Information

  • Document No.

  • MRI Site

  • Conducted On

  • Conducted By

ITEMS TO CHECK

  • WARNING: ONLY EXPERIENCED Operators to perform the following Checks.
    ALL REQUIRED PPE MUST BE WORN while performing these checks.

  • GENERAL PARTS OF A FAN

    585280_1wco.gif

ELECTRIC FAN CHECKS

  • FAN 01 - Make and Model

  • Location of Fan

  • OTHER > Location of fan

  • Is the Test and Tag label visible?

  • what is the Test and Tag due date?

  • Is the overall Fan in good condition with no cracks, missing parts or breakages?

  • Is the Blade Guard / Grill secure and in good condition with no cracks, wear or damage?

  • Is the Power Cable in good condition with no wear, exposed wire or damage?

  • ONLY IF SAFE - Test the Operational switch of the Fan - On / Off. Is the switch functioning correctly?

  • Comments / Notes:

  • Is there Another Fan to check?

  • FAN 02 - Make and Model

  • Location of Fan

  • OTHER > Location of fan

  • Is the Test and Tag label visible?

  • what is the Test and Tag due date?

  • Is the overall Fan in good condition with no cracks, missing parts or breakages?

  • Is the Blade Guard / Grill secure and in good condition with no cracks, wear or damage?

  • Is the Power Cable in good condition with no wear, exposed wire or damage?

  • ONLY IF SAFE - Test the Operational switch of the Fan - On / Off. Is the switch functioning correctly?

  • Comments / Notes:

  • Is there Another Fan to check?

  • FAN 03 - Make and Model

  • Location of Fan

  • OTHER > Location of fan

  • Is the Test and Tag label visible?

  • what is the Test and Tag due date?

  • Is the overall Fan in good condition with no cracks, missing parts or breakages?

  • Is the Blade Guard / Grill secure and in good condition with no cracks, wear or damage?

  • Is the Power Cable in good condition with no wear, exposed wire or damage?

  • ONLY IF SAFE - Test the Operational switch of the Fan - On / Off. Is the switch functioning correctly?

  • Comments / Notes:

  • Is there Another Fan to check?

  • FAN 04 - Make and Model

  • Location of Fan

  • OTHER > Location of fan

  • Is the Test and Tag label visible?

  • what is the Test and Tag due date?

  • Is the overall Fan in good condition with no cracks, missing parts or breakages?

  • Is the Blade Guard / Grill secure and in good condition with no cracks, wear or damage?

  • Is the Power Cable in good condition with no wear, exposed wire or damage?

  • ONLY IF SAFE - Test the Operational switch of the Fan - On / Off. Is the switch functioning correctly?

  • Comments / Notes:

  • Is there Another Fan to check?

  • FAN 05 - Make and Model

  • Location of Fan

  • OTHER > Location of fan

  • Is the Test and Tag label visible?

  • what is the Test and Tag due date?

  • Is the overall Fan in good condition with no cracks, missing parts or breakages?

  • Is the Blade Guard / Grill secure and in good condition with no cracks, wear or damage?

  • Is the Power Cable in good condition with no wear, exposed wire or damage?

  • ONLY IF SAFE - Test the Operational switch of the Fan - On / Off. Is the switch functioning correctly?

  • Comments / Notes:

  • Is there Another Fan to check?

  • FAN 06 - Make and Model

  • Location of Fan

  • OTHER > Location of fan

  • Is the Test and Tag label visible?

  • what is the Test and Tag due date?

  • Is the overall Fan in good condition with no cracks, missing parts or breakages?

  • Is the Blade Guard / Grill secure and in good condition with no cracks, wear or damage?

  • Is the Power Cable in good condition with no wear, exposed wire or damage?

  • ONLY IF SAFE - Test the Operational switch of the Fan - On / Off. Is the switch functioning correctly?

  • Comments / Notes:

  • Is there Another Fan to check?

  • FAN 07 - Make and Model

  • Location of Fan

  • OTHER > Location of fan

  • Is the Test and Tag label visible?

  • what is the Test and Tag due date?

  • Is the overall Fan in good condition with no cracks, missing parts or breakages?

  • Is the Blade Guard / Grill secure and in good condition with no cracks, wear or damage?

  • Is the Power Cable in good condition with no wear, exposed wire or damage?

  • ONLY IF SAFE - Test the Operational switch of the Fan - On / Off. Is the switch functioning correctly?

  • Comments / Notes:

  • Is there Another Fan to check?

  • FAN 08 - Make and Model

  • Location of Fan

  • OTHER > Location of fan

  • Is the Test and Tag label visible?

  • what is the Test and Tag due date?

  • Is the overall Fan in good condition with no cracks, missing parts or breakages?

  • Is the Blade Guard / Grill secure and in good condition with no cracks, wear or damage?

  • Is the Power Cable in good condition with no wear, exposed wire or damage?

  • ONLY IF SAFE - Test the Operational switch of the Fan - On / Off. Is the switch functioning correctly?

  • Comments / Notes:

  • Is there Another Fan to check?

  • Please Sign Off this Checklist and Start a New Audit Checklist.

COMPLETED BY

  • Signature:

Please FORWARD (or email) this Completed Document to either; * Your Operations Assistant, * Nicole Garaty for ACT & NSW, or * Tracy Bracken for QLD & VIC for storage in the Preventative Maintenance folder.

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