Facility Management Media
| Label | Value | Notes |
|---|---|---|
| Created by checklistguro.com | ||
| Pre-Inspection & Safety (STEP) | ||
| Scheduled Inspection Date (DATE) | ||
| Start Time of Inspection (DATE) | ||
| HVAC Unit Location (LOCATION) | ||
| Ambient Temperature (Fahrenheit/Celsius) (NUMBER) | ||
| PPE Required (Select all that apply) (SELECTION options: Safety Glasses, Gloves, Hearing Protection, Respirator, Hard Hat) | ||
| Notes on Potential Hazards (TEXT) | ||
| Inspector Signature (SIGNATURE) | ||
| Visual Inspection & Cleaning (STEP) | ||
| Overall System Condition (Brief Description) (TEXT) | ||
| Specific Areas of Visible Dirt or Debris (TEXT) | ||
| Photographs of Visible Issues (UPLOAD) | ||
| Estimated Dust/Debris Thickness (mm) (NUMBER) | ||
| Presence of Mold/Mildew (SELECTION options: Yes, No, Unsure) | ||
| Description of Any Rust or Corrosion Observed (TEXT) | ||
| Filter Maintenance (STEP) | ||
| Filter Identification Number (if applicable) (NUMBER) | ||
| Filter Condition (SELECTION options: Clean, Slightly Dirty, Moderately Dirty, Very Dirty) | ||
| Filter Type (SELECTION options: Disposable, Washable/Reusable) | ||
| Date Filter Replaced/Cleaned (DATE) | ||
| Pressure Drop (in) (NUMBER) | ||
| Filter Material (SELECTION options: Fiberglass, Pleated, Electrostatic, Other) | ||
| Notes on Filter Condition or Replacement (TEXT) | ||
| Coil Inspection & Cleaning (STEP) | ||
| Coil Fin Condition Rating (1-5, 1=Excellent, 5=Severe) (NUMBER) | ||
| Type of Cleaning Method Used (SELECTION options: Brush, Chemical Wash, Vacuum, Water Flush) | ||
| Description of any visible damage or corrosion (TEXT) | ||
| Upload before/after photos of coils (UPLOAD) | ||
| Refrigerant Charge Adjustment (oz/g) (NUMBER) | ||
| Coil Material (SELECTION options: Aluminum, Copper, Stainless Steel) | ||
| Blower Motor & Fan Assessment (STEP) | ||
| Motor RPM (Revolutions Per Minute) (NUMBER) | ||
| Belt Tension Gauge Reading (if applicable) (NUMBER) | ||
| Motor Lubrication Status (SELECTION options: Lubricated, Needs Lubrication, Not Applicable (Sealed Motor)) | ||
| Fan Balance Check (SELECTION options: Balanced, Slight Vibration, Significant Vibration) | ||
| Notes on Motor Condition (TEXT) | ||
| Belt Condition (if applicable) (SELECTION options: Excellent, Good, Fair, Poor) | ||
| Refrigerant Level & Pressure (STEP) | ||
| Suction Line Pressure (PSI) (NUMBER) | ||
| Liquid Line Pressure (PSI) (NUMBER) | ||
| Superheat (Degrees F) (NUMBER) | ||
| Subcooling (Degrees F) (NUMBER) | ||
| Refrigerant Type (SELECTION options: R-22, R-410A, R-134a, R-32, Other) | ||
| Notes on Refrigerant Condition (TEXT) | ||
| Refrigerant Added (oz) (NUMBER) | ||
| Electrical Components (STEP) | ||
| Capacitor Microfarads (µF) (NUMBER) | ||
| Capacitor Voltage (V) (NUMBER) | ||
| Wiring Condition (SELECTION options: Excellent, Good, Fair, Poor) | ||
| Electrical Issues Observed (SELECTION options: Loose Connections, Damaged Wiring, Arcing, Overheating, None) | ||
| Last Electrical Inspection Date (DATE) | ||
| Notes on Electrical Component Condition (TEXT) | ||
| Drainage System (STEP) | ||
| Condensate Pan Depth (inches) (NUMBER) | ||
| Drain Line Condition (SELECTION options: Clear, Slightly Obstructed, Obstructed) | ||
| Description of Any Drainage Issues (TEXT) | ||
| Airflow through Drain Line? (SELECTION options: Yes, No) | ||
| Last Drain Line Cleaning Date (DATE) | ||
| Description of Cleaning Method Used (if applicable) (TEXT) | ||
| Performance Testing (STEP) | ||
| Supply Air Temperature (Leaving) (NUMBER) | ||
| Return Air Temperature (NUMBER) | ||
| Delta T (Temperature Difference) (NUMBER) | ||
| Airflow (CFM) (NUMBER) | ||
| Static Pressure (NUMBER) | ||
| Noise Level (SELECTION options: Normal, Slightly Elevated, Elevated - Requires Investigation) | ||
| Vibration Assessment (SELECTION options: None, Minor, Moderate, Significant - Requires Investigation) | ||
| Test Start Time (DATE) | ||
| Post-Maintenance & Documentation (STEP) | ||
| Date of Maintenance (DATE) | ||
| Time of Maintenance Start (DATE) | ||
| Maintenance Hours (NUMBER) | ||
| Detailed Notes on Work Performed (TEXT) | ||
| Overall System Performance (Post-Maintenance) (SELECTION options: Excellent, Good, Fair, Needs Improvement) | ||
| Refrigerant Added (Yes/No) (SELECTION options: Yes, No) | ||
| Attach Photos/Reports (Optional) (UPLOAD) | ||
| Technician Signature (SIGNATURE) |
| Label | Value | Notes |
|---|---|---|
| Created by checklistguro.com | ||
| Building Envelope Assessment (STEP) | ||
| Wall R-Value (Current) (NUMBER) | ||
| Roof R-Value (Current) (NUMBER) | ||
| Window Type (Predominant) (SELECTION options: Single Pane, Double Pane, Low-E Coated, Other) | ||
| Notes on Wall Condition (Cracks, Damage) (TEXT) | ||
| Door Sealing Condition (SELECTION options: Excellent, Good, Fair, Poor) | ||
| Photos of Building Envelope (Optional) (UPLOAD) | ||
| HVAC System Evaluation (STEP) | ||
| Refrigerant Charge (lbs) (NUMBER) | ||
| Supply Air Temperature (°F) (NUMBER) | ||
| Return Air Temperature (°F) (NUMBER) | ||
| Static Pressure (inches of water) (NUMBER) | ||
| Filter Condition (Visual) (SELECTION options: Excellent, Good, Fair, Poor) | ||
| Blower Motor Operation (SELECTION options: Normal, Audible Noise, Overheating, Not Operating) | ||
| Last Maintenance Date (DATE) | ||
| Notes/Observations (TEXT) | ||
| Lighting & Electrical Systems (STEP) | ||
| Current Lighting Wattage per Square Foot (NUMBER) | ||
| Target Lighting Wattage per Square Foot (Post-Upgrade) (NUMBER) | ||
| Lighting Types in Use (SELECTION options: LED, Fluorescent, Incandescent, Halogen, Other) | ||
| Lighting Control System Present? (SELECTION options: Yes, No) | ||
| Last Electrical System Inspection Date (DATE) | ||
| Number of Occupancy Sensors Installed (NUMBER) | ||
| Dimming Capabilities Present? (SELECTION options: Yes, No) | ||
| Notes on Electrical System Condition (TEXT) | ||
| Water Usage & Conservation (STEP) | ||
| Current Water Bill (Monthly) (NUMBER) | ||
| Estimated Water Usage (Gallons) (NUMBER) | ||
| Type of Irrigation System (if applicable) (SELECTION options: Sprinkler, Drip, Manual, None) | ||
| Water-Saving Fixtures Present? (SELECTION options: Low-Flow Toilets, Aerators on Faucets, WaterSense Certified Appliances, None) | ||
| Leaks Detected? (SELECTION options: Yes, No, Unsure) | ||
| Details of any leaks detected (if applicable) (TEXT) | ||
| Date of last irrigation system maintenance (DATE) | ||
| Equipment & Appliances (STEP) | ||
| Refrigerator Energy Star Rating (if applicable) (NUMBER) | ||
| Dishwasher Cycle Usage (cycles/week) (NUMBER) | ||
| Oven Temperature Calibration (degrees) (NUMBER) | ||
| Type of Washing Machines (if multiple) (SELECTION options: Front-load, Top-load, Energy Star Certified) | ||
| Estimated Monthly Usage (kWh) - HVAC (NUMBER) | ||
| Last Maintenance Date - HVAC (DATE) | ||
| Notes on Equipment Condition & Usage (TEXT) | ||
| Building Management System (BMS) (STEP) | ||
| Current BMS Version (NUMBER) | ||
| BMS Vendor (SELECTION options: Honeywell, Siemens, Johnson Controls, Schneider Electric, Other) | ||
| Summary of Recent BMS Events/Alarms (TEXT) | ||
| Last BMS System Backup Date (DATE) | ||
| Key Performance Indicators (KPIs) Monitored (SELECTION options: Energy Consumption, Temperature, Humidity, Lighting Usage, Equipment Runtime) | ||
| Alarm Notification Method (SELECTION options: Email, SMS, Dashboard Alerts, Phone Call) | ||
| Employee Awareness & Behavior (STEP) | ||
| Estimated Employee Participation in Energy Saving Initiatives (Scale of 1-10) (NUMBER) | ||
| Are energy-saving behaviors part of employee training? (SELECTION options: Yes, No, Not sure) | ||
| Describe current methods for communicating energy-saving tips to employees. (TEXT) | ||
| Which of the following employee behaviors contribute to energy waste? (SELECTION options: Leaving lights on in unoccupied rooms, Leaving computers on overnight, Adjusting thermostats excessively, Using hot water unnecessarily, Other (please specify in a long text field)) | ||
| Is there a designated 'Energy Champion' or team responsible for promoting energy conservation? (SELECTION options: Yes, No, Not sure) | ||
| Suggestions for improving employee engagement in energy conservation (optional) (TEXT) | ||
| Renewable Energy Potential (STEP) | ||
| Annual Solar Irradiance (kWh/m²) (NUMBER) | ||
| Roof Orientation (for Solar) (SELECTION options: North, South, East, West) | ||
| Available Roof Area (m²) (NUMBER) | ||
| Local Incentive Programs Available? (SELECTION options: Yes, No, Unsure) | ||
| Notes on Obstructions (Trees, Buildings) (TEXT) | ||
| Potential Wind Turbine Feasibility? (SELECTION options: High, Medium, Low, Not Suitable) | ||
| Measurement & Verification (STEP) | ||
| Baseline Energy Consumption (kWh) (NUMBER) | ||
| Post-Implementation Energy Consumption (kWh) (NUMBER) | ||
| Percentage Reduction in Energy Consumption (%) (NUMBER) | ||
| Date of Baseline Measurement (DATE) | ||
| Date of Post-Implementation Measurement (DATE) | ||
| Notes on Measurement Methodology (TEXT) | ||
| Measurement Standard Used (e.g., IPMVP) (SELECTION options: IPMVP, ISO 50001, Other) | ||
| Cost Savings & ROI Analysis (STEP) | ||
| Estimated Annual Energy Cost Savings ($) (NUMBER) | ||
| Estimated Implementation Cost ($) (NUMBER) | ||
| Estimated Payback Period (Years) (NUMBER) | ||
| Discount Rate (%) (NUMBER) | ||
| Financing Options Considered (SELECTION options: Internal Funds, Loan, Grant, Lease) | ||
| Assumptions & Calculations Notes (TEXT) | ||
| Sensitivity Analysis Performed? (SELECTION options: Yes, No) | ||
| Date of ROI Calculation (DATE) |
| Label | Value | Notes |
|---|---|---|
| Created by checklistguro.com | ||
| Exterior Inspection (STEP) | ||
| Temperature (Exterior) (NUMBER) | ||
| Area of Focus (e.g., North Wall) (LOCATION) | ||
| Condition of Facade (SELECTION options: Excellent, Good, Fair, Poor) | ||
| Photos of Exterior (UPLOAD) | ||
| Crack Width (if applicable) (NUMBER) | ||
| Notes on Window/Door Condition (TEXT) | ||
| Last Power Washing Date (DATE) | ||
| Roof Maintenance (STEP) | ||
| Last Roof Inspection Date (DATE) | ||
| Number of Missing or Damaged Shingles (NUMBER) | ||
| Description of any Observed Roof Damage (TEXT) | ||
| Areas of Concern (check all that apply) (SELECTION options: Leaks, Missing Shingles, Ponding Water, Moss/Algae Growth, Damaged Flashing) | ||
| Upload Photos of Roof Condition (UPLOAD) | ||
| Estimated Cost for Repairs (if needed) (NUMBER) | ||
| Roofing Material (SELECTION options: Asphalt Shingles, Metal, Tile, Wood, Other) | ||
| HVAC Systems (STEP) | ||
| Supply Air Temperature (Incoming) (NUMBER) | ||
| Return Air Temperature (NUMBER) | ||
| Exhaust Air Temperature (NUMBER) | ||
| Static Pressure (Supply) (NUMBER) | ||
| Static Pressure (Return) (NUMBER) | ||
| Filter Condition (SELECTION options: Excellent, Good, Fair, Poor) | ||
| Last Filter Change Date (DATE) | ||
| Any Unusual Noises or Concerns? (TEXT) | ||
| Electrical Systems (STEP) | ||
| Voltage Reading (Phase 1) (NUMBER) | ||
| Voltage Reading (Phase 2) (NUMBER) | ||
| Voltage Reading (Phase 1) (NUMBER) | ||
| Ground Resistance (Ohms) (NUMBER) | ||
| Circuit Breaker Condition (SELECTION options: Good, Needs Replacement, Damaged) | ||
| Lighting Functionality (SELECTION options: All Lights Working, Some Lights Malfunctioning, Lights Not Working) | ||
| Last Inspection Date (DATE) | ||
| Notes/Observations (TEXT) | ||
| Plumbing Systems (STEP) | ||
| Water Pressure (PSI) (NUMBER) | ||
| Last Water Heater Flush Date (DATE) | ||
| Any Plumbing Leaks Observed? (TEXT) | ||
| Water Heater Type (SELECTION options: Gas, Electric, Tankless) | ||
| Drainage Flow Rate (GPM) (NUMBER) | ||
| Description of Any Unusual Noises from Plumbing (TEXT) | ||
| Backflow Preventer Status (SELECTION options: Operational, Needs Inspection, Needs Repair) | ||
| Fire Safety (STEP) | ||
| Fire Extinguisher Inspection Date (NUMBER) | ||
| Sprinkler System Last Serviced (DATE) | ||
| Fire Alarm System Status (SELECTION options: Operational, Needs Repair, Out of Service) | ||
| Fire Safety Equipment Checked (SELECTION options: Fire Extinguishers, Smoke Detectors, Sprinkler System, Emergency Exit Signs, Fire Doors) | ||
| Notes on Fire Safety Concerns (TEXT) | ||
| Exit Lighting Functionality (SELECTION options: Fully Functional, Some Lights Out, All Lights Out) | ||
| Next Fire Drill Scheduled (DATE) | ||
| Security Systems (STEP) | ||
| Camera System Uptime (Hours) (NUMBER) | ||
| Last Camera System Maintenance Date (DATE) | ||
| Alarm System Status (SELECTION options: Active, Inactive, Testing) | ||
| Security System Components Checked (SELECTION options: Door/Window Sensors, Motion Detectors, Cameras, Alarm Panel, Access Control System) | ||
| Notes/Observations about Security System (TEXT) | ||
| Accessibility Compliance (STEP) | ||
| Ramp Slope (%) (NUMBER) | ||
| Doorway Width (inches) (NUMBER) | ||
| Accessible Stall Size (square feet) (NUMBER) | ||
| Accessible Entrance Present? (SELECTION options: Yes, No, N/A) | ||
| Accessible Restrooms Provided? (SELECTION options: Yes, No, N/A) | ||
| Last Accessibility Audit Date (DATE) | ||
| Notes on Accessibility Improvements Needed (TEXT) | ||
| Interior Spaces (STEP) | ||
| Floor Level Condition Score (1-5) (NUMBER) | ||
| Description of Wall Damage (if any) (TEXT) | ||
| Ceiling Issues? (SELECTION options: None, Stains, Sagging, Cracks) | ||
| Overall Cleanliness Rating (SELECTION options: Excellent, Good, Fair, Poor) | ||
| Last Carpet/Floor Cleaning Date (DATE) | ||
| Notes on Odors or Air Quality (TEXT) | ||
| Landscaping & Grounds (STEP) | ||
| Irrigation System Pressure (PSI) (NUMBER) | ||
| Pest/Disease Observations (SELECTION options: Aphids, Spider Mites, Fungal Growth, None Observed) | ||
| Last Lawn Mowing Date (DATE) | ||
| Detailed Notes on Landscape Condition (TEXT) | ||
| Fertilizer Application Rate (lbs/acre) (NUMBER) | ||
| Mulch Condition (SELECTION options: Excellent, Good, Fair, Poor) | ||
| Location of Standing Water (LOCATION) |
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