After years of decline, coal consumption has risen significantly in the last year (2021), driven mainly by the ever-increasing demand in fast-growing Asian countries and fostered by rising gas prices in Europe and the United States. Coal is both the largest electricity production source and the largest source of carbon dioxide emission. Coal-fired plants produce electricity by generating steam by burning coal in a boiler, but also large amounts of coal fly ash. Coal fly ash contains essential constituents for cement production, such as Ca, Si, Al, and Fe. Application of coal-fired ash to produce clinker at high doses may reduce the limestone content in the raw mix. Furthermore, coal fly ash is one of the industrial source materials utilized in the development of low-carbon cements and concretes on account of its chemical characteristics. The monitoring methodology is based fundamentally on the analysis of a set of variables (Na2Oe, Na2O, K2O, free CaO, and reactive silica content and fineness) over time. Weak relations between Na2O and K2O, and Na2Oe, and reactive silica content were found. This applied research has been done to verify previously done research. The scope of this paper is to assess the alkaline content of coal fly ash over a period of 10 years. The Na2O-equivalent of coal fly ash ranged from 0.35% to 2.53%, with an average value of 0.79%. These values should be taken into account producing concretes made with potentially reactive aggregates in order to mitigate the alkali–silica reaction (ASR).