June 12, 2020
2
902-293 6’ INDEPENDENT SECTIONAL STRAIGHT (VL) SLIDE
EQUIPMENT MAINTENANCE
INSPECTION FORM
MAKE COPIES OF THIS FORM TO USE FOR INSPECTION
REVIEW THE “MAINTENANCE GUIDE” IN THE APPENDIX TO BETTER UNDERSTAND THE IMPORTANCE OF
MAINTENANCE AND HOW TO DEVELOP A MAINTENANCE SCHEDULE.
DOCUMENT ALL MAINTENANCE ACTIONS ON THE LIST AS WELL AS ANY NOT LISTED.
INCLUDE DATES AND SIGNATURES
Inspection Checklist
Recommended
Frequency
Grade
(Pass/Fail/NA)
Date
Inspected
Date Repairs
Completed
Inspect Brackets
Weekly
Inspect Hardware
Weekly
Inspect Plastic Components
Weekly
Inspect Finish
Monthly
Inspect Slide Surface and for standing water
Monthly
Inspect Footing
Yearly
Inspect Surfacing
Daily
Inspector: _______________________ Signature: ___________________________________ Date: ___________________________
Maintenance Record
Part
Problem
Corrective Action
Date
