Pool Pump Motor Maintenance Checklist Form
Complete this form to inspect, record, and report maintenance actions for pool pump motors.
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
First Name
Last Name
Pump Motor Overall Condition
*
Please Select
Good
Satisfactory
Needs Attention
Critical
Check for Leaks
*
No leaks detected
Minor leak
Major leak
Check for Unusual Noise
*
Normal operation
Slight noise
Loud or abnormal noise
Check for Excessive Vibration
*
No vibration
Minor vibration
Significant vibration
Electrical Connections Status
*
Please Select
Secure and clean
Loose
Corroded
Cleaning Performed
*
Yes
No
Actions Taken
*
Follow-up or Additional Notes
Submit Maintenance Checklist
Should be Empty: