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Preventive Maintenance Checklist Form Template

Streamline your maintenance processes with this useful checklist template

Struggling to keep your equipment running smoothly? Our preventive maintenance checklist template is designed for maintenance managers and technicians who want to ensure optimal performance and reduce downtime. With this easy-to-use template, you can systematically track maintenance tasks, improve equipment longevity, and enhance compliance with safety standards, while saving time and effort in your maintenance routines. Get started with the live template to see how it fits your needs.

Requester full name
Requester email
Maintenance date
Site/location
Asset or equipment ID
Asset name or model
Lockout/tagout (LOTO) applied and verified
Yes
No
Required personal protective equipment (PPE) worn
Yes
No
Area secured and hazard signage posted
Yes
No
Equipment power status before inspection
De-energized and locked out
Powered off but not locked
Powered on for functional test
Not applicable
Overall visual condition
Poor
Below average
Average
Good
Exceptional
Leaks observed
Yes
No
Abnormal noises or vibrations present
Yes
No
Fasteners tightened and components secure
Pass
Fail
Needs attention
Not applicable
Lubrication points serviced
Pass
Fail
Needs attention
Not applicable
Electrical connections intact and free of damage
Pass
Fail
Needs attention
Not applicable
Safety interlocks and emergency stops functional
Pass
Fail
Needs attention
Not applicable
Sensors and indicators responding
Pass
Fail
Needs attention
Not applicable
Test run performed
Yes
No
Next planned service date
Test run result
Operational within specs
Operational with minor issues
Not operational
Not applicable
Issues found summary
Priority level for corrective action
Low
Medium
High
Urgent
Not applicable
Work completed status
Completed
Partially completed
Deferred
Unable to complete
Technician full name
Signature (type your full name)
Completion date
Supervisor approval name
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Paper art illustration related to preventive maintenance checklist form template and FormCreatorAI

When to use this form

Use this form when you need consistent, routine upkeep across assets like HVAC units, conveyors, forklifts, or lab equipment. It helps facility managers, maintenance techs, and operations leads run scheduled inspections, capture readings, and document fixes before small issues become downtime. Put it to work for daily walkarounds, monthly lubrication, quarterly safety checks, or pre-season tune-ups. IT teams can adapt the structure with the Computer maintenance checklist form, while grounds crews can pair it with the Lawn mower inspection checklist form to cover specialized checks. You get standardized records, clear accountability, and a history you can audit to plan parts, labor, and future work orders.

Must Ask Preventive Maintenance Checklist Questions

  1. What asset or system are you servicing (ID, model, and location)?

    Clear identification links findings to a specific asset and prevents mix-ups. It also improves traceability for audits and future work orders.

  2. What is the scheduled interval and the date/time work was performed?

    This confirms you met the plan and highlights overdue tasks before they cause downtime. It also sets the next due date to keep cycles on track.

  3. Which checks and measurements did you complete, and what were the results?

    Detailing steps and readings proves the scope was covered and gives a baseline for trends. You can reference the Equipment checklist form to standardize parts, tools, and components to inspect.

  4. What issues did you find, and what corrective actions did you take?

    This connects symptoms to fixes, so others can repeat or improve the repair. It also records parts used and follow-up tasks to reduce rework.

  5. Is the asset safe to return to service, and who approved it?

    An explicit go/no-go decision prevents unsafe restarts. Naming the approver creates accountability and meets safety and compliance expectations.

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