Planned Maintenance

Prepared By Revision Number Date Effective Checklist/ Form No Approved By Procedure Owner Attachment Inspection Period Location Month Week Date/ Time Machinery Name Model Total Running Hours This Month Running Hours Last Month Running Hours No./ Reference No. Section Description Interval Hours Maintenance(Date/Time) Maintenance(Hours to Go) Maintenance (Hours Completed) Action Taken Action Party Checklist Form Submitted Date Completed Date Remarks Indicator Status Checked By (Name) Checked By (Date/ Time) Verified By (Name) Verified By (Date/ Time) |Office Use| Office Position Office Name Office Date/ Time Comments
PreparedBy RevisionNumber DateEffective ChecklistFormNo ApprovedBy ProcedureOwner Attachment InspectionPeriod Location Month Week DateTime MachineryName Model TotalRunningHours ThisMonthRunningHours LastMonthRunningHours NoReferenceNo Section Description IntervalHours MaintenanceDateTime MaintenanceHoursToGo MaintenanceHoursCompleted ActionTaken ActionParty ChecklistForm SubmittedDate CompletedDate Remarks IndicatorStatus CheckedByName CheckedByDateTime VerifiedByName VerifiedByDateTime OfficeUse OfficerPosition OfficerName OfficerDateTime Comments