Industrial Plant Infrastructure Maintenance Checklist Form
Record routine industrial plant infrastructure inspections, completed maintenance tasks, and follow-up actions using the same exact title throughout the form.
Inspection Details
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Plant/Site Name
*
Equipment or Infrastructure Area Inspected
*
Maintenance Checklist
Structural inspection completed
Completed
Drainage system checked
Completed
Lighting condition checked
Completed
Safety signage verified
Completed
Flooring and walkway condition checked
Completed
Guardrails, barriers, HVAC, leak/spill, and electrical panel exterior checked
Completed
Summary and Follow-up
Overall Summary or Notes
*
Follow-up Actions Needed
Submit
Should be Empty: