Electric Water Heater Maintenance Checklist
Complete this checklist to document the inspection and maintenance of an electric water heater. Ensure all items are reviewed and any issues are noted.
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Technician Name
*
First Name
Last Name
Technician Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Water Heater Location
*
Water Heater Model Number
Water Heater Serial Number
Visual Inspection of Exterior (Check for leaks, corrosion, or damage)
*
Satisfactory
Needs Attention
Not Applicable
Check Electrical Connections (Secure, no corrosion or damage)
*
Satisfactory
Needs Attention
Not Applicable
Inspect and Test Pressure Relief Valve
*
Operational
Needs Replacement
Not Applicable
Drain and Flush Tank (Remove sediment build-up)
*
Completed
Not Completed
Not Applicable
Check Thermostat Settings and Operation
*
Satisfactory
Adjustment Needed
Not Applicable
Inspect Heating Elements
*
Satisfactory
Needs Replacement
Not Applicable
General Comments / Notes
Signature of Technician (Confirming completion of maintenance)
*
Submit Checklist
Submit Checklist
Should be Empty: