Information

  • Customer Name

  • Location
  • Conducted on

  • Prepared by

  • Additional Technician Onsite

Inspection Items

Condition of indoor system

  • Air handler Brand

  • Photo Of Air Handler

  • Air handler Model & Serial#

  • Thermostat

  • Thermostat Mode

  • Thermostat Setting

  • Filter

  • Was Filter Replaced

  • Filter Size

  • Evaporator Coil Condition

  • Is Evap Coil Dirty?

  • Did customer approve cleaning

  • Is Evap Coil Damaged?

  • Pipe insulation

  • Blower motor

  • Blower wheel

  • Capacitor

  • Capacitor microfarad meter reading

  • Transformer

  • Disconnect

  • Circuit boards

  • Heat strips

  • Heater KW meter reading

  • Sequencers

  • Safety controls/ switches

  • Additional Notes Or Recommendations

  • Additional Photos

Condition of the outside system

  • Condenser Brand

  • Photo Of Outdoor Unit

  • Photo Of Condenser Model & Serial#

  • Service disconnect

  • Electrical whip

  • Is Compressor Operational?

  • Does Compressor Sound Abnormal?

  • Photo of System Pressures?

  • Refrigerant Levels?

  • Did Customer Approve Recharge?

  • Defrost controls

  • Contactor

  • Did customer approve replacement?

  • Capacitor

  • Capacitor microfarad meter reading

  • Start assist

  • Circuit board

  • Fan motor

  • Fan blade

  • Reversing valve

  • Condenser Coil Condition?

  • Is Condenser Coil Dirty?

  • Did customer approve cleaning?

  • Is Condenser Coil Damaged?

  • Pipe Insulation?

  • Additional Notes?

  • Additional Photos?

Signature

  • Technician's Signature

  • Technician Explained My Results

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.