Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

  • Work Order Number

Untitled Page

Safety Guidelines

  • Schedule work with operating staff.

  • Record results in the maintenance history file.

  • Follow site safety rules and your supervisor's instructions.

  • Obtain and review manufacturer's instructions.

  • Report any problems you find.

  • Record the results in the equipment history log.

Maintenance Procedures

  • Remove anything blocking easy access to the hose connection.

  • Inspect the cutoff valves and the check valves (usually located at base of standpipe riser) for rust or leakage. Exercise cut off valve and re-cap if necessary.

  • Remove the cap from the hose connection, and check the threads.

  • Crack the valve until water weeps through the valve. Then close the valve and check for leaks.

  • Screw the cap onto the valve until it is hand-tight.

Maintenance Hours

  • 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.