Fan Coil Unit Inspection Survey
Complete this survey to document the condition and performance of the fan coil unit during inspection.
Inspector Full Name
*
First Name
Last Name
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Location/Site Name
*
Fan Coil Unit Identification (e.g., Unit Number or Tag)
*
Operational & Condition Checklist
*
Rows
Satisfactory
Needs Attention
Not Applicable
Power Supply
1
2
3
Fan Operation
4
5
6
Cooling Mode Function
7
8
9
Heating Mode Function
10
11
12
Thermostat Response
13
14
15
Unusual Noise/Vibration
16
17
18
Cleanliness Assessment
*
Rows
Clean
Dirty
Not Inspected
Air Filter
19
20
21
Coil
22
23
24
Drain Pan
25
26
27
Exterior Casing
28
29
30
Rate the Overall Condition of the Fan Coil Unit
*
1
2
3
4
5
Are there any visible leaks or water damage?
*
No issues observed
Minor leak present
Major leak/water damage
Other (please specify)
Recommended Maintenance Actions (select all that apply)
Replace air filter
Clean coil
Clear drain pan/line
Tighten electrical connections
Schedule further diagnostics
No action needed
Other (please specify)
Additional Comments or Observations
Submit Inspection
Should be Empty: