Preventive Maintenance Electrical Form

PREVENTIVE MAINTENANCE ELECTRICAL PANEL BOARDS Equipment Data Equipment No.:_____________ P/B Type : ______________ Make: ____________________ Model No.:

Panel Board Type :

Sl. No. 1. 2. 3. 4. 5. 6. 7. 8.

A/C

Property Data

P.M. Frequency ________________ Last PM Date: ________________

Branch Name ____________ Location ________________

L/P

P/P

S/B

ATM

Check List Clean P/B interior & exterior . Check & Tighten loose screws. Check for burn wires. Check sub- c/b for loose connections. Record voltage between phases. Record load amperes. Record voltage between Earthling & Neutral. Check P/B for overhaul performance.

Current PM WO No.__________ Date:_______ Start _________

PUMPS

Freq.

L1 - L2

L2 - L3

L1 - L3

L1

L2

L3

almajal ServiceMASTER Technician ‘s Name : _________________ Signature : ________________

FIRE

Condition

SECURITY

Action Taken

VOLTAGE RECORDED Neutral -Ground AMPERE RECORDED Neutral -Ground

_________________ Client Representative Manager’s Name :__________________ Signature : _________________

Project Manager’s Name :________________ Signature :_________________

:Stamp

Remarks

Equipment Data Property Data P.M. Frequency PREVENTIVE MAINTENANCE Equipment ________________ Last PM Name LIGHTING & OTHERBranch ELECTRICAL SYSTEM No.:_____________ Date: ________________ ____________ Type : Current PM ____________________ Location WO No.__________ Date:_______ Make: ________________ Start _________

Sl. No.

Check List

Freq.

1.

Check / replaced busted lamps inside and outside the Branch.

2.

Check / clean lamps diffusers or plastic covers.

3.

Check all switches and outlets.

4. 5. 6.

Condition

Action Taken

Check / clean exhaust fan’s blade & covers in Bathroom and Kitchen. Check all outside Signboard and Timer for normal working conditions. Check all other related electrical system in the outside area.

Contractor Technician ‘s Name : _________________ Signature : ________________ Project Manager’s Name :________________ Signature :_________________

_________________ Client's Representative Manager’s Name :__________________ Signature : _________________

Remarks

:Stamp