AHU Service Filters,Belts, Grease

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Additional Team Members Involved

• Building ( This provides AHU details related to building)

  Select CBH IREB RES EAD LIB PCC MET SSC Child Care Center Surgical Center None

  • CBH
  • IREB
  • RES
  • EAD
  • LIB
  • PCC
  • MET
  • SSC
  • Child Care Center
  • Surgical Center
  • None

• What Unit Number

  Select AHU #1 AHU #2 AHU #3 AHU #4 AHU #5 AHU #6 AHU #10 imaging center

  • AHU #1
  • AHU #2
  • AHU #3
  • AHU #4
  • AHU #5
  • AHU #6
  • AHU #10 imaging center

Filter Service

• Did fresh air intake filters get changed?

  Yes

  No

• Which Filters

  Select PLEATS BAGS HEPA Blue Media Filter OTHER

  • PLEATS
  • BAGS
  • HEPA
  • Blue Media Filter
  • OTHER

• Did secoundary filters get changed?

  Yes

  No

• Which Filters

  Select PLEATS BAGS HEPA Blue Media Filter OTHER

  • PLEATS
  • BAGS
  • HEPA
  • Blue Media Filter
  • OTHER

• Additional issues or concerns

  Yes

  No

• Please Provide Details

Belts

• Is the Fan Direct Drive

  Yes

  No

• Is the Motor Closed Sealed

  Yes

  No

• Does Grease need to be added

  Yes

  No

• Belt Size

• Belt QTY

• If there are multiple belts change all

• Do Belts need to be changed

  Yes

  No

Grease

• Did you inspect grease lines

  Yes

  No

• Did You Need To Grease Motor

  Yes

  No

• Did You Grease Pillow Block - Fan bearing

  Yes

  No

• What Unit Number

  Select AHU #1 AHU #2 AHU #3 AHU #4 AHU #5 AHU #6 AHU #7 AHU #8 ( Return Air) No filters

  • AHU #1
  • AHU #2
  • AHU #3
  • AHU #4
  • AHU #5
  • AHU #6
  • AHU #7
  • AHU #8 ( Return Air) No filters

• Photo of filter before changed

  Media

• What filters were changed

  PLEATS

  BAGS

  HEPA

  Blue Media Filter

  OTHER

• Filters after changed

  Media

Belts

• Is the Fan Direct Drive

  Yes

  No

• Is the Motor Closed Sealed

  Yes

  No

• Does Grease need to be added

  Yes

  No

• Belt Size

• Belt QTY

• If there are multiple belts change all

• Do Belts need to be changed

  Yes

  No

Grease

• Did you inspect grease lines

  Yes

  No

• Did You Need To Grease Motor

  Yes

  No

• Did You Grease Pillow Block - Fan bearing

  Yes

  No

• Unit Number

  Select AHU #1 AHU #2 AHU #3 AHU #4 AHU #5 AHU #6 AHU #6A AHU #7

  • AHU #1
  • AHU #2
  • AHU #3
  • AHU #4
  • AHU #5
  • AHU #6
  • AHU #6A
  • AHU #7

• Photo of Unit

  Media

• Photo of filters before changed

  Media

• Filter Type

  PLEATS

  BAGS

  HEPA

  Blue Media Filter

  OTHER

• Photo after filters are changed

  Media

Belts

• Is the Fan Direct Drive

  Yes

  No

• Is the Motor Closed Sealed

  Yes

  No

• Does Grease need to be added

  Yes

  No

• Belt Size

• Belt QTY

• If there are multiple belts change all

• Do Belts need to be changed

  Yes

  No

Grease

• Did you inspect grease lines

  Yes

  No

• Did You Need To Grease Motor

  Yes

  No

• Did You Grease Pillow Block - Fan bearing

  Yes

  No

• Unit Number

  Select AHU #1 AHU #2 -1 AHU #2- 2 AHU #3 -1 AHU #3-2 AHU #4-1 AHU #4-2 AHU #5-1 AHU #5-2 AHU #6-1 AHU #6-2 AHU #7-1 AHU #7-2 AHU #8-1 AHU #8-2

  • AHU #1
  • AHU #2 -1
  • AHU #2- 2
  • AHU #3 -1
  • AHU #3-2
  • AHU #4-1
  • AHU #4-2
  • AHU #5-1
  • AHU #5-2
  • AHU #6-1
  • AHU #6-2
  • AHU #7-1
  • AHU #7-2
  • AHU #8-1
  • AHU #8-2

• Photo of Unit

  Media

• Photo of filters before changed

  Media

• Filter Type

  PLEATS

  BAGS

  HEPA

  Blue Media Filter

  OTHER

• Photo after filters are changed

  Media

Belts

• Is the Fan Direct Drive

  Yes

  No

• Is the Motor Closed Sealed

  Yes

  No

• Does Grease need to be added

  Yes

  No

• Belt Size

• Belt QTY

• If there are multiple belts change all

• Do Belts need to be changed

  Yes

  No

Grease

• Did you inspect grease lines

  Yes

  No

• Did You Need To Grease Motor

  Yes

  No

• Did You Grease Pillow Block - Fan bearing

  Yes

  No

• Unit Number

  Select AHU #1 AHU #2 AHU #3 AHU #4 AHU #5 AHU #6 AHU #7 AHU #8

  • AHU #1
  • AHU #2
  • AHU #3
  • AHU #4
  • AHU #5
  • AHU #6
  • AHU #7
  • AHU #8

• Photo of Unit

  Media

• Photo of filters before changed

  Media

• Filter Type

  PLEATS

  BAGS

  HEPA

  Blue Media Filter

  OTHER

• Photo after filters are changed

  Media

Belts

• Is the Fan Direct Drive

  Yes

  No

• Is the Motor Closed Sealed

  Yes

  No

• Does Grease need to be added

  Yes

  No

• Belt Size

• Belt QTY

• If there are multiple belts change all

• Do Belts need to be changed

  Yes

  No

Grease

• Did you inspect grease lines

  Yes

  No

• Did You Need To Grease Motor

  Yes

  No

• Did You Grease Pillow Block - Fan bearing

  Yes

  No

• Unit Number

  Select AHU #1 AHU #2 AHU #3 AHU #4 AHU #5 AHU #6 AHU #7 AHU #8 AHU #9 AHU #10 AHU # 11 AHU #12

  • AHU #1
  • AHU #2
  • AHU #3
  • AHU #4
  • AHU #5
  • AHU #6
  • AHU #7
  • AHU #8
  • AHU #9
  • AHU #10
  • AHU # 11
  • AHU #12

• Photo of Unit

  Media

• Photo of filters before changed

  Media

• Filter Type

  PLEATS

  BAGS

  HEPA

  Blue Media Filter

  OTHER

• Photo after filters are changed

  Media

Belts

• Is the Fan Direct Drive

  Yes

  No

• Is the Motor Closed Sealed

  Yes

  No

• Does Grease need to be added

  Yes

  No

• Belt Size

• Belt QTY

• If there are multiple belts change all

• Do Belts need to be changed

  Yes

  No

Grease

• Did you inspect grease lines

  Yes

  No

• Did You Need To Grease Motor

  Yes

  No

• Did You Grease Pillow Block - Fan bearing

  Yes

  No

• Unit Number

  AHU #1

  AHU #2

  AHU #3

  AHU #4

• Photo of Unit

  Media

• Photo of filters before changed

  Media

• Filter Type

  PLEATS

  BAGS

  HEPA

  Blue Media Filter

  OTHER

• Photo after filters are changed

  Media