Air Conditioning Predictive Maintenance Checklist
Complete this checklist to document predictive maintenance inspections and actions for air conditioning units.
System Identification Number
*
Location of Equipment
*
Equipment Model
*
Serial Number
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Technician Name
*
First Name
Last Name
Operating Status
*
Normal
Requires Attention
Out of Service
Predictive Maintenance Indicators (select all that apply)
Unusual Vibration
High Temperature
Abnormal Noise
Increased Power Consumption
Excessive Cycling
Other
Inspection Findings
*
Required Maintenance Actions
*
Parts or Materials Needed
Follow-up Maintenance Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Additional Comments
Submit Checklist
Should be Empty: