Equipment Cleaning, Inspection, and Lubrication Checklist
Use this form to complete and document all required maintenance tasks for equipment cleaning, inspection, and lubrication.
Equipment Name or ID
*
Date of Maintenance
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Performed By (Name)
*
First Name
Last Name
Cleaning Completed
*
Exterior surfaces cleaned
Interior parts cleaned (if applicable)
Visual Inspection
*
No visible damage or wear
All safety guards in place
Fluid Levels Checked
*
Oil level within recommended range
Coolant level within recommended range
Lubrication Tasks
*
All moving parts lubricated as specified
Excess lubricant removed
Unusual Noises or Vibrations Observed
*
None observed
Yes, issues found
Corrective Actions Needed?
*
No
Yes (describe below)
Notes or Corrective Actions Taken
Submit Checklist
Should be Empty: