Title Page
-
Conducted on
-
Prepared by
-
Customer Name:
-
Customer Contact:
-
Contact Phone #:
-
Contact email address:
-
Safe work environment?
-
Add media
-
Explain
-
General condition of equipment
-
Add media
-
Explain
-
Doors, cabinets, and panels properly secure
-
Add media
-
Explain
-
Condition of hangers, supports, duct, and insulation
-
Add media
-
Explain
-
Are all condensate drain pans clear and draining properly?
-
Add media
-
Explain
-
Does equipment have PM schedule sticker?
-
Add media
-
Explain
-
Is the area clear from any contractor related debris?
-
Add media
-
Explain
-
Was the previous Preventative Maintenance performed properly?
-
Add media
-
Explain
-
Additional Notes/Comments:
-
Add signature
