HVAC Inspection

• Inspection Date:

  Date

Tap to enter information

• Thermo Fisher Scientific- Patheon

• 5900 Martin luther King Ave Greenville, NC

• Preventive Maintenance #

• Functional Location #

Rooftop Units (RTU)/Make-Up Air Units (MUA)/Air Handling Units (AHU)

• Was any Air Handling Equipment inspected i.e. /Make-Up Air/PAC/AHU/DAC

  Yes

  not on this visit

  not applicable

• Packages heating/cooling rooftop (RTU) units inspected

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Make-Up Air (MUA) equipment inspected

  Yes

  No

  N/A - does not apply

• Air Handling Units (AHU) equipment inspected

  Select Yes Yes- PAC Yese-DAC No N/A - does not apply

  • Yes
  • Yes- PAC
  • Yese-DAC
  • No
  • N/A - does not apply

• Inspect equipment electrical disconnect(s).

  Safe

  At Risk

  N/A

• Visual inspection of equipment housing for damage

  Safe

  At Risk

  N/A

• Visual inspection of chill water coils coil(s) - comment on damage/if cleaning required

  Good

  Issue

  not on this inspection

  N/A

• Check drain pans and p-traps- comment on damage/if cleaning required

  Good

  Issue

  not on this inspection

  N/A

• Check supply air fan(s)

  Good

  Issue

  not on this inspection

  N/A

• Check return air Fan(s)

  Good

  Issue

  not on this inspection

  N/A

• Check winter operation components (i.e. preheat valve, freeze stat)

  Good

  Issue

  not on this inspection

  N/A

• Check equipment belts and sheaves.

  Good

  Issue

  not on this inspection

  N/A

• Check supply fan motor shaft and bearings.

  Good

  Issue

  not on this inspection

  N/A

• Test safeties and shutoff response.

  Good

  Issue

  not on this inspection

  N/A

• Check fresh air hood and louvers.

  Good

  Issue

  not on this inspection

  N/A

• Inspect economizer section are in operation.

  Good

  Issue

  not on this inspection

  N/A

• Check evaporator coil (indoor coil) and advise on condition

  Clean

  Dirty

  N/A

  not on this visit

• Check and verify controls/thermostat are in operation.

  Good

  Issue

  not on this inspection

  N/A

Exhaust Fans (EF)

• Exhaust supply fan equipment inspected .

  Yes

  not on this visit

  not applicable

• Inspect exhaust fan electrical disconnect(s)

  Safe

  At Risk

  N/A

• Visual inspection of exhaust fan housing.

  Good

  Issue

  not on this inspection

  N/A

• Has the exhaust fan motors/bearings been lubricated.

  Good

  Issue

  not on this inspection

  N/A

• Inspect/check exhaust fan drive shafts

  Good

  Issue

  not on this inspection

  N/A

• Check and adjust exhaust fan belts and sheaves.

  Good

  Issue

  not on this inspection

  N/A

• Add media

  Media

Preventative Maintenance Findings

• Are there any equipment issues discovered during this audit?

  Yes

  No

• Maintenance Comment: All HVAC equipment inspected is operating normally at this time.

Equipment Issue Summary

• Equipment Tag/Make/Model No./Serial No.

• Issue

• Are there any general audit notes or comments?

  Yes

  No

• General Maintenance Comments/Notes

Maintenance Audit Sign-Off

• This maintenance inspection was completed as per required tasking.

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Is there a authorized person available for a maintenance sign-off?

  Yes

  No

• Any issues that have been discovered during this maintenance inspection has been conveyed to the appropriate personnel .
  

• Authorized Signature

  Sign

• Any issues that have been discovered during this maintenance audit will have an corrective notification generated.

• Is there someone available for a maintenance sign-off?

  Yes

  No

• Any issues that have been discovered during this maintenance visit have been conveyed or will be conveyed to the appropriate personnel and they have advised or will advise the corrective measures that are to be undertaken. I acknowledged that Fiscom Air Systems Inc. has preformed and completed the regular scheduled maintenance inspection work as outlined herein, as per the Maintenance Agreement.
  

• Authorized Signature

  Sign

• Any issues that have been discovered during this property's maintenance visit will be conveyed to the appropriate person via email and if required, they will be advise of any corrective measures that are to be undertaken.