Title Page

  • Customer Name

  • Site Address
  • On-site Contact

  • Phone Number

  • Email Address

  • Prepared by

  • Maintenance Start Time

  • Maintenance Finish Time

  • Service No.

Preventative Maintenance

    Room
  • Room Name

  • Have the audio, visual and control systems been tested and do they work as intended?

  • Fault
  • Model no. of faulty equipment

  • Serial number

  • Fault description

  • Actions taken to rectify

  • Recommendation

  • Has all the equipment been cleaned?

  • Why not?

  • Are all cables tidy and properly seated?

  • Why not?

  • Has the firmware been updated on all applicable equipment?

  • Why not?

  • Photos of room, equipment and cabling

Additional Notes

  • Additional notes

  • Additional media

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.