Facility Maintenance Checklist Form

Facility Maintenance Checklist Form
Please complete the checklist to ensure the facility is properly maintained.
Date of Inspection
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Inspector's Full Name
First NameLast Name
Facility Location
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Checklist Items
Additional Comments
Should be Empty: