Air Exchanger Maintenance Checklist Form
Complete this checklist to document the inspection and servicing of an air exchanger unit.
Technician Name
*
First Name
Last Name
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Air Exchanger Unit ID or Location
*
Air Filter Condition
*
Clean
Needs Cleaning
Replace Filter
Airflow Check
*
Normal
Restricted
Blocked
Electrical Connections
*
Secure
Loose
Needs Repair
Inspect for Unusual Noises
*
No Unusual Noises
Slight Noise
Excessive Noise
Cleanliness of Unit Exterior
*
Clean
Dust Present
Needs Cleaning
Control Panel Operation
*
Fully Functional
Minor Issues
Not Working
Additional Comments or Observations
Submit Checklist
Should be Empty: