Equipment Preventive Maintenance Checklist
Use this checklist to inspect and maintain equipment to ensure safe operation, reliability, and long-term performance.
Equipment Information
Equipment Name
Equipment ID / Asset Tag
Location
Manufacturer & Model
Inspection Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Technician Name
First Name
Last Name
General Inspection
General Condition
Electrical Components
Electrical Inspection
Mechanical Components
Mechanical Inspection
Operational Check
Operational Performance
Safety Checks
Safety Inspection
Maintenance Actions
Cleaning performed
Yes
No
Lubrication performed
Yes
No
Parts replaced
Issues & Corrective Actions
Issues identified
Corrective actions taken
Further action required
Yes
No
Supporting Evidence
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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
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Should be Empty: