Water Softener Maintenance Checklist Form
Complete this Water Softener Maintenance Checklist Form to document all required tasks and service details for each water softener service visit.
Date of Service
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Technician Name
*
First Name
Last Name
Service Location / Client Name
*
System Model or Serial Number
Maintenance Tasks Completed (check all that apply)
*
Checked salt level and refilled as needed
Inspected brine tank for cleanliness
Cleaned or replaced resin bed
Checked for leaks in hoses and connections
Tested water hardness before and after service
Verified system timer/programming
Other
Observed Issues or Recommendations
Parts Replaced (if any)
Next Recommended Service Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Technician Signature
*
Customer Signature (if present)
Submit Checklist
Submit Checklist
Should be Empty: