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Preventive Maint AC Form

This document provides a preventive maintenance checklist for an air conditioning (HVAC) unit. It includes information about the equipment, property where the unit is located, maintenance frequency history, and a checklist to inspect the evaporator indoor unit and condenser outdoor unit. Technicians, project managers, and client representatives are required to sign off after the maintenance is completed.

Uploaded by

Mohammed Jahir Husain
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
19K views4 pages

Preventive Maint AC Form

This document provides a preventive maintenance checklist for an air conditioning (HVAC) unit. It includes information about the equipment, property where the unit is located, maintenance frequency history, and a checklist to inspect the evaporator indoor unit and condenser outdoor unit. Technicians, project managers, and client representatives are required to sign off after the maintenance is completed.

Uploaded by

Mohammed Jahir Husain
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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PREVENTIVE MAINTENANCE

AIR CONDITIONING (HVAC)


Equipment Data
Equipment No.:_____________
Type of Unit: ______________
Model No.: _________________
Serial No.: _________________
Capacity : _________________

Property Data

P.M. Frequency ________________


Last PM Date: ________________

Building Name ___________

Current PM
WO No.__________ Date:_______
Start _________ Finish__________

Location ________________
Building No. _____________

Evaporator ( Indoor Unit )


Sl. No.

Check List

Freq.

1.

Clean Evaporator Coil & Fins

S/A

2.

Check fan wheel and alignment

S/A

3.

Clean

4.

Clean drain pan & flush

5.

Check air outlet & inlet . ( Shutter/Diffuser )

6.

Adjust or replace blower belt

7.

Check electrical wires + components

8.

Check ducting insulation.

air filters and

inlet / outlet grills.


drain line pipe
if necessary .

Condition

Action Taken

Condition

Action Taken

Condenser ( Outdoor Unit )


Sl. No.

Check List

Freq.

1.

Clean

condenser s coils and fins

2.

Check / Record suction and discharge lines

3.

Check comp.s terminals & other component

4.

Check piping

5.

Check for unusual

6.

Check / Lubricate

7.

Check actual voltage ______ & Ampere ______

8.

Check for unusual noise or any vibration.

for leaks
noise & fan alignment
fan motor

M
M

Comments:________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Technician

Project Manager

Client Representative

Name: ____________________

Name: ____________________

Name: ____________________

Signature:_________________

Signature:_________________

Signature:_________________

Date: _____________________

Date: _____________________

Date: _____________________

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