Predictive Maintenance Vibration Analysis Inspection Checklist Form
Complete this checklist during vibration-based predictive maintenance inspections. Ensure all inspection points are thoroughly assessed and documented.
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
First Name
Last Name
Equipment/Machine ID
*
Location/Area
*
Overall Vibration Level Assessment
*
Normal
Slightly Elevated
High
Critical
Component Condition Ratings
*
Rows
Good
Fair
Poor
Bearings
1
2
3
Couplings
4
5
6
Motors
7
8
9
Gearboxes
10
11
12
Any Abnormal Noise Detected?
*
No
Yes
Presence of Looseness or Misalignment
*
No Issue
Possible Looseness
Possible Misalignment
Both Detected
Severity of Detected Anomalies
*
1
2
3
4
5
Corrective Action Needed?
*
No Action Needed
Schedule Maintenance
Immediate Action Required
Inspector Comments / Observations
Submit Inspection
Should be Empty: