Title Page

  • Address
  • Conducted on

  • Prepared by

AC functionality & condition check

  • Is the air conditioning system starting up when turned on?

  • Determine fault on air conditioner and outline what is required to rectify.

  • Add any relevant photos of AC fault

  • What is the current temperature set on the thermostat?

  • Provide photo of temperature reading on hand held temperature gauge

  • Is external unit and components safe, in good condition and free from damage?

  • Provide photo of external unit

Vent and duct condition

    Vent 1
  • What room is this vent in?

  • Remove grill and provide photos of condition inside and outside

  • Provide photos of condition inside of duct

  • Does this vent show any signs of mould?

  • What rating would you give the cleanliness of this vent?

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.