Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Store Manager

  • Auditor

HVAC

AC System

  • Responsibility of HVAC

  • Central Air Conditioning plant installed?

  • AC System

  • Unit
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  • Serving Area

  • Unit Manufacturer

  • Unit Model

  • Unit Serial

  • Unit Type

  • Unit Configuration

  • Cooling Capacity in Btu

  • Heating Capacity in Btu

  • Controller

  • Add media

  • Type

  • Model

  • Additional Information

  • Compressors

  • Compressors installed

  • Compressor
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  • Manufacturer

  • Model

  • Serial

  • Type

  • Additional Information

  • Evaporator Fan & Motor

  • Fan & Motor

  • Unit
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  • Fan Manufacturer

  • Fan Model

  • Fan Serial

  • Motor Manufacturer

  • Motor Voltage

  • Motor Model

  • Motor Serial

  • Fan Wedge Belt size

  • Wedge Belt quantity

  • Additional Information

  • Condenser

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  • Condenser Type

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  • Manufacturer

  • Model

  • Serial

  • Fan Motor Manufacturer

  • Fan Motor Serial

  • Fan Wheel Manufacturer

  • Fan Wheel Model

  • Fan Wheel Serial

  • Wedge Belt Size

  • Wedge Belt Quantity

  • Bearings Size

  • Bearing Quantity

  • Pump Motor Manufacturer

  • Pump Motor Model

  • Pump Motor Serial

  • Pump Manufacturer

  • Pump Model

  • Pump Serial

  • Damper Motor Manufacturer

  • Damper Motor Model

  • Damper Motor Serial

  • Additional Information

  • Add media

  • Manufacturer

  • Model

  • Serial

  • Additional Information

  • Type of Cooling Tower

  • Fan Motor Assembly

  • Assembly
  • Fan Assembly Manufacturer

  • Fan Assembly Model

  • Fan Assembly Serial

  • Fan Motor Manufacturer

  • Fan Motor Model

  • Fan Motor Serial

  • Fan Wheel Manufacturer

  • Fan Wheel Model

  • Fan Wheel Serial

  • Wedge Belt Size

  • Wedge Belt Quantity

  • Bearings Size

  • Bearing Quantity

  • Pump Motor Manufacturer

  • Pump Motor Model

  • Pump Motor Serial

  • Pump Manufacturer

  • Pump Model

  • Pump Serial

  • Damper Motor Manufacturer

  • Damper Motor Model

  • Damper Motor Serial

  • Additional Information

  • Air cooled condensers

  • Condenser
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  • Manufacturer

  • Model

  • Serial

  • Fan Assembly Manufacturer

  • Fan Assembly Model

  • Quantity of Fan Assemblies per condenser

  • Additional Information

  • Comments

Plant operation and control

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  • System in service?

  • Plant control selection:

  • All temperature sensors in range?

  • Controller/ Control panel free from alarms?

  • All buttons, switches, indication lights and displayes in working condition?

  • Date and time settings correct on controller/ 7 day timer?

  • Scheduled ON/OFF program set on controller/ 7 day timer?<br>

  • FR cable connected to fire relay/ input?

  • Comments

Electrical enclosure and safeties

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  • Glands used on all cable enteries?

  • Control and fan circuit fed from Emergency section?

  • Compressors & heaters fed from Normal section?

  • All circuit breakers in the ON position?

  • Conductors/cables free from signs of overheating and surface damage?

  • Terminals and connection free from signs of overheating and damage?

  • Protection and safety devices wired properly and have not been bypassed?

  • Phase/ sequence failure relays functional?

  • Safety and protection devices functional?<br>

  • Unit and components earthed?

  • Panel clean and dry?

  • All wiring neat and trunking covers in place?

  • Lights and plug points in working condition?

  • Comments

Ventilation and filtration

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  • Condition of filter bank?

  • Filter Quantities and sizes

  • Wedge belts tensioned and in good condition?

  • Drive guards in place and secured?

  • Fan motor free from defects, abnormal noise or vibration?

  • Supply air fan free from defects, abnormal noise or vibration?

  • Emergency STOP switch installed and within reach from motor?

  • Economy damper motors installed and functional?

  • Comments

Heating

  • Type of heating?

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  • Operational?

  • Comments

  • Add media

  • Operational

  • Heater elements free from surface rust and damage?

  • Terminal connections and cabling free from signs of overheating?

  • Comments

Refrigeration circuit

  • Add media

  • Refrigerant circuit

  • Circuit
  • Compressor

  • Compressor
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  • Compressor operational?

  • Oil level (%):

  • Suction Pressure (kPa):

  • Discharge Pressure (kPa):

  • Free from refrigerant and oil leaks?

  • Free from abnormal vibration and noise?

  • Compressor properly secured?

  • Unloaders functional?

  • Crankcase heater installed and functional?

  • Circuit free from pressure or temperature loss across liquid/ suction line driers?<br>

  • Liquid line solenoid valve operational and system pump down functional?

  • Expansion device functional, feeler bulb insulated and distributor lines free of frost?

  • Comments

Condensing unit

  • Type of condenser

  • Spray pump & motor assembly operational without defects or water leakages?

  • Fan motor and fan drum operational without any defects?

  • Wedge belts and pulleys in good condition

  • Damper motor functional?

  • Spray nozzles operational without blockages?

  • Refrigerant lines inside evaporative condenser still in good condition?

  • Water treatment system in place and functional?

  • Float valve functional and set correctly?

  • Sump clean and free from water leakages?

  • Comments

  • Condenser coils clean and in good condition?

  • Condensers free from refrigerant leaks?

  • Fan cycle switches set correctly?

  • All condenser fans operational?

  • Does the fans turn in the correct direction?

  • Comments

  • Spray pump & motor assembly operational without defects or water leakages?

  • Fan motor and fan drum operational without any defects?

  • Fan Assemblies operational without defects?

  • Wedge belts and pulleys in good condition?

  • Damper motor functional?

  • Spray nozzles operational without blockages?

  • Refrigerant lines inside evaporative condenser still in good condition?

  • Water treatment system in place and functional?

  • Float valve functional and set correctly?

  • Sump clean and free from water leakages?

  • Comments

General

  • Unit free from corrosion?

  • Does the chamber doors seal properly?

  • Are the unit well maintained?<br>

  • Condensate water draining freely from the unit?

  • All ducting and canvas still in good condition?

  • Fusible links installed on dampers?

  • Unit base standing on Teco pads?

  • Ducting in good clean condition?

  • Comments

Split air conditioners

  • Split Air Conditioners installed?

  • Split air conditioning units

  • Unit
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  • Area serving

  • Indoor unit

  • Type

  • Manufacturer

  • Model

  • Serial

  • Cooling Capacity in Btu

  • Heating Capacity in Btu

  • Outdoor unit

  • Manufacturer

  • Model

  • Serial

  • Refrigerant type

  • Additional Information

  • Unit operational?

  • Heating and cooling properly?

  • Unit free from refrigerant leaks?

  • Remote controller in working condition?

  • General condition?

  • Comments

Ventilation

  • Ventilation or Extraction fans installed? <br>(Exclude smoke extraction fans from this section)

  • Ventilation/ Extraction

  • Ventilation fan
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  • Area serving:

  • Manufacturer

  • Model

  • Serial

  • Additional Information

  • Operational?

  • Free from corrosion and damage?

  • Louvres in good condition?

  • Comments

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.