Motor Preventive Maintenance Checklist
Use this checklist to inspect and maintain electric motors to ensure safe operation, optimal performance, and extended equipment life.
Motor Information
Motor ID / Asset Tag
*
Motor Type
*
Please Select
AC Motor
DC Motor
Induction Motor
Synchronous Motor
Other
Location
*
Manufacturer & Model
*
Rated Power (kW/HP)
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Technician Name
*
First Name
Middle Name
Last Name
Operating Conditions
Operating Hours
*
Load Condition
*
Please Select
Light
Normal
Heavy
Ambient Temperature
Noise Level
Please Select
Normal
Abnormal
Maintenance Actions
Cleaning Performed
*
Yes
No
Lubrication Performed
*
Yes
No
Parts Replaced
Issues & Corrective Actions
Issues Identified
*
Corrective Actions Taken
*
Further Service Required?
*
Yes
No
Final Section
Motor 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: