) that if either owns the aircraft described in the Work Authorization (the “Aircraft”) or is the authorized by the owner of such aircraft to enter into the Work Authorization.
2.Scope of Services, Rates.
(a)RJM shall accomplish the maintenance services requested by Customer of the Work Authorization and as otherwise authorized by Owner and accepted by RJM (the “Services”). RJM shall have the right to subcontract to other qualified repair or overhaul facilities the performance of part or all of the Services.
(b)The rates and charges for labor and parts provided by RJM and by third party suppliers shall be set forth in, as applicable, the Work Authorization, any supplemental Work Authorization Form signed by parties, or as otherwise agreed. Absent a specific agreement establishing the amounts of rates and charges, RJM and Owner agree that such amounts shall be equal to RJM’s standard rates and charges.
3.Delivery: Unavoidable Delays.
(a)Unless otherwise provided in the Work Authorization, the execution of the Work Authorization shall evidence the delivery of the Aircraft by Owner to RJM for the performance of the Services (the “Delivery”).
(b)At the Delivery of the Aircraft to RJM, Owner shall provide to RJM complete and accurate information, specifications and documents relevant to the Aircraft as requested by RJM, including, without limitation, log books and maintenance records.
(c)RJM shall not be liable for delay or failure in the performance, in whole or part, of the Services if such failure is caused by public enemy fire, flood, strikes, or other labor disputes (whether at RJM’s facility or elsewhere), riots, insurrection, war, governmental orders or actions, failure of transportation, delays occasioned by suppliers or subcontractors, or any other cause beyond the control of RJM not specifically mentioned herein.
4.Payment: Redelivery: Interest.
(a)Owner shall make full payment to RJM in United States Dollars, of all amounts owing by owner as a result of the performance of the Services.
(b)Unless RJM and Owner expressly agree otherwise in the Work Authorization, all amounts owing by Owner to RJM shall be due and payable upon the completion of the Services and a condition of the redelivery of the Aircraft to Owner.
(c)RJM shall have the option of allowing Owner to take such redelivery prior to Owner making full payment for the Services; provided, however, that the Owner’s right to delay making full payment until after redelivery is conditioned upon (i) RJM expressly agreeing in the Work Authorization to allow such delayed payment and (ii) the agreement that under no circumstances shall full payment be delayed beyond (10) days after the redelivery of the Aircraft, RJM may file a lien claim against the Aircraft to ensure the fulfillment of the Owner’s repayment obligations.
(d)Owner shall be obligated to pay interest on all amounts not paid when due at the rate of one and
5.Limited Exclusive Warranty and Waiver of Damages.
(a)RJM hereby warrants that the Services performed pursuant to this Agreement shall be free of defects in workmanship for a period of sixty (60) days after the redelivery of the Aircraft by RJM to Owner.
(b)The foregoing warranty (the “Limited Warranty”) is confined only to the workmanship of RJM, and does not extend to a warranty of the quality or fitness of any parts, components or equipment manufactured by any entity other than RJM, in regard to such parts, its sole and exclusive remedy and right to recovery shall be against the subject manufacturer or supplier.
(c)The Limited Warranty provided above by RJM is conditioned upon (i) Owner providing to RJM (at the address first set for the forth above, attention: Manager) written notice specifying the purported defect in workmanship; and (ii) Owner, within thirty (30) days after providing such written notice RJM, delivering the Aircraft (or the pertinent portion thereof) to RJM for correction of the purported defect in workmanship.
(d)Warranty claims shall be excluded when the Aircraft has been exposed or subjected to any of the following (i) any maintenance, repair, installation, storage, operation, or the use which is improper or otherwise not in compliance with the manufacturer’s instructions or applicable law or regulations; (ii) any alteration, modification or repair by anyone other than RJM without RJM’s prior written consent, which shall not be unreasonably withheld; or
(iii)any accident, foreign object damage, misuse, improper storage, neglect, or negligence after the redelivery of the Aircraft to Owner.
(c)THE WARRANTIES, OBLIGATIONS AND LIBILITIES OF RJM AND REMEDIES OF OWNER SET FORTH IN THIS SECTION ARE EXCLUSIVE AND IN SUBSTITUTION FOR, AND OTHER WARRANTIES, OBLIGATIONS, LIBILITIES, RIGHTS, CLAIMS AND REMEDIES, EXPRESS OR IMPLIED WITH RESPECT TO ANY
6.Controlling Law: Jurisdiction: Attorney’s Fees.
(a)The rights of the parties pursuant to the Work Authorization shall be governed by the Laws of the State of Florida.
(b)Any suit, action or proceeding brought by RJM or by Owner arising out of or relating to the Services shall be brought exclusively in either the courts of the State of Florida, County of Palm Beach, or the United States District Court of Florida entitled to an award of its reasonable attorney’s fees and expenses incurred in connection therewith.