Electric Motor Condition Monitoring Checklist Form
Use this checklist to systematically monitor and record the condition of electric motors. Complete all sections for accurate maintenance tracking.
Motor Identification Number
*
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Visual Inspection (check all that apply)
*
No visible damage
Clean exterior
No oil leaks
Mounting secure
Other
Vibration Level (mm/s RMS)
*
Operating Temperature (°C)
*
Noise Level (dB)
*
Lubrication Status
*
Please Select
Satisfactory
Requires attention
Not applicable
Electrical Readings (select all measured)
*
Voltage within limits
Current within limits
Insulation resistance OK
Other
Unusual Findings or Comments
Inspector Name
*
First Name
Last Name
Submit Checklist
Should be Empty: