87814594-Preventive-Maintenance-Electrical-Form.doc

PREVENTIVE MAINTENANCE ELECTRICAL PANEL BOARDS E&0#p6en% Da%a E&0#p6en% No.: P/B Type :    Ma"e:    Model No.:  

Panel Board Type : Sl. No.

Proper%y Da%a Bran! Na6e  

Bran! Code

A/C

L/P

P/P

S/B

ATM

PUMPS

Fre&.

'.

Clean P/B

*.

Ce!" ( T#+%en llo oo$e $! $!re,$.

-.

Ce!" or 0rn ,# ,#re$.

1.

Ce! e!" $02 $02 !/ o or loo loo$e !onn !onnee!%#o !%#on$ n$..

3.

Re!ord 4ol%a+e e%,een pa$e$.

5.

Re!ord load

7.

Re!o Re!ord rd 4ol% 4ol%a+ a+ee e%, e%,ee een n Ear Ear% %l# l#n+ n+ ( Ne0% Ne0%ra ral. l.

8.

Ce! e!" P/B P/B or o4era0l a0l peror6an! an!e.

L'

C0rren% PM ?O No. Da%e: Da%e: S%ar%  F#n#$    F#n#$ 

Lo!a%#on  

Ce!" L#

%$L' 2 L*

P.M. Fre&0en!y   La$% PM Da%e: Da%e:  

FIRE

Cond#%#on

SECURITY

A!%#on Ta"en

#n%er#or ( e)%er#or .

a6 a 6pere$.

L* 2 L-

L*

almajal ServiceMASTER Te!n#!#an <$ Na6e :      S#+na%0re :     

L' 2 L-

VOLTA9E RECORDED Ne0%ral 29ro0nd

L-

AMPERE RECORDED Ne0%ral 29ro0nd

    Client Representative Mana+er>$ Na6e :  :   S#+na%0re :     

Pro=e!% Mana+er>$ Na6e :  S#+na%0re :  Re6ar"$

PREVENTIVE MAINTENANCE

LI9;TIN9 ( OT;ER ELECTRICAL SYSTEM

:S%a6p

E&0#p6en% Da%a E&0#p6en% No.:  Type :  Ma"e:    Model No.:  

Sl. No.

Proper%y Da%a Bran! Na6e   Lo!a%#on   Bran! Code

Ce!" L#$% Ce!" / repla!ed 0$%ed la6p$ #n$#de and o0%$#de %e Bran!.

*.

Ce!" / !lean la6p$ d#0$er$ or pla$%#! !o4er$.

-.

Ce!" all $,#%!e$ and o0%le%$.

3. 5.

C0rren% PM ?O No. Da%e: S%ar%  F#n#$ 

Fre&.

'.

1.

P.M. Fre&0en!y   La$% PM Da%e:  

Cond#%#on

A!%#on Ta"en

Ce!" / !lean e)a0$% an>$ lade ( !o4er$ #n Ba%roo6 and @#%!en. Ce!" all o0%$#de S#+noard and T#6er or nor6al ,or"#n+ !ond#%#on$. Ce!" all o%er rela%ed ele!%r#!al $y$%e6 #n %e o0%$#de area.

Con%ra!%or Te!n#!#an <$ Na6e :   S#+na%0re :  

    Cl#en%$ Repre$en%a%#4e Mana+er>$ Na6e :  S#+na%0re :  

Pro=e!% Mana+er>$ Na6e :  S#+na%0re :  Re6ar"$

:S%a6p