Gas Furnace Inspection Checklist Form
Use this form to record a gas furnace inspection, document condition checks, note findings, and capture recommended follow-up actions.
Inspection Details
Inspection Date
*
 -
Month
 -
Day
Year
Date
Inspection Time
*
Hour Minutes
AM
PM
AM/PM Option
Property/Site Name
*
Inspection Location or Address Label
Inspector Name
*
Inspection Type
*
Routine Inspection
Safety Check
Preventive Maintenance
Post-Repair Inspection
Other
Gas Furnace Condition Checklist
Thermostat operation
*
Pass
Fail
Needs Attention
Ignition / pilot operation
*
Pass
Fail
Needs Attention
Burner condition
*
Pass
Fail
Needs Attention
Flame appearance
*
Pass
Fail
Needs Attention
Heat exchanger visual condition
*
Good
Needs Attention
Critical
Blower operation
*
Pass
Fail
Needs Attention
Air filter condition
*
Good
Needs Attention
Critical
Vents / flue condition
*
Pass
Fail
Needs Attention
Gas line / connection visual check
*
Pass
Fail
Needs Attention
Electrical connections
*
Pass
Fail
Needs Attention
Safety switch or limit switch function
*
Pass
Fail
Needs Attention
Unusual noise or vibration
*
None
Minor
Needs Attention
Findings and Service Follow-Up
Overall Inspection Result
*
Pass
Pass with Recommendations
Fail
Observed Issues or Hazards
Recommended Corrective Actions
Parts Needing Service or Replacement
Priority Level
*
Low
Medium
High
Next Inspection Date
 -
Month
 -
Day
Year
Date
Submit Inspection
Should be Empty: