Commercial Humidifier Maintenance Checklist
Complete this form to document the inspection and maintenance of commercial humidifiers.
Technician Name
*
First Name
Last Name
Date of Maintenance
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Company or Site Name
*
Location/Area Serviced
*
Humidifier Model
*
Humidifier Serial Number
Maintenance Tasks Checklist
*
Rows
Completed
Not Applicable
Inspect and clean water tank
1
2
Check and replace filters if needed
3
4
Inspect and clean humidifier pads
5
6
Check electrical connections
7
8
Test humidistat functionality
9
10
Inspect for leaks or damage
11
12
Check water supply and drain lines
13
14
Verify unit operation after maintenance
15
16
Are there any issues that require further attention?
*
No issues found
Yes, issues found (describe below)
Describe any issues found or actions taken (if applicable)
Additional Comments or Recommendations
Please sign to confirm that all maintenance tasks were completed as indicated above.
*
Submit Checklist
Submit Checklist
Should be Empty: