Planned Preventive Maintenance (PPM)

Equipment Data
Equipment Name Incubator Department

Model Date Checked

Manufacturer Due date for next

check

Serial No.

Check list
Sr.# Description Ok Not Ok Remarks

1 Check the filter

2 Check the fan

3 Clean the heater

4 Check the power Ac plug and

Power code

5 Clean the exterior and interior

6 Visual inspection

10

Engineer’s Signature: End User’s Name and Signature

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