Client

Project
Contractor
Equipment PRESSURE GUAGES
Tag No.
Monthly Work Order No.
Mainten
Activity Description
Jan. Feb. Mar. Apr.

Check the Pressure Guage Readings are normal

No Leaks from vent/stop cocks
Clear the vent line if chocked
Remove the guage and check for any blockages and clear as necessary
Check the Dial Glass for visibility,smoking and clean as necessary
Refill with Glycol/Glycerin as needed
Re-fix, check for any leaks and rectify
Calibrate and decommission

Performed by: Signature

Checked by: Signature
Date:
Legend OK
N/A Not Applicable
Report No.
Year
Contract No.
Location

Maintenance Period & Status

Remarks
May. Jun. Jul. Aug. Sep. Oct. Nov. Dec.