Title Page
-
This Document is Being Prepared by (name):
-
Today's Date
-
Customer/Client Name & WO/Job Number
-
Address
(Old) Unit Being Replaced
-
Manufacturer of Old Unit
-
Model Number of Old Unit
-
Serial Number
-
Old Unit Location
-
Old Unit#
-
Area That Old Unit Serviced
-
Refrigerant Type
-
Total Amount of Refrigerant in System
(New) Condensing Unit Information (Section 1 of 2)
(New) Condensing Unit Information (Section 1 of 2)
-
Manufacturer
-
Unit Number
-
New Model Number
-
New Serial Number
-
What type of refrigerant will this unit be using?
-
What Area Will Unit Be Serving?
-
Unit Tonage
-
Unit Voltage
-
Actual Voltage
-
Control Voltage
-
Sight Glass
-
Sight Glass Status
-
Outdoor Ambient
-
Condenser Air Temp
-
Were Compressor Shipping Mounts Checked?
-
Were Compressor Shipping Mounts Loose?
-
Transformer Taps
-
Sub Cooling
-
CCH Operational? <br>
-
Hot Gas Bypass Operational?
-
Hot Gas Bypass Setiing
-
Headmaster
-
Headmaster Setting
-
Low Ambient Kit?
-
Low Ambient Setting
-
(New) Condensing Unit Information (Section 2 of 2)
(New) Condensing Unit Information (Section 2 of 2)
-
Compressor Information
Compressor
-
Compressor Type
-
Model Number
-
Serial Number
-
Design Amps
-
Actual Amps
-
Suction Pressure
-
Discharge Pressure
-
Suction Temp
-
Superheat
-
LP Safety Trip @
-
HP Safety Trip @
-
Condenser Fan Information
Condenser Fan
-
HP
-
Design Amps
-
Actual Amps
Air Handling Unit Info
(OLD) Air Handling Unit Information
-
Manufacturer
-
Model Number
-
Serial Number
(NEW) Air Handling Unit Information
-
Manufacturer
-
Model Number
-
Serial Number
-
Unit Number
-
Unit Tonage
-
Design Voltage
-
Actual Voltage
-
Motor/ Pulley Alignment Verified?
-
Was Belt Tension Tested?
-
Metering Device Being Used
If TXV is being used please answer the following 3 questions regarding TXV
-
TXV Bulb Mount
-
Is TXV Mounted?
-
Is TXV Tight?
-
Insulated
-
Condensate Drain Trapped?
-
AHU Fan Info
Fan
-
Return Air Temperature
-
Supply Air Temperature
-
T-Stat Program
-
Fans
Fan
-
Fans H/P
-
Design Amps
-
Actual Amps
Belts
-
Size
Filters
-
Size
Economizer & Heating
Economizer
-
Changeover
-
Mixed Air
-
Minimum POS %
Heating: Electric Resistance
-
Phase
-
Volts
-
Amps
Stage
-
Amps
Heating: Gas Fired
-
Gas Piping Leak Checked?
-
BTU/HR
W/C
-
W/C
-
Return Air Temp
-
Supply Air Temp
-
Ignition Type
-
Inlet Gas Press
-
Power Vent
-
High Limit Checked?
-
Any Additional Comments Regarding Heating
General
General
-
Has this job site been completely cleaned-up?
-
Have all electrical connections been checked?
-
Have all tools been picked up and returned?
-
Notes
-
Outdoor Air Temperature
-
Additional Comments Regarding This Job:
-
Do we need to return for Heating or Cooling start up?