CO2 Laser Maintenance Checklist
Complete this checklist to document and verify routine maintenance of CO2 laser equipment.
Equipment Identification Number
*
Equipment Location
*
Date of Maintenance
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Maintenance Performed By (Full Name)
*
First Name
Last Name
Contact Email
*
example@example.com
Checklist of Maintenance Tasks
*
Rows
Completed
Not Applicable
Comments
Clean optical lenses
1
2
Inspect and clean mirrors
3
4
Check and adjust alignment
5
6
Inspect cooling system
7
8
Check and clean air assist system
9
10
Inspect exhaust system
11
12
Check laser tube for damage or leaks
13
14
Verify safety interlocks
15
16
Test emergency stop function
17
18
Are there any issues that require further attention?
*
No issues found
Yes, issues found (please specify below)
If issues were found, please describe them and recommended actions:
Additional Comments or Notes
Signature of Maintenance Personnel
*
Submit Checklist
Submit Checklist
Should be Empty: