Motor Maintenance Inspection Report
Use this form to document a motor maintenance inspection, record condition checks, and note corrective actions or follow-up needs.
Inspection Details
Inspection Date
*
 -
Month
 -
Day
Year
Date
Inspection Time
*
Hour Minutes
AM
PM
AM/PM Option
Inspector Name
*
Department / Team
Please Select
Operations
Maintenance
Engineering
Production
Facilities
Contractor
Other
Motor / Asset ID
*
Motor Name / Model
Location / Site
*
Operating Hours / Mileage
Inspection Type
*
Routine
Preventive
Corrective
Post-Repair
Emergency
Condition Assessment
Power Supply Status
*
Good
Needs Attention
Unsafe
Not Applicable
Wiring/Cables Status
*
Good
Needs Attention
Unsafe
Not Applicable
Bearings Status
*
Good
Needs Attention
Unsafe
Not Applicable
Belts/Couplings Status
*
Good
Needs Attention
Unsafe
Not Applicable
Lubrication/Oil Level Status
*
Good
Needs Attention
Unsafe
Not Applicable
Cooling/Ventilation Status
*
Good
Needs Attention
Unsafe
Not Applicable
Abnormal Noise/Vibration Status
*
Good
Needs Attention
Unsafe
Not Applicable
Overheating Status
*
Good
Needs Attention
Unsafe
Not Applicable
Leaks Status
*
Good
Needs Attention
Unsafe
Not Applicable
Observed Issues
Loose Connections
Worn Bearings
Damaged Cables
Excessive Vibration
Overheating
Oil Leak
Dirt/Contamination
Guard Missing/Loose
Cooling Obstruction
Other
Overall Condition
*
Poor
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Poor, 10 is Excellent
Findings and Follow-Up
Detailed Findings / Notes
*
Corrective Actions Taken
*
Parts or Materials Used
Work Status / Follow-Up Status
*
Please Select
No Action Required
Monitored
Scheduled for Repair
Repaired
Needs Escalation
Priority Level
*
Low
Medium
High
Urgent
Recommended Next Inspection Date
 -
Month
 -
Day
Year
Date
Additional Remarks / Observations
Submit Report
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