Standard Checklist: Preventive Maintenance - 6Months/Annual
Standard Checklist: Preventive Maintenance - 6Months/Annual
Standard Checklist: Preventive Maintenance - 6Months/Annual
Page 1 of 2
PREVENTIVE MAINTENANCE –
6MONTHS/ANNUAL Trade: ELEC
INSTRUMENT LIST
Machine ID / SN. *Refer to Attached Instrument List Table
CHECKLIST
Executed
No. Work Description Remarks
Yes No
CORRECTIVE MAINTENANCE
Yes ☐
Is Cm Required? Work Order (requested):
No ☐
| Rev1 (13.03.2019)
STANDARD CHECKLIST
EQUIPMENT: LEVEL TRANSMITTER (FMR-51)
LOCATION: REFINERY
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PREVENTIVE MAINTENANCE –
6MONTHS/ANNUAL Trade: ELEC
ELECTRICAL DEPARTMENT
Maintained by Designation Signature Date Time
PRODUCTION DEPARTMENT
Approval by Designation Signature Date Time
| Rev1 (13.03.2019)