Title Page

  • Date

  • Customer

  • Location

  • Phone number

  • Job Number

  • Order Number

  • Equipment Model/Plant Number

  • Serial Number

  • Other

  • Technician Name

  • Engine Hours

COMPLETE TAKE 5

  • COMPLETE TAKE 5

ENGINE

  • LUBRICATING

  • Check Oil Level

  • Check for leaks

  • Change Oil Filters

  • Change Engine Oil

  • COOLING

  • Check Coolant Level

  • Check for leaks

  • Check for radiator restrictions

  • Check hoses

  • Check belts and pulleys

  • Check block heater

  • Check glycol level

  • Check coolant filter

  • FUEL

  • Check fuel level

  • Check for leaks

  • Drain sediment from day tank (If Applicable)

  • Change Fuel filters

  • AIR / EXHAUST

  • Check for leaks

  • Check for restrictions

  • Check breathers

  • Check exhaust rain cap (If applicable)

  • Change air filters

  • Clean Engine

  • OTHER

  • Check battery electrolyte

  • Check charging volts

  • Check starting system

  • Clean battery terminals

  • Check engine instruments

  • Check display panel

  • Check vibration level

  • Visual assessment of exhaust smoke

  • Check condition of canopy

  • Check for any damaged electrical wires / cables

  • Check engine mounts

  • Check engine shutdowns

  • Ensure unit is clean

PUMPSET

  • WET END

  • Check for mechanical seal leaks

  • Change mechanical seal / oil

  • Check coupling alignment and condition

  • Change pump coupling rubber/s

  • Check / adjust wet end clearances

  • Change pump wet parts

  • Check bearing temperature / end float

  • Check pump shaft seals

  • Check impeller / wear plates

  • PUMPING SYSTEM

  • Check compressor air filter / hose

  • Check compressor drive belt

  • Check compressor performance

  • Check priming tee filter

  • Check priming tee ball / seat

  • Check priming tee jet / nozzle

  • ANCILLARIES

  • Check non return valve

  • Check vacuum gauge

  • Check pressure gauge

  • Check gear box butterfly valve

  • Check condition of hose couple o-rings

  • Check for all mounting bolts, skid, chassis

  • Check shut down operations

  • Check all guarding

RECORD ON TEST

  • Hours Start

  • Hours Stop

  • Engine Oil Pressure

  • Engine Temperature

  • Battery Volts - LOW

  • Battery Volts - HIGH

  • Specific Gravity of Starting battery

  • SET LEFT IN STANSDBY

FINAL CHECKS

  • Additional Comments

  • Technicians Name

  • Technician Signature

  • Customer Name

  • Customer Signature

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.