Procedure No: DEE EHU 10-4-2
Authorised By: Manager EHU
Title: Plant and Equipment Maintenance Form
Issue Date: April 2011
Review Date: April 2013
Page Number: 1 of 1
For each piece of plant or equipment insert a new line for consecutive maintenance tasks.
Name of Workplace:
Item of Plant or
Equipment
Location of
Plant or
Equipment
Serial or
Identification
Number
Description of
Work Performed
Date Work
Completed
Work
Performed
By
Comments
Workplace Manager and/or Management OHS Nominee to maintain completed forms. Domain Managers are to maintain copies of this register for
relevant plant and equipment in their curriculum area.
THIS DOCUMENT IS UNCONTROLLED WHEN PRINTED