# Preventive Maintenance Checklist Template

> A free preventive maintenance checklist for plants, warehouses and facilities. Techs log each scheduled service on a phone, with parts and photos.

Techs pick the machine and interval, then mark each task done or in need of repair. Parts replaced, time spent, problems found and photos are saved with a signature, so every machine has a service history.

Canonical: https://reuily.com/templates/preventive-maintenance-checklist
Use this template: https://reuily.com/form/from-template/preventive-maintenance-checklist
Collections: Requests & Intake, Manufacturing, Logistics & Transportation, Operations
Last updated: 2026-10-24

## Questions

- Question 1: What's your name? (Short Text, required)
- Question 2: What's your work email? (Email, required)
- Question 3: Which equipment are you servicing? (Short Text, required)
- Question 4: Where is it located? (Short Text, required)
- Question 5: Which maintenance interval is this? (Single Choice, required). Options: Weekly; Monthly; Quarterly; Yearly
- Question 6: What's the hour meter or cycle count? (Number, optional)
- Question 7: Clean and inspect for wear (Single Choice, required). Options: Done; Needs repair; Not applicable
- Question 8: Lubricate moving parts (Single Choice, required). Options: Done; Needs repair; Not applicable
- Question 9: Check belts, chains and hoses (Single Choice, required). Options: Done; Needs repair; Not applicable
- Question 10: Check fluid levels and filters (Single Choice, required). Options: Done; Needs repair; Not applicable
- Question 11: Check electrical connections and guards (Single Choice, required). Options: Done; Needs repair; Not applicable
- Question 12: Test safety stops and alarms (Single Choice, required). Options: Done; Needs repair; Not applicable
- Question 13: Which parts did you replace? (Long Text, optional)
- Question 14: How many minutes did the work take? (Number, optional)
- Question 15: Describe any problems you found (Long Text, optional)
- Question 16: Upload photos (File, optional)
- Question 17: Is the equipment ready to run? (Yes / No, required)
- Question 18: Sign to confirm this service (Signature, required)

Signing records the signer's consent, email, IP address, browser and signing time, and each signer can download a signed PDF copy.

## Common uses

- Production machines and conveyors
- Forklifts, compressors and generators
- Building systems and facilities

## Key features

- Done or needs repair per task
- Parts and time spent
- Service history for every machine

## Frequently asked questions

### What goes in a preventive maintenance checklist?

The machine and interval, cleaning and wear checks, lubrication, belts and hoses, fluids and filters, electrical connections and guards, safety stops, parts replaced and the tech's signature.

### Can I use one checklist for different machines?

Yes. Edit the task list for each machine type, or duplicate the form and give each one its own tasks and QR code.

### How do I keep a service history?

Send responses to Google Sheets and filter by equipment, so you can see every service, part and problem for each machine.