Equipment Data

Admin Num

Equipment Model

Equipment Serial Number

Registration Number

Current Reading

Maintenance Faults

Add item


Item num

Fault status

Fault date

Fault description

Corrective actions

Take photo evidence of fault
Sign off

Final comments

Sign off
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.