Information

  • Customer Name

  • Location
  • Conducted on

  • Prepared by

  • Additional Technician Onsite

Inspection Items

Condition of indoor system

  • Furnace Brand

  • Photo Of Furnace

  • Furnace Model & Serial#

  • Thermostat

  • Thermostat Mode

  • Thermostat Setting

  • Filter

  • Was Filter Replaced

  • Filter Size

  • Blower motor

  • Blower wheel

  • Capacitor

  • Capacitor microfarad meter reading

  • Transformer

  • Disconnect

  • Circuit boards

  • Heat Exchanger

  • Safety controls/ switches

  • Door switch

  • Ignition control

  • Gas valve

  • Thermocouple

  • Hot surface ignitor

  • Flame Sensor Clean

  • Pressure switch

  • Vent pipe

  • Inducer fan

  • Additional Notes Or Recommendation?

  • Additional Photos?

Signature

  • Technician's Signature

  • Technician Explained My Results

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.