Instructions: Fill in all required information in the form below. This form aims to help facility management teams, HVAC professionals, and our maintenance staff to regularly inspect, maintain, and service the HVAC systems within our buildings efficiently and effectively.
Maintenance Date: | [Month, Day, Year] |
Technician Name(s): | [Your Name] |
[Email] | |
Building Location: | [J Street, Alpine Avenue, Bright City] |
System Type: | [Central HVAC] |
Manufacturer & Model: | [CoolAir CX500] |
Serial Number: | [CA5001234X] |
Installation Date: | [Month, Day, Year] |
Component | Status | Comments |
---|---|---|
Heating | [Operational] | [The heating system is currently functioning within the expected efficiency parameters. The filters were replaced during the maintenance check to ensure optimal airflow and heating efficiency.] |
Technician Signature: _________________
Client/Manager Signature: _________________
Date: [Month, Day, Year]
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