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Preventive Maintenance Inspection Form

The document is a preventive maintenance inspection form for ultrafiltration feed pumps A, B, and C from January 13, 2021. It shows that the oil levels, leaks, sounds, and base bolts were checked for each pump and found to be normal. The inspection frequency is noted as every week to check the oil color and level, listen for abnormal sounds, and check for leaks or loose bolts. The inspection was performed by Adam Cabarrubias and reviewed by Dante TAACTAAC.

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Adam Cabarrubias
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116 views1 page

Preventive Maintenance Inspection Form

The document is a preventive maintenance inspection form for ultrafiltration feed pumps A, B, and C from January 13, 2021. It shows that the oil levels, leaks, sounds, and base bolts were checked for each pump and found to be normal. The inspection frequency is noted as every week to check the oil color and level, listen for abnormal sounds, and check for leaks or loose bolts. The inspection was performed by Adam Cabarrubias and reviewed by Dante TAACTAAC.

Uploaded by

Adam Cabarrubias
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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PREVENTIVE MAINTENANCE INSPECTION FORM

REV.0

OIL LEVEL LEAK SOUND BASE BOLT


ITEM EQUIPMENT UNIT DATE REMARKS

75% 50% 25% YES NO NS AS PUMP MOTOR


1 ULTRAFILTRATION (UF) FEED PUMP A 1/13/2021 ✔ ✔ ✔ ✔ ✔ VISUAL INSPECTION

2 ULTRAFILTRATION (UF) FEED PUMP B 1/13/2021 ✔ ✔ ✔ ✔ ✔ VISUAL INSPECTION

3 ULTRAFILTRATION (UF) FEED PUMP C 1/13/2021 ✔ ✔ ✔ ✔ ✔ VISUAL INSPECTION

INSPECTION POINT DETAILS MEASURES


INSPECTION FREQUENCY
Refill Oil
Oil Color (Reddish brown, dark brown and cloudy white-Not Good)
Replace Oil
EVERY WEEK SCHEDULED INSPECTION Sound Abnormal Sound (AS) / Normal Sound (NS) Check nut and bolts for looseness
Leakage (oil/water) Leakage from the shaft seal section and plugs Replace seals

INSPECTED BY: Adam Cabarrubias SIGNATURE: DATE: 1/13/2021


REVIEWED BY: DANTE TAACTAAC SIGNATURE: DATE: 1/13/2021

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