October 7, 2012
115-V 20-Amp 60-Hz Self-Timed Unit
56
Weekly
Physical Inspection
Date
Performed By:
Date
Performed By:
Date
Performed By:
Date
Performed By:
Date
Performed By:
Date
Performed By:
Date
Performed By:
Date
Performed By:
Date
Performed By:
Date
Performed By:
Date
Performed By:
Date
Performed By:
Date
Performed By:
Date
Performed By:
Date
Performed By:
Monthly
Date
Performed By:
Date
Performed By:
Date
Performed By:
Date
Performed By:
Date
Performed By:
Date
Performed By:
Date
Performed By:
Date
Performed By:
Date
Performed By:
Date
Performed By:
MAINTENANCE SIGN OFF LOG
Hygenic Cleaning
Flushing
Case and Top Care
Testing the GFCI
Reproduce and post copies of this page as required.