Skip to main content

Form - Quarterly Maintenance Inspection

Inspection Period:
           ☐ January ☐ April ☐ July ☐ October

Date of Inspection: _______________________   Inspected By:  ____________________________         
Supervisor: ______________________________    Building Number: ________________________

1. Air Conditioning Systems

Task Completed (Yes/No) Notes/Issues
Inspect all AC units for proper functioning ☐ Yes ☐ No  
Check for unusual noises or leaks ☐ Yes ☐ No  
Clean or replace air filters ☐ Yes ☐ No  
Ensure thermostat settings are accurate ☐ Yes ☐ No  

2. Generator Systems

Task Completed (Yes/No) Notes/Issues
Record generator hours ☐ Yes ☐ No Total hours:
Conduct generator load test ☐ Yes ☐ No  
Inspect fuel lines, oil levels, filters ☐ Yes ☐ No  
Check for wear or damage on the generator ☐ Yes ☐ No  

3. Toilet and Plumbing Systems

Task Completed (Yes/No) Notes/Issues
Check all toilets for proper flushing and water pressure ☐ Yes ☐ No  
Inspect toilet tanks and handles for leaks or malfunctions ☐ Yes ☐ No  
Check faucets in bathrooms and kitchens for leaks or drips ☐ Yes ☐ No  
Inspect showers and bathing areas for proper water flow and drainage ☐ Yes ☐ No  
Check water heaters for proper operation and temperature control ☐ Yes ☐ No  

4. Electrical Systems

Task Completed (Yes/No) Notes/Issues
Check exterior lights and replace bulbs ☐ Yes ☐ No  
Inspect electrical wiring for wear ☐ Yes ☐ No  
Test outlets and switches ☐ Yes ☐ No  

5. Building Structural Integrity

Task Completed (Yes/No) Notes/Issues
Inspect roofs, walls, and foundations for damage ☐ Yes ☐ No  
Check doors and windows for smooth operation ☐ Yes ☐ No  
Oil tracks/hinges of gates and doors ☐ Yes ☐ No  

6. Fire Safety Equipment

Task Completed (Yes/No) Notes/Issues
Inspect fire extinguishers ☐ Yes ☐ No  
Test smoke detectors and alarms ☐ Yes ☐ No  

7. Water Treatment Systems

Task Completed (Yes/No) Notes/Issues
Check water tanks and treatment chemicals ☐ Yes ☐ No  
Inspect piping for leaks or weaknesses ☐ Yes ☐ No  

8. Insect and Pest Control

Task Completed (Yes/No) Notes/Issues
Inspect for signs of pest infestation ☐ Yes ☐ No  
Ensure insecticide treatment is applied ☐ Yes ☐ No  

9. Landscaping and Exterior Areas

Task Completed (Yes/No) Notes/Issues
Inspect grounds for overgrowth and hazards ☐ Yes ☐ No  
Check walkways for trip hazards ☐ Yes ☐ No  

10. Water Jug Supply

Task Completed (Yes/No) Notes/Issues
Confirm water jugs placed on back porches ☐ Yes ☐ No  
Collect and replace empty water jugs ☐ Yes ☐ No  

Comments/Additional Issues:
Please provide any additional details or issues that were identified during the inspection.
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________

Inspector Signature: ____________________                     Supervisor Review Signature: ____________________

Date Submitted: ____________________

Back to top