Preventive Maintenance Checklist: GROUND FAULT CIRCUIT INTERRUPTOR- Semi-Annual

• Site conducted

• Conducted on

  Date

• Prepared by

• Location

• Work Order Number

Safety Guidelines

• Schedule work with operating staff.

  Yes

  No

  N/A

• Record results in the maintenance history file.

  Yes

  No

  N/A

Maintenance Procedures

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Maintenance Hours

• Time spent on work order?