Free Operations Maintenance Work Order Slip Template

Operations Maintenance Work Order Slip

Date: [Month Day, Year]

Requested By: [Requester Name/Department]

Location: [Location]

Equipment/Asset: Conveyor Belt

Description of Issue/Work Needed

The conveyor belt in the packaging area is malfunctioning intermittently, causing delays in production. It appears to be slipping and making unusual noises during operation. The issue has been observed during peak production hours, leading to disruptions in workflow. Maintenance is required to diagnose the problem, repair any damaged components, and ensure the conveyor operates smoothly to maintain optimal production efficiency.

Priority

  • High

  • Medium

  • Low

Materials Required

  • Replacement conveyor belt

  • Set of replacement bearings

  • Lubricating oil/grease

  • Allen wrench set

  • Cleaning supplies (degreaser, rags)

  • Safety gloves and goggles

  • Electrical tape

  • Cable ties

  • Multimeter for electrical diagnostics

  • Spare bolts and nuts

Additional Notes

[Add notes if necessary]

Assigned To: [Maintenance Personnel/Contractor]

Estimated Completion Date: [Month Day, Year]

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