A/C inspection

• Conducted on

  Date

• Client

• Prepared by

• Location
  Address

• Make

• RTU #

• Thermostat in working conditions

  Yes

  No

  N/A

• Inspect all wiring and electrical connections

  Pass

  Fail

  N/A

• Check blower belt wear, tension

  Good

  Fair

  Poor

  N/A

• Check voltage & Amperage draw

  Good

  Fair

  Poor

  N/A

• inspect compressor contactors

  Good

  Fair

  Poor

  N/A

• Visually inspect compressor and check amp draw.

  Pass

  Fail

  N/A

• Check start capacitor & Potential relay

  Good

  Fair

  Poor

  N/A

• Check Pressure switch

  Safe

  At Risk

  N/A

• Replaced air filter

  Yes

  No

  N/A

• Check refrigerant (freon) levels and advise if adjustments necessary.

  Good

  Fair

  Poor

  N/A

• Check pressure switch cut-out setting

  Pass

  Fail

  N/A

• Condition of condenser coil

  Good

  Fair

  Poor

  N/A

• Chemically wash condenser coil

  Yes

  No

  N/A

• Inspect evaporator coil

  Good

  Fair

  Poor

  N/A

• Inspect condensate drain

  Good

  Fair

  Poor

  N/A

• Inspect condensate secondary drain pan

  Good

  Fair

  Poor

  N/A

• Inspect Air ducts for leaks

  Pass

  Fail

  N/A

• Lubricate parts as needed.

  Pass

  Fail

  N/A

• Inspect disconnect

  Compliant

  Non-Compliant

  N/A

• Test RTU in cooling mode

  Pass

  Fail

  N/A

• Check condensate drain lines

  Good

  Fair

  Poor

  N/A

Gas Furnace

• Inspect and adjust Thermostat

  Good

  Fair

  Poor

  N/A

• Check to make sure furnace/heat comes on

  Pass

  Fail

  N/A

• inspect blower motor

  Pass

  Fail

  N/A

• Inspect flu for rust & corrosion

  Safe

  At Risk

  N/A

• Check Electronic spark

  Pass

  Fail

  N/A

• Inspect all wiring and connections and controls

  Safe

  At Risk

  N/A

• Inspect Heat exchangers for cracks, soot, & rust

  Safe

  At Risk

  N/A

• Check for gas leaks (furnace only)

  Safe

  At Risk

  N/A

• Test all safety shut off

  Pass

  Fail

  N/A