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

Safety Guidelines

  • Schedule outage with operating personnel

  • Record and report equipment damage or deficiencies

  • Record results in the equipment maintenance log

Maintenance Procedures

  • Check for damage or evidence of leakage

  • Remove strainer and clean. A non-metal bristle brush or low pressure wash may be required to remove fouling particles.

PM Checklist

  • 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.