| Facility Name | |
|---|---|
| Location | |
| Date | |
| Auditor |
| Item | Yes | No | Comments |
|---|---|---|---|
| HVAC systems working properly | |||
| Air filters clean and regularly replaced | |||
| Air supply vents unobstructed |
| Item | Yes | No | Comments |
|---|---|---|---|
| No visible mold or mildew | |||
| No strong odors or chemical smells | |||
| No evidence of pests (rodents/insects) |
| Item | Yes | No | Comments |
|---|---|---|---|
| Indoor humidity levels are within recommended range | |||
| No signs of water leaks or damage |
| Area | Comments/Concerns |
|---|---|
| Item/Issue | Recommended Action | Responsible | Due Date |
|---|---|---|---|