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

  • Cleaning tools

  • Backflush pump

  • Boat or float to reach the strainer location

Safety Guidelines

  • Schedule outage with operating personnel

  • Record and report equipment damage or deficiencies

  • This checklist requires cleaning of submerged structures. Appropriate PPE will be required

  • Record results in the equipment maintenance log

Maintenance Procedures

  • Clean vegetation from around the stainer concrete pad (may require a trip to the bottom of the pond.)

  • Backflush the strainer by pressurizing through the nearest hydrant (or manually clean strainer)

Maintenance Hours

  • Estimated 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.