Title Page

  • Conducted on

  • Inspected By

  • Repaired equipment

Checklist

  • Have you removed the lock out tag out after equipment repair?

  • Are all tools that was used collected and kept?

  • Are all tools cleaned?

  • Are all surfaces and floor cleaned and free of grease or oil?

  • Are all the surfaces sanitized?

Verification

  • Verified By

  • 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.