Motor Control Relay Monitoring Checklist
Complete this checklist to document the inspection and status of motor control relays.
Relay Identification
Provide key information about the relay being inspected.
Relay Location
*
Relay ID or Serial Number
*
Inspection Details
Enter the details of the inspection and the inspector.
Inspector Name
*
First Name
Last Name
Date and Time of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Relay Monitoring Checklist
*
Rows
Pass
Fail
N/A
Visual Inspection: Check for physical damage or wear
1
2
3
Coil Voltage: Measure and verify correct voltage
4
5
6
Contact Operation: Confirm all contacts operate correctly
7
8
9
Abnormal Noise: Listen for unusual sounds during operation
10
11
12
Terminal Tightness: Inspect for loose connections
13
14
15
Signs of Overheating: Check for discoloration or burns
16
17
18
Cleanliness: Ensure relay and enclosure are clean
19
20
21
Relay Operation Status
*
Normal Operation
Requires Maintenance
Faulty – Immediate Attention Required
Rate the Overall Condition of the Relay
*
1
2
3
4
5
Additional Notes or Comments
Inspector Signature
*
Submit Checklist
Submit Checklist
Should be Empty: