• Carbon Monoxide Inspection Checklist

    Use this checklist to record inspection details, detector status, possible carbon monoxide sources, warning signs, readings, and follow-up actions.

  • Inspection Details

  • Inspection Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Inspection Time*

  • Carbon Monoxide Alarm and Detector Check

  • Carbon monoxide alarms/detectors installed?*
  • Detector locations*
  • Were the alarms tested?*
  • Detector condition / issues

  • Potential CO Sources and Ventilation

  • Fuel-burning appliances or potential CO sources present*
  • Furnace status*
  • Water heater status*
  • Boiler status*
  • Stove or oven status*
  • Ventilation condition*

  • Warning Signs and Measurements

  • Observed warning signs*
  • Any carbon monoxide symptoms reported
  • Alarm status during inspection

  • Corrective Actions and Follow-up

  • Overall inspection result*
  • Corrective actions taken or recommended*
  • Follow-up date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Follow-up completed items
  • Should be Empty:
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