Machine Maintenance Checklist
Complete this checklist to document and verify machine maintenance tasks.
Machine Information
Provide details about the machine being serviced.
Machine Name or ID
*
Machine Location
*
Date of Maintenance
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Maintenance Performed By (Full Name)
*
First Name
Last Name
Maintenance Checklist
*
Rows
Completed
Not Applicable
Clean machine exterior
1
2
Check and lubricate moving parts
3
4
Inspect belts and chains
5
6
Check safety guards
7
8
Test emergency stop function
9
10
Inspect electrical connections
11
12
Check fluid levels
13
14
Remove debris from vents
15
16
Were any parts replaced during this maintenance?
*
Yes
No
If yes, specify parts replaced (list part names and quantities)
Observations or Notes
Does the machine pass inspection after maintenance?
*
Yes
No (requires follow-up)
Reviewed/Approved By (Full Name)
First Name
Last Name
Submit Checklist
Should be Empty: