Ejector Pump Maintenance Checklist Form
Document and track the completion of ejector pump maintenance tasks using this standardized checklist.
Pump/Equipment ID
*
Location of Pump
*
Date of Inspection
*
-
Month
-
Day
Year
Date
Technician Name
*
First Name
Last Name
General Inspection Status
*
Please Select
Passed
Requires Attention
Failed
Checklist of Maintenance Tasks Completed
*
Checked power supply and electrical connections
Inspected pump seals and gaskets for leaks
Tested alarm system functionality
Cleaned pump basin and components
Verified discharge line is clear
Lubricated moving parts as needed
Checked float switch operation
Other
Issues Found (if any)
Recommended Follow-Up Actions
Additional Comments/Notes
Technician Signature
*
Submit Checklist
Submit Checklist
Should be Empty: