Physical Therapy Equipment Maintenance Log Template

Comprehensive Documentation System for PT Equipment Care and Safety

Physical Therapy

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Last updated: Mar 24, 2025

Equipment Information

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

Maintenance Schedule

Daily Checks

  • Equipment cleanliness
  • Visual inspection for damage
  • Safety features check
  • Proper operation verification

Weekly Maintenance

  • Detailed cleaning
  • Lubrication (if applicable)
  • Cable inspection
  • Calibration check

Maintenance Record

Date Maintenance Type Performed By Issues Found Actions Taken Next Due Date

Repair History

Date Problem Description Repair Service Cost Technician Follow-up Required

Safety Inspection

Quarterly Checks

  • Electrical safety testing
  • Load capacity verification
  • Emergency stop function
  • Warning label integrity

Contact Information

  • Manufacturer Service: _____________
  • Local Repair Service: _____________
  • Equipment Manager: _______________

Note: Maintain this log for each piece of equipment and retain records for 5 years.

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