Commercial Ventilation Verification Checklist

Commercial Ventilation Verification Checklist
Complete this checklist to verify the compliance and condition of commercial ventilation systems.
Site Name / Facility Name
Site Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Contact Person Name
First NameLast Name
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Inspection Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hour MinutesAM/PM Option
Ventilation System Components Checklist
Rows Present Operational Clean/Free of Obstruction
Main Exhaust Fan
Supply Air Fan
Ductwork
Air Filters
Fire Dampers
Vent Registers/Grilles
Control Panel
Sensors/Monitors
Are all components compliant with the required standards?
Observed Issues or Deficiencies (if any)
Recommendations / Corrective Actions
Inspector Name
First NameLast Name
Inspector Email
example@example.com
Inspector Signature
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