Attachment_14_Preventive_Maintenance_Exhibit.pdf

Facility Operations and Maintenance

Services – COBRATF

Attachment 14

Preventive Maintenance Exhibit

Page | 1 Effective November 1, 2014

DAILY PREVENTIVE MAINTENANCE

ACTIVE FORMS INDEX

1) HVAC and Refrigeration Systems

2) Custodial

3) Electrical (Dryers)

4) Forklift

Checklists: Diesel

Electric

5) Emergency Generators

6) Plumbing (Washing Machines)

7) Water Treatment

8) Diesel Tank

9) Heat Energy

10) Filter Exhaust System

11) GFP Truck

12) Water Storage Maintenance

HVAC AND REFRIGERATION SYSTEMS

DAILY PM: HVAC AND REFRIGERATON SYSTEMS CLIN LINE # 7.5.3

DATE: _________________ INSPECTED _________________

INSTRUCTIONS AS FOLLOWS:

1. ESTABLISHED COMPANY SAFETY PROCEDURES SHALL BE FOLLOWED IN PERFORMING THIS

MAINTENANCE.

2. UTILIZE MANUALS FOR TASKS IN QUESTION.

3. NOTIFY SUPERVISOR OF ANY DISCREPANCIES, EXCEPTIONS OR WORK WHICH WAS NOT

ACCOMPLISHED.

4. NOTE REPAIRS PERFORMED OR TO BE PREFORMED.

PM FOR HVAC AND REFRIGERATION SYSTEMS:

1. OBSERVE OPERATION OF WATER CHILLERS. RECORD OPERATION PRESSURE AND

TEMPERATURE.

CHILLER HOURS #1 __________ #2 __________

COOLING TOWER SUPPLY: TEMP ______ CHILLER TEMP______ CHILLED WATER PRESS______

COOLING TOWER RETURN: TEMP ______ CHILLER TEMP______ CHILLED WATER PRESS______

CHILLED WATER PUMP ONLINE: EAST _____ WEST _____

COOLING TOWER PUMP ONLINE: EAST _____ WEST _____

2. OBSERVE OPERATION OF CHILLED WATER AND COOLING TOWER PUMPS, AND

CONDENSATE PACKAGE.

VFD DRIVE SPEED: __________%

CHILLER RUNNING: YES _____ OR NO _____

CHILLER SELECTED: 1 _____ OR 2 _____

3. OBSERVE OPERATION OF AIR COMPRESSORS AND AIR DRYER SYSTEMS. EAST _____ WEST _____

RECORD HOURS: #1 #2 #3__________

STATUS (PRIMARY/SECONDARY/STANDBY): ______________ ______________ ______________

4. CHECK ALL DIKE AREAS FOR CONTAINMENT

5. CHECK AIR HANDLERS

RECORD ON AH #14: SPEED _______ % _______ Hz TEMP __________

6. CHECK HEAT PUMPS AND OTHER RELATED EQUIPMENT.

7. BREATHING AIR MACHINE

HOURS __________ BANK PSI __________

REMARKS: ________________________________________________________________________________________________

LABOR HOURS BY PM WORK ORDER:

O&M BLDG: PMWO# __________

START TIME ____________ END TIME _________ = TOTAL HOURS __________

INCINERATOR PAD: PMWO# __________

START TIME ____________ END TIME _________ = TOTAL HOURS __________

DAILY HVAC & REFRIGERATION CONTINUED

TRAINING BLDG: PMWO# __________

START TIME ____________ END TIME _________ = TOTAL HOURS __________

DRESS OUT BUILDING: PMWO# __________

START TIME ____________ END TIME _________ = TOTAL HOURS __________

ADMIN BLDG: PMWO# __________

START TIME ____________ END TIME _________ = TOTAL HOURS __________

ID PAD: PMWO# __________

START TIME ____________ END TIME _________ = TOTAL HOURS __________

GUARD HOUSE: PMWO# __________

START TIME ____________ END TIME _________ = TOTAL HOURS __________

POST 5: PMWO#__________

START TIME ____________ END TIME _________ = TOTAL HOURS __________

PUMP HOUSE: PMWO # __________

START TIME ____________ END TIME _________ = TOTAL HOURS __________

NORTHVILLE BATHROOM: PMWO# __________

START TIME ____________ END TIME _________ = TOTAL HOURS __________

WATER FOUNTAINS: PMWO# ___________

START TIME ____________ END TIME _________ = TOTAL HOURS __________

NORTHVILLE SUB SHOP: PMWO# __________

START TIME ____________ END TIME _________ = TOTAL HOURS __________

NORTHVILLE PHARMACY/NORTHVILLE FAMILY PLANNING: PMWO#__________

START TIME ____________ END TIME _________ = TOTAL HOURS __________

NORTHVILLE MIDDLE SCHOOL: PMWO # __________

START TIME ____________ END TIME _________ = TOTAL HOURS __________

NORTHVILLE FLOWER SHOP/NORTHVILLE DAILY NEWS: PMWO# __________

START TIME ____________ END TIME _________ = TOTAL HOURS __________

NORTHVILLE POLICE SUBSTATION: PMWO# ___________

START TIME ____________ END TIME _________ = TOTAL HOURS __________

NORTHVILLE FIRE DEPARTMENT: PMWO# ___________

START TIME ____________ END TIME _________ = TOTAL HOURS __________

MATERIAL USED (INCLUDING COST, QUANTITY AND LOCATION) _____________________________________________

DAILY HVAC & REFRIGERATION CONTINUED

Keyed into 7i System O&M Manager Q.C.C.

Initial: Signature:

Date: Date/Stamp:

Q.C.C. Auditor Q.C.C. Verification

Signature: Signature:

Date/Stamp: Date/Stamp:

CUSTODIAL SERVICES

DAILY PM: CUSTODIAL MAINTENANCE CLIN LINE # 7.5.21

DATE _________________ INSPECTED _________________

INSTRUCTIONS AS FOLLOWS:

1. ESTABLISHED COMPANY SAFETY PROCEDURES SHALL BE FOLLOWED IN PERFORMING THIS

MAINTENANCE.

2. UTILIZE MANUALS FOR TASKS IN QUESTION.

3. NOTIFY SUPERVISOR OF ANY DISCREPANCIES, EXCEPTIONS OR WORK WHICH WAS NOT ACCOMPLISHED.

4. NOTE REPAIRS PERFORMED OR TO BE PREFORMED.

PM FOR CUSTODIAL MAINTENANCE:

DAILY - FOLLOWING TASK AND FREQUENCY CHARTS J-8

1. EMPTY ALL TRASH RECEPTICALS

2. CLEAN DRINKING FOUNTAINS, WASTE RECEPTACLES, ASH TRAYS AND URNS, COUNTERS, ENTRANCES

AND EXITS.

3. SWEEP/DUST MOP FLOORS AS SPECIFIED

4. VACUUM CARPETS.

5. CLEAN URINALS, SHOWERS, LAVATORIES, WASH BOWLS/SINKS,

6. AS NEEDED:

SPOT-CLEAN WALL AND PARTITIONS, CEILINGS.

WET-MOP/SPOT-MOP FLOORS

SPOT-CLEAN CARPET

SPOT-CLEAN BASEBOARDS

SPOT-CLEAN WINDOWS

REMARKS: ________________________________________________________________________________________________

LABOR HOURS BY PM WORK ORDER:

CUSTODIAL (ALL BUILDINGS): PMWO#__________

START TIME ____________ END TIME _________ = TOTAL HOURS __________

MATERIAL USED (INCLUDING COST, QUANTITY AND LOCATION) _____________________________________________

Keyed into 7i System O&M Manager Q.C.C.

Initial: Signature:

Date: Date/Stamp:

Q.C.C. Auditor Q.C.C. Verification

ELECTRICAL MAINTENANCE

DAILY PM: DRYERS CLIN LINE # 7.5.5

DATE:_________________ INSPECTED _________________

INSTRUCTIONS AS FOLLOWS:

1. ESTABLISHED COMPANY SAFETY PROCEDURES SHALL BE FOLLOWED IN PERFORMING

THIS MAINTENANCE.

2. UTILIZE MANUALS FOR TASKS IN QUESTION.

3. NOTIFY SUPERVISOR OF ANY DISCREPANCIES, EXCEPTIONS OR WORK WHICH WAS NOT

ACCOMPLISHED.

4. NOTE REPAIRS PERFORMED OR TO BE PREFORMED.

PM FOR MAINTENANCE ON DRYERS

1. CLEAN LINT TRAP

2. CLEAN CYLINDER AND SWEEP SHEETS

3. CHECK UNIT FOR PROPER OPERATION. LISTEN FOR ANY UNUSUAL NOISES OR VIBRATION

4. CHECK FOR DEFECTIVE GAUGES, THERMOMETERS, AND INDICATORS

5. CLEAN GRILL, FAN, AND AIRPORTS

REMARKS:

LABOR HOURS BY PM WORK ORDER:

DRYERS: PMWO#__________

MATERIAL USED (INCLUDING COST, QUANTITY AND LOCATION) _______________________________

Keyed into 7i System O&M Manager Q.C.C.

Initial: Signature:

Date: Date/Stamp:

Q.C.C. Auditor Q.C.C. Verification

FACILITIES OPERATIONS AND MAINTENANCE

DAILY PM: FORKLIFT CLIN LINE # 7.5

DATE: _________________ INSPECTED _________________

2. UTILIZE MANUALS FOR TASKS IN QUESTION.

3. NOTIFY SUPERVISOR OF ANY DISCREPANCIES, EXCEPTIONS, OR WORK WHICH WAS NOT

PM FOR FORKLIFT MAINTENANCE:

1. PERFORM PREVENTATIVE MAINTENANCE IN ACCORDANCE WITH THE ATTACHED LIST.

REMARKS:

FORKLIFTS (DIESEL & ELECTRIC): PMWO#__________

Date: Date/Stamp:

Q.C.C. Auditor Q.C.C. Verification

FORKLIFT CHECKLIST

Electric

COMPONENT TIRES

Check for:

No excessive wear, splitting or missing tire material Good rim condition Tight wheel nuts No separation of rubber and rim Proper tire pressure (if pneumatic tires are used)

CYLINDERS AND HYDRAULIC LINES

Check:

Hydraulic fluid at proper levels No damage to or fluid leaking from lift and tilt cylinders Mounting hardware on cylinders is secure Hydraulic lines okay Hoses okay Secure connections at fittings.

CHAINS

Chains are clean and lubricated Chains have no visible wear Chains have equal tension.

HORNS AND LIGHTS

Horns work properly Lights work properly.

ENERGY SYSTEM

Check for battery powered forklifts:

Battery mounting secure Battery casing in good shape All connections secure Proper fluid level Vent holes are clear.

FORKS

Forks are centered on carriage Forks are equally spaced Forks have no cracks or other damage Forks are right for the job Locking pins work correctly.

CARRIAGE, MAST AND BACKREST

Check carriage, mast and backrest for:

No visible damage Secure mountings No broken welds

Roller tracks are lubricated.

GUARDS

No broken welds Mounted securely No visible damage.

SPECIFICATION PLATE

Check:

Identification plate is readable.

GAUGES

Start forklift and check:

All gauges work properly All indicators work properly Moving parts work smoothly and properly.

MAST AND TILT CYLINDERS

Lift carriage to its maximum height Lower carriage to just above the floor Carriage moves smoothly and completely.

PARKING BRAKES

Set parking brake and accelerate Parking brake prevents the forklift from moving.

ACCELERATOR, TRANSMISSION AND

SERVICE BRAKES

Release parking brake and check:

Forklift accelerates smoothly Brakes slow forklift without jerking or locking Brakes are not too soft Forklift moves forward properly Forklift moves backward properly Backup signal sounds when moving in reverse.

STEERING

Check:

Steering wheel turns while stopped Steering wheel turns while moving Steering wheel turns forklift smoothly and precisely No strange noise No hesitation.

FORKLIFT IS SAFE TO OPERATE

Signed

FORKLIFT CHECKLIST

Diesel

COMPONENT TIRES

Check for:

No excessive wear, splitting or missing tire material Good rim condition Tight wheel nuts No separation of rubber and rim Proper tire pressure (if pneumatic tires are used) Proper tires used for forklift and surfaces.

CYLINDERS AND HYDRAULIC LINES

Hydraulic fluid at proper levels No damage to or fluid leaking from lift and tilt cylinders Mounting hardware on cylinders is secure Hydraulic lines okay Hoses okay Secure connections at fittings.

CHAINS

Chains are clean and lubricated Chains have no visible wear Chains have equal tension.

ENGINE

Engine has no loose or frayed wiring Air filter okay Oil filter okay Proper oil level Transmission fluid okay Radiator fluid okay No visible leaks under forklift.

HORNS AND LIGHTS

Horns work properly Lights work properly.

ENERGY SYSTEM

Check for battery powered forklifts:

Battery mounting secure Battery casing in good shape All connections secure Proper fluid level Vent holes are clear.

Check for gas, propane or diesel fueled forklifts:

Fuel tanks have no cracks, broken welds or other damage

All valves and couplings okay Mounting hardware is secure.

FORKS

Forks are centered on carriage Forks are equally spaced Forks have no cracks or other damage Forks are right for the job Locking pins work correctly.

CARRIAGE, MAST AND BACKREST

Check carriage, mast and backrest for:

No visible damage Secure mountings No broken welds

Roller tracks are lubricated.

GUARDS

No broken welds Mounted securely No visible damage.

SPECIFICATION PLATE

Check:

Identification plate is readable.

GAUGES

Start forklift and check:

All gauges work properly All indicators work properly Moving parts work smoothly and properly.

MAST AND TILT CYLINDERS

Lift carriage to its maximum height Lower carriage to just above the floor Carriage moves smoothly and completely.

PARKING BRAKES

Set parking brake and accelerate Parking brake prevents the forklift from moving.

ACCELERATOR, TRANSMISSION AND

SERVICE BRAKES

Release parking brake and check:

Forklift accelerates smoothly Brakes slow forklift without jerking or locking Brakes are not too soft Forklift moves forward properly Forklift moves backward properly Backup signal sounds when moving in reverse.

STEERING

Check:

Steering wheel turns while stopped Steering wheel turns while moving Steering wheel turns forklift smoothly and precisely No strange noise No hesitation.

FORKLIFT IS SAFE TO OPERATE

Signed

ELECTRICAL SYSTEMS

DAILY PM: EMERGENCY GENERATORS (2 ea.) CLIN LINE # 7.5.5.4

1. ESTABLISHED COMPANY SAFETY PROCEDURES SHALL BE FOLLOWED IN PERFORMING THIS

MAINTENANCE.

2. UTILIZE MANUALS FOR TASKS IN QUESTION.

3. NOTIFY SUPERVISOR OF ANY DISCREPANCIES, EXCEPTIONS OR WORK WHICH WAS NOT ACCOMPLISHED.

4. NOTE REPAIRS PERFORMED OR TO BE PERFORMED.

PM FOR GENERATORS (2 ea.) 600 K:

1. INSPECT GENERATOR OIL LEVEL, BATTERIES, COOLANT LEVEL AND JACKET WATER HEATERS.

2. CHECK TO SEE IF SWITCHES ARE IN CORRECT POSITION.

TRANSFER SWITCH IN AUTO

OVERTRIP VOLTAGE IS UP

MAIN BREAKER IS UP

START SWITCH IS IN AUTO

3. INSPECT FUEL TANK FOR FUEL LEVEL, GROUND WATER, FUEL LEAKS AND DRAIN IS CLOSED.

4. INSPECT AREA FOR FUEL SPILLAGE, WASTE STORAGE AND/OR DEBRIS.

5. CHECK DAY-TANK FUEL LEVEL.

6. CORRECT ALL DEFECTS IDENTIFIED DURING THE DAILY INSPECTION.

7. CHECK PRESSURE GAUGE ON TOP OF MAIN DIESEL TANK.

REMARKS: ________________________________________________________________________________________________

GENERATORS (PRIMARY & SECONDARY): PMWO#__________

MATERIAL USED (INCLUDING COST, QUANTITY AND LOCATION ______________________________________________

Date: Date/Stamp:

Q.C.C. Auditor Q.C.C. Verification

PLUMBING MAINTENANCE

DAILY PM: WASHING MACHINES CLIN LINE # 7.5.4

2. UTILIZE MANUALS FOR TASKS IN QUESTION.

3. NOTIFY SUPERVISOR OF ANY DISCREPANCIES, EXCEPTIONS, OR WORK WHICH WAS NOT ACCOMPLISHED.

PM FOR PLUMBING MAINTENANCE (WASHING MACHINES)

1. CLEAN THE DOOR SEAL AND REMOVE POWDER RESIDUE

2. CHECK THAT THE DOOR DOES NOT LEAK

3. CLEAN THE DETERGENT COMPARTMENTS AND WIPE DOWN THE MACHINE WITH A DAMP CLOTH

4. CHECK THAT THE DRAIN VALVE DOES NOT LEAK

5. START THE MACHINE AND CHECK THAT THE DOOR REMAINS LOCKED WHILE THE MACHINE IS

OPERATING. FAST FORWARD THE MACHINE TO THE STOP POSITION AND CHECK THAT THE DOOR

CANNOT BE OPENED UNTIL THE PROGRAM IS COMPLETED.

6. CHECK FOR LEAKS IN VALVES, HOSES AND CONNNECTIONS

7. REMOVE LINT OR FLUFF REMNANTS FROM THE DRAIN OPENING JOINTS IN DRAIN PIPES ETC.

REMARKS: ________________________________________________________________________________________________

WASHING MACHINES: PMWO#__________

MATERIAL USED (INCLUDING COST, QUANTITY AND LOCATION) _____________________________________________

Date: Date/Stamp:

Q.C.C. Auditor Q.C.C. Verification

WATER TREATMENT

DAILY PM: WATER TREATMENT CLIN LINE # 7.5.13

2. UTILIZE MANUALS FOR TASKS IN QUESTION.

PM FOR WATER TREATMENT:

1. PERFORM WATER ANALYSIS AND RECORD PHYSICAL AND CHEMICAL WATER QUALITY.

2. INSURE THAT ALL WATER TREATMENT EQUIPMENT IS PROPERLY OPERATED AND MAINTAINED.

3. INSURE ADEQUATE SUPPLY OF WATER TREATMENT CHEMICALS.

4. CHECK LEVEL IN WASTE TREATMENT TANKS AND MIX AND REFILL AS NEEDED, USING THE RESULTS

FROM THE WATER ANALYSIS.

5. INSURE CLEANLINESS OF ALL WATER TREATMENT EQUIPMENT, CONTROLS, TANKS, CHEMICALS AND

SURROUNDING AREAS.

6. INSPECT ALL PUMPS.

REMARKS: ________________________________________________________________________________________________

WATER TREATMENT: PMWO#__________

Date: Date/Stamp:

Q.C.C. Auditor Q.C.C. Verification

DAILY PM: DIESEL TANK CLIN LINE 7.6.2.8.4

DATE: INSPECTED

2. UTILIZE MANUALS FOR TASKS IN QUESTION.

3. NOTIFY SUPERVISOR OF ANY DISCREPANCIES, EXCEPTIONS OR WORK NOT ACCOMPLISHED.

PM FOR DIESEL TANK MAINTENANCE:

1. CHECK SITE GLASS FOR CRACKS OR LEAKS AND ENSURE THAT VALVE AT BOTTOM IS CLOSED.

2. CHECK FUEL NOZZLE FOR LEAKS.

3. CHECK FUEL HOSE FOR CRACKS, LEAKS AND DRY ROT.

4. CHECK VALVES ONE AND TWO ON FUEL NOZZLE LINE. MAKE SURE VALVES ARE CLOSED.

5. ENSURE KEY SWITCHES ARE IN AUTO POSITION.

6. CHECK ALL HATCHES AND BLANKS FOR LEAKS.

7. CHECK ALL LINES FOR LEAKS.

8. CHECK ALL GATE VALVES AND BALL AND WHEEL VALVES FOR LEAKAGE.

9. CHECK PRESSURE GAUGE.

10. ENSURE DRAIN VALVE FOR DIKE AREA IS CLOSED.

11. CHECK TANK LEVEL AND COMPARE TO PREVIOUS LEVEL.

12. TEST AND CHECK OVERFLOW ALARM. CHANGE BATTERY AS NEEDED.

*NOTE: IF GENERATOR HAS BEEN RAN, LEVEL WILL CHANGE.

REMARKS: ________________________________________________________________________________________________

DIESEL TANK: PMWOR#__________

Date: Date/Stamp:

Q.C.C. Auditor Q.C.C. Verification

HEAT ENERGY SYSTEMS

DAILY PM: HEAT ENERGY SYSTEMS CLIN LINE # 7.5.3.13

2. UTILIZE MANUALS FOR TASKS IN QUESTION.

PM FOR HEAT ENERGY SYSTEMS:

1. OBSERVE OPERATION OF PACKAGED STEAM BOILER.

2. INSPECT RELIEF VALVE FOR LEAKAGE.

3. CHECK BOILER TEMPERATURE AND PRESSURE.

4. OBSERVE OPERATION OF ALL BOILER SUPPORT SYSTEMS.

5. OBSERVE OPERATION OF ALL SYSTEM PUMPS.

REMARKS: ______________________________________________________________________________________________

HEAT ENERGY (BOILERS): PMWO#__________

Date: Date/Stamp:

Q.C.C. Auditor Q.C.C. Verification

FILTER EXHAUST SYSTEM

DAILY PM: FILTER EXHAUST SYSTEM CLIN LINE # 7.5.15

2. UTILIZE MANUALS FOR TASKS IN QUESTION.

PM FOR FILTER EXHAUST SYSTEMS:

1. OBSERVE AND RECORD ALL FILTER BANK PRESSURE GAUGES.

2. OBSERVE VSD OPERATION.

3. VERIFY AIR CONDTIONING OPERATION IN MCC ROOM. TEMPERATURE OF ROOM SHOULD BE 68°F.

REMARKS: ________________________________________________________________________________________________

FILTER EXHAUST: PMWO#__________

Date: Date/Stamp:

Q.C.C. Auditor Q.C.C. Verification

DAILY PM: GFP TRUCK CLIN LINE # 4.3.1

2. UTILIZE MANUALS FOR TASKS IN QUESTION.

PM FOR GFP TRUCK:

1. COMPLETE THE FEMA DRIVER’S DAILY INSPECTION AND CONDITION REPORT.

REMARKS: ________________________________________________________________________________________________

GFP TRUCK: PMWO#__________

Date: Date/Stamp:

Q.C.C. Auditor Q.C.C. Verification

WATER STORAGE MAINTENANCE

DAILY PM: WATER STORAGE MAINTENANCE CLIN LINE # 7.5.13.3

2. UTILIZE MANUALS FOR TASKS IN QUESTION.

PM FOR WATER STORAGE MAINTENANCE:

1. CHECK TANK LEVEL AND FLOOD LIGHT

2. TEST HORN AND NON-FLASHING RED LIGHT

3. CHECK AIRCRAFT LIGHTS

4. CHECK SUMP AND PUMP

REMARKS: ________________________________________________________________________________________________

WATER STORAGE: PMWO#__________

Date: Date/Stamp:

Q.C.C. Auditor Q.C.C. Verification

WEEKLY PREVENTIVE MAINTENANCE

ACTIVE FORMS INDEX

1) HVAC and Refrigeration Systems – CLIN 7.5.3.7

2) Custodial Maintenance – CLIN 7.5.21

3) Fire Alarm Systems – CLIN 7.5.9.5

4) Emergency Generators – CLIN 7.5.5.4

Checklists: a. Primary

b. Secondary

5) Plumbing Maintenance/Eye Wash Station - CLIN 7.5.4.4

Checklists: a. Eye Wash Stations/Safety Showers

b. Inspection Checklist

6) Sewer System Maintenance – CLIN 7.5.16

7) Water Storage Maintenance – CLIN 7.5.13.3

8) Filter Exhaust System – CLIN 7.5.15

9) Emergency I.D. Motor – CLIN 7.5.15

10) Heavy Equipment – CLIN 7.5.1.4

Checklists: a. Dynalift Checklist

b. Backhoe Checklist

c. Manlift Checklist (4 pages)

d. Genie Forklift Checklist

11) AED Inspection Report

Checklist: CDP COBRATF 4.18.JI

12) PC&E Q204 Testers – CLIN 7.4.2.2.3

13) PC&E M4A1 Outlet Valve Leakage Indicators – CLIN 7.4.2.2.2

14) PC&E M14 Mask Leakage Testers – CLIN 7.4.2.2.1

15) Incinerator/Autoclave – CLIN 7.5.14

16) John Deere Gators Pre-Op Check – CLIN 4.3.1 Checklist: a. Checkout Procedure

b. Steps with photos

17) Kubota Pre-Op Check – CLIN 4.3.1

18) EZ-GO Pre-Op Check – CLIN 4.3.1

19) Polaris Pre-Op Check – CLIN 4.3.1

HVAC AND REFRIGERATION SYSTEMS

WEEKLY PM: HVAC AND REFRIGERATION SYSTEMS CLIN LINE # 7.5.3

DATE: _________________ INSPECTED

2. UTILIZE MANUALS FOR TASKS IN QUESTION.

3. NOTIFY SUPERVISOR OF ANY DISCREPANCIES, EXCEPTIONS OR WORK WHICH WAS NOT

PM FOR HVAC AND REFRIGERATION SYSTEMS:

1. CHEMICALLY ANALYZE WATER, COOLING TOWER AND TREAT AS REQUIRED.

2. OBSERVE OPERATION OF AIR HANDLING UNITS.

3. EXERCISE AIR HANDLER #1 ON MONDAYS AND COORDIATE WITH SAFETY CONTROL.

4. CHECK OIL LEVEL IN AIR COMPRESSOR.

REMARKS: ________________________________________________________________________________________________

O&M BLDG: PMWO# __________

INCINERATOR PAD: PMWO# __________

GENERATOR BUILDING: PMWO#__________

TRAINING BLDG: PMWO# __________

DRESS OUT BUILDING: PMWO# __________

NORTHVILLE SUB SHOP: PMWO#__________

NORTHVILLE PHARMACY/NORTHVILLE FAMILY PLANNING: PMWO#__________

NORTHVILLE MIDDLE SCHOOL: PMWO#__________

NORTHVILLE FLOWER SHOP/NORTHVILLE DAILY NEWS: PMWO#__________

NORTHVILLE POLICE SUBSTATION: PMWO#__________

WEEKLY HVAC & REFRIGERATION CONTINUED

ADMIN BLDG: PMWO# __________

ID PAD: PMWO# __________

GUARD HOUSE: PMWO# __________

POST 5: PMWO#__________

PUMP HOUSE: PMWO # __________

NORTHVILLE BATHROOM: PMWO# __________

WATER FOUNTAINS: PMWO# ___________

NORTHVILLE FIRE DEPARTMENT: PMWO# ___________

Date: Date/Stamp:

Q.C.C. Auditor Q.C.C. Verification

WEEKLY PM: CUSTODIAL MAINTENANCE CLIN LINE # 7.5.21

2. UTILIZE MANUALS FOR TASKS IN QUESTION.

PM FOR CUSTODIAL MAINTENANCE:

WEEKLY - FOLLOWING TASK AND FREQUENCY CHARTS J-8

1. DUST HIGH AREAS AND WINDOWS

2. CLEAN AN POLISH ALL STAINLESS STEEL AND BRASS

3. CLEAN CONTRACTOR AREAS

4. WET MOP AS SPECIFIED

5. CLEAN MIRRORS AND INTERIOR GLASS

6. CLEAN GLASS ON DOORS IN/OUT

REMARKS: ________________________________________________________________________________________________

CUSTODIAL (ALL BUILDINGS): PMWO#__________

Date: Date/Stamp:

Q.C.C. Auditor Q.C.C. Verification

FIRE PROTECTION MAINTENANCE

WEEKLY PM: FIRE ALARM SYSTEMS CLIN LINE # 7.5.9.5

2. UTILIZE MANUALS FOR TASKS IN QUESTION.

PM FOR AIR CONDITIONING, WATER COOLING AND FILTER PAD SYSTEMS:

1. CONDUCT TEST OF SYSTEM.

2. INSURE THE PROPER CODE IS RECEIVED AT THE LOCAL FIRE DEPT.

3. CHECK THAT SHUT-DOWN CIRCUITS ARE OPERATING PROPERLY.

4. TEST ALARM AND TROUBLE LAMPS.

5. CHECK PANEL FOR LOW BATTERY TROUBLE LIGHT.

6. CHECK PANEL LIGHTS ON FIRE ALARM MAP PANEL AT GUARD HOUSE.

REMARKS: ________________________________________________________________________________________________

GUARD HOUSE: PMWO#__________

ADMIN BUILDING: PMWO#___________

TRAINING BUILDING: PMWO#__________

INCINERATOR PAD: PMWO#__________

O&M BUILDING: PMWO#__________

ID PAD: PMWO#__________

DRESS OUT BUILDING: PMWO#__________

WEEKLY FIRE ALARM CONTINUED

Date: Date/Stamp:

Q.C.C. Auditor Q.C.C. Verification

WEEKLY PM: EMERGENCY GENERATORS CLIN LINE # 7.5.5.4

2. UTILIZE MANUALS FOR TASKS IN QUESTION.

3. NOTIFY SUPERVISOR OF ANY DISCREPANCIES, EXCEPTIONS, OR WORK WHICH WAS NOT

PM FOR GENERATORS:

NOTE:

THE GENERATORS WILL BE RUN ON AN ALTERNATING SCHEDULE. #1 ONE WEEK AND

#2 THE NEXT WEEK.

NOTIFY SAFETY CONTROL BEFORE START-UP! GENERATOR RAN: #

1. INSPECT THE ENGINES COOLING SYSTEM FOR COOLANT LEVEL.

2. INSPECT CONDITION OF FAN, FAN BELTS AND PULLEY, ALTERNATOR BELTS AND PULLEY,

AND COOLANT HOSES.

3. CHECK LUBRICATING OIL LEVEL, CRANKCASE BREATHER, AND CHECK FOR OIL LEAKS.

4. CLEAN AND TIGHTEN BATTERY TERMINALS IF NECESSARY. CHECK BATTERY

ELECTROLYTE LEVEL AND CHARGE ON BATTERIES.

5. CHECK ENGINE EXHAUST SYSTEM FOR LEAKS. DRAIN CONDENSATE TRAP. CHECK

EXHAUST PORT CLEARANCE AND EXHAUST CONNECTIONS FOR TIGHTNESS.

6. AFTER 20 MIN., RECORD THE ENGINE OIL PRESSURE, COOLANT TEMPERATURE AND

AMMETER READING.

7. RESTORE TO NORMAL POWER/GENERATOR TO AUTO START & TRANSFER.

8. CORRECT ALL DEFECTS, SECURE AREA AND FILE REPORT.

9. CHECK DAY TANK PUMP TO MAKE SURE IT IS PUMPING.

REMARKS: __________________________________________________________________________________

GENERATORS (PRIMARY & SECONDARY): PMWO#__________

Date: Date/Stamp:

Q.C.C. Auditor Q.C.C. Verification

CHECK SHEET FOR PRIMARY(NEW) EMERGENCY GENERATOR (600 KW)

Date ____________ Time Started _________________ Time Shutdown________________

To Test:

Insure normal power is available. Turn TEST switch to TEST position. It will Start the engine and then switch. It will stay in test mode until you switch back to AUTO.

When taken off TEST it will time for 30 minutes and switch to commercial power if available. Engine will time out in about 5 minutes and shut down.

GENERATOR ROOM (Prior to Start-up)

Day Tank Level____________ D.C. Voltage ____________

Engine Oil Level___________

Circle One:

Engine Control Switch - Auto Off Manual

Shutdowns Lit____________ Alarms Lit____________

Check Fuel Pump Breaker _____________________

Under Load (After 20 minutes)

Readings On Generator Panel:

A.C. Voltage____________ Engine Oil Pressure _____________

A.C. Amps_________ Oil Pressure __________

Hertz _________________ Water Temp ______________

Engine RPM ___________

Service Meter Reading (hrs/10ths) _____________

Above Ground Storage Tank (gallons) __________

Circle One: Load Test No Load Test

Signed_________________________________________

Seasonal:

1. Turn Battery Blanket ON - Nov 1____

2. Turn Battery Blanket Off - May 1____

CHECK SHEET FOR SECONDARY (OLD) EMERGENCY GENERATOR (600 KW)

Date ____________ Time Started _________________Time Shutdown_______________

To Test:

Insure normal power is available. Turn TEST switch to TEST position. It will Start the engine and then switch. It will stay in test mode until you switch back to AUTO.

When taken off TEST it will time for 30 minutes and switch to commercial power if available. Engine will time out in about 5 minutes and shut down.

GENERATOR ROOM (Prior to Start-up)

Day Tank Level____________ D.C. Voltage #1____________

Engine Oil Level___________

Jacket Water Temperature (Prior to Start-up)_________________________

Check Battery Charger Spare Batteries _________________

Circle One:

Engine Control Switch - Auto Off Manual

Voltage Control Mode Switch - Auto Off Manual

Over-voltage Trip - Up Down

Main Breaker - Up Down

Shutdowns Lit____________ Alarms Lit____________

Check Fuel Pump Breaker _____________________

Under Load (After 20 minutes)

On Panel: On Engine:

A.C. Voltage____________ Engine Oil Pressure _____________

A.C. Kilo Amps_________ Jacket Water Temp______________

Hertz _________________ Engine Fuel Pressure_____________

A.C. Kilowatts__________ Oil Pressure Differential __________

Engine RPM ___________ Supply Water Temp ______________

Service Meter Reading (hrs/10ths) _____________

Above Ground Storage Tank (gallons) __________

Circle One: Load Test No Load Test

Signed_________________________________________

Seasonal:

1. Turn Battery Blanket ON - Nov 1____

2. Turn Battery Blanket Off - May 1____

WEEKLY PM: GENERAL PLUMBING CLIN LINE # 7.5.4.4

2. UTILIZE MANUALS FOR TASKS IN QUESTION.

PM FOR PLUMBING MAINTENANCE (GENERAL PLUMBING):

CHECK:

1. DOMESTIC WATER HEATER: INSULATION AND FOR LEAKS, UNUSUAL NOISES, ETC.

2. EMERGENCY SAFETY SHOWERS AND EYEWASHES.

3. CHECK SPRINKLER SYSTEM PRESSURE READINGS ON ALARM CHECK VALVE.

ADMIN BUILDING UPPER GAUGE LOWER GAUGE (NORTH)

ADMIN BUILDING UPPER GAUGE LOWER GAUGE (SOUTH)

TRAINING BUILDING_________ UPPER GAUGE_______LOWER GAUGE

O&M BUILDING UPPER GAUGE LOWER GAUGE

REMARKS: ________________________________________________________________________________________________

PLUMBING: PMWO#__________

START TIME ____________ END TIME _________ = TOTAL HOURS __________

EYE WASH/SAFETY SHOWER: PMWO#__________

Date: Date/Stamp:

Q.C.C. Auditor Q.C.C. Verification

EYE WASH STATION

Weekly General Plumbing PM

Date

LOCATION

INITIAL

EYE WASH STATION AND SHOWER MCC

GENERATOR ROOM

EYE WASH STATION CLEANING CLOSET ADMIN

BUILDING

EYE WASH STATION BACK OF O&M

EYE WASH STATION BY WASH VATS IN COLD

LAUNDRY

EYE WASH STATION IN CLEANING CLOSET IN

FRONT OF SAFEY CONTROL

EYE WASH STATION SOUTH WALL OF DRESS OUT

BUILDING

EYE WASH STATION AT WASTE WATER DIKE

EYE WASH STATION AND SAFETY SHOWER

OUTSIDE OF CAUSTIC DIKE

EYE WASH STATION IN CHEMICAL TREATMENT

ROOM

SAFETY SHOWER OUTSIDE CHEMICAL TREATMENT

ROOM

EYE WASH STATION AND SAFETY SHOWER IN LAB

EYE WASH BESIDE WATER FOUNTAIN IN ADMIN

EYE WASH IN MINICAM ROOM BESIDE SINK

EMERGENCY EYEWASH AND SHOWER CHECKLIST

WEEKLY INSPECTION

1. Ensure that access to the eyewash or shower is unobstructed

2. Visually inspect the eyewash or shower to ensure there are no broken parts or leakage

3. Verify that protective eyewash covers are properly positioned, clean, and intact

4. Check that spouts are clean, and the bowls and/or sink drains are free of trash

5. Activate the unit for a period long enough to verify operation and ensure that flush line fluid is available and any contaminants are flushed out - (run for one (1) minute)

6. Check that the flow is effective and continuous

7. Check that the unit remains activated without the use of the operator’s hands

8. Check water supply valve to make sure it’s in the open position and secured in the open position.

SEWER SYSTEM MAINTENANCE

WEEKLY PM: SEWER SYSTEM MAINTENANCE CLIN LINE # 7.5.16

2. UTILIZE MANUALS FOR TASKS IN QUESTION.

PM FOR SEWER SYSTEM MAINTENANCE:

1. INSPECT PACKAGE LIFT STATIONS

2. INSPECT CONTAMINATED FORCE MAIN

3. RECORD PUMP AMPS: #1

#2

REMARKS: ________________________________________________________________________________________________

SEWER SYSTEM: PMWO#__________

Date: Date/Stamp:

Q.C.C. Auditor Q.C.C. Verification

WATER STORAGE MAINTENANCE

WEEKLY PM: WATER STORAGE MAINTENANCE CLIN LINE #7.5.13.3

2. UTILIZE MANUALS FOR TASKS IN QUESTION.

PM FOR WATER STORAGE MAINTENANCE:

1. OBSERVE AND RECORD TANK LEVEL

2. CHECK HORN AND LIGHT

3. CHECK PUMPS IN PUMP HOUSE

REMARKS: ________________________________________________________________________________________________

WATER STORAGE: PMWO#__________

Date: Date/Stamp:

Q.C.C. Auditor Q.C.C. Verification

WEEKLY PM: FILTER EXHAUST SYSTEM CLIN LINE # 7.5.15

DATE: _________________ INSPECTED

2. UTILIZE MANUALS FOR TASKS IN QUESTION.

3. NOTIFY SUPERVISOR OF ANY DISCREPANCIES, EXCEPTIONS OR WORK WHICH WAS NOT

PM FOR FILTER EXHAUST SYSTEM:

1. RUN I.D. MOTOR FOR LAB HOOD #2, FOUR (4) HOURS. (THIS MUST BE DONE ON A NON-HOT DAY AND

NO ONE CAN BE IN THE LAB DURING THE SWITCH. NOTIFY SAFETY CONTROL BEFORE

SWITCHING).

REMARKS: ________________________________________________________________________________________________

FILTER EXHAUST: PMWO#__________

Date: Date/Stamp:

Q.C.C. Auditor Q.C.C. Verification

WEEKLY PM: EMERGENCY I.D. MOTOR CLIN LINE # 7.5.15

2. UTILIZE MANUALS FOR TASKS IN QUESTION.

PM FOR EMERGENCY I.D. MOTOR:

1. TEST EMERGENCY I.D. MOTOR.

NOTE: TIME ENGINE STARTED TIME ENGINE STOPPED

2. CHECK TO SEE IF BATTERIES ARE CHARGED.

3. ENSURE:

CAN FOR EXTRA GAS SUPPLY IS FULL (AT ALL TIMES!).

BATTERY CABLE CONNECTIONS ARE TIGHT.

SPARE BELTS ARE AVAILABLE.

CUTTERS ARE AVAILABLE FOR CUTTING BELTS.

4. CHANGE OIL AND OIL FILTER ANNUALLY

5. RUN EMERGENCY GENERATOR FOR MINICAMS.

NOTE: OIL AND OIL FILTER CHANGED: JUN ______________________________________________________________

REMARKS: ________________________________________________________________________________________________

EMERGENCY I.D. MOTOR: PMWO#__________

Date: Date/Stamp:

Q.C.C. Auditor Q.C.C. Verification

WEEKLY PM: HEAVY EQUIPMENT CLIN LINE # 7.5.1.4

2. UTILIZE MANUALS FOR TASKS IN QUESTION.

3. NOTIFY SUPERVISOR OF ANY DISCREPANCIES, EXCEPTIONS, OR WORK WHICH WAS NOT

PM FOR HEAVY EQUIPMENT MAINTENANCE:

1. PERFORM PREVENTATIVE MAINTENANCE IN ACCORDANCE WITH

THE ATTACHED LISTS.

HEAVY EQUIPMENT:

1. DYNALIFT – TOTAL HRS.

2. BACKHOE – TOTAL HRS.

3. MANLIFT – TOTAL HRS.

4. GENIE FORLIFT – TOTAL HRS. ___________

HEAVY EQUIPMENT: PMWO#__________

Date: Date/Stamp:

Q.C.C. Auditor Q.C.C. Verification

Weekly Pre Operative Check List

Dynalift (Telescopic Boom Forklift)

□ Check for broken, missing or damaged parts. Make any necessary repairs.

□ Check that warning decals, special instructions and operator manuals are legible and stored in the proper location. Never operate without a legible load chart.

□ Check forks for welds, cracks or misalignment. Replace forks in sets when condition is questionable.

□ Check that the means to retain forks, if so equipped, are in place to prevent forks from changing position or coming off the carriage.

□ Check tires for cuts, bulges, correct pressure and where required proper ballast.

□ Check service and parking brakes for proper operation.

□ Keep engine and radiator clean and free of dirt or flammable debris.

□ Check engine oil and cooling system for proper levels.

□ Check the level of the hydraulic system.

□ Inspect hydraulic hoses and hose connections for weakness or leaks.

□ Check condition and operation of the seat belts and its mounts.

□ Keep steps, pedals, and non skid surfaces clean and free of grease, oil, dirt, snow or ice.

□ Make sure all door, guards or covers are in place and secured properly.

□ Perform all maintenance procedures as outlined by the manufacturer.

□ Make sure work lights, mirrors and windows are kept clean.

□ Check that lights, horn, and wipers operate properly.

□ Remove or put away tools, lunch buckets, chains, hooks or any other loose objects that could distract you while operating.

□ On vertical mast forklifts, make sure mast sliding and/or all rolling members move freely.

□ Check that: 1) battery is securely mounted and not cracked; 2) cable connections are tight; 3) electrolyte is at proper level.

□ Check that oil, fuel, and air filters are not damaged, leaking, or loosely secured.

□ Insure that all hand and foot controls operate properly.

□ Insure that boom system operates properly.

□ Check all indicators, controls, and gauges.

□ Check steering belt while stopped and moving.

□ Make sure back-up alarm operates properly.

WEEKLY PREOPERATIVE BACKHOE CHECKLIST

1. TIRES 7. FRONT BUCKET 15. ACCELERATOR TRANSMISSION &

Check for: Check: SERVICE BRAKES

□ No excessive wear, splitting □ No cracks or damage in bucket or missing tire material Release parking brake & check

□ Good rim condition 8. ROLL CAGE □ Backhoe accelerates smoothly

□ Tight wheel nuts □ Brakes slow without jerking or

□ Proper tire pressure Check: locking

□ No broken welds □ Brakes are not too soft

2. CYLINDERS AND □ Mounted securely □ Backhoe moves forward properly

HYDRAULIC LINES □ No visible damage □ Backhoe moves backward properly

□ Backup signal sounds when

Check: 9. GAUGES moving in reverse

□ Hydraulic fluid at proper levels

□ No damage to or fluid leaking Start backhoe and check: 16. STEERING from lift and tilt cylinders □ All gauges work properly

□ Mounting hardware on cylinders □ All indicators work properly Check:

is secure □ Moving parts work smoothly □ Steering wheel turns while stopped

□ Hydraulic lines okay and properly □ Steering wheel turns while moving

□ Hoses okay □ Steering wheel turns backhoe

□ Secure connections at fittings 10. PARKING BRAKES smoothly and precisely

□ No strange noises

3. ENGINE □ Set parking brake and accelerate □ No hesitation

□ Parking brake prevents backhoe

Check: from moving

□ No loose or frayed wiring

□ Air filter okay 11. OUT RIGGERS

□ Oil filter okay

□ Proper oil level Check: BACKHOE IS SAFE TO OPERATE

□ Transmission fluid okay □ For any leaks

□ Radiator Fluid okay □ Pads on bottom

□ No visible leaks under backhoe

12. REAR BOOM BUCKET Signed

4. HORNS AND LIGHTS

Check:

Check: □ For broken teeth

□ Horns work properly □ For cracks in bucket

□ Lights work properly

13. START UP

5. CHECK BATTERY

□ Make sure in neutral

Check: □ Make sure park brake is set

□ Battery mounting secure □ Turn key to start

□ Battery casing in good shape □ Watch gauges for proper

□ All connections secure oil pressure

□ Proper fluid level □ Ensure emergency lights go out

6. FUEL TANK 14. LEVER CONTROLS

Check: □ Raise bucket, roll bucket up

□ Fuel tanks have no cracks, broken and down welds or other damage □ Unlock rear boom, extend boom,

□ Mounting hardware is secure rotate rear bucket and retract

□ Fuel gage works properly □ Lower out rigger and raise back up

URS COBRATF – WPM-11c Revision 1 Effective June 19, 2014

WEEKLY PRE-OPERATIVE MANLIFT CHECKLIST

INSPECTION DATE:

□ Operator’s, safety & responsibility manuals are legible and in the storage container on the platform

□ All decals are legible and in place

□ Engine oil, hydraulic oil, coolant and fuel levels okay. Check for leaks

Check the following components or areas for damage and improperly installed or missing parts:

□ Electrical components, wiring and electrical cables

□ Hydraulic hoses, fittings, cylinders and manifolds

□ Fuel and hydraulic tanks

□ Drive and turntable motors and torque hubs

□ Boom wear pads

□ Tires and wheels

□ Engine and related components

□ Limit switches, alarms, horn and beacon

□ Nuts, bolts and other fasteners

□ Platform entry mid-rail/gate

Check entire machine for:

□ Cracks in welds or structural components

□ Dents or damage to machine

□ All structural and other critical components are present and all associated fasteners and pins are in place and properly tightened

□ Inspection completed and all compartment covers are in place and secured

AT THE GROUND CONTROLS

□ Turn the key switch to ground control

□ Pull out the red Emergency Stop button to the ON position

Result: Beacon (if equipped) should flash

□ Start the engine

Test Emergency Stop

□ Push in the red Emergency Stop button to the OFF position

Result: Engine should turn off and all functions should not operate

Deutz Diesel models: The engine will shut off after 2 to 3 seconds

□ Pull out the red Emergency Stop button to the ON position and restart the engine

Test the Machine Functions

□ Do not hold the function enable switch to either side. Attempt to activate each boom and platform

Function toggle switch

Result: All boom and platform functions should not operate

□ Hold the function enable switch to either side and activate each boom and platform function toggle switch

Result: All boom and platform functions should operate through a full cycle. Descent alarm (if equipped) should sound while boom is lowering

Test the Tilt Sensor

□ Pull out the platform red Emergency Stop button to the ON position. Turn the key switch to platform control

□ Open the engine side turntable cover and locate the tilt sensor next to the control box

□ Press down one side of the tilt sensor

Result: The alarm, located in the platform, should sound

Test Auxiliary Controls

□ Turn the key switch to ground control and shut the engine off

□ Pull out the red Emergency Stop Button to the ON position

□ Lift the red auxiliary power switch cover

□ Simultaneously hold the auxiliary power switch on and activate each boom function toggle switch

NOTE: To conserve battery power, test each function through a partial cycle

Result: All boo functions should operate

Test Oscillate Lock-out (if equipped)

□ Start the engine and raise the primary boom approximately 2 feet (61 cm)

Result: The oscillation lock-out wedges should fully extend

□ Lower the primary boom to the stowed position

Result: The oscillation lock-out wedges should fully retract

AT THE PLATFORM CONTROLS

Test Emergency Stop

□ Turn the key switch to platform control and restart the engine

□ Push in the platform red Emergency Stop button to the OFF position

Result: The engine should turn off and all functions should not operate

Deutz Diesel models: The engine will shut off after 2 04 3 seconds

□ Pull out the red Emergency Stop button and restart the engine

Test the Service Horn

□ Push the horn button

Result: The service horn should sound

Test the Foot Switch

□ Push in the platform Emergency Stop button to the OFF position

□ Pull out the Emergency Stop button to the ON position but do not start the engine

□ Press down the foot switch and attempt to start engine by moving the start toggle switch to either side

Result: The engine should NOT start

□ Do not press down the foot switch and restart engine

Result: The engine should start

□ Move the lift/drive select switch to the lift position (if equipped)

□ Do not press down the foot switch. Then test each machine function

Result: The machine functions should not operate

Test Machine Functions

□ Move the lift/drive select switch to the lift position (if equipped)

□ Press down the foot switch

□ Activate each machine function control handle or toggle switch

Result: All boom/platform functions should operate through a full cycle

Machines equipped with Platform Level Control Disable Function: The platform level toggle switch will not operate when the primary boom is raised past the drive speed limit switch

Test the Steering

□ Move the lift/drive select switch to the drive position (if equipped)

□ Depress the thumb rocker switch on top of the drive control handle in the direction identified by the blue triangle on the control panel

Result: The steer wheels should turn in the direction that the blue triangles point on the drive chassis

□ Depress the thumb rocker switch in the direction identified by the yellow triangle on the control panel

Result: Steer wheels should turn in the direction that the yellow triangles point on the drive chassis

Test Drive and Braking

□ Slowly move the drive control handle in the direction indicated by the blue arrow on the control panel until the machine begins to move, then return the handle to the center position

Result: The machine should move in the direction that the blue arrow points on the drive chassis, then come to an abrupt stop

□ Slowly move the drive control handle in the direction indicated by the yellow arrow on the control panel until the machine begins to move, then return the handle to the center position

Result: The machine should move in the direction that the yellow arrow points on the drive chassis, then come to an abrupt stop

Note: The drive brakes must be able to hold the machine on any slope it is able to climb

Test the Drive Enable System

□ Press down the foot switch, then, lower the boom to the stowed position

□ Rotate the turntable until the primary boom moves past one of the non-steering wheels

Results: The drive enable indicator light should come on and remain on while the boom is anywhere I the range

Shown

□ Move the lift/drive select switch to the drive position (if equipped)

□ Move the drive control handle off center

Result: The drive function should not operate

□ Move and hold the drive enable toggle switch to either side and slowly move the drive control handle off center

Result: The drive function should operate

Note: When the drive enable system is in use, the machine may drive in the opposite direction that the drive and steer control handle is moved. Use the color coded direction arrows on the platform controls and the drive chassis to identify the direction of travel

Test Limited Drive Speed

□ Raise the primary boom approximately 2 ft.

□ Slowly move the drive control handle to the full-drive position

Result: The maximum achievable drive speed with the primary boom raised should not exceed 1 ft per second

□ Move the lift/drive select switch to the lift position (if equipped)

□ Lower the primary boom to the stowed position

□ Raise the secondary boom, approximately 2 feet

□ Move the lift/drive select switch to the drive position (if equipped)

□ Slowly move the drive control handle to the full drive position

Result: The maximum achievable drive speed with the secondary boom raised should not exceed 1 ft per second

If the drive speed with the primary boom raised or the secondary boom raised exceeds 1 foot per second, immediately tag and remove the machine from service

□ Lower the secondary boom to the stowed position

Test Auxiliary Controls

□ Shut the engine off

□ Pull out the red Emergency Stop button to the ON position

□ Move the lift/drive select switch to the lift position (if equipped)

□ Press down the foot switch

□ Lift the red auxiliary power switch cover

□ Simultaneously hold auxiliary power switch on and activate each function control handle or toggle switch

Note: To conserve battery power, test each function through a partial cycle

Result: All boom and steer functions should operate. Drive functions should not operate with auxiliary power

Test the Lift/Drive Select Switch (if equipped)

□ Move the lift/drive select switch to the lift position

□ Move the drive control handle off center

Result: No drive functions should operate

□ Activate each boom function toggle switch

Result: All boom functions should operate

□ Move the lift/drive select switch to the drive position

□ Press down the foot switch

□ Activate each boom function toggle switch

Result: No boom function should operate

□ Move the drive control handle off center

Result: The drive functions should operate

□ Repair any malfunctions before operating the machine

Signed Date

Weekly Pre Operative Check List

Genie GTH844 (Telescopic Boom Forklift)

□ Check for broken, missing or damaged parts. Make any necessary repairs.

□ Check that warning decals, special instructions and operator manuals are legible and stored in the proper location. Never operate without a legible load chart.

□ Check forks for welds, cracks or misalignment. Replace forks in sets when condition is questionable.

□ Check that the means to retain forks, if so equipped, are in place to prevent forks from changing position or coming off the carriage.

□ Check tires for cuts, bulges, correct pressure and where required proper ballast.

□ Check service and parking brakes for proper operation.

□ Keep engine and radiator clean and free of dirt or flammable debris.

□ Check engine oil and cooling system for proper levels.

□ Check the level of the hydraulic system.

□ Inspect hydraulic hoses and hose connections for weakness or leaks.

□ Check condition and operation of the seat belts and its mounts.

□ Keep steps, pedals, and non skid surfaces clean and free of grease, oil, dirt, snow or ice.

□ Make sure all door, guards or covers are in place and secured properly.

□ Perform all maintenance procedures as outlined by the manufacturer.

□ Make sure work lights, mirrors and windows are kept clean.

□ Check that lights, horn, and wipers operate properly.

□ Remove or put away tools, lunch buckets, chains, hooks or any other loose objects that could distract you while operating.

□ On vertical mast forklifts, make sure mast sliding and/or all rolling members move freely.

□ Check that: 1) battery is securely mounted and not cracked; 2) cable connections are tight; 3) electrolyte is at proper level.

□ Check that oil, fuel, and air filters are not damaged, leaking, or loosely secured.

□ Insure that all hand and foot controls operate properly.

□ Insure that boom system operates properly.

□ Check all indicators, controls, and gauges.

□ Check steering belt while stopped and moving.

□ Make sure back-up alarm operates properly.

SAFETY PROGRAM

WEEKLY PM: AED INSPECTION CLIN LINE # 7.6.2.8.1

2. UTILIZE MANUALS FOR TASKS IN QUESTION.

3. NOTIFY SUPERVISOR OF ANY DISCREPANCIES, EXCEPTIONS, OR WORK WHICH WAS NOT

PM FOR AED INSPECTIONS:

1. ENSURE CABINET ALARM IS FUNCTIONAL.

2. ENSURE STORAGE CASE IS INTACT.

3. CHECK REDINESS DISPLAY FOR OK INDICATOR, CHARGE-PACK

INDICATOR, ATTENTION INDICATOR, WRENCH INDICATOR. CHECK

ATTACHED CHECKLIST FOR ERRORS AND RECOMMENDED ACTIONS.

4. CHECK DEFIBRILLATOR UNIT FOR ANY OBVIOUS PHYSICAL

DAMAGE.

5. CHECK QUICK-PACK ELECTRODE PACKET FOR VALID EXPIRATION

DATE.

6. ENSURE ALL ITEMS IN RESPONSE KIT ARE SERVICABLE AND IN

CASE.

AED INSPECTION: PMWO#__________

MATERIAL USED (INCLUDING COST, QUANTITY AND LOCATION) ________________________

Date: Date/Stamp:

Q.C.C. Auditor Q.C.C. Verification

INTERIOR BUILDING MAINTENANCE

WEEKLY PM: PC&E Q204 TESTERS CLIN LINE # 7.4.2.2.3

DATE: _____________ INSPECTED: ______________

2. UTILIZE MANUALS FOR TASKS IN QUESTION.

3. NOTIFY SUPERVISOR OF ANY DISCREPANCIES, EXCEPTIONS OR WORK WHICH WAS NOT

PM FOR PC&E APR Q204 TESTERS:

1. INSPECT TESTER FOR INTERNAL LEAKAGE.

a) INSTALL CANTEEN CAP AND INSERT A SUTABLE PLUG IN CAP OPENING.

b) TURN BLEED VALVE CLOCKWISE UNTIL PRESSURE GAGUE INDICATES 8” WATER

COLUMN.

c) OBSERVE BUBBLER ASSEMBLY FOR ONE MINUTE USING A STOPWATCH OR TIMER

THAT HAS BEEN CALIBRATED OR VERIFIED. IF NO BUBBLES FORM, TESTER IS

FREE OF LEAKS. IF BUBBLES FORM, OBSERVE FOR AN ADDITIONAL MINUTE TO

CONFIRM LEAK.

PC&E Q204 TESTERS: PMWO#__________

MATERIAL USED (INCLUDING COST, QUANTITY AND LOCATION)

Date: Date/Stamp:

Q.C.C. Auditor Q.C.C. Verification

WEEKLY PM: PC&E M4A1 OUTLET VALVE LEAKAGE INDICATORS CLIN LINE # 7.4.2.2.2

2. UTILIZE MANUALS FOR TASKS IN QUESTION.

3. NOTIFY SUPERVISOR OF ANY DISCREPANCIES, EXCEPTIONS OR WORK WHICH WAS NOT

PM FOR PC&E APR M4A1 OUTLET VALVE LEAKAGE INDICATORS:

1. INSPECT RUBBER ADAPTERS AND REPLACE AS NECESSARY ON TEST STATION. A HOSE

CLAMP OR ELECTRICAL TAPE CAN BE USED TO TIGHTEN THE RUBBER ADAPTER WHEN IT

BEGINS TO WEAR AND LOOSEN.

2. INSPECT FLEXIBLE TUBING AND CONNECTORS FOR DAMAGE AND DETERIORATION.

CEHCK CONDITION OF BLEED LINE ORIFICE. CLEAN AS NECESSARY. REPLACE TUBING AS

REQUIRED.

3. INSPECT ALL ELECTRICAL COMPONENTS AND WIRING. REPAIR OR REPLACE AS

REQUIRED.

PC&E M4A1 OUTLET VALVE LEAKAGE INDICATORS: PMWO#__________

Date: Date/Stamp:

Q.C.C. Auditor Q.C.C. Verification

WEEKLY PM: PC&E M14 MASK LEAKAGE TESTERS CLIN LINE # 7.4.2.2.1

2. UTILIZE MANUALS FOR TASKS IN QUESTION.

3. NOTIFY SUPERVISOR OF ANY DISCREPANCIES, EXCEPTIONS OR WORK WHICH WAS NOT

PM FOR PC&E APR M14 MASK LEAKAGE TESTERS:

1. VERIFY CALIBRATION LABEL.

2. ENSURE INLET VACUUM INDICATOR GAUGE MAGNEHELIC NEEDLE IS SET TO ZERO.

3. ENSURE PERCENT PENETRATION METER IS SET TO ZERO.

4. CHECK FLOWMETER FOR CONTAMINATION.

5. INSPECT PERIPHERAL SEAL FOR CUTS/CONTAMINATION, CLEAN IF NECESSARY.

6. CHECK FLUID LEVEL IN SMOKE GENERATOR BY LOOKING AT SIGHT GAUGE. FLUID LEVEL

MUST BE BETWEEN ¼ AND ½ OF SIGHT GAGUE.

7. CHECK OIL LEVEL IN THE SELF-FEEDING OILER AND ENSURE THE RESERVOIR IS AT

LEAST ½ FULL.

8. CHECK OIL LEVEL IN THE VACUUM EXHAUST JAR. ENSURE OIL LEVEL IS BELOW ½ FULL.

PC&E M14 MASK LEAKAGE TESTERS: PMWO#__________

Date: Date/Stamp:

Q.C.C. Auditor Q.C.C. Verification

INCINERATOR AND AUTOCLAVE SYSTEMS

WEEKLY PM: INCINERATOR / AUTOCLAVE SYSTEMS CLIN LINE # 7.5.14

2. UTILIZE MANUALS FOR TASKS IN QUESTION.

PM FOR INCINERATOR AND AUTOCLAVE SYSTEMS:

1. PERFORM DAILY OPERATION AND MAINTENANCE

2. OBSERVE AND MAINTAIN OPERATING PARAMETERS FOR THE INCINERATOR/ AUTOCLAVE AND ITS

INTERFACING EQUIPMENT

3. INCINERATE WASTEWATER AND SOLID WASTE AS IT ACCUMULATES WITHIN THE CAPACITY OF THE

INCINERATOR.WASTEWATER AND SOLID WASTE TO BE ACCUMULATED AND DISPOSED OF AS NEEDED.

REMARKS: ________________________________________________________________________________________________

INCINERATOR and AUTOCLAVE: PMWO#__________

Date: Date/Stamp:

Q.C.C. Auditor Q.C.C. Verification

VEHICLE PRE-OPERATIONAL MAINTENANCE CHECK

WEEKLY PM: JOHN DEERE GATOR(S) PRE-OPERATIONAL CHECK CLIN LINE # 4.3.1

2. UTILIZE MANUALS FOR TASKS IN QUESTION.

PM FOR GATOR(S):

1. RECORD HOURS FOR EACH GATOR. OIL WILL BE CHANGED EVERY 50 HOURS.

a. GATOR #82 ____________

b. GATOR #83 ____________

c. GATOR #87 ____________

d. GATOR #90 ____________

e. GATOR #91 ____________

f. GATOR #109 ____________

g. GATOR #110 ____________

2. CHECK TIRE CONDITION AND PRESSURE.

3. CHECK OIL LEVEL.

4. CHECK FUEL AND HOUR GAUGES FOR PROPER OPERATION.

5. OPERATIORS MANUAL WILL BE USED TO PERFORM THE FOLLOWING STEPS.

a. PRELIMINARY CHECKS

b. TRANSAXLE NEUTRAL-START CHECK

c. STARTING CIRCUIT CHECK

d. IDLE SPEED CHECK

e. THROTTLE CHECK

f. CHOKE CHECK

g. TRANSAXLE FORWARD-REVERSE

CHECK

h. PARKING-BRAKE CHECK

i. STEERING CHECK

j. PERFORMANCE CHECK

REMARKS: __________________________________________________________________________

JOHN DEERE GATORS: PMWO#__________

Date: Date/Stamp:

Q.C.C. Auditor Q.C.C. Verification

Air Filter Differential

Level Check Oil Level and Fill

Drive

Belt

Grease Points 4 Places

• Set the parking brake

• Raise then bed and verify the support rod is in the locked position to prevent the bed from falling

• Slide the catch pan under the gator below the oil drain plug

• Using a 9/16 or 14mm wrench losen and remove the drain plug (be very carefull as the oil can be very hot )

• While the oil is draining check the drive belt for wear (look for cracks, dry rott,loose threads or pieces of the belt missing)

• Check the differential oil level

• Check the air filter

•…