Routine Outline Maintenance Checklist
Prepared by: [Your Name]
Company: [Your Company Name]
Date: [Date]
I. Task Description
Inspect and clean air filters
Lubricate moving parts
Check and replace worn hoses
Test emergency shut-off systems
Inspect fire extinguishers
II. Frequency
Task Description | Frequency |
|---|---|
Inspect and clean air filters | Monthly |
Lubricate moving parts | Bi-weekly |
Check and replace worn hoses | Quarterly |
Test emergency shut-off systems | Annually |
Inspect fire extinguishers | Monthly |
III. Responsible Personnel
Task | Responsible Personnel |
|---|---|
Air filter inspection | Maintenance Technician |
Lubrication | Maintenance Technician |
Hose inspection | Facility Engineer |
Emergency shut-off test | Safety Officer |
Fire extinguisher inspection | Safety Officer |
IV. Tools and Materials Needed
Air filter cleaner
Lubricant spray
Replacement hoses
Testing equipment for shut-off systems
Inspection tag for fire extinguishers
V. Safety Precautions
Wear personal protective equipment (PPE) including gloves and safety goggles.
Ensure equipment is powered down before maintenance.
Follow lockout/tagout (LOTO) procedures.
Ensure adequate ventilation when using lubricants and cleaners.
Be familiar with the location of fire extinguishers and emergency exits.
VI. Completion Status
Task completed:
Yes
No
Date of completion: __________
Personnel signature:
Harold Abern
Supervisor signature:
[Your Name]
Templates
Templates
