EQUIPMENT MAINTENANCE LOGSHEET

Name of the piece of equipment: Person responsible for equipment:

Label: Initials of person authorized to use equipment:
Serial number: Location of equipment:
Manufacturer: Physical condition:
Manufacturer's contact details: Service provider (for maintenance & calibration):
Date of purchase: Service provider contact person + contact details:
Date put into service: Frequency of maintenance:

Date: Maintenance Maintenance Date of validation Validation performed

description: performed by: before put into by:
service:
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ponsible for equipment:

erson authorized to use equipment:
equipment:
ndition:
vider (for maintenance & calibration):
vider contact person + contact details:
of maintenance:

Next maintenance planned Remarks:

on (date):