PWM-WHS023 Service Record

• Pre-start completed by

• Pre-start conducted on

  Date

• IMPORTANT: COMPLETE THIS SERVICE RECORD WHILE CONDUCTING PLANT SERVICE/MAINTENANCE.

• Machine Name:

• Model Number:

• Plate S/N:

Plant Inspection - Confirm that the below items have passed

• Check overall plant condition and cleanliness.

  Yes

  No

  N/A

• Inspect for any signs of damage, wear, or leaks.

  Yes

  No

  N/A

• Verify proper functioning of all components and systems.

  Yes

  No

  N/A

• Record any observations or concerns.

  Yes

  No

  N/A

Maintenance - Confirm that the below items have passed

• Perform routine maintenance tasks as per schedule.

  Yes

  No

  N/A

• Replace worn-out or damaged parts as necessary.

  Yes

  No

  N/A

• Lubricate moving parts and ensure proper greasing.

  Yes

  No

  N/A

• Adjust settings or calibrate equipment if required.

  Yes

  No

  N/A

Repairs & Corrective Actions - Confirm that the below items have passed

• Address any reported issues or malfunctions.

  Yes

  No

  N/A

• Conduct necessary repairs or replacements.

  Yes

  No

  N/A

• Document the details of repair work performed.

  Yes

  No

  N/A

Safety Check - Confirm that the below items have passed

• Inspect safety features, guards, and emergency stop buttons.

  Yes

  No

  N/A

• Ensure compliance with safety standards and regulations.

  Yes

  No

  N/A

• Report any safety-related concerns or recommendations.

  Yes

  No

  N/A

• Spill kit & first aid kit

  Yes

  No

  N/A

• Fluro vest, gloves, hardhat and other required PPE

  Yes

  No

  N/A

Testing & Verification - Confirm that the below items have passed

• Test plant operation after maintenance and repairs.

  Yes

  No

  N/A

• Verify proper functionality and performance.

  Yes

  No

  N/A

• Document test results and any adjustments made.

  Yes

  No

  N/A

Recommendations & Notes - Confirm that the below items have passed

• Provide recommendations for future maintenance or improvements.

  Yes

  No

  N/A

• Note any additional actions required or potential issues identified.

  Yes

  No

  N/A

• Record any additional comments or observations.

  Yes

  No

  N/A

• I certify that the information I’ve provided above is true and correct. I have the necessary competency to understand all checks/inspections for the items above.

  Yes

  No

  N/A

• Name

• Date

  Date

• Signature

  Sign