Impeller Maintenance Checklist
Complete this checklist to document impeller inspection and maintenance activities.
Technician Name
*
First Name
Last Name
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Equipment/Asset ID
*
Location of Equipment
*
Pre-Maintenance Operating Condition
*
Operational
Requires Maintenance
Not Operational
Visual Inspection - Impeller Blades
*
No Damage
Minor Wear
Cracks/Chips
Other (specify in comments)
Check for Unusual Noise or Vibration
*
No Issues Detected
Noise Present
Vibration Present
Both Noise and Vibration
Bearing Condition
*
Good
Worn
Needs Replacement
Lubrication Status
*
Sufficient
Low
Contaminated
Parts Replaced (if any)
Actions Taken
*
Additional Comments/Recommendations
Upload Photos (before/after maintenance, if applicable)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Technician Signature
*
Submit Checklist
Submit Checklist
Should be Empty: