Industrial Machine Technician Service Inspection Form
Technician & Job Details
Technician Name
Date
Machine ID/Serial No.
Location
Department
Client/Contact
Inspection Checklist
Visual Inspection
Good
Needs Repair
Not Applicable
Lubrication Level
OK
Low
Safety Guards in Place
Yes
No
Moving Parts Condition
Good
Worn
Electrical Connections
Secure
Loose
Noise & Vibration
Normal
Abnormal
Other Issues
Service Actions Taken
Recommendations / Comments
Technician Signature
Client Signature
Completion Date