Indoor Air Quality Maintenance Checklist
Complete this checklist to ensure all indoor air quality maintenance tasks have been performed and documented.
Inspector Name
*
First Name
Last Name
Inspection Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Facility/Area Inspected
*
Room/Zone Number or Location Details
Checklist: Please indicate the status of each maintenance item below.
*
Rows
Satisfactory
Needs Attention
Not Applicable
HVAC system operational
1
2
3
Air filters inspected/replaced
4
5
6
Ventilation system cleaned
7
8
9
Humidity levels within range
10
11
12
CO2 levels within acceptable limits
13
14
15
No visible mold or mildew
16
17
18
No unusual odors detected
19
20
21
Airflow unobstructed
22
23
24
Thermostat functioning properly
25
26
27
Recent maintenance records reviewed
28
29
30
Were any issues found during the inspection?
*
No issues found
Yes, issues were found (please describe below)
If issues were found, please describe them here.
Recommended corrective actions (if any)
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Additional comments or notes
Inspector Signature (confirming completion of inspection)
*
Submit Checklist
Submit Checklist
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