Preventive Maintenance Checklist: TANK, GRAY WATER FOR IRRIGATION - Annaul

• Site conducted

• Conducted on

  Date

• Prepared by

• Location

• Work Order Number

(T)ools, (S)afety Equipment and (M)aterials

• Mechanic tool set

  Yes

  No

  N/A

• Cleaning equipment and materials

  Yes

  No

  N/A

Safety Guidelines

• Schedule the work with operating personnel

  Yes

  No

  N/A

• Follow site safety procedures and your supervisor's instructions

  Yes

  No

  N/A

• May require confined space entry. Follow site instructions. Use appropriate PPE

  Yes

  No

  N/A

• Record results in the equpment log

  Yes

  No

  N/A

Maintenance Procedures

• Examine visible interior of tank including fittings, hatches, ladders, manholes, and hand-holes for signs of corrosion, and correct as indicated

  Yes

  No

  N/A

• Clean mud, growth and any other debris from the tank

  Yes

  No

  N/A

Maintenance Hours

• Estimated time spent on Work order?