Title Page
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Report No.
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Report Title
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Client Prepared For - Company
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Client Work Order / Purchase Order
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Location/Property
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Conducted on
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Prepared By
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Equipment Inspection
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Rooftop Unit Equipment (RTU)
RTU
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Equipment Nameplate Photo
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Make / Model / Serial Number
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Heat/Cool or Cooling Only Equipment
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Is there electrical power to the unit?
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Electrical Disconnect Condition
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Is there natural gas to the unit?
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Natural Gas Shut-Off Valve in Good Working Condition?
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Check/Inspect Gas Valve Operation
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Check/Test Heating Safeties
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Inspect Heat Exchanger
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Check/Test Inducer or Combustion Motor
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Check/Test Blower Fan Motor
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Check/Inspect Compressor - Circuit 1
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Check/Inspect Compressor - Circuit 2
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Visual Inspection of Condenser Coil
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Visual Inspection of Evaporator Coil
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Check/Inspect Drain Pan & Trap Assembly
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Check/Test Condenser Fan Motor 1
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Check/Test Condenser Fan Motor 2
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Check Refrigerant Pressures - Circuit 1
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Check Refrigerant Pressures - Circuit 2
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Inspect Economizer Operation/Settings
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Check Equipment Filter(s)
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Check Equipment Belt(s)
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Check/Test Thermostat Operation
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Overall Equipment Condition
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Equipment Inspection Recommendations & Notes
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Make-Up Air Equipment (MUA)
MUA
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Equipment Nameplate Photo
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Equipment Make
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Make / Model / Serial Number
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Type of make-up air
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What type of conditioned air is being provided from this unit?
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Is there electrical power to the unit?
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Check/Inspect Electrical Disconnect Condition
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Is there natural gas to the unit?
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Natural Gas Shut-Off Valve in Good Working Condition?
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Check/Inspect Gas Valve
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Check/Test Heating Safeties
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Inspect Heat Exchanger
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Check/Test Inducer or Combustion Motor
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Check/Test Blower Motor
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Check Operation of Compressor - Circuit 1
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Check Operation of Compressor - Circuit 2
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Visual Inspection of Condenser Coil
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Visual Inspection of Evaporator Coil
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Check/Test Condenser Fan Motor 1
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Check/Test Condenser Fan Motor 2
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Check Refrigerant Pressures - Circuit 1
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Check Refrigerant Pressures - Circuit 2
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Check Equipment Filter(s)
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Check Equipment Belt(s)
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Check Thermostat/Remote Control Panel Operation
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Overall Equipment Condition
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Equipment Inspection Recommendations & Notes
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Ductless AC Split System (DSS)
DSS
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Equipment Nameplate Photo
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Make / Model / Serial Number - Evaporator
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Make / Model / Serial Number - Condenser
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Building Location/Area the Equipment Services
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Location of Split System Condenser
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Is there electrical power to the unit?
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Check/Inspect Electrical Disconnect (@ Condenser)
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Check Compressor Operation
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Check/Test Condenser Fan Motor
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Visual Inspection of Condenser Coil
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Check Refrigerant Pressures
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Visual Inspection of Evaporator Coil
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Check Evaporator Drain Pan
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Inspect/Test Condensate Pump
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Check/Test Evaporator Fan Motor
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Check Evaporator Filter(s)
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Check Thermostat/Remote Control Thermostat Operation
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Overall Equipment Condition
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Equipment Inspection Recommendations & Notes
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Roof Mounted Exhaust Fans (EF)
EF
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Equipment Nameplate Photo
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Make / Model / Serial Number
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Electrical Disconnect Condition
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Exhaust Fan Housing
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Check/Test Exhaust Fan Motor
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Check Bearings & Shaft
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Check Belt
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Overall Equipment Condition
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Equipment Inspection Recommendations & Notes
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Unit Heater (UH)
UH
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Equipment Nameplate
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Make / Model / Serial Number
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Accessibility of Unit Heater
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Condition of Unit Heater Housing
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Natural Gas Shut-Off Valve in Good Working Condition
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Inspect Ignition Assembly Parts
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Check and Inspect Thermocouple
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Test Gas Valve Operation
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Check/Test Inducer Motor Assembly
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Check/Test Heating Safeties
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Check/Test Blower Fan Motor
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Visual Inspection of Heat Exchanger
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Check/Inspect Exhaust Venting
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Check/Test Thermostat Operation
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Overall Equipment Condition
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Equipment Inspection Recommendations & Notes
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Radiant/Tube Heater (RH)
RH
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Equipment Nameplate Photo
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Equipment Make
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Make / Model / Serial Number
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Natural Gas Shut-Off Valve in Good Working Condition
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Check/Clean Ignitor & Flame Sensor
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Inspection Operation of Gas Valve
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Check Inducer Motor Operation
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Check/Inspect RH Burner Section
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Visual Inspection of Tube Sections
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Visual Inspection of Deflectors
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Check/Inspect In-Take & Exhaust Venting
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Check/Test Thermostat
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Overall Equipment Condition
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Equipment Inspection Recommendations & Notes