Weekly Equipment Maintenance Checklist
Complete this checklist to document weekly inspections and maintenance actions for your equipment.
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector's Full Name
*
First Name
Last Name
Equipment Identification Number or Name
*
Location of Equipment
*
List of Components/Areas to Inspect
*
Rows
Condition
Action Required
Power Supply
Good
Needs Attention
Critical
Not Applicable
None
Repair
Replace
Clean
Other
Cables and Connectors
Good
Needs Attention
Critical
Not Applicable
None
Repair
Replace
Clean
Other
Safety Guards
Good
Needs Attention
Critical
Not Applicable
None
Repair
Replace
Clean
Other
Lubrication Points
Good
Needs Attention
Critical
Not Applicable
None
Repair
Replace
Clean
Other
Control Panel
Good
Needs Attention
Critical
Not Applicable
None
Repair
Replace
Clean
Other
Emergency Stop
Good
Needs Attention
Critical
Not Applicable
None
Repair
Replace
Clean
Other
Operational Test
Good
Needs Attention
Critical
Not Applicable
None
Repair
Replace
Clean
Other
Were any issues found during inspection?
*
No issues found
Yes, issues found (please describe below)
Describe any issues found or maintenance actions taken
Is the equipment safe to operate after inspection?
*
Yes, safe to operate
No, do not operate (tagged out)
Next Scheduled Maintenance Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector's Contact Email
*
example@example.com
Inspector's Signature
*
Submit Checklist
Submit Checklist
Should be Empty: