Uninterruptible Power Supply Maintenance Checklist
Please complete all sections of the Uninterruptible Power Supply Maintenance Checklist to document maintenance activities.
UPS Serial Number or Identifier
*
Date of Maintenance
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Technician Name
*
Visual Inspection (Check for physical damage, loose connections, dust, etc.)
*
Pass
Fail
Battery Status
*
Good
Needs Replacement
Alarm Test Performed
*
Yes
No
Input Voltage (V)
*
Output Voltage (V)
*
Load Percentage (%)
*
Remarks / Additional Notes
Submit Maintenance Checklist
Should be Empty: