Title Page
-
Site conducted
-
Conducted on
-
Prepared by
-
Location
-
Project
-
Date
-
Pump Tag
-
Building
-
Location
Untitled Page
Pump 1 Information
-
Make
-
Model Number
-
Serial Number
-
GPM
-
Head
-
Volts/Phase
-
Function
-
Service Area
-
Motor HP
-
Motor Eff
-
RPM
-
Comments
Pump 2 Information
-
Make
-
Model Number
-
Serial Number
-
GPM
-
Head
-
Volts/Phase
-
Fuction
-
Service Area
-
Motor HP
-
Motor Eff
-
RPM
-
Comments
Pump 3 Information
-
Make
-
Model Number
-
Serial Number
-
GPM
-
Head
-
Volts/Phase
-
Function
-
Service Area
-
Motor HP
-
Motor Eff
-
RPM
-
Comments
Associated Checklists
-
-
-
Comments
Installation Checks
General
-
Installation is per manufacturer’s instructions
-
Comments
-
Manufacturer’s recommended spare parts are provided
-
Comments
-
Equipment label permanently affixed
-
Comments
-
Pump lubricated
-
undefined
-
Pump drive properly aligned
-
Comments
-
Drive guard or shield is properly installed
-
Comments
-
Pump foundation is level
-
Comments
-
Pumps in place and properly anchored
-
Comments
-
Pipes are supported independently of the pump
-
Comments
-
Vibration isolation devices installed and functional
-
Comments
-
Seismic anchoring installed and functional where applicable
-
Comments
-
Isolation valves and piping specialties installed
-
Comments
-
Shaft seal is leak free
-
Comments
-
Pump detail checked against the drawings and all devices gages and appurtenances are in place
-
Comments
-
Insulation installed per requirements; insulated to avoid condensation yet allow for service
-
Comments
Electrical and Controls
-
Power disconnects located within site of the unit it controls and labeled
-
Comments
-
All electric connections tight
-
Comments
-
Grounding installed for components and unit
-
Comments
-
Safeties installed and operational
-
Comments
-
Starter overload breakers installed and correct size
-
Comments
-
All control devices and wiring complete
-
Comments
-
Control system interlocks connected and functional
-
Comments
-
Rotates in the correct direction (for VFD, check inverter and Bypass modes)
-
Comments
VFD
-
Drive location not subject to excessive moisture or dirt
-
Comments
-
Drive location not subject to excessive temperatures
-
Comments
-
Appropriate Volts vs. Hz curve is being used
-
Comments
-
Drive size matches motor size
-
Comments
-
Drive mounted on housekeeping pad (if applicable)
-
Comments
-
Cooling air flow path clean and unobstructed
-
Comments
-
Permanent label affixed
-
Comments
-
VFD interlocked to control system
-
Comments
-
Unit is programmed with full written programming record on site
-
Comments
-
Minimum and maximum speed set
-
Comments
-
Where applicable, ensure safeties are active in all modes
-
Comments
-
Coordinated with BAS for all interface ranges and signal isolation
-
Comments
-
Restart on Power Failure parameter set to auto
-
Comments
-
VFD powered (wired to controlled equipment)
-
Comments
-
Grounding installed for components and unit
-
Comments
-
Drive min and max speed set to ___ Hz min and 60 Hz max
-
Comments
-
Security settings set per owner direction and password documented for owner
-
Comments
-
Upper frequency limit set at 100%, unless explained otherwise
-
Comments
Sensors and Gages
-
Temperature, pressure and flow gages and sensors installed
-
Comments
-
Piping gages, BAS and associated panel temperature and pressure readouts match.
-
Comments
Untitled Page
-
LEED CxA
-
Date
-
Owner's Representative
-
Date