Customer Care Club (C3) - Winter Safety Inspection

• Document No.

• Client / Site

• Conducted on

  Date
• Location
  Address

• Inspection Conducted By

  Dave Greer

  Norm Haris

General/Hydro/Geothermal Heating Systems

• Smoke Alarm

  Safe

  At Risk

  N/A

• Return Air Filters

  Yes

  No

  N/A

• Evidence of Water Leaks/Blockage(s)

  Yes

  No

  N/A

• Evidence of Gas Leaks

  Yes

  No

  N/A

• Evidence of Mold and/or Mildew

  Yes

  No

  N/A

• Ducts

  Safe

  At Risk

  N/A

• Electrical Connections/Wiring

  Safe

  At Risk

  N/A

• Unusually High Utilities and/or Owner Says Equipment Underperforms

  Yes

  No

  N/A

• Excessive and/or Damaging Rust

  Yes

  No

  N/A

Gas Furnaces

• Carbon Monoxide Detector(s)

  Safe

  At Risk

  N/A

• Flue Pipe/Chimney

  Safe

  At Risk

  N/A

• Heat Exchanger

  Safe

  At Risk

  N/A

• Burners & Cross-Overs

  Safe

  At Risk

  N/A

• Over-Temperature/Safety Controls/Switches

  Safe

  At Risk

  N/A

Heat Pumps/Electric Furnace

• Heat Strips

  Safe

  At Risk

  N/A

• Air Flow Restrictions (not mentioned above)

  Safe

  At Risk

  N/A

• Evidence of Refrigerant Leak(s)

  Safe

  At Risk

  N/A

• Reversing Valve (4-Way Valve) Operates Properly

  Yes

  No

  N/A