Cooling Equipment Maintenance Checklist Form
Document each step of your cooling equipment's routine inspection and servicing.
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Equipment ID or Location
*
Operational Status
*
Operating Normally
Requires Attention
Not Operating
Cleanliness of Equipment
*
1
2
3
4
5
Visual Inspection Checklist
No visible leaks
No unusual noises
All panels secure
Wiring intact
Filter Condition
*
Clean
Needs Cleaning
Needs Replacement
Refrigerant Level Status
*
Normal
Low
High
Observed Issues (if any)
Corrective Actions Taken
Technician Name
*
Submit Checklist
Should be Empty: