Location: __________________ Capacity: __________________ Date: ____________

Type: __________________ No. of Cartriges: _________

Instruction: Mark each item in accordance with the following conditions:
/ Satisfactory
x Refer to remarks
NA Not applicable
Condition
Guard Filter
Feed Pump
Backflush Pump
Control Valves
Pressure Gauges
Product Flow Meter
Air Scouring Blower
Electrical Control Panel
Electrical Switches
Electrical Wiring
Lighting
Membrane Cartridges
Hoses, pipes, fittings
Packings and Seals
Feed (Raw) Water Tank
Product Tank
Backflush Tank
System Enclosure or Housing
Doors
Locks
Actions taken:
(Use back side if necessary)
Action By: (Employee Name) Position/Designation Signature
Conducted SWRFO
Reviewed Marionito A. Norte Sr. Water Util. Mngt. Officer
Noted Rodolfo M. Goduco
PRODUCTION EQUIPMENT PREVENTIVE MAINTENANCE CHECKLIST
MEMBRANE FILTRATION
Remarks Component
Date: ____________
Date
PRODUCTION EQUIPMENT PREVENTIVE MAINTENANCE CHECKLIST
MEMBRANE FILTRATION
Preventive Maintenance Checklist for Membrane Filtration
Item Description
Guard Filter
Feed Pump
Backflush Pump
Control Valves
Pressure Gauges
Product Flow Meter
Air Scouring Blower
Electrical Control Panel
Electrical Switches
Electrical Wiring
Membrane Cartriges
Hoses, pipes, fittings
Packings and Seals
Feed (Raw) Water Tank
Product Tank
Backflush Tank
System Enclosure or Housing
Doors
Locks