Water Fountain Maintenance Checklist
Complete this form to document routine water fountain maintenance and inspection details.
Site / Location
*
Date of Maintenance
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Technician / Inspector Name
*
First Name
Last Name
Inspection Items and Status
*
Rows
Pass
Fail
N/A
Water flow and pressure
1
2
3
Filter condition
4
5
6
Nozzle cleanliness
7
8
9
Leaks or drips
10
11
12
Chilling function
13
14
15
Basin drainage
16
17
18
Maintenance Actions Performed
Filter replaced
Nozzle cleaned
Leaks repaired
Chiller serviced
Other
Is follow-up required?
*
Yes
No
Additional Notes
Submit Checklist
Should be Empty: