Maintenance Technician's Monthly Inspection Report
SHELBY COUNTY SCHOOLSMaintenance Technician's Monthly Inspection ReportSchool: -----------------I.Preventive Maintenance Checklist for Building Exterior Inspection:(Check indicates complete inspection) Date of pped rampsCanopies and/or walkways, sidewalksPlayground equipment, hard surface courtsDriveways, parking lots, bus parking, markings, signsUnder pinning, fencing-Exterior wallsShrubbery, trees, grassStorm sewers, drainage ditchesWater tankSeptic tank filter bedManholes, walls, pumps, vegetationSludge, sand conditions, siphons·Surface pipe, general appearance and/or odorFoundationAwnings/shedsArea and exterior lightsII.Work Order# and DatePreventive Maintenance Checklist for Building Interior Inspection:(Check indicates complete inspection) Date of Inspection:ItemStairs, stairwells, handrails, handicapped rampsCeilings, stains, missing/sagging/broken tiles, cracksWalls - paint conditionFlooring - carpet/tile condition, hazards, baseboardsDoors, windows - all interior/exterior related hardwareWater coolersRestrooms, floor drains, loose seats, loose partitionsValves, flush valves, traps, hazards, vacuum breakersMaster control panel, clocksFire extinguishers - tag dials or metersFire/security alarms - all sensors and/or alarm partsInterior lighting, emergency lightingGeneral appearance of building1Work Order # a.nd Date
SHELBY COUNTY SCHOOLSMaintenance Technician's Monthly Inspection Report continued . ,School:III.Preventive Maintenance Checklist for Building Interior Inspection:(Check indicates complete inspection) Date of Inspection:ItemEntranceFloor dual cooling/heating apparatusExhaust systemsIV.Work Order# and DatePreventive Maintenance Checklist for Common Areas: Restrooms, Lunchroom,Auditorium, Gymnasium, Locker Rooms, Hallways, Offices, etc.:(Check indicates complete inspection) Date of Inspection:ItemEntranceFloor covering(Seating/furnishings-WallsWindows Ceilings-ElectricalIntercomPlumbingGym bleachers-safety, operability, missing parts,cleanlinessAuditorium-seats, stage, lights, floors, walls, ceiling,lighting equipmentCabinets/countertopsHVAC (is your filter schedule up to date)Exhaust systems2Work Order# and Date
SHELBY COUNTY SCHOOLSMaintenance Technician's Monthly Inspection Report continued .School: ------------v.Preventive Maintenance Checklist for Roof Inspection:(Check indicates complete inspection) Date of Inspection:ItemWork Order# and DateSigns of leaksAlligator signsCracksExpansion joints, eaves/soffitsGutters, flashingRuns of asphalt or tar-Gravel conditionOverall Comments: ----------------------------- ----- --- - -------------Maintenance Technician SignaturePrincipal SignatureDate SubmittedWhite Co' : Tomm GamblePink Co: Princi al3Yellow Copy: Maintenance Technician
Technician:School:Date:Preventive Maintenance Checklist for Kitchen Equipment:(check in the box indicates inspection has been completed to specifications)1.2.3.4.Maintain dish machine monthly to keep operable at all times.Lubricate motors and pumps.Check all water valves.Check amperage on tank heater elements.Check spray arm portholes.Check booster heater if applicable.Check and adjust conveyor (where applicable).Check drain assembly.Check curtains. De-lime Booster Heater at least twice a year. D (First week of January and first week of July)Summer and winter inspection.Grease Fittings and bearings on conveyer twice a year.Summer and winter inspection. (First week of January and first week of July)Check Electrical Connections on all heating elements monthly. 0Clean all burners.Clean and check all pilots.De-lime sink sanitizer twice a year. D (First week of January and first week of July)Maintain somat disposals on a regular basis. 0Check for proper operation and lubricate per manufacturer's specifications.Check oil in gearbox or extractor twice a year.Change blades or rotate around on impeller, chipping block and cutting ears twice a year.7.Maintain all refrigeration equipment on a regular basis. 0(walk-in freezer, walk-in cooler, pass thru cooler, milk boxes, ice machines, serving bars)Clean condensing coils.Lubricate fan motors.Clean evaporators.Clean drain lines.Check doors and gaskets.Check outside thermometers.Check amperage on drain pan heaters.Check high/low pressure switch.Change all water filters yearly.(Run ice machine cleaner through ice machines every six {6} months)
8.9.10.11.12.13.14.Clean deep fryers and ranges weekly. DGrease all rods on basket lifts as needed.Keep fryer free of all grease buildup.Clean burners.Clean and check pilots.Calibrate thermostat.Check high limit switch.Paint surfaces if needed. De-lime boiler in the combi-oven weekly.(preferably every Friday)The lunchroom may assist you with this if you so choose.It is recommended this be done every Friday.Keep serving counter's operable daily. DCheck heating elements.Check thermostat.Check humidifier.Check power cords.Check door gaskets.Clean and ad;ust burner on tilting skillet monthly. D Lubricatecrank assembly.Calibrate thermostat.Clean and lubricate slicer monthly or as needed. D Checkpower cord and switch.Check motor and drive assembly.Sharpen blade.Clean and lubricate mixer monthly or as needed. D Lubricatesaginaw screws.Check oil level.Clean and lubricate bowl lock pawls.Check electrical power cord.Check for proper operation o(garbage disposal weekly Lubricate per manufacturer's specifications.Technician Signature:Date: ----------------Comments:
Shelby County Board OfEducationFacilities & Maintenance Department125 Industrial ParkwayColumbiana, AL 35051(205) 682-7100 Telephone(205) 682-7105 TelexMEMORANDUMPlease create a schedule for all existing HVAC units at your facility. Following thismemo is a blank format to list each unit by number and location the unit senlices. Bespecific in all maintenance performed and indicate dates that filter changes are made.Make several blank copies of this inspection schedule. Inspections are yourresponsibility for documentation should the maintenance of HVAC units be questionedwhen technical difficulties are encountered. A copy of all documentation regardingroutine inspections is to be kept in your office for future reference should TommyGamble wish to review them.The Facilities & Maintenance Department is here to assist you with any difficulties and/ormajor repairs that need to be made. All correspondence regarding repairs and requestfor replacements are to be directed to this office.Once again, the regularly scheduled maintenance and documentation regarding allHVAC units are of the utmost importance and your responsibility.TG/csr
echnician: ----------------------UnitNumberArea UnitCoolsFilter SizeCheckedBelts and/orMotorNext FilterChangeDateDate: ------------Comments: ALL Applicable lnformation . (inneed of freon, changed fuse, cleaned coils, etc.)Principal Signature:-----------------------------------
Shelby County Board OfEducationFacilities & Maintenance Department125 Industrial ParkwayColumbiana, AL 35051(205) 682-7100 Telephone(205) 682-7105 TelexWWW.SHELBYED.K12.AL.USMEMORANDUMJuly 28, 2008To:From:Re:All School Principals and Maintenance TechniciansTommy Gamble, Maintenance SupervisorPreventive Maintenance to all cooling apparatusAs you know, a new school year is quickly approaching. At the beginning ofeach school year our mostcommon area ofdifficulty is maintaining proper cooling to our buildings. In order to avoid the majorityof problems that are sure to develop, please utilize the information provided below and complete thischecklist on all cooling apparatus to be sure everything is running properly. Please notify the Facilities &Maintenance Department ·of any unit that you need assistance with and have requested a work order sothat we are not backlogged from the start. This will make the beginning of a new school year lessdemanding on all ofyou as technicians.Apply the task list provided below where applicable.Description:Air Compressors, Air Handler Units, Condensing Units, Exhaust Fans, Cooling Towerand Circulating Pumps (also include cooling apparatus's temporarily assigned to portableunits)Task List:1.2.3.4.5.6.7.8.Change filters DAirflow blockage DGeneral appearance DFansDElectrical connections DSign ofleaks DCabinet conditions DElectrical connections D9.10.11.12.13.14.15.16.Motors DBelts DWater flow DClean grills DCouplings DLubrication DClean coils DCheck condensation drainsDThank you for your quick response and remember to keep a copy of your individual preventivemaintenance inspections should the Facilities & Maintenance Department need to reference them duringfuture maintenance.
Shelby County Board OfEducationOperations Maintenance Department125 Industrial ParkwayColumbiana, AL 35051(205) 682-7100 Telephone(205) 682-7105 Telexwww .shelbyed.kl 2 .al.usMEMORANDUMJanuary 10, 2008RECEPIENT OF FAXED DOCUMENT: PLEASE HANDDELIVERY TO YOUR SCHOOL TECHNICIAN IMMEDIATELYTO:All School Principals and School Maintenance TechniciansFROM: Randy Reeves, Facilities CoordinatorRE:Preparing all school facilities for the upcoming weather predictionsDue to the predicted path of severe weather, it is imperative that you take all necessary precautions inprotecting our facilities and equipment. We urge you to take immediate action to specifically check alldownspouts, eaves, gutters, roof scuppers, roofsurfaces and storm drains for leaves and/or debris. It is aMUST that all gutters, etc. will flow freely. Check all windows and doors for proper securUy from theupcoming rains. Please confirm exterior athletic restrooms, concessions and all grounds water facilitiesare properly protected, etc. Please move all loose material such as trashcans, carts, outdoor sportingequipment, loose playground equipment, etc. that will not withstand winds in excess of 30 to 40 miles anhour.Please be sure that all pagers are worn and equipped with new batteries. Should anyemergencies arise you will be contacted with specific instructions to ensure the safety ofour children, staff and facilities.Please respond immediately to the above outlined request.Thank you for your complete cooperation in protecting our facilities in their entirety.
Shelby County Board Of EducationOperations Maintenance Department125 Industrial ParkwayColumbiana, AL 35051(205) 682-7100 Telephone(205) 682-7105 Telexwww.shelbyed.kl2.al.usMEMORANDUMAugust 29, 2005RECEPIENT OF FAXED DOCUMENT: PLEASE HANDDELIVERY TO YOUR SCHOOL TECHNICIAN IMMEDIATELYTO:All School Principals and School Maintenance TechniciansFROM: Tommy Gamble, Maintenance SupervisorRE:Preparing all school facilities for the upcoming weather predictionsDue to the predicted path of hurricane Katrina, it is imperative that you take all necessary precautions inprotecting our facilities and equipment. We urge you to take immediate action to specifically check alldownspouts, eaves, gutters, roof scuppers, roof surfaces and storm drains for leaves and/or debris. It is aMUST that all gutters, etc. will flow freely. Check all windows and doors for proper security from theupcoming rains. Please confirm exterior athletic restrooms, concessions and all grounds water faciiitiesare properly protected, etc. Please move all loose material such as trashcans, carts, outdoor sportingequipment, looseplayground equipment, etc. that will not withstand winds in excess of 40 to 70 miles anhour.As the outcome of hurricane Katrina is unpredictable, please be sure that all pagers areworn and equipped with new batteries. Should any emergencies arise you will becontacted with specific instructions to ensure the safety of our children, staff andfacilities.Please respond immediately to the above outlined request.Thank you for your complete cooperation in protecting our facilities in their entirety.
Shelby County Board OfEducationFacilities & Maintenance Department125 Industrial ParkwayColumbiana, Al 35051(205) 682-7100 Telephone(205) 682-7105 Telexwww.shelbyed.k12.al.usMEMORANDUMAccording to the State Department of Alabama, Division of Risk Management, all fire extinguisher apparatus'require monthly inspections. Although we have been inspecting them on a monthly basis in the past, as well ashaving Safe First inspect them yearly, we must begin to identify on the individual tags as to when we lastinspected each and every fire extinguisher.'It is by the order ofthe state that we date every tag ofevery fire extinguisher throughout each facility on amonthly basis. In addition, a checkmark is no longer sufficient on your School Technicians Monthly BuildingInspection Reports. In thefuture, please indicate an exact date as to when you completed marking by hand themonthly inspection to all fire extinguishers in your building.
Shelby County Board OfEducationFacilities & Maintenance Department125 Industrial ParkwayColumbiana, Al 35051(205) 682-7100 Telephone(205) 682-7105 Telexwww.shelbyed.k12.al.usMEMORANDUMPlease be advised all portable units located at school sites have an assigned identification number from theState Board of Education. These numbers are physically written somewhere on the body of the portable unit(on the interior above the doorframe, inside the electrical panel, etc.). It is your responsibility that thesenumber are easily accessible for future reference and. easily identifiable for 'work order request' via the A CTRequestline software utilized by your school maintenance technician. (Most importantly if it is a leased unit)It is perfectly acceptable if your school administrator chooses to assign specific numbers for onsite purposes(Trailer #1, Trailer #2, etc.), however, we must still have the state,assigned numbers easily accessible when awork order request is responded to by all Facilities & Maintenance Personnel.(Most importantly ifit is a leased. unit)
Shelby County Board OfEducationFacilities & Maintenance Department125 Industrial ParkwayColumbiana, AL 35051Telephone (205) 682-7100Telex (205) 682-7105www.shelbyed.kl2.al.usSecurity Personnel Agreement: Schoolmaster/Grandmaster or Yale/Best/Sargent/Room Keysand/or assigned Keypad NumberI, the undersigned, acknowledge receipt of the keys designated herein. I also agree not to loan,transfer, give possession of, misuse, modify or alter the above keys and/or keypad number. Ifurther agree not to cause, allow or contribute to the making of any unauthorized copies of theabove keys. I also agree to be personally liable and keep silent the Keypad Number to operatethe electronic keypad system assigned to me herein.I understand and agree that violation of this agreement may render me responsible for theexpenses of a re-lock for the affected areas. I understand it could take a maximum of 30 daysshould the assigned keypad number require reprogramming. I also understand that a repeatoffense may result in further disciplinary action being taken against me.Shelby County School Location-------'------------------Assigned Key#Assigned Keypad Identification #Employee Printed NameEmployee SignatureDate -------------------------------
Maintenance Technician's Monthly Inspection Report School: -----I. Preventive Maintenance Checklist for Building Exterior Inspection: (Check indicates complete inspection) Date of Inspection: _ _ II. Item Work Order# and Date _Stairs, stairwells, handrails, handicapped ramps
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