Vibration Sensor Predictive Maintenance Inspection Checklist Form
Use this form to record vibration sensor inspection findings, assess sensor condition, and define predictive maintenance actions.
Asset and Inspection Details
Asset or Equipment Name / ID
*
Location or Area
*
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name or Team
*
Vibration Sensor ID or Tag Number
*
Inspection Type / Status
*
Routine Inspection
Post-Maintenance Check
Follow-Up Inspection
Other
Sensor Condition Checklist
Sensor mounting condition
*
Secure
Loose
Misaligned
Damaged
Other
Cable and connector condition
*
Good
Minor wear
Damaged
Disconnected
Other
Visible physical damage present?
*
Yes
No
Contamination or corrosion present?
*
Yes
No
Signal stability / reading quality
*
Poor
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Poor, 10 is Excellent
Overall sensor health status
*
Please Select
Pass
Monitor
Needs attention
Fail
Predictive Maintenance Findings and Action Plan
Abnormal vibration observed?
*
No
Yes
Suspected issue category
Misalignment
Imbalance
Looseness
Bearing wear
Electrical noise
Sensor failure
Other
Recommended action
*
Please Select
Monitor and recheck
Realign equipment
Balance rotating assembly
Tighten mounting or supports
Inspect and replace bearing
Check wiring and shielding
Replace sensor
Escalate to maintenance team
Other
Priority / urgency
*
Low
Medium
High
Critical
Next inspection or follow-up date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: