Tool & Equipment Maintenance Log

• Equipment / Tool Name

• Serial / Model #

• Inspection Location
  Address

• Manufacturer

• Manufacturing Date

  Date

• Inspection by?

• Date & Time of Maintenance

  Date

• Type of Maintenance (W/M/Q/A)

• Attach Photos/Media before and after service or maintenance

  Media

Specific Areas of Service

• What did you do in this maintenance - List All

• Did you perform any special services or maintenance - List All

  Yes

  No

  N/A

• Can you expand on what you did?

  Yes

  No

  N/A

• Maintenance performed by:

• Are you qualified to perform this maintenance?

  Yes

  No

  N/A

• Comments

Safety & Service

• Is this tool or equipment safe to be used?

  Yes

  No

  N/A

• Will you need to replace this tool / equipment?

  Yes

  No

  N/A

• Do you need to submit a service repair or request for this item?

  Yes

  No

  N/A

• Next Maintenance Due on:

  Date

• Date and time of approval

  Date

• Approver's signature

  Sign