Title Page
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Building #
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Building Name
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Inspected by
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Conducted on
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What Season is it? (Select Multiple Responses)
- Winter
- Spring
- Summer
- Fall
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Location in Building
Mechanical Room Inspection
Housekeeping
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Is mechanical room safe?
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Is mechanical room clean?
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Are electrical panels closed?
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Is the piping free from leaks?
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Are all pieces of equipment assembled and put together?
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Is the room well lit?
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Are fire extinguishers present?
Associated Equipment
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Are the pumps quiet?
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Are the VSD's in Auto?
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Is the insulation in place and in good order?
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Are the valves free of leaks?
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Are the starters in Auto?
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is the pneumatics free of leaks?
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Are the humidifiers free of leaks?
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Are the humidifiers working?
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Are the Airtron cards logged and dated?
Air Moving Equipment
Air Handlers
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Are the filters changed?
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Are the belts free of noise?
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Are the belts in good shape?
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Are the belt guards in place?
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Is the insulation undamaged and in place?
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Is the fan reasonably quiet?
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Are the dampers all aligned?
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Is the ductwork undamaged?
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Are the valves free of leaks?
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Is the drain-pan & trap working & clean?
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Is the Airtron log dated and filled out?
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Input Air Handler names and any comments
Exhaust Fan
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Belt in good shape?
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Is the exhaust fan reasonably quiet?
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Is the Belt guard in place?
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Is the Airtron log dated and filled out?
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Input Exhaust Fan names and any comments
Rooftop Unit
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Is the belt in good shape?
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Are the filters cleaned?
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Are the panels all secure?
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Is the trap working & clean?
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Is the gas piping supported?
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Is the unit free of rust?
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Is the disconnect operational?
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Is the roof area clean?
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Is the Airtron log filled out and dated
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Input Rooftop names and any comments
Boiler
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Is the Boiler flame blue?
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Is the Boiler free of leaks?
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Is the insulation undamaged?
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Is the venting free of leaks and corrosion?
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Are the pumps relatively quiet?
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Are the pumps free of leaks?
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Is the Boiler maintaining the setpoint?
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Is the Airtron log dated and signed?
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Input Boiler names and any comments
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Pressure Relief PSI & Date?
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Combustion Analysis Date?
Chillers
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Is the Chiller running smoothly?
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Is the Chiller free of leaks and condensate?
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Is the cooling tower maintaining setpoint?
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Are cooling towers free of leaks?
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Are the pumps relatively quiet?
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Are the pumps free of leaks?
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Is the Chiller maintaining setpoint?
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Is the Airtron log dated and signed?
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Pressure Relief Date:
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Pressure Relief Picture
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Input Chiller Names and any comments
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Ozone Depletion Date: