Lubrication Monitoring Log Form
Record lubrication checks and maintenance activities for equipment using this streamlined log form.
Date of Lubrication Check
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Equipment Name or ID
*
Location or Component
*
Type of Lubrication Used
*
Please Select
Oil
Grease
Dry Lubricant
Other
Lubrication Status
*
Completed
Not Required
Deferred
Observations / Findings
Action Taken (if any)
Person Performing Check
*
Next Scheduled Lubrication Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Additional Notes
Submit Log
Should be Empty: