Model: 12M Customer Name:

Serial Number (Prefix/Range): B92 Equipment Number:

PM 1 (250 HOUR
Maintenance Interval: INTERVAL) Work Order Number:
Last Updated Data Date: 9/5/2019 Equipment SMU:

Parts Manual Media Number: SEBP4558 Equipment Location:

OMM Media Number: Print Date: 9/25/2019

Employee:
NOTE: THIS PLANNED MAINTENANCE CHECKLIST IS MEANT TO BE A QUICK REFERENCE ONLY. IT DOES
NOT REPLACE THE OPERATION AND MAINTENANCE MANUAL ("OMM") APPLICABLE TO YOUR CATERPILLAR
PRODUCT. THE DATA ON THIS CHECKLIST MAY BE CHANGED OR UPDATED WITHOUT NOTICE.

Checklist

Seq Instruction OK Comments

1 PERFORM PM 1

2 TAKE & ANALYZE S-O-S FROM ENGINE OIL

9/25/2019 Page 1 of 2
 Part Information

Qty Part Number Description Notes Seq

1 SOS SCHEDULED OIL SAMPLE 2

9/25/2019 Page 2 of 2