Name of the piece of equipment:

Serial number:
Manufacturer's contact person + contact details:
Date of purchase:
Date put into service:
Person responsible for equipment:
Initials of person authorized to use equipment:
Location of equipment:
Physical condition:
Service provider (for maintenance and calibration):
Service provider contact person + contact details:
Frequency of maintenance:
Date:

Description of maintenance:

Equipment Maintenance Logshee

Maintenance
performed by:

Date of validation
before put into
service:

t Maintenance Logsheet

Validation performed
by:

Next maintenance
planned on (date):

Remarks: