Oil and Gas Maintenance Checklist Form
Complete this checklist to document routine maintenance activities for oil and gas equipment or sites.
Date of Inspection
*
-
Month
-
Day
Year
Date
Site or Equipment Name/ID
*
Maintenance Staff Name
*
First Name
Last Name
Type of Maintenance
*
Please Select
Preventive
Corrective
Routine
Inspection
Other
Checklist: Tasks Performed
*
Lubrication
Filter Replacement
Leak Inspection
Valve Check
Pressure Test
Other
Equipment Status After Maintenance
*
Operational
Requires Follow-up
Out of Service
Parts or Materials Used
Comments or Observations
Photo Upload (if applicable)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Supervisor Review Name
First Name
Last Name
Submit Maintenance Checklist
Should be Empty: