Biological Safety Cabinet Maintenance Form

Cabinet ID / Serial Number Location Model Manufacturer Date of Service Serviced By

Inspection Item	Status	Comments
Cabinet Body and Glass Panel
Front Grille (Inlet/Exhaust Clear)
Airflow / Fan Operation
HEPA Filter Integrity
UV Light Operation
Fluorescent Light Operation
Electrical Sockets
Alarms & Indicators
Decontamination
Other

Actions Taken / Notes

Next Scheduled Maintenance Technician Signature Date