Title Page

  • Report No.

  • Report Title

  • Client Prepared For - Company

  • Client Work Order / Purchase Order

  • Location/Property
  • Conducted on

  • Prepared By

Equipment Inspection

  • Rooftop Unit Equipment (RTU)

  • RTU
  • Equipment Nameplate Photo

  • Make / Model / Serial Number

  • Heat/Cool or Cooling Only Equipment

  • Is there electrical power to the unit?

  • Electrical Disconnect Condition

  • Is there natural gas to the unit?

  • Natural Gas Shut-Off Valve in Good Working Condition?

  • Check/Inspect Gas Valve Operation

  • Check/Test Heating Safeties

  • Inspect Heat Exchanger

  • Check/Test Inducer or Combustion Motor

  • Check/Test Blower Fan Motor

  • Check/Inspect Compressor - Circuit 1

  • Check/Inspect Compressor - Circuit 2

  • Visual Inspection of Condenser Coil

  • Visual Inspection of Evaporator Coil

  • Check/Inspect Drain Pan & Trap Assembly

  • Check/Test Condenser Fan Motor 1

  • Check/Test Condenser Fan Motor 2

  • Check Refrigerant Pressures - Circuit 1

  • Check Refrigerant Pressures - Circuit 2

  • Inspect Economizer Operation/Settings

  • Check Equipment Filter(s)

  • Check Equipment Belt(s)

  • Check/Test Thermostat Operation

  • Overall Equipment Condition

  • Equipment Inspection Recommendations & Notes

  • Make-Up Air Equipment (MUA)

  • MUA
  • Equipment Nameplate Photo

  • Equipment Make

  • Make / Model / Serial Number

  • Type of make-up air

  • What type of conditioned air is being provided from this unit?

  • Is there electrical power to the unit?

  • Check/Inspect Electrical Disconnect Condition

  • Is there natural gas to the unit?

  • Natural Gas Shut-Off Valve in Good Working Condition?

  • Check/Inspect Gas Valve

  • Check/Test Heating Safeties

  • Inspect Heat Exchanger

  • Check/Test Inducer or Combustion Motor

  • Check/Test Blower Motor

  • Check Operation of Compressor - Circuit 1

  • Check Operation of Compressor - Circuit 2

  • Visual Inspection of Condenser Coil

  • Visual Inspection of Evaporator Coil

  • Check/Test Condenser Fan Motor 1

  • Check/Test Condenser Fan Motor 2

  • Check Refrigerant Pressures - Circuit 1

  • Check Refrigerant Pressures - Circuit 2

  • Check Equipment Filter(s)

  • Check Equipment Belt(s)

  • Check Thermostat/Remote Control Panel Operation

  • Overall Equipment Condition

  • Equipment Inspection Recommendations & Notes

  • Ductless AC Split System (DSS)

  • DSS
  • Equipment Nameplate Photo

  • Make / Model / Serial Number - Evaporator

  • Make / Model / Serial Number - Condenser

  • Building Location/Area the Equipment Services

  • Location of Split System Condenser

  • Is there electrical power to the unit?

  • Check/Inspect Electrical Disconnect (@ Condenser)

  • Check Compressor Operation

  • Check/Test Condenser Fan Motor

  • Visual Inspection of Condenser Coil

  • Check Refrigerant Pressures

  • Visual Inspection of Evaporator Coil

  • Check Evaporator Drain Pan

  • Inspect/Test Condensate Pump

  • Check/Test Evaporator Fan Motor

  • Check Evaporator Filter(s)

  • Check Thermostat/Remote Control Thermostat Operation

  • Overall Equipment Condition

  • Equipment Inspection Recommendations & Notes

  • Roof Mounted Exhaust Fans (EF)

  • EF
  • Equipment Nameplate Photo

  • Make / Model / Serial Number

  • Electrical Disconnect Condition

  • Exhaust Fan Housing

  • Check/Test Exhaust Fan Motor

  • Check Bearings & Shaft

  • Check Belt

  • Overall Equipment Condition

  • Equipment Inspection Recommendations & Notes

  • Unit Heater (UH)

  • UH
  • Equipment Nameplate

  • Make / Model / Serial Number

  • Accessibility of Unit Heater

  • Condition of Unit Heater Housing

  • Natural Gas Shut-Off Valve in Good Working Condition

  • Inspect Ignition Assembly Parts

  • Check and Inspect Thermocouple

  • Test Gas Valve Operation

  • Check/Test Inducer Motor Assembly

  • Check/Test Heating Safeties

  • Check/Test Blower Fan Motor

  • Visual Inspection of Heat Exchanger

  • Check/Inspect Exhaust Venting

  • Check/Test Thermostat Operation

  • Overall Equipment Condition

  • Equipment Inspection Recommendations & Notes

  • Radiant/Tube Heater (RH)

  • RH
  • Equipment Nameplate Photo

  • Equipment Make

  • Make / Model / Serial Number

  • Natural Gas Shut-Off Valve in Good Working Condition

  • Check/Clean Ignitor & Flame Sensor

  • Inspection Operation of Gas Valve

  • Check Inducer Motor Operation

  • Check/Inspect RH Burner Section

  • Visual Inspection of Tube Sections

  • Visual Inspection of Deflectors

  • Check/Inspect In-Take & Exhaust Venting

  • Check/Test Thermostat

  • Overall Equipment Condition

  • Equipment Inspection Recommendations & Notes

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.