Air Pollution Control Equipment Maintenance Log Form
Log and track maintenance activities for air pollution control equipment. Complete all relevant sections for accurate record-keeping.
Equipment ID
*
Equipment Location
*
Equipment Type/Model
*
Date of Maintenance
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time of Maintenance
*
Hour Minutes
AM
PM
AM/PM Option
Type of Maintenance
*
Please Select
Routine
Preventive
Corrective
Emergency
Other
Technician / Responsible Person
*
Inspection Checklist (Select all that apply)
Visual inspection
Filter cleaning/replacement
Fan/blower check
Ductwork inspection
Sensor calibration
Leak check
Other
Parts Replaced or Serviced
Readings Before Maintenance (if applicable)
Readings After Maintenance (if applicable)
Issues Found
Corrective Actions Taken
Equipment Status After Maintenance
*
Please Select
Operational
Requires further attention
Out of service
Next Scheduled Maintenance Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Technician Comments / Notes
Submit Log
Should be Empty: