Reason for Site Visit

Reason for site visit

Reason for site visit

Site Visit Request Form

Pre-Visit System Analyzer Completed?

Copy of System Analyzer

Explain why no Pre-Visit System Analyzer was provided.

Equipment

Unit Model #

Start up date

Unit Serial #

Photos of unit showing surrounding.
Equipment Type
Equipment Type

Heater installed

Heater Model number

Heater Serial number

Is single point kit required?

Model number

Is the single point kit wired correctly?

Is the Dehumidistat properly wired and configured?

Energy X Version

System Identifier

Control type

Software version

Installed Accesseries
Damper type

% Open

Enthalpy

Min %?

Exhaust type

Has the smoke detector been relocated to the proper operating position?

Detailed Operating Info

Equipment

System Identifier

Outdoor Air Temperature

Volts L1-L2 / L2-L3 / L3/L1

Control voltage
Mode of Operation
Stages operating

Suction Pressure Circuit 2

Suction Line Temperature Circuit 2

Superheat Circuit 2

Hot Gas Discharge Pressure Circuit 2

Hot Gas Discharge Line Temperature Circuit 2

Liquid Line Temperature Circuit 2

Sub Cooling Circuit 2

Supply Air Dry Bulb

Hot Gas Discharge Pressure Circuit 1

Hot Gas Discharge Line Temperature Circuit 1

Supply Air Wet Bulb

Return Air Dry Bulb

Return Air Wet Bulb

List all accessories that effects static.

Supply Static Pressure

Return Static Pressure

Total External Static Pressure

Suction Pressure Circuit 1

Suction Line Temperature Circuit 1

Superheat Circuit 1

Liquid line pressure (Use HGP if no tap).

Liquid Line Temperature Circuit 1

Sub cooling Circuit 1

Supply Air Dry Bulb

Supply Air Wet Bulb

Return Air Dry Bulb

Return Air Wet Bulb

Suction Pressure Circuit 1

Suction Line Temperature Circuit 1

Superheat Circuit 1

Hot Gas Discharge Pressure Circuit 1

Hot Gas Discharge Line Temperature Circuit 1

Suction Pressure Circuit 2

Suction Line Temperature Circuit 2

Superheat Circuit 2

Discharge Pressure Circuit 2

Hot Gas Discharge Line Temperature Circuit 2

Liquid Line Temperature Circuit 1

Sub Cooling Circuit 1

Liquid Line Temperature Circuit 2

Sub Cooling Circuit 2

Supply Air Dry Bulb

Supply Air Wet Bulb

Return Air Dry Bulb

Return Air Wet Bulb

List all accessories that effects static.

Return Static

Supply Static

Total Static

Suction Pressure Circuit 1

Suction Line Temperature Circuit 1

Superheat Circuit 1

Hot Gas Discharge Pressure Circuit 1

Hot Gas Discharge Line Temperature Circuit 1

Liquid Line Temperature Circuit 1

Sub Cooling Circuit 1

Suction Pressure Circuit 2

Suction Line Temperature Circuit 2

Superheat Circuit 2

Hot Gas Discharge Pressure Circuit 2

Hot Gas Discharge Line Temperature Circuit 2

Liquid Line Pressure Circuit 2

Liquid Line Temperature Circuit 2

Sub Cooling Circuit 2

Flame neutral and blue?

Inlet Gas Pressure at Rest.

Inlet gas pressure when operating.

Manifold Pressure low fire.

Manifold Pressure high fire.

Drip Leg installed?

Photo of gas line

Supply Air Temperature Low Fire

Supply Air Temperature High Fire

Return Air Dry Bulb

🔼T low =

🔼T high =

CFM Stage 1

CFM Stage 2

Return External Static Pressure.

Supply Static Pressure.

Total External Static Pressure?

Inducer volts

Inducer Amps

Observation

Field Observations

Observation

Detail of field observations:

Photos of field observations

Recommendation

Recommendations

Recommendation

Photos

Is a return visit required?

A return visit is required for this job to follow up once the following has been performed:

Proposed date of return visit.
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.