(Sample)

EQUIPMENT MAINTENANCE INSPECTION CHECKLIST

Equipment Type : Foot Spa Machine
Property Code/Number : CapSU 143-4
Location : CapSu, Laboratory Area, RM T-30
YES NO INSPECTION ITEMS
1. Is the surface of foot spa machine wiped with towel to dry it?
2. Is the foot spa machine washed with warm soapy water and
scrub lightly to remove dirt and debris thoroughly?
3. Is the foot spa machine rinsed with disinfectant solution? (1
part disinfectant and 10 parts water)

4. Is the disinfectant solution allowed to remain in the foot spa

machine overnight to disinfect it thoroughly?
5. Is the equipment in 100% condition? If not, was a report
prepared and submitted to authorize personnel?
Remarks:
Foot Spa Machine is ready to use for training.
Inspected by: (Trainee) Date: January

Prepared by: Reviewed by: Approved by:

_____________________ ____________________ ___________________

Trainer Program Chair Supply Officer