HVAC System Preventive Maintenance Form
General Information
Date
Technician Name
Location
Equipment Details
Unit Model
Serial Number
Type
Split AC
Packaged Unit
Chiller
VRF/VRV
Other
Preventive Maintenance Tasks
Clean/Replace Air Filters
Inspect Electrical Connections
Check Thermostat Operation
Inspect and Adjust Belts
Lubricate Moving Parts
Check Refrigerant Levels
Observations / Notes
Next Scheduled Maintenance
Supervisor Signature