(Sample)

EQUIPMENT MAINTENANCE SCHEDULE

EQUIPMENT TYPE Foot Spa Machine
EQUIPMENT CODE CapSU RC143-4

LOCATION CapSU, Laboratory RM T30

Schedule for the Month of March
MANPOWER Daily/ Every Weekly Every Monthly Remarks
ACTIVITIES every Other 15th
usage Day Day

1. Is the surface of
foot spa machine The activity
wiped with towel to is done
Trainees after using
dry it?
Trainer the
equipment

2. Is the foot spa

machine washed Activity is
with warm soapy done before
Trainees
water and scrub and after
lightly to remove Trainer using the
equipment
dirt and debris
thoroughly?
3. Is the foot spa
machine rinsed Trainees Activity is
with disinfectant done after
Trainer
solution? (1 part using the
disinfectant and 10 equipment
parts water)
4. Is the
disinfectant Activity is
solution allowed to done after
Trainees
remain in the foot using the
spa machine Trainer equipment
overnight to
disinfect it
thoroughly?
5.Is the equipment Activity is
in 100% condition? done before
Trainees
and during
If not, was a report the use of
Trainer
prepared and the
submitted to equipment
authorize
personnel?
Prepared by: Reviewed by: Approved by:

_______________________ ________________________ _______________________

Trainer Program Chair Supply Officer