SMT Machine Maintenance Checklist Form
Document scheduled SMT machine maintenance inspections and actions.
Machine ID / Serial Number
*
Date and Time of Maintenance
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Maintenance Type
*
Please Select
Scheduled
Preventive
Corrective
Other
Inspection Items Checked
*
Feeder Alignment
Nozzle Condition
Conveyor Operation
Vision System
Other
Cleaning Actions Performed
*
Nozzle Cleaning
Feeder Cleaning
Sensor Cleaning
Machine Surface Wipe
Other
Consumables / Parts Replaced
*
Filters
Nozzles
Belts
None
Other
Issues Found During Inspection
Corrective Actions Taken
Technician Name
*
First Name
Last Name
Technician Signature (Completion Sign-Off)
*
Submit Checklist
Submit Checklist
Should be Empty: