Rotary Scrubber Inspection Checklist Form
Complete this form to document the inspection of rotary scrubber equipment. Ensure all checklist items are reviewed thoroughly.
Inspector Name
*
First Name
Last Name
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Equipment ID or Serial Number
*
Pre-Operation Visual Condition
*
Good
Fair
Poor
Safety Features Functional?
*
Yes
No
N/A
Brush/Pads Condition
*
Good
Worn
Needs Replacement
Solution Tank Level
*
Full
Partial
Empty
Operation Test Result
*
Pass
Fail
N/A
Any Observed Issues?
Leaks
Unusual Noise
Electrical Fault
Brush/Pads Issue
Other
Additional Comments or Actions Taken
Submit Inspection
Should be Empty: