Wastewater Pump Maintenance Checklist
Use this form to record routine wastewater pump inspections, maintenance checks, findings, actions taken, and any follow-up needed.
Site and Equipment Identification
Site / Facility Name
*
Site Address or Location Description
*
Pump ID or Asset Tag
*
Pump Station / Area
*
Maintenance Date
*
-
Month
-
Day
Year
Date
Maintenance Time
*
Hour Minutes
AM
PM
AM/PM Option
Technician / Inspector Name
*
Inspection Checklist
Pump power status
*
Operating normally
Intermittent
Not operating
Locked out/tagged out
Visible leaks
*
None
Minor seepage
Active leak
Unusual noise or vibration
*
None
Slight
Moderate
Severe
Motor temperature / overheating condition
*
Normal
Warm
Hot
Overheating
Impeller condition
*
Good
Worn
Blocked
Not inspected
Seals / gaskets condition
*
Good
Worn
Damaged
Not inspected
Float switch / level control condition
*
Working
Inconsistent
Faulty
Not inspected
Control panel / alarm status
*
Normal
Warning present
Alarm active
Not inspected
Debris or rag buildup present
*
None
Minor
Moderate
Heavy
Maintenance Actions and Findings
Maintenance tasks performed
*
Cleaned pump
Cleared blockage
Checked oil/lubrication
Tightened fittings
Tested controls
Replaced parts
Inspected wiring
Other
Parts replaced
Fluids or lubrication added
Measurements or test results
Overall condition notes
Follow-up and Sign-off
Further Action Required
*
No further action
Monitor
Schedule repair
Immediate escalation
Priority Level
*
Low
Medium
High
Urgent
Recommended Follow-up Date
-
Month
-
Day
Year
Date
Open Issues / Comments
Technician Sign-off / Name Confirmation
*
Submit Checklist
Should be Empty: