Equipment Maintenance & Occurrence Log template
A log in the Equipment and Calibration procedure (PR16), mapped to ISO 15189:2022 clause 6.4. Fill it in monthly. Used by the laboratory team.
LogISO 15189 · 6.4Monthly
Calculated automaticallyRed = outside limits
Your LaboratoryEquipment Maintenance & Occurrence Log | YL-LAB-LOG-16-F04 v1.0
Record: Equipment Maintenance & Occurrence Log — October 2026
Equipment IDEQ-012
Record all preventive maintenance, corrective maintenance, incidents, and equipment occurrences. For equipment failures, open a Nonconformity on PR07-F01.
| Entry No. | Date | Equipment Name | Equipment ID / SN | Type of Activity (PM / CM / Occurrence / Calibration) | Description of Activity / Fault | Action Taken / Parts Replaced | Performed by (Name / Company) | NC No. (if opened) | Functionality Check (Pass / Fail) | IQC / EQA Verified? (Y/N) | Authorised by | Date Completed |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| REF-26-001 | 2026-10-01 | S. Dlamini | EQ-012 | Preventive Maintenance | Monthly QC review | None required | S. Dlamini | NC-26-001 | Pass | Y | R. Naidoo | 2026-10-01 |
| REF-26-002 | 2026-10-08 | A. Mensah | EQ-013 | Preventive Maintenance | Equipment maintenance | None required | A. Mensah | NC-26-002 | Pass | Y | S. Dlamini | 2026-10-08 |
| REF-26-003 | 2026-10-15 | L. Banda | EQ-014 | Preventive Maintenance | Document review | None required | L. Banda | NC-26-003 | Pass | Y | A. Mensah | 2026-10-15 |
| REF-26-004 | 2026-10-22 | K. Otieno | EQ-015 | Preventive Maintenance | Competency assessment | Investigated and repeated: within limits | K. Otieno | NC-26-004 | Fail | N | L. Banda | 2026-10-22 |
| REF-26-005 | 2026-10-29 | T. Moyo | EQ-016 | Preventive Maintenance | Monthly QC review | None required | T. Moyo | NC-26-005 | Pass | Y | K. Otieno | 2026-10-29 |
| REF-26-006 | 2026-11-05 | R. Naidoo | EQ-017 | Preventive Maintenance | Equipment maintenance | None required | R. Naidoo | NC-26-006 | Pass | Y | T. Moyo | 2026-11-05 |
| REF-26-007 | 2026-11-12 | S. Dlamini | EQ-018 | Preventive Maintenance | Document review | None required | S. Dlamini | NC-26-007 | Pass | Y | R. Naidoo | 2026-11-12 |
| REF-26-008 | 2026-11-19 | A. Mensah | EQ-019 | Preventive Maintenance | Competency assessment | None required | A. Mensah | NC-26-008 | Pass | Y | S. Dlamini | 2026-11-19 |
Sign-off
| Role | Name | Signature | Date |
|---|---|---|---|
| Completed by | |||
| Reviewed by |
Shaded cells are calculated automatically. Values in red are outside their limits. † marks a corrected value (see Corrections).
Controlled document. Printed copies are uncontrolled unless stamped.Page 1
A4 landscape · first page · showing 8 of 8 rowsExactly as LabToolkit Pro prints it — with your logo and colours
What it records
- Entry No.
- Date
- Equipment Name
- Equipment ID / SN
- Type of Activity (PM / CM / Occurrence / Calibration)
- Description of Activity / Fault
- Action Taken / Parts Replaced
- Performed by (Name / Company)
- NC No. (if opened)
- Functionality Check (Pass / Fail)
- IQC / EQA Verified? (Y/N)
- Authorised by
- Date Completed
Instructions on the form
- Record all preventive maintenance, corrective maintenance, incidents, and equipment occurrences. For equipment failures, open a Nonconformity on PR07-F01.
Sign-off
- Completed by
- Reviewed by
Related templates
- Equipment Inventory List (PR16-F01)
- Equipment Operating List (PR16-F02)
- Equipment Decontamination Form (PR16-F03)
- Calibration Certificate Review Form (PR16-F05)
- Interpolation Calculator (PR16-F06)
- Guide: ISO 15189 documentation checklist
Clause references are to ISO 15189:2022; check them against your licensed copy of the standard.