Air Filter Intake Guard Inspection Checklist Form
Complete this checklist to document the inspection of the air filter intake guard, including condition, cleanliness, damage, fit, obstructions, and any corrective actions.
Inspector Name
*
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Overall Condition of Intake Guard
*
Good
Fair
Poor
Cleanliness of Intake Guard
*
Clean
Dusty
Dirty
Visible Damage to Intake Guard
*
No Damage
Minor Damage
Major Damage
Fit and Secure Attachment of Intake Guard
*
Properly Fitted & Secure
Loose
Misaligned
Obstructions Present in or Around Intake Guard
*
None
Partial Obstruction
Fully Obstructed
Corrective Action Required?
*
No Action Needed
Cleaning Required
Repair Needed
Replacement Needed
Describe Corrective Action Taken (if any)
Additional Comments or Notes
Submit Inspection
Should be Empty: