Air Filtration System Maintenance Checklist
Record and verify all maintenance tasks performed on air filtration systems.
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
Location / Equipment ID
*
Type of Air Filtration System
*
Please Select
HEPA Filter System
Activated Carbon Filter System
Electrostatic Precipitator
UV Air Purifier
Other
Pre-Inspection: Is the unit powered off and locked out?
*
Yes
No
Filter Condition
*
Please Select
Clean
Slightly Dirty
Dirty
Clogged
Actions Performed
*
Inspected filter(s)
Cleaned filter(s)
Replaced filter(s)
Checked seals/gaskets
Checked fan operation
Other
Parts Replaced or Ordered (if any)
Operational Check: Is the system operating normally after maintenance?
*
Yes
No
Safety Hazards Identified?
*
None
Yes (specify below)
If hazards identified, describe them here
Recommendations / Follow-up Actions
Additional Comments
Technician Signature
*
Submit Checklist
Submit Checklist
Should be Empty: