Preventive Maintenance Checklist: TANK, WATER STORAGE (300 GAL OR LESS, LITE USE) - Quaterly

• 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

• Chlorine disinfectant

  Yes

  No

  N/A

Safety Guidelines

• Schedule work with operating personnel

  Yes

  No

  N/A

• Follow site safety procedures and your supervisor's instructions

  Yes

  No

  N/A

• Record and report to your supervisor any equipment damage or seficiencies found while performing this maintenance task

  Yes

  No

  N/A

• Record results in the component maintenance log

  Yes

  No

  N/A

Maintenance Procedures

• Drain tank and clean

  Yes

  No

  N/A

• Sanitize tank with chlorine disinfectant

  Yes

  No

  N/A

• Flush tank and refill

  Yes

  No

  N/A

• Return system to service and test automatic controls

  Yes

  No

  N/A

Maintenance Hours

• Estimated time spent on the work order?