Sewage Lift Station Maintenance Log Form
Complete this form to log all routine maintenance activities for the sewage lift station.
Maintenance Date
*
-
Month
-
Day
Year
Date
Station/Location Identifier
*
Technician Name
*
First Name
Last Name
Shift or Visit Type
*
Please Select
Morning
Afternoon
Night
Routine Inspection
Emergency Call
Other
Equipment Inspected
*
Pumps
Control Panel
Float Switches
Wet Well
Valves
Backup Generator
Other
Maintenance Actions Performed
*
Pump Status
*
Please Select
Operational
Requires Maintenance
Out of Service
Other
Alarms or Faults Observed
Materials or Parts Used
Follow-up or Next Service Notes
Submit Log
Should be Empty: