Ventilation System Maintenance Report
Please complete this report after performing maintenance on the ventilation system.
Technician Name
*
First Name
Last Name
Date and Time of Maintenance
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Location of Ventilation System
*
Maintenance Tasks Performed
*
Filter replacement
Fan inspection
Duct cleaning
Motor lubrication
Electrical connections check
Other (please specify)
Current Condition of the System
*
Operational – No Issues
Operational – Minor Issues
Requires Repair
Out of Service
Other
Issues Found / Additional Comments
Actions Taken / Recommendations
Technician Signature
*
Submit Report
Submit Report
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