Maintenance Checklist Form
Description of Material Air Handling DX-Unit Location:
INSPECTION / CHECK POINT
Sl
CONDITION
No
Monthly January February March April May June July August September October November December
1 Cooling Coil O-Clean : X-Dirty
2 Air Filters O-Clean : X-Dirty
3 Drain Pipe O-Clean/No Clog : X-Dirty/ Clog
4 V-Belt O- No Damage : X- Damage
5 Motor Bearings O- No Defects : X- Defects
6 Fan Shaft Bearings O- No Defects : X- Defects
7 Vibration O- Normal : X-Excessive
8 Damper Operation O-Normal : X- Not Normal
9 Ducting installation & supports O- No Damage : X- Damage
Quarterly
10 Tightning of Electrical Connections of Motor O-Done : X- Not Done
11 Blower and Motor Pulley Alignment O-Align : X- Not Align
12 Operation of Motorized Valves O-Normal : X- Not Normal
13 Operation of Safety Controls O-Normal : X- Not Normal
14 Overload Relay O- Good : X- Not Good
15 Air Flow Switch O- Good : X- Not Good
16 Thermostat / Sensor Operation O- Good : X- Not Good
17 Blower Motor Current < Rated Current
18 Fan Blade and interior unit surface O-Clean : X-Dirty
19 Fire Mode AHU Operation O-Normal : X- Not Normal
Half Yearly
20 Check for Corrosion of Parts O- No Rust : X- Rust
21 Flexible Connections O- Good : X- Not Good
22 Ducting and Pipe Insulation O- No Damage : X- Damage
Annually
23 Lubricate Bearings O-Done : X- Not Done
24 Vibration Isolator and Pipe Supports O- No Damage : X- Damage
Visual Inspection for Loose Connections and
25 O- No Damage : X- Damage
wiring damages
26 Check Cooiling Coil Fins O-Clean/No Clog : X-Dirty/ Clog
27 Cleaning and if needed painting O-Done : X- Not Done
28 Conduct motor winding insulation test O-Done : X- Not Done
ANNUAL MAINTENANCE DATE
TECHNICIAN IN-CHARGE
HVAC SUPERVISOR
CLIENT REPRESENTATIVE