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Oral Surgery Equipment Maintenance Log Template

Comprehensive Documentation System for Surgical Equipment Care and Maintenance

Oral Surgery

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Template Content

Last updated: Mar 24, 2025

Equipment Information

  • Equipment Name: _______________
  • Model Number: ________________
  • Serial Number: ________________
  • Location: ____________________
  • Purchase Date: ________________

Daily Maintenance Checklist

Pre-operative Checks

  • Visual inspection completed
  • Power supply verification
  • Safety features tested
  • Calibration verified
  • Sterilization indicators checked

Post-operative Checks

  • Equipment cleaned per protocol
  • Decontamination completed
  • Lubrication applied (if applicable)
  • Parts inspection completed
  • Stored properly

Periodic Maintenance Record

Date Maintenance Type Performed By Details Next Due Date
□ Weekly
□ Monthly
□ Quarterly
□ Annual

Repair/Service History

Date Issue Description Service Performed Technician Cost

Calibration Record

| Date | Calibration Type | Results | Next Due Date | Performed By | |------|------------------|----------|---------------|--------------|| | | | | | |

Notes and Observations

Certification

I certify that the maintenance activities recorded are accurate and complete.

Signature: ___________________ Date: __________ Title: _______________________

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