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HVAC Preventive Maintenance Form Template

Streamline Your HVAC Maintenance Documentation

Keeping your HVAC systems running smoothly can be a challenge without organized documentation. This HVAC preventive maintenance form template helps you efficiently track routine inspections and maintenance tasks to ensure optimal performance. Enjoy benefits such as reducing downtime, extending equipment lifespan, enhancing energy efficiency, creating accountability for your team, and simplifying regulatory compliance with detailed records. Explore this live template to get started.

Work order or job number
Service date
Client or company name
Site contact full name
Site contact phone
Site contact email
Service address
Service type
Preventive maintenance
Seasonal startup
Diagnostics/repair
Installation/commissioning
Other
Please Specify:
Equipment type
Split system AC
Heat pump
Packaged rooftop unit (RTU)
Ductless mini-split
Gas furnace
Air handler
Boiler/Chiller
Other
Please Specify:
Equipment location
Rooftop
Outdoor ground
Mechanical room
Attic
Basement
Closet
Crawlspace
Other
Please Specify:
Manufacturer or brand
Model number
Serial number
Filter size(s)
Refrigerant type
R-410A
R-22
R-32
R-134a
R-407C
R-744 (CO2)
Unknown/Not applicable
Power isolated and safe to service
Yes
No
PPE used as required
Yes
No
Unit access is safe and clear
Yes
No
Thermostat and controls operate correctly
Good
Needs attention
Not applicable
Electrical connections tight with no damage or overheating
Good
Needs attention
Not applicable
Measured voltage and amp draw within specification
Good
Needs attention
Not applicable
Capacitors test within tolerance
Good
Needs attention
Not applicable
Contactor and relays condition
Good
Needs attention
Not applicable
Safety controls functional (limits, pressure switches)
Good
Needs attention
Not applicable
Air filter condition
Clean
Slightly dirty
Dirty
Missing
Not applicable
Filter replaced this visit
Yes
No
Blower wheel and motor condition
Good
Needs attention
Not applicable
Fan belt condition and tension
Good
Needs attention
Not applicable
Visible ductwork condition and air leaks
Good
Needs attention
Not applicable
Refrigerant lines insulated with no visible leaks
Good
Needs attention
Not applicable
Evaporator coil condition
Clean
Light soil
Dirty
Severely dirty
Not applicable
Condenser coil condition
Clean
Light soil
Dirty
Severely dirty
Not applicable
Measured superheat/subcooling within target
Good
Needs attention
Not applicable
Condensate drain is clear and flowing
Good
Needs attention
Not applicable
Drain pan condition
Good
Needs attention
Not applicable
Float or condensate safety switch functional
Good
Needs attention
Not applicable
Heat exchanger visual inspection
Good
Needs attention
Not applicable
Ignition system and flame sensor condition
Good
Needs attention
Not applicable
Gas pressure and leak check satisfactory
Good
Needs attention
Not applicable
Combustion air and venting clear
Good
Needs attention
Not applicable
Outdoor unit level and secured
Good
Needs attention
Not applicable
Required clearances around unit maintained
Good
Needs attention
Not applicable
Debris removed from cabinet and surrounding area
Good
Needs attention
Not applicable
Supply air temperature (F or C)
Return air temperature (F or C)
Temperature split / Delta T
Total external static pressure
Refrigerant pressures/temperatures notes
Summary of work performed
Parts replaced this visit
Please Specify:
If refrigerant added, record amount and type
Additional notes and recommendations
Observed issues (select all that apply)
Please Specify:
System status at departure
Operational - normal
Operational - needs follow-up
Limited operation
Inoperable
Shut down at client request
Priority level for any follow-up
Low
Medium
High
Emergency
Next service due date
Time in
Time out
Technician name
Technician signature
Customer or authorized representative name
Customer signature
Customer acknowledges work completed as described
Yes
No
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Paper art illustration showcasing HVAC preventive maintenance form elements and design concepts.

When to use this form

Use this form before each cooling or heating season, during routine service visits, or when you onboard a new site. It helps technicians, facility and property managers document system condition, spot wear early, and plan repairs with clear notes and photos. After a new unit or major repair, pair it with the HVAC Installation checklist form to confirm baseline settings and warranty items. For multi-site teams, align your PM with broader safety checks, like a Workplace housekeeping checklist form, to keep mechanical rooms clear and safe. Typical scenarios include quarterly rooftop unit inspections, apartment turnovers, school reopenings, and pre-peak checks for retail locations. The result: fewer breakdowns, better energy use, and a clean service trail your team can trust.

Must Ask HVAC Preventive Maintenance Questions

  1. What is the equipment type, location, model, and serial number?

    This identifies the asset and ties readings to the correct unit. It speeds future service and prevents mixing data across nearby equipment.

  2. When were the air filters last replaced, and what size and condition are they today?

    Filter details drive airflow and energy efficiency. Recording date, size, and condition supports stocking the right filters and setting the next service.

  3. What are the supply/return temperatures, refrigerant pressures, and motor amperage compared with spec?

    Trendable measurements reveal low charge, airflow issues, or failing components. Comparing to nameplate or a prior visit helps you act before performance slips.

  4. Are coils, belts, bearings, and moving parts clean, aligned, and lubricated as required?

    Mechanical checks reduce noise, heat, and premature failure. A clear pass/fail with notes lets you schedule repairs before breakdowns.

  5. Are the condensate drain and pan clear, and are safeties and thermostat tested and calibrated?

    Drain and safety tests prevent leaks, mold, and nuisance trips. Verifying thermostat operation ensures comfort and fewer callbacks.

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