HAVCL 12 HEATING INSPECTION 2022

• Site conducted

  Select

• Conducted on

  Date
• Address
  Address

• Prepared by

  Darryl Smith

  Denis Michaud

  Other

• Certificate Number: 224840A

• Certificate Number: 137870A

• Certificate Number:

FURNACE

• Make of Furnace:

  Select Goodman Trane Comfortmaker York American Standard Frigidaire Ameristar OTHER

  • Goodman
  • Trane
  • Comfortmaker
  • York
  • American Standard
  • Frigidaire
  • Ameristar
  • OTHER

• Type Make of Furnace

• Model Number:

• Furance Serial Number:

• BTU Input Rating:

  Select 40,000 50,000 60,000 70,000 80,000 90,000 100,000 Other

  • 40,000
  • 50,000
  • 60,000
  • 70,000
  • 80,000
  • 90,000
  • 100,000
  • Other

• undefined

• Year Installed:

• Access Tee installed

  Yes

  No

• Size of Port Installed

  2"

  3"

• Thermostat Make:

  Honeywell

  Nest

  Other

• undefined

• Thermostat Model:

  TH6110D1005

  OTHER

• undefined

• Thermostat

  Ok

  Defective

  N/A

• inform DCC and take note here

• Automatic gas/fuel control valve assembly

  Ok

  Defective

  N/A

• inform DCC and take note here

• System operating pressure

  Ok

  Defective

  N/A

• inform DCC and take note here

• Operation of safety limit controls

  Ok

  Defective

  N/A

• inform DCC and take note here

• Flame spreader

  Ok

  Defective

  N/A

• inform DCC and take note here

• Flow switch

  Ok

  Defective

  N/A

• inform DCC and take note here

• Clean & adjust burner orifices

  Ok

  Defective

  N/A

• inform DCC and take note here

• Gas regulator

  Ok

  Defective

  N/A

• inform DCC and take note here

• Thermocouple

  Ok

  Defective

  Not Applicable

• inform DCC and take note here

• Perform necessary adjustments to achieve peak performance

  Ok

  Defective

  N/A

• inform DCC and take note here

• Efficiency (%)

• Gas piping to appliance

  Ok

  Defective

  N/A

• inform DCC and take note here

• Automatic vent damper & motor

  Ok

  Defective

  N/A

• inform DCC and take note here

• Lube pumps and motors

  Ok

  Defective

  N/A

• inform DCC and take note here

• Check and clean venting, flue and fresh air intake

  Ok

  Defective

  N/A

• inform DCC and take note here

• Perform CO/Combustion efficiency test (heat exchanger and flues)

  Ok

  Defective

  N/A

• inform DCC and take note here

• Check and clean blower motor, wheel and fan

  Ok

  Defective

  N/A

• inform DCC and take note here

• Check and clean Heat Exchanger

  Ok

  Defective

  N/A

• inform DCC and take note here

• Fan belt tension

  Ok

  Defective

  Not Applicable

• inform DCC and take note here

• Fan alignment

  Ok

  Defective

  N/A

• inform DCC and take note here

• Electric ignition system

  Ok

  Defective

  N/A

• inform DCC and take note here

• Check all electrical connections for tightness and cleanliness (clean and tighten where necessary)

  Ok

  Defective

  N/A

• inform DCC and take note here

• Inspect 636 PVC exhaust/intake piping to exterior of RHU

  Ok

  Defective

  N/A

• inform DCC and take note here

• Inspect furnace condensate lines and inspect condensate pump

  Ok

  Defective

  N/A

• inform DCC and take note here

• Low voltage fuse

  Ok

  Defective

  N/A

• inform DCC and take note here

• Relays

  Ok

  Defective

  N/A

• inform DCC and take note here

• Replace Air filter

  Yes

  Occupant

• Size of filter

  14x25

  16x25

  20x25

• Additional Notes:

HUMIDIFIER

• Is there a Humidifier

  Yes

  No

• Make

• Model

• Humidistat

  Ok

  Defective

• inform DCC and take note here

  Yes

  No

• Clean Humidifier tray, float and pad.

  Ok

  Defective

  N/A

• inform DCC and take note here

• Additional Note

HOT WATER TANK

• Make of HWT

  Select Rheem John Wood Bradford White GSW AO Smith Other

  • Rheem
  • John Wood
  • Bradford White
  • GSW
  • AO Smith
  • Other

• Type Make of HWT

• Type

  Conventional Draft

  Power Vent

  Direct Vent

• BTU Input Rating

  30,000

  36,000

  40,000

  50,000

  Other

• undefined

• Year Installed

• HWT Serial Number

• Access Tee installed

  Yes

  No

• Size of Port Installed

  2"

  3"

• Automatic gas/ fuel control valve assembly

  Ok

  Defective

  N/A

• inform DCC and take note here

• Gas / fuel regulator

  Ok

  Defective

  N/A

• inform DCC and take note here

• Thermocouple

  Ok

  Defective

  Not Applicable

• inform DCC and take note here

• Inspect and clean intake screen on bottom of tank.

  Ok

  Defective

  N/A

• inform DCC and take note here

• Perform CO/Combustion efficiency test (heat exchanger and flues)

  Ok

  Defective

  N/A

• inform DCC and take note here

• Gas piping to appliance.

  Ok

  Defective

  N/A

• inform DCC and take note here

• Electric ignition system

  Ok

  Defective

  N/A

• inform DCC and take note here

• Check all electrical connections for tightness and cleanliness (clean and tighten where necessary).

  Ok

  Defective

  N/A

• inform DCC and take note here

• Temperature set to maximum 40 C

  Ok

  Defective

  N/A

• inform DCC and take note here

• Thermostat

  Ok

  Defective

  N/A

• inform DCC and take note here

• Relief tube extends to 300mm off floor

  Ok

  Defective

  N/A

• inform DCC and take note here

• Venting and fresh air intake

  Ok

  Defective

  N/A

• inform DCC and take note here

• Manually operate HWT pressure relief valve

  Ok

  Defective

  N/A

• inform DCC and take note here

• Perform necessary adjustments to achieve peak performance

  Ok

  Defective

  N/A

• inform DCC and take note here

• Additional Notes:

SMOKE & CO DETECTORS

• Smoke Detector

  Yes

  No

• Quantity

Model

• Model Number

  BRK 9120 BA

  BRK 7010 BA

  Other

• Type Model Number

• Replace By

• CO Detector

  Yes

  No

• Quantity

Model

• Model Number

  CO 5120BNA

  CO 5120 BA

  OTHER

• Type Model Number

• Replace By

• Smoke & CO Combination Detector

  Yes

  No

• Quantity

Model

• Model Number

  SC 9120 BA

  SC 5120 BA

  OTHER

• Type Model Number

• Replace By

• Garage or Other location

  Yes

  No

• Quantity

Model

• Model Number

  SC 9120 BA

  SC 5120 BA

  OTHER

• Type Model Number

• Replace By

• AA Quantity:

• AAA Quantity:

• 9V Quantity:

• Attached Garage?

  Yes

  No

• Condition of Detectors on arrival?

  Good

  Bad

• inform DCC and take note here

• Clean all detectors & vent holes free of obstructions.

  Ok

  Defective

• inform DCC and take note here

• Interconnection between detectors?

  Ok

  Defective

• inform DCC and take note here

• Verification of all detectors in power failure mode?

  Ok

  Defective

• inform DCC and take note here

• Reinstalled any detectors that have been removed and securely fastened to wall/ceiling?

  Yes

  No

• Please inform DCC immediately !!!

• Is there a disconnect switch between breaker and alarm?

  Yes

  No

• Additional Notes:

DRYER VENT

• Clean & Re-installed

  Yes

  No

• Please inform DCC

SUMP PUMP

• Does this unit have a sump?

  Yes

  No

• Manufacturer’s instructions available (On Site ?)

  Yes

  No

• Clean sump pit

  Ok

  Defective

• inform DCC and take note here

• Check and clean sump float, relocate float for proper operation in sump hole if required

  Ok

  Defective

• inform DCC and take note here

• Flush sump pit

  Ok

  Defective

• inform DCC and take note here

• Lubricate as required

  Ok

  Defective

• inform DCC and take note here

• Verify operation of check valves - clean as necessary

  Ok

  Defective

• inform DCC and take note here

• Check discharge piping condition and connections, tighten/secure as necessary

  Ok

  Defective

• inform DCC and take note here

• Pump discharges adequate distance from foundation wall

  Ok

  Defective

• inform DCC and take note here

• Sump pit covered

  Ok

  Defective

• inform DCC and take note here

• Clean pump including screen(s)

  Ok

  Defective

• inform DCC and take note here

• Check electrical wiring and connections – tighten/secure as necessary

  Ok

  Defective

• inform DCC and take note here

• Sump pump operates as intended

  Yes

  No

• inform DCC and take note here

• Additional Notes

ELECTRICAL PANEL

• Year Installed

• Amperage

• Available Slots

BACKWATER CHECK VALVE

• Backwater Check Valve in Unit?

  Yes

  No

• Manufacturer:

• Year Installed:

• Model:

• Valve Location:

• Manufacturer's Instructions Availble on Site?

  Yes

  No

• Inpect body and gate for debris

  Ok

  Defective

• inform DCC and take note here

• Clean and flush valve body and gate

  Ok

  Defective

• inform DCC and take note here

• Inspect and confim propoer operation

  Ok

  Defective

• inform DCC and take note here

• Test Valve for proper operation

  Ok

  Defective

• inform DCC and take note here

• Alert occupants of its presence and operation, Contact CFHA if Required.

  Yes

  No

• Back valve operates as intended

  Yes

  No

• inform DCC and take note here

• Inspect and Clean Floats as necessary

  Ok

  Defective

• inform DCC and take note here

• Additional Notes:

TANKLESS WATER HEATER

• Boiler system in Unit?

  Yes

  No

• Manufacturer:

  Navien

  Other

• Type Manufacturer here

• Model:

• Year Installed:

Total Batteries Replaced

• AA

• 9V

Before flushing gather the following items:

• * Refer to Annex C in Boilers Manufacturers Maintenance Manual for further details and diagram below of steps to complete flushing of system.

  

• A 5 galon bucket, cleaning solution with water, 3 hoses, and a water circulation pump. - OK

• 1. Press the Power button on the front panel to turn off boiler.

  Ok

  Defective

• 2. Disconnect the power supply to the boiler.

  Ok

  Defective

• 3. Close the "C" and "D" valves on the supply and return water lines.

  Ok

  Defective

• 4. Connect one tube to the "A" valve and place the free end on the bucket.

  Ok

  Defective

• 5. Connect one of the tubes to the circulation pump outlet and the return water line at the "B" valve.

  Ok

  Defective

• 6. Connect one tube to the circulation pump inlet and place the free end in the bucket.

  Ok

  Defective

• 7. Pour the cleaning solution into the bucket.

  Ok

  Defective

• 8. Open both "A" and "B" valves.

  Ok

  Defective

• 9. Turn on the circulation pump and allow the solution to circulate through the boiler for at least 45 minutes.

  Ok

  Defective

• 10. Rinse the cleaning solution from the boiler:<br><br>a. Remove the free end of the drain tube from the bucket and place it in the condensate drain or laundry tub (whereever the boiler drains).<br>b. Close the "B" valve and open the "D" valve. Do not open the "C" valve yet.<br>c. Allow the water to flow through the boiler for 5 minutes.<br>Close the "A" valve and open the "C" valve.

  Ok

  Defective

• 11. Disconnect all tubes.

  Ok

  Defective

• 12. Remove the strainer from the boiler and clean out any residue.

  Ok

  Defective

• 13. Reinsert the filter and ensure the filter cap is securely tightened.

  Ok

  Defective

• 14. Reconnect the power supply to the boiler.

  Ok

  Defective

• 15. Press the Power button on the front panel to turn on the boiler.

  Ok

  Defective

• 16. Ensure the boiler is operating normally for a few minutes before leaving the residence.

  Ok

  Defective

• 17. Clean and rinse out condensate trap.

  Ok

  Defective

• Additional Notes:

HRV / ERV

• Air Exchanger (HRV/ERV) in Unit?

  Yes

  No

• HRV/ERV

  HRV

  ERV

• Manufacturer:

• Model:

• Year Installed:

• Manufacturer's Instructions Availble on Site?

  Yes

  No

• Cleaned or replaced filters?

  Yes

  No

• Clean recovery core

  Yes

  No

• Clean wheels/blades

  Yes

  No

• Clean blower motor

  Yes

  No

• Clean condensation tray

  Yes

  No

• Oil components as per manufacturer instructions

  Yes

  No

• Wipe down entire unit inside and out

  Yes

  No

• Clean exterior intake and exhaust hoods and grilles

  Yes

  No

• Clean all interior exhast grilles (fully ducted only)

  Yes

  No

• Clean as necessary, ducting between unit & exterior intake & exhaust hoods

  Yes

  No

• Checked controls

  Yes

  No

• Checked all operating modes

  Yes

  No

• Balanced HRV given exisitng house ventilation systems

  Yes

  No

• Air exchanger installation conforms to manufacturers requirements?

  Yes

  No

• Air exchanger operates as intended?

  Yes

  No

• inform DCC and take note here

• Additional Notes:

INSPECTION VERIFICATION

• Inspector Signature

  Sign