Building : ________________

Form No. : FMD-F-11-02.10.1.3

Date : ________________

DAILY EQUIPMENT INSPECTION FORM

Basement : ________________
Level/ Floor : ________________
Roofdeck : ________________

EQUIPMENT LOCATION TIME UNUSUAL NOISE UNUSUAL VIBRATION CLEANLINESS REMARKS

YES NO YES NO PASSED FAILED

Notes:
1. List down all equipment code/ location on the specific area ( basement/floors)
2. Explain details if equipment is not working properly. Indicate defective part by stating specification.
3. Fill up form daily and file it in the Equipment Folder Update after completion.

Prepared By: Checked By: Noted By:

_______________________ ____________________________ ____________________________________

Maintenace-on-Duty Building Engineer /Technical Asst. Property Manager/Technical Supervisor

Rev.02