Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Work Order Number
Untitled Page
(T)ools, (S)afety Equipment and (M)aterials
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Mechanics tool set
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Ball or roller bearing grease with grease gun
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High temperature, electric motor grease with grease gun
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Cleaning materials
Safety Guidelines
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Perform applicable lockout/tagout steps of site safety procedures
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Schedule outage with operating personnel
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Follow site safety procedures and your supervisor instructions
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Record and report equipment damage or deficiencies
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Obtain and review manufacturer operation and maintenance instructions
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All tests shall conform to the manufacturer test procedures and standard values
Maintenance Procedures
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Tag out unit
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Clean and inspect pump
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Clean accumulated dirt and grime from pump casing, shaft coupling, and motor
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Inspect electrical wiring, motor, and controls for signs of over-heating, broken insulation, loose or corroded connections, or damaged conduit
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Check for evidence of leaks
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Check alignment of coupling and security of base-plate mounting bolts
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Lubricate pump (if applicable)
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Operational test of the circulating pump
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Start pump. Check flanges and fittings for leaks
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Check for unusual noise or vibration
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Return the unit to service
Maintenance Hours
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Time spent on work order?