Title Page

  • Facility Name

  • Facility Location
  • Inspected by

  • Conducted on

Preventive Maintenance Schedule Checklist

  • Select Preventive Maintenance Schedule

  • Chiller
  • Chiller Name/ID

  • Location in Cooling Plant

  • Chiller Type

  • Specify

  • General Condition

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Excessive Noise or Vibration

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Temperature Readings

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Motor

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Refrigerant Level

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Refrigerant System

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Purge System Operation

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Purge Cycle Counter Reading

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Water Treatment System Operation

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Motor

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Refrigerant Level

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Refrigerant System

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Water Treatment System Operation

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Oil Color

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Refrigerant Level

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Refrigerant System

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Belts and Coupling Alignment

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Purge Unit Operation

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Purge Unit Belt

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Solution Pump Motor

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Chiller
  • Chiller Type

  • Specify

  • General Condition

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Excessive Noise or Vibration

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Temperature Readings

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • All Valves

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Control System Settings and Operation

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Filters and Strainers

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • All Valves

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Pump Seals

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Control System Settings and Operation

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Filters

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Vibration Isolators

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Control System Settings and Operation

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Cycle Controls and Unloaders Operation

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Crankcase Heaters

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Safety Control Settings

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

  • Lubricating Pump Line Strainers

  • Take photos and add notes to describe the issue

  • Can I repair this now?

  • Take photos and add notes to describe the work done

  • Create an action and assign it with the necessary details, priority level, and due date.

Sign Off

  • Additional Recommendations

  • Inspector Name & Signature

  • Plant Supervisor Name & Signature

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.