Efficiency Report

• Conducted on

  Date

• Prepared by

• Location
  Address

Safety

• Circuit breakers: sized correctly

  Good

  Will need future attention

  Caution

• Disconnect

  Good

  Will need future attention

  Caution

• Gas connections free of leaks

  Yes

  No

• Gas shutoff operation

  Good

  Will need future attention

  Caution

• Inspect flue for proper rise and clearances

• Heat exchanger free of cracks

  Yes

  No

• Low level CO detector in home

  Yes

  No

• Check for combustion air vent

Condition of Air Conditioner

• Air Conditioner

  Media

• Age of equipment

  0-10

  11-15

  16 & Up

• Wire connections tightened

• Defrost timer operation

  Good

  Will need future attention

  Caution

• Reversing valve operation

  Good

  Will need future attention

  Caution

• Low voltage wire condition

  Good

  Will need future attention

  Caution

• Verify proper wire size to unit

• O-ring Schrader caps installed

  Yes

  No

• Condenser fan amps

  Good

  Will need future attention

  Caution

• Compressor amps

  Good

  Will need future attention

  Caution

• Capacitor condition

  Good

  Will need future attention

  Caution

• Outdoor temperature

• Indoor WB temperature

• Temperature drop

• Contactor

  Good

  Will need future attention

  Caution

• Unit superheat

  Good

  Will need future attention

  Caution

• Unit subcool

  Good

  Will need future attention

  Caution

• Start assist kit operational

  Yes

  No

• System free of refrigerant leak

  Yes

  No

• Refrigerant level

  Good

  Will need future attention

  Caution

Indoor Air Quality

• Thermostat operation

  Good

  Will need future attention

  Caution

• Filter

  MicroPower Guard

  Air Bear/Fantastic filter

  Regular 1 inch

• UV germicidal/ozone bulbs present

  Yes

  No

• UV bulbs within manufacturer lifespan

  Yes

  No

• Anti-microbial (pan) treatment

  Yes

  No

Ductwork

• Ductwork

  Media

• Blower wheel cleaned in the last 5 years

  Yes

  No

• Blower wheel

  Media

Condition of Furnace

• Furnace

  Media

• Age of equipment

  0-11

  12-17

  18 & Up

• Return/Supply static pressure

  Good

  Will need future attention

  Caution

• Blower motor amps

  Good

  Will need future attention

  Caution

• Inducer motor amps

  Good

  Will need future attention

  Caution

• Blower capacitor

  Good

  Will need future attention

  Caution

• temperature rise

• Igniter Ohms

  Good

  Will need future attention

  Caution

• Check burner crossover parts

• Electrical components condition

  Good

  Will need future attention

  Caution

• Circuit board free of burn marks

  Yes

  No

• Flame sensor

  Good

  Will need future attention

  Caution

• Pressure switch and hose condition

  Good

  Will need future attention

  Caution

• Hoses blown out and inducer ports cleared of obstructions

• Limit switches and mounts condition

  Good

  Will need future attention

  Caution

• Element amps

  Good

  Will need future attention

  Caution

• Check blower wheel bearings

• Vacuum furnace area and burners

Humidifier/Dehumidifier/Condensation/Drains

• Humidifier

  Media

• Observed proper water flow over water panel

• Checked dehumidifier operation and cleaned filters

• Household humidity

• Drain

  Media

• Primary drain operation properly

• Secondary drain ran properly

• PVC inspected for leaks

• Wet switch in place

  Yes

  No

• Condensate pump operational

  Yes

  No

Post inspection Checklist

• Run air conditioner in all stages

• Run furnace in all stages

• Dampers inspected and position explained to homeowner.

• This is a report from the technician today. Any repairs will be shown on your invoice.

• Technician's signature

  Sign

• Homeowner's signature

  Sign