Conveyor Preventive Maintenance Checklist
Use this checklist to inspect and maintain conveyor systems to ensure safe operation, reduce downtime, and improve efficiency.
Conveyor Information
Conveyor ID / Asset Tag
*
Conveyor Type
*
Please Select
Belt Conveyor
Roller Conveyor
Chain Conveyor
Screw Conveyor
Other
Location
*
Manufacturer & Model
*
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Technician Name
*
First Name
Last Name
Operating Conditions
Operating Hours
*
Load Condition
*
Please Select
Light
Normal
Heavy
Speed Condition
*
Please Select
Normal
Abnormal
Noise Level
*
Please Select
Normal
Abnormal
Maintenance Actions
Maintenance performed
*
Cleaning
Lubrication
Adjustment
Repair
Parts replacement
Parts replaced
Issues & Corrective Actions
Issues Identified
*
Corrective Actions Taken
*
Further Service Required
*
Yes
No
Final Section
Conveyor 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: