Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

  • Work Order Number

Untitled Page

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

  • Mechanic’s tool set

  • Cleaning equipment and materials

Safety Guidelines

  • Perform proper lockout/tagout steps of site safety procedures to be sure machinery will not start

  • Schedule outage with operating staff

  • Follow site safety rules and your supervisor's instructions

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

  • Record all test results in the component maintenance log

  • Obtain and review manufacturer's operation and maintenance instructions

  • All tests shall follow and meet the manufacturer's test procedures and standard values

Maintenance Procedures

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

  • Clean, test and inspect sight glasses, valves, fittings, drains and controls

  • Clean and inspect tank level control panel

  • Clean the outside of the panel, and inspect front panel components for damage

  • Clean the interior panel components of dust and foreign material

  • Inspect electrical wiring for damage and loose connections

  • Inspect relays for damaged contacts and signs of over-heating

  • Perform an operational test on the panel/electronic control units and mechanical level control<br>equipment.

  • Verify that all alarm, control, and communication circuits operate correctly

  • Check to be sure that mechanical level indicating and control devices are functioning properly

  • Look for presence of contamination (bugs, frogs, snakes, paper, plastic, etc). Notify your supervisor if found

  • Return the system to service

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.