Carburetor Maintenance Checklist Form
Complete this form to record inspection and maintenance activities for carburetors on vehicles or equipment.
Date of Inspection
*
-
Month
-
Day
Year
Date
Equipment or Vehicle Identification
*
Odometer/Hour Meter Reading
Fuel Line Condition
*
Good
Needs Replacement
Replaced
Air Filter Condition
*
Clean
Dirty
Replaced
Float Level Inspection
*
Correct
Adjusted
Requires Attention
Gaskets and Seals Condition
*
No Leaks
Minor Leak
Replaced
Throttle Operation
*
Smooth
Sticking
Adjusted
Choke Operation
*
Functional
Requires Adjustment
Repaired
Idle Speed Adjustment
*
Checked
Adjusted
Requires Attention
Any Additional Notes or Observations
Technician Name
*
First Name
Last Name
Submit Checklist
Should be Empty: