PREVENTIVE MAINTENANCE CHECK LIST/REPORTS
FACTORY / LOCATION :-
*
Please Select
1
2
3
HOMOGENIZER NO :-
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Please Select
H1
H2
H3
H4
H5
H6
H7
H8
H9
Bushing (Worn out) :-
*
Please Select
Yes
No
NA
Take Photo
*
Remarks for inspected parts:
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4 pieces side shaft (Tightness) :-
*
Please Select
Loose
Tight
NA
Take Photo
*
Remarks for inspected parts:
*
Center shaft (Tightness) :-
*
Please Select
Loose
Tight
NA
Take Photo
*
Remarks for inspected parts:
*
Impeller (Shape) :-
*
Please Select
Ordinary
Deform
NA
Impeller (Tightness) :-
*
Please Select
Loose
Tight
NA
Take Photo
*
Remarks for inspected parts:
*
Motor (Clearness) :-
*
Please Select
Clean
Dirty
NA
Motor (Painting) :-
*
Please Select
Good
Flaking
NA
Take Photo
*
Remarks for inspected parts:
*
Hook & Cover (Shape) :-
*
Please Select
Ordinary
Deform
NA
Hook & Cover (Tightness) :-
*
Please Select
Tight
Loose
NA
Take Photo
*
Remarks for inspected parts:
*
Remarks
PM done by A)
*
PM done by B)
PM done by C)
Date
*
/
Day
/
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
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