Title Page

  • Site conducted

  • Conducted on

  • Document Number

  • Prepared by

  • Shift

  • Call Sign
  • Hour Meter - Rotation Pack

  • Hour Meter - Thrust Pack

  • Hour Meter - Lube motor time

Untitled Page

  • Type of service done

  • Inspection of fire fighting equipment

  • Technician Comments / Actions Taken

  • Is the register available and up to date?

  • Annual inspection of fire extinguishers and fire fighting equipment systems has been carried out by an authorised party

  • Technician Comments / Actions Taken

  • Is the register available and up to date?

  • Have all certificates been uploaded and available to MDA and client?

  • Condition check on external cooling systems

  • Technician Comments / Actions Taken

  • Inspection and lubrication of hatches and locks (Lubrication with grease gun or brush)

  • Technician Comments / Actions Taken

  • Is the register available and up to date?

  • Visual inspection of all signs

  • Technician Comments / Actions Taken

  • Is the register available and up to date?

  • Inspection and lubrication of turnbuckles (step 1)

    Screenshot 2023-09-03 164242.png
  • Inspection and lubrication of turnbuckles (step 2)

    Screenshot 2023-09-03 164311.png
  • Inspection and lubrication of turnbuckles

  • Technician Comments / Actions Taken

  • Drive train - Check Tightening - Chuck Bolts

  • Technician Comments / Actions Taken

  • Drive train - Inspection - Measuring play in pilot and main bearings

  • Technician Comments / Actions Taken

  • Drive Train - Check components and replace seals

  • Technician Comments / Actions Taken

  • Drive train - Inspection and cracking indication of floatbox

  • Technician Comments / Actions Taken

  • Replacement of lower bailing pipe seals

  • Technician Comments / Actions Taken

  • Replacement of wearing parts (semi wrench)

  • Technician Comments / Actions Taken

  • Inspection and control tightening of pipe loader

  • Technician Comments / Actions Taken

  • Drive pack - visual inspection - tank cleaning

  • Technician Comments / Actions Taken

  • Thrust pack - visual inspection - tank cleaning

  • Technician Comments / Actions Taken

  • Visual check of pressure relief and flow valves

  • Technician Comments / Actions Taken

  • Visual inspection of hydraulic hoses and couplings

  • Technician Comments / Actions Taken

  • Check of accumulator pressure

  • Technician Comments / Actions Taken

  • Cleaning of drive pack coolant strainer

  • Technician Comments / Actions Taken

  • Cleaning of thrust pack coolant strainer

  • Technician Comments / Actions Taken

  • Cleaning of gearbox coolant strainer

  • Technician Comments / Actions Taken

  • Inspection of hydraulic accumulator has been carried out by certified company every 2 years

  • Technician Comments / Actions Taken

  • Swivel, replace upper pipe seals

  • Technician Comments / Actions Taken

  • Drive train - Check Tightening - Output hub

  • Technician Comments / Actions Taken

  • Replace lube filter and lube oil

  • Technician Comments / Actions Taken

  • Inspection of all magnetic traps

  • Technician Comments / Actions Taken

  • Check of wear, function semi-wrench parts

  • Technician Comments / Actions Taken

  • Check of wear, function of worktable parts

  • Technician Comments / Actions Taken

  • Replacement of pinion bearing and seals

    Screenshot 2023-09-03 161232.png
  • Replacement of pinion bearing and seals

  • Technician Comments / Actions Taken

  • Check of pressure relief valves for critical functions

  • Technician Comments / Actions Taken

  • Drive Pack - Replacing Heat Exchanger

  • Technician Comments / Actions Taken

  • Thrust Pack - Replacing Heat Exchanger

  • Technician Comments / Actions Taken

  • Lube system

    Screenshot 2023-09-03 163037.png
  • Lube System - Replacing Heat Exchanger

  • Technician Comments / Actions Taken

  • Hydraulic tank filter element

    Screenshot 2023-09-03 161725.png
  • Drive Pack - Replacement of hydraulic tank filter

  • Technician Comments / Actions Taken

  • Drive Pack - Replacement of air filter

  • Technician Comments / Actions Taken

  • Thrust Pack - Replacement of hydraulic tank filter

  • Technician Comments / Actions Taken

  • Thrust Pack - Replacement of air filter

  • Technician Comments / Actions Taken

  • Replacement of wearing parts (semi wrench)

  • Technician Comments / Actions Taken

  • Check of pressure relief and flow valves

  • Technician Comments / Actions Taken

  • Inspection of hydraulic hoses and couplings

  • Technician Comments / Actions Taken

  • Check of accumulator pressure

  • Technician Comments / Actions Taken

  • Rotation pack - Inspection of spider coupling

  • Technician Comments / Actions Taken

  • Thrust Pack - Inspection of spider coupling

  • Technician Comments / Actions Taken

  • Lubrication of pump motor bearing (drive pack)

    Screenshot 2023-09-03 163423.png
  • Lubrication of pump motor bearing (drive pack)

  • Technician Comments / Actions Taken

  • Lubrication of pump motor bearing (thrust pack)

  • Technician Comments / Actions Taken

10. RECORD CONCESSION NUMBERS FOR THE WEEK

    Any concession numbers active?
  • Do you have any active concession numbers for the week?

  • Concession Name

  • Concession Number

  • Concession Approver

Additional Work Completed

    Additional Work/Action
  • Was there there any additional work/action completed during maintenance?

  • Maintenance Task

  • Parts Used

  • Used Part Serial Number

  • Quantity in store

  • Quantity to order

  • Oil Used

  • Oil Type

  • Used litres during maintenance

  • Left litres on site

  • Litres Volume To Order

Sign Off and Submit Page

  • Additional Comments

  • Raisebore Fitter

  • Supervisor

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.