This document shall be kept strictly confidential.

Unauthorized reproduction or transmission of this document in soft or hard copy is an infringement of the intellectual and property rights of Ibarra's Party Venues and Catering.
DOCUMENT CODE: VERSION No.:
FRM-ENG-001 2019-01
DOCUMENT TITLE: EFFECTIVITY DATE
May 27, 2019
PAGE NO.
EQUIPMENT MAINTENANCE CHECKLIST
1 of 1

EQUIPMENT NAME EQUIPMENT NUMBER LOCATION MAINTENANCE FREQUENCY

DATE: ☐UNSCHEDULED REPAIR ☐SCHEDULED PREVENTIVE MAINTENANCE

EQUIPMENT INSPECTION AND MAINTENANCE
Equipment is clean, free from dirt, rust and stubborn ☐YES ☐NO
food residue?
REMARKS:
Equipment is free from debris, chip-off paints/parts or ☐YES ☐NO
any source of foreign body contaminant ?
REMARKS:
Equipment is in good working condition, can perform ☐YES ☐NO
according to its task and requirement?
REMARKS:
Equipment can run without unnecessary noise, vibration ☐YES ☐NO
or leakage of any liquid?
REMARKS:
Equipment can be operated safely without any threat to ☐YES ☐NO
food safety or human safety ?
REMARKS:
Additional Findings/Recommendation:

EQUIPMENT CLEANING AND SANITATION

Equipment is clean, sanitized and ready for use? ☐YES ☐NO

CHECKED BY: EQUIPMENT

CUSTODIAN:
Name and Signature Name and Signature

This document shall be kept strictly confidential. Unauthorized reproduction or transmission of this document in soft or hard copy is an infringement of the intellectual and property rights of Ibarra's Party Venues and Catering.
DOCUMENT CODE: VERSION No.:
FRM-ENG-001 2019-01
DOCUMENT TITLE: EFFECTIVITY DATE
May 27, 2019
PAGE NO.
EQUIPMENT MAINTENANCE CHECKLIST
1 of 1

EQUIPMENT NAME EQUIPMENT NUMBER LOCATION MAINTENANCE FREQUENCY

DATE: ☐UNSCHEDULED REPAIR ☐SCHEDULED PREVENTIVE MAINTENANCE

EQUIPMENT INSPECTION AND MAINTENANCE
Equipment is clean, free from dirt, rust and stubborn ☐YES ☐NO
food residue?
REMARKS:
Equipment is free from debris, chip-off paints/parts or ☐YES ☐NO
any source of foreign body contaminant ?
REMARKS:
Equipment is in good working condition, can perform ☐YES ☐NO
according to its task and requirement?
REMARKS:
Equipment can run without unnecessary noise, vibration ☐YES ☐NO
or leakage of any liquid?
REMARKS:
Equipment can be operated safely without any threat to ☐YES ☐NO
food safety or human safety ?
REMARKS:
Additional Findings/Recommendation:

EQUIPMENT CLEANING AND SANITATION

Equipment is clean, sanitized and ready for use? ☐YES ☐NO

CHECKED BY: EQUIPMENT

CUSTODIAN:
Name and Signature Name and Signature