M40105 - Air Conditioning, Air Curtain Unit Ver 2.0
M40105 - Air Conditioning, Air Curtain Unit Ver 2.0
: M40105
HOSPITAL ENGINEERING PLANNED PREVENTIVE MAINTENANCE
(HEPPM)
Page : 1 of 2
CAUTION:
Ensure the stipulated safety procedures are followed while carrying Estimated
out the PM activities PM hours:
Comply
A. General Checks Remark
Yes No
a) Notify user dept that unit will be out of service for preventive maintenance
b) Observe and listen to the unit in normal operation before shut down
Comply
B.
Safety Precautions
Remark
Yes No
a) Carry out lock out/ tag out procedures
b) Use appropriate PPE.
G. Tools/Equipment used:
1. Tool Box
PPM has been performed in compliance to the checklist and the plant/equipment functions satisfactory to the
intended purpose.
Remarks: ___________________________________________________________________________________
___________________________________________________________________________________
Performed By :
Signature : _____________________________
Name :
Designation :
Company :
Date :