Title Page
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Location
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Conducted on
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Prepared by
Level I Verification
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Visual Inspection of Unit for Fit and Finish of Installation
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Take Photos from multiple angels on both load and unload side
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Is there damage to the unit? If Yes, provide pictures of damage
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Assign responsible person to follow up and repair/replace damaged components
Level II Verification
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Unit(s) Placed per drawings
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Unit(s) Leveled
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Seismic Anchoring executed as required
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Inspect door(s) for proper alighment, no binding during open or close, Latch adjusted
Utilities
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Verify electrical connection is correct and power cord is routed properly
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Ensure Exhaust is connected properly (for units with Vent Hood)
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Verify HEPA and Pre-filter are installed
Inspect Panels, Trim and enclosure installation for completeness, fit, and finish
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All components installed properly
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All Panels and Trim installed
Level III Verification
Final Acceptance
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All Surfaces Cleaned and/or Polished
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Install Meets Belimed Standards
Inspection Sign Off
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Add any general inspection comments
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Signature (provide First Name, Last Name, Position