Information

  • Customer Name

  • Location
  • Conducted on

  • Prepared by

  • Additional Technician Onsite

Inspection Items

Condition of Package System

  • Package System Brand

  • Photo Of Package System

  • Model & Serial#

  • Thermostat

  • Thermostat Mode

  • Thermostat Setting

  • Filter(s)

  • Was Filter Replaced

  • Filter Size(s)

  • Evaporator Coil Condition

  • Is Evap Coil Dirty?

  • Did customer approve cleaning

  • Blower motor

  • Blower wheel

  • Capacitor

  • Capacitor microfarad meter reading

  • Transformer

  • Disconnect

  • Circuit boards

Condition Of Electric Heating Section

  • Does Unit Have Electric Heating?

  • Heat strips

  • Heater KW meter reading

  • Sequencers

Condition Of Gas Heating Section

  • Does Unit Have Gas Heating?

  • Heat Exchanger (If Applicable)

  • Gas Valve

  • Inducer Motor

  • Flame Sensor

  • Safety controls/ switches

  • Additional Notes Or Recommendations?

  • Additional Photos?

Condenser

  • Condenser Brand (If Different)

  • Photo Of Condenser Model & Serial# (If Different Than Heating)

  • 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?

  • Pipe Insulation

  • Additional Notes Or Recommendation

  • 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.