Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

  • Work Order Number

Untitled Page

(T)ools, (S)afety Equipment and (M)aterials

  • Mechanics tool set

  • Vacuum and cleaning materials

  • Replacement filters

Safety Guidelines

  • Schedule work with operating personnel

  • Follow site safety rules for lockout and tagout

  • Review and follow manufacturer OM instructions

  • Record equipment damage or deficiencies

  • Follow safety and environmental procedures for handling refrigerants (DX units only)

  • Record results in the equipment history log

Maintenance Procedures

  • Check, clean, and adjust grills, dampers, vanes, linkages as required

  • Check filters and change if necessary (pre-filters only on chem/bio units)

  • Check for unusual noise, vibration or leakage

  • Restore to service

  • Clean up work area and remove trash

Maintenance Hours

  • Estimated time spent on work order?

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.