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.

Maintenance Procedures

  • Inspect devices or breakers for damage or overheating. Tighten hold down screws if necessary.

  • Push "test" button and make sure the circuit de-energizes.

  • Push "reset" button and make sure receptacle is hot.

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.