Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

  • Work Order Number

Untitled Page

Safety Guidelines

  • Perform proper lockout/tagout steps

  • Schedule outage with operating staff

  • Follow site safety rules and your supervisor's instructions

  • Record and report equipment damage or problems

  • Note and list all test results in the pump maintenance log

  • Obtain and review manufacturer's operation and maintenance instructions

Maintenance Procedures

  • Check the pump for excessive vibration, leakage or other abnormal operation

  • Record the inlet and outlet pressures

  • Note any pending problems which should be fixed before the annual maintenance check

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.