Title Page
- Equipment Name
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Classification of the activity performed?
- Pre Use Inspection
- Routine Maintenance
- Repair
- Calibration
- Upgrades/Modifications
- Installation/Commissioning
- Decommissioning/Disposal
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Completed by
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Date
Pre Use Inspection
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Complete a full visual inspection of the equipment before use to ensure it is safe to use. Where it is at risk record information in the action tab and assign to management for rectification. Select N/A if doing routine maintenance.
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Is the equipment in good condition?
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Is guarding in place?
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Is it adequately lubricated?
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Is there any sign of damage?
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Inspect regulator filter condition
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Check ambient temperature
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Inspection oil level and levels
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Check for weird noise and vibration
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Check online / offline pressure
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View electrical connections
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Suitable and safe to use?
Maintenance Activity - To be conducted on 1st Week of Each Month
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Please provide a brief description of the work performed during the maintenance or calibration activity.
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Were any parts replaced during the maintenance or repair activity?
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Please list:
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Were any supplies used during the maintenance or repair activity?
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Please list:
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Did the maintenance or repair activity include any equipment inspection or testing?
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Please attach relevant checklist(s) or report(s)
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Was there any deviations or issues identified during the inspection or testing?
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Please detail:
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Did the maintenance or repair activity result in any downtime for the equipment?
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Please provide the duration of the downtime.
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Were there any recommendations for future maintenance or calibration activities based on the results of the inspection or testing?
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Please detail:
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Are there any additional comments or observations you would like to include regarding the maintenance or calibration activity?
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Please provide additional comments or observations:
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Validated and checked by: