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Preventive Maintenance Work Order

A printable work order for any scheduled PM task. Use one per equipment item per cycle, and file the completed copy with the equipment's service history.

PREVENTIVE MAINTENANCE WORK ORDER

Complete one per equipment item per PM cycle

Date

8/26/2026

1. Equipment Information

Equipment name / ID

Location

PM task description

PM frequency

Daily/Weekly/Monthly/Annual

2. Schedule & Labor

Scheduled date

Completed date

Technician

Labor hours

Downtime hours

3. PM Checklist

Inspected equipment conditionLubricated per PM scheduleChecked / adjusted alignmentChecked seals & gasketsVibration reading takenFilter / strainer cleaned or replacedFasteners torqued to specCalibration verified (if instrumented)No safety devices defeated or bypassedWork area cleaned & tools accounted

4. Parts & Materials Used

Part / materialQtyPart numberCost

5. Findings & Follow-up

Condition found, deferred actions, and any follow-up work order needed.

6. Sign-off

Technician signature

Date / time

Supervisor review

Date / time