Plumbing Preventive Maintenance Checklist
Use this checklist to inspect and maintain plumbing systems to ensure proper operation, prevent leaks, and avoid costly repairs.
Inspection Information
Building / Facility Name
*
Location / Area
*
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
First Name
Middle Name
Last Name
General Inspection
Maintenance performed
*
No visible leaks
Pipes in good condition
No corrosion or damage
Proper insulation on pipes
No unusual noise (hammering, etc.)
Parts replaced
Issues & Corrective Actions
Issues Identified
*
Corrective Actions Taken
*
Follow-up Required
*
Yes
No
Final Section
System Condition
*
Please Select
Good
Needs Maintenance
Critical
Inspector Signature
*
Completion Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Submit
Should be Empty: