General • Inspections

Overhead Door & Operator Semi-Annual PM

Conducting semi-annual preventive maintenance for Overhead Door and Operator systems to ensure peak performance and longevity.

354 Macomb MI - Cintas

08/22/2024

Overhead Door & Operator Semi-Annual PM

* LOTO Confirmation Statement - DO NOT EDIT/REMOVE *

All hazardous energy has been isolated using LOTO procedures?

All potential stored or residual energy has been relieved, disconnected, restrained, lowered, and/or otherwise rendered safe?

Lock Out Tag Out

LOTO Performed

Food Safety Pre-Check

Prior to performing this maintenance task, the areas that may be impacted unintentionally by the maintenance activities were inspected to assure no Partner’s safety is at risk and no customer product or Cintas equipment would be compromised, contaminated, or otherwise damaged due to this specific task. Any product that may be impacted was moved and / or otherwise isolated to assure protection.

Machine Observation

Inspect and lubricate roller chain

Pass
Flag
Fail

Check for worn cotter pins in master link

Pass
Flag
Fail

Verify motor mount structure is secure

Pass
Flag
Fail

Perform LOTO in accordance with the LOTO risk assessment.

Pass
Flag
Fail

Lubricate limit switch shaft threads

Pass
Flag
Fail

Check all fasteners for tightness

Pass
Flag
Fail

Repair made or needed:

Food Safety Post-Check

After performing this maintenance task, a review of all applicable areas that may have been impacted was conducted to assure there are no residual risks to Partner safety remaining. Also, a review of all applicable areas to ensure that no customer products were inadvertently compromised, contaminated, or otherwise damaged was conducted. If any conditions were observed indicating that any of the previous concerns have been negatively impacted, the issue was escalated to leadership.

Source: 354 Macomb MI - Cintas (Community Member)

Overhead Door & Operator Semi-Annual PM

Overhead Door & Operator Semi-Annual PM

* LOTO Confirmation Statement - DO NOT EDIT/REMOVE *

All hazardous energy has been isolated using LOTO procedures?

Yes

N/A

All potential stored or residual energy has been relieved, disconnected, restrained, lowered, and/or otherwise rendered safe?

Yes

N/A

Lock Out Tag Out

LOTO Performed

YES

NO

Food Safety Pre-Check

Machine Observation

Inspect and lubricate roller chain

Check for worn cotter pins in master link

Verify motor mount structure is secure

Perform LOTO in accordance with the LOTO risk assessment.

Lubricate limit switch shaft threads

Check all fasteners for tightness

Repair made or needed:

Food Safety Post-Check

*** LOTO Confirmation Statement - DO NOT EDIT/REMOVE ***

All hazardous energy has been isolated using LOTO procedures?

Yes

N/A

All potential stored or residual energy has been relieved, disconnected, restrained, lowered, and/or otherwise rendered safe?

Yes

N/A

Lock Out Tag Out

LOTO Performed

YES

NO

Food Safety Pre-Check

Machine Observation

Inspect and lubricate roller chain

Check for worn cotter pins in master link

Verify motor mount structure is secure

Perform LOTO in accordance with the LOTO risk assessment.

Lubricate limit switch shaft threads

Check all fasteners for tightness

Repair made or needed:

Food Safety Post-Check

* LOTO Confirmation Statement - DO NOT EDIT/REMOVE *