• 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

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