Broadcast Transmitter Maintenance Checklist Form
Complete this checklist to record routine maintenance performed on the broadcast transmitter.
Date of Maintenance
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Technician Name
*
First Name
Last Name
Transmitter ID or Name
*
Operational Status
*
Fully Operational
Partially Operational
Not Operational
Visual Inspection Completed
*
Yes
No
Cleaning Performed
Dust Removal
Filter Cleaning
Panel Wipe Down
Other
Component Check (Power Amplifier, Modulator, etc.)
Power Amplifier
Modulator
Exciter
Other
Cable and Connector Inspection
*
No Issues Found
Issues Found
Cooling System Check
*
Normal Operation
Needs Attention
Additional Notes or Observations
Submit Maintenance Checklist
Should be Empty: