Maintenance Work Order Priority Assessment Checklist Form
Maintenance Work Order Priority Assessment Checklist Form: Use this form to evaluate and prioritize maintenance work orders according to a triage workflow.
Work Order Number
*
Location of Maintenance Issue
*
Brief Description of the Issue
*
Type of Maintenance Required
*
Corrective
Preventive
Predictive
Emergency
Other
Is there a safety risk involved?
*
Yes
No
Uncertain
Operational Downtime Impact
*
No downtime
Minor downtime
Moderate downtime
Severe downtime
Urgency Assessment
*
Not urgent
1
2
3
4
Extremely urgent
5
1 is Not urgent, 5 is Extremely urgent
Checklist: Which of the following apply?
Production is affected
Quality is compromised
Compliance issue
Customer impact
None of the above
Priority Rating (1 = Lowest, 5 = Highest)
*
1
2
3
4
5
Recommended Action or Next Steps
Submit Assessment
Should be Empty: