Air Scrubber Maintenance Checklist
Complete this checklist to document routine air scrubber inspection and maintenance.
Unit Identification Number
*
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Location of Air Scrubber
*
Operational Status
*
Operating normally
Requires attention
Not operational
Filter Condition
*
Clean
Slightly dirty
Needs replacement
Cleaning Actions Performed
External wipe-down
Filter cleaned
Interior vacuumed
Other
Component Status (fan, wiring, controls, etc.)
*
All components functional
Minor wear observed
Repairs needed
Other
Performance Notes
Issues Found During Inspection
Corrective Actions Taken
Technician Name and Signature
*
Submit Checklist
Submit Checklist
Should be Empty: