Scheduled Preventive Maintenance Checklist
Use this checklist to perform scheduled preventive maintenance tasks. Regular inspections help ensure equipment reliability, reduce downtime, and maintain safe operations.
Schedule & Assignment
Maintenance Schedule
*
Please Select
Daily
Weekly
Monthly
Quarterly
Annually
Maintenance Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Assigned Technician
*
First Name
Middle Name
Last Name
Department / Area
*
Asset / Equipment Information
Equipment / Asset Name
*
Equipment ID / Asset Tag
*
Location
*
Manufacturer & Model
General Maintenance Tasks
General Maintenance Performed
*
Equipment clean and free of debris
No visible damage
No unusual noise or vibration
Proper labeling and identification
Equipment securely positioned
Parts Replaced
Issues & Follow-Up
Issues identified
Corrective actions taken
Follow-up required
*
Yes
No
Next scheduled maintenance date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Final Section
Equipment Condition
*
Please Select
Good
Needs Maintenance
Critical
Technician Signature
*
Completion Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Submit
Should be Empty: