Routine Outline Maintenance Checklist

Routine Outline Maintenance Checklist


Prepared by: [Your Name]

Company: [Your Company Name]

Date: [Date]


I. Task Description

  • Inspect and clean air filters

  • Lubricate moving parts

  • Check and replace worn hoses

  • Test emergency shut-off systems

  • Inspect fire extinguishers

II. Frequency

Task Description

Frequency

Inspect and clean air filters

Monthly

Lubricate moving parts

Bi-weekly

Check and replace worn hoses

Quarterly

Test emergency shut-off systems

Annually

Inspect fire extinguishers

Monthly

III. Responsible Personnel

Task

Responsible Personnel

Air filter inspection

Maintenance Technician

Lubrication

Maintenance Technician

Hose inspection

Facility Engineer

Emergency shut-off test

Safety Officer

Fire extinguisher inspection

Safety Officer

IV. Tools and Materials Needed

  • Air filter cleaner

  • Lubricant spray

  • Replacement hoses

  • Testing equipment for shut-off systems

  • Inspection tag for fire extinguishers

V. Safety Precautions

  • Wear personal protective equipment (PPE) including gloves and safety goggles.

  • Ensure equipment is powered down before maintenance.

  • Follow lockout/tagout (LOTO) procedures.

  • Ensure adequate ventilation when using lubricants and cleaners.

  • Be familiar with the location of fire extinguishers and emergency exits.

VI. Completion Status

  • Task completed:

    • Yes

    • No

  • Date of completion: __________

  • Personnel signature:

Harold Abern

  • Supervisor signature:

[Your Name]



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