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

  • Ball or roller bearing grease with grease gun

  • High temperature, electric motor grease with grease gun

  • Cleaning materials

Safety Guidelines

  • Perform applicable lockout/tagout steps of site safety procedures

  • Schedule outage with operating personnel

  • Follow site safety procedures and your supervisor instructions

  • Record and report equipment damage or deficiencies

  • Obtain and review manufacturer operation and maintenance instructions

  • All tests shall conform to the manufacturer test procedures and standard values

Maintenance Procedures

  • Tag out unit

  • Clean and inspect pump

  • Clean accumulated dirt and grime from pump casing, shaft coupling, and motor

  • Inspect electrical wiring, motor, and controls for signs of over-heating, broken insulation, loose or corroded connections, or damaged conduit

  • Check for evidence of leaks

  • Check alignment of coupling and security of base-plate mounting bolts

  • Lubricate pump (if applicable)

  • Operational test of the circulating pump

  • Start pump. Check flanges and fittings for leaks

  • Check for unusual noise or vibration

  • Return the unit to service

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.