You are on page 1of 8

MACHINES/EQUIPMENT PREVENTIVE MAINTENANCE REPORT FORM

AREA Cooking Area DATE


EQUIPMENT Steam Jacketted Kettle #1 SHIFT START
OPERATORS NAME SHIFT ENDED

CHECKING PARAMETERS OK DEFECTIVE CORRECTIVE ACTION MAINTENANCE REMARKS

1. Pressure gauge

2. Thermometer guage

3. Pressure release valve

4. Product discharge valve

5. No leaks on any part of the kettle

6. Agitator motor

7. No leaks on agitator motor

8. Kettle cover in good repair

Operators Signature THIS FORM MUST BE COMPLETED EACH SHIFT BY THE


Supervisor Signature OPERATOR AND SUBMITTED TO YOUR SUPERVISOR BY THE
MACHINES/EQUIPMENT PREVENTIVE MAINTENANCE REPORT FORM

AREA Cooking Area DATE


EQUIPMENT Steam Jacketted Kettle #2 SHIFT START
OPERATORS NAME SHIFT ENDED

CHECKING PARAMETERS OK DEFECTIVE CORRECTIVE ACTION MAINTENANCE REMARKS

1. Pressure gauge

2. Thermometer guage

3. Pressure release valve

4. Product discharge valve

5. No leaks on any part of the kettle

6. Agitator motor

7. No leaks on agitator motor

8. Kettle cover in good repair

Operators Signature THIS FORM MUST BE COMPLETED EACH SHIFT BY THE


Supervisor Signature OPERATOR AND SUBMITTED TO YOUR SUPERVISOR BY THE
MACHINES/EQUIPMENT PREVENTIVE MAINTENANCE REPORT FORM

AREA Cooking Area DATE


EQUIPMENT Steam Jacketted Kettle #3 SHIFT START
OPERATORS NAME SHIFT ENDED

CHECKING PARAMETERS OK DEFECTIVE CORRECTIVE ACTION MAINTENANCE REMARKS

1. Pressure gauge

2. Thermometer guage

3. Pressure release valve

4. Product discharge valve

5. No leaks on any part of the kettle

6. Agitator motor

7. No leaks on agitator motor

8. Kettle cover in good repair

Operators Signature THIS FORM MUST BE COMPLETED EACH SHIFT BY THE


Supervisor Signature OPERATOR AND SUBMITTED TO YOUR SUPERVISOR BY THE
MACHINES/EQUIPMENT PREVENTIVE MAINTENANCE REPORT FORM

AREA Cooking Area DATE


EQUIPMENT Steam Jacketted Kettle #4 SHIFT START
OPERATORS NAME SHIFT ENDED

CHECKING PARAMETERS OK DEFECTIVE CORRECTIVE ACTION MAINTENANCE REMARKS

1. Pressure gauge

2. Thermometer guage

3. Pressure release valve

4. Product discharge valve

5. No leaks on any part of the kettle

6. Agitator motor

7. No leaks on agitator motor

8. Kettle cover in good repair

Operators Signature THIS FORM MUST BE COMPLETED EACH SHIFT BY THE


Supervisor Signature OPERATOR AND SUBMITTED TO YOUR SUPERVISOR BY THE
MACHINES/EQUIPMENT PREVENTIVE MAINTENANCE REPORT FORM

AREA Cooking Area DATE


EQUIPMENT Jacketted Kettle SHIFT START
OPERATORS NAME SHIFT ENDED

CHECKING PARAMETERS OK DEFECTIVE CORRECTIVE ACTION MAINTENANCE REMARKS

1. Pressure gauge

2. Thermometer guage

3. Pressure release valve

4. Product discharge valve

5. No leaks on any part of the kettle

6. Agitator motor

7. No leaks on agitator motor

8. Kettle cover in good repair

Operators Signature THIS FORM MUST BE COMPLETED EACH SHIFT BY THE


Supervisor Signature OPERATOR AND SUBMITTED TO YOUR SUPERVISOR BY THE
MACHINES/EQUIPMENT PREVENTIVE MAINTENANCE REPORT FORM

AREA Cooking Area DATE


EQUIPMENT Colloid Mill SHIFT START
OPERATORS NAME SHIFT ENDED

CHECKING PARAMETERS OK DEFECTIVE CORRECTIVE ACTION MAINTENANCE REMARKS

1. Mill Motor in good repair

2. All parts are complete

3. No leaks

4. Product discharge valve

Operators Signature THIS FORM MUST BE COMPLETED EACH SHIFT BY THE


Supervisor Signature OPERATOR AND SUBMITTED TO YOUR SUPERVISOR BY THE
MACHINES/EQUIPMENT PREVENTIVE MAINTENANCE REPORT FORM

AREA Cooking Area DATE


EQUIPMENT Vegetable Mincer SHIFT START
OPERATORS NAME SHIFT ENDED

CHECKING PARAMETERS OK DEFECTIVE CORRECTIVE ACTION MAINTENANCE REMARKS

1. Mincer Motor in good repair

2. All parts are complete

3. No leaks

4. Mincer blade are sharp

Operators Signature THIS FORM MUST BE COMPLETED EACH SHIFT BY THE


Supervisor Signature OPERATOR AND SUBMITTED TO YOUR SUPERVISOR BY THE
MACHINES/EQUIPMENT PREVENTIVE MAINTENANCE REPORT FORM

AREA Filling Area DATE


EQUIPMENT Band Sealer SHIFT START
OPERATORS NAME SHIFT ENDED

CHECKING PARAMETERS OK DEFECTIVE CORRECTIVE ACTION MAINTENANCE REMARKS

1. Heating element

2. Teflon belt

3. Conveyor

4. Sealing Fan

5. Temperature guage

Operators Signature THIS FORM MUST BE COMPLETED EACH SHIFT BY THE


Supervisor Signature OPERATOR AND SUBMITTED TO YOUR SUPERVISOR BY THE

You might also like