Sign off after maintenance

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Crowns department

• Did you work on the PMC or PTC??

Equipment

• PTC

• PMC

• What machine number? (6,7,8) (A,B)

• What maintenance was done? (Unscheduled Repair, PM)

• Are all tools associated with this job cleaned up?

  Yes

  No

  N/A

• Are all parts and fasteners cleaned up?

  Yes

  No

  N/A

• Are the product contact surfaces cleaned and ready to be turned over to production?

  Yes

  No

  N/A

• Maintenance signature

  Sign

• Production lead signature

  Sign