Maintenance

Report for the

Month
xxx
2023
Project : Maintenance at Bedok and Pulau Tekong Waterworks

Main-Con : Client :

Equipment : Plug Valve and Actuator

Equipment ID :

Frequently : ½ Year Test Date:

Form No. : Last Test Date:

ITEM
ACTION RESULT
NO. Job Done?
Yes / No
1 Actuator is powered on PASS / FAIL
Yes / No
2 Actuator able to open the valve PASS / FAIL
Yes / No
3 Actuator able to close the valve PASS / FAIL
Yes / No
4 Check for any leakage PASS / FAIL
Yes / No
5 Any abnormal sound during operation PASS / FAIL
Yes / No
6 Check for any loosen screw PASS / FAIL
Comment:

Performed by : Witness by :

Signature : Signature :

Designation : Designation :
Project : Maintenance at Bedok and Pulau Tekong Waterworks

Main-Con : Client : PUB

Equipment :

Equipment ID :

Frequently : ½ Year Test Date:

Form No. : Last Test Date:

ITEM
ACTION RESULT
NO. Job Done?
To clean foreign material from the faces, Yes / No
1 PASS / FAIL
guide before operation
Screw thread cleaned, inspected for Yes / No
2 PASS / FAIL
wear and re-greased every six months
Yes / No
3 Actuator able to close the gate PASS / FAIL
Yes / No
4 Actuator able to open the gate PASS / FAIL
Yes / No
5 Any abnormal sound during operation PASS / FAIL
Check for any loosen screw and tighten Yes / No
6 PASS / FAIL
it.
Comment:

Performed by : Witness by :

Signature : Signature :

Designation : Designation :