Title Page

  • Conducted on

  • Prepared by

  • Location

Equipment Data

  • Admin Num

  • Equipment Model

  • Equipment Serial Number

  • Registration Number

  • Current Reading

Maintenance Faults

  • Add item

  • Item
  • Item num

  • Fault status

  • Fault date

  • Fault description

  • Corrective actions

  • Take photo evidence of fault

Sign off

  • Final comments

  • Sign off

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.