Preventive Maintenance Checklist 2

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Model and serial number

• Air handler/ furnace <br>

  Yes

  No

  N/A

• Evaporator coil

  Yes

  No

  N/A

• Condenser

  Yes

  No

  N/A

• Miscellaneous <br>

  Yes

  No

  N/A

Condition of inside system

• Thermostat

  good

  fair

  poor

  n/a

• Filter

  good

  fair

  poor

  n/a

• Air purification

  good

  fair

  poor

  n/a

• Disconnect

  good

  fair

  poor

  n/a

• Pipe insulation

  good

  fair

  poor

  n/a

• Secondary drain pan

  good

  fair

  poor

  n/a

• Condensate drain line

  good

  fair

  poor

  n/a

• Float switch <br>

  good

  fair

  poor

  n/a

• Fan control

  good

  fair

  poor

  n/a

• Blower wheel

  good

  fair

  poor

  n/a

• Blower motor

  good

  fair

  poor

  n/a

• Capacitor

  good

  fair

  poor

  n/a

• Transformer

  good

  fair

  poor

  n/a

• Circuit boards

  good

  fair

  poor

  n/a

• Wire connections<br>

  good

  fair

  poor

  n/a

• Evaporator coil

  good

  fair

  poor

  n/a

• Air handler/ heater

  Yes

  No

  N/A

• Heating elements

  good

  fair

  poor

  n/a

• Sequencers/ contactors

  good

  fair

  poor

  n/a

• Safety controls/ switches

  good

  fair

  poor

  n/a

• Gas furnace/ heater

  Yes

  No

  N/A

• Door switch

  good

  fair

  poor

  n/a

• Heat exchanger

  good

  fair

  poor

  n/a

• Hot surface ignitor

  good

  fair

  poor

  n/a

• Flame sensor

  good

  fair

  poor

  n/a

• Pressure switch

  good

  fair

  poor

  n/a

• Inducer draft motor

  good

  fair

  poor

  n/a

• Thermocouple

  good

  fair

  poor

  n/a

• Gas pressure

  good

  fair

  poor

  n/a

• Gas valve

  good

  fair

  poor

  n/a

• Ignition control

  good

  fair

  poor

  n/a

• Safety controls/ switches

  good

  fair

  poor

  n/a

• Vent pipe

  good

  fair

  poor

  n/a

• Carbon monoxide dector

  Yes

  No

Attic and ventilation

• Insulation depth

  good

  fair

  poor

  n/a

• Ductwork type

  good

  fair

  poor

  n/a

• Ductwork sealing

  good

  fair

  poor

  n/a

• Attic ventilation

  good

  fair

  poor

  n/a

• Plenums

  good

  fair

  poor

  n/a

• Combustion air

  good

  fair

  poor

  n/a

• Walk ways

  good

  fair

  poor

  n/a

Condition of outside unit

• Condenser

  good

  fair

  poor

  n/a

• Condenser pad

  good

  fair

  poor

  n/a

• Surge protector

  good

  fair

  poor

  n/a

• Service disconnect

  good

  fair

  poor

  n/a

• Electrical whip

  good

  fair

  poor

  n/a

• Contactor

  good

  fair

  poor

  n/a

• Capacitor

  good

  fair

  poor

  n/a

• Fan motor

  good

  fair

  poor

  n/a

• Fan blade

  good

  fair

  poor

  n/a

• Compressor

  good

  fair

  poor

  n/a

• Start assist

  good

  fair

  poor

  n/a

• Condenser coils refrigerant levels

  good

  fair

  poor

  n/a

• Pipe insulation

  good

  fair

  poor

  n/a

• Solar screens

  good

  fair

  poor

  n/a

• Heat pump unit

  Yes

  No

  N/A

• Defrost controls

  good

  fair

  poor

  n/a

• Circuit board

  good

  fair

  poor

  n/a

• Reversing valve

  good

  fair

  poor

  n/a