Inspection

Item

Item of Machinery

Serial No.

Date

Hours

Serviced/Checked By

Details

Damage Done

Possible Cause

Action Taken

Cost

Check

Visual Inspection & Operation Check

Safety Check

Complete
Signature
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.