Template No.

4 : MAINTENANCE INSPECTION CHECKLIST

Equipment Type : Electrical Installation and Maintenance

Location : PRACTICAL WORK AREA EIM
Person-In-Charge : JOCELYN G. ESMEŇA
Inspected by : TELESFORO ESCOTO
Date of Inspection : APRIL 5, 2016

YES NO INSPECTION ITEMS

/ 1. Are the panel board and circuit breakers’ electrical

connections, cables, clean and dry? Parts are well-
secured/attached, no cracks? Properly labeled?

/ 2. Are the Mig guns (nozzle, contact tip, diffuser) and

ground cables, clean and dry? Parts are well-
secured/attached? In good condition?

/ 3. Are the adjustment lever’s amperages/speed

functional?

/ 4. Are the gas cylinder outfits (gate valve. Co2

regulator, gas hose fittings, cleaned and in good
condition? No leaks?
/ 5. Are the wire feeder (rollers, wire speed adjustment,
wire spool) free from dust, rust, oil? Dry?
/ 6. Is the equipment in good condition? If not, was a
report prepared and submitted to authorized
personnel?

Prepared by: Approved by:

Jocelyn G. Esmeña Telesforo Escoto
JOCELYN G. ESMEŇA TELESFORO ESCOTO
Trainer Head, Electrical Department