HVAC Inspection Checklist (HP)

• Conducted on

  Date

• Inspection Type

  HVAC Heating Inspection

  HVAC Cooling Inspection

• Inspection #

• Customer Name

• Inspection Location
  Address

• Company

  Synergy HVAC

• Prepared by

  Jack Santacroce

Condition of Indoor Unit (Air-Handler)

• Air handler Condition

  Pass

  Good

  Fair

  Poor

  N/A

• Name Plate

  Media

• Thermostat Condition/Operation

  Pass

  Good

  Fair

  Poor

  N/A

• Return Air Temperature (*F)

• Supply Air Temperature (*F)

• Delta T (*F)

• Filter

  Clean

  Semi-dirty

  Dirty

  N/A

• Evaporator coil

  Clean

  Semi-dirty

  Dirty

  N/A

• Air purification

  Pass

  Fail

  N/A

• Primary Drain line

  Clear

  Some build-up

  Clogged

• Secondary Drain line

  Clear

  Some build-up

  Clogged

• Safety controls/ switches

  Pass

  Fail

  N/A

• Drain Pan Condition

  Select Good Fair Poor Need to replace due to condition

  • Good
  • Fair
  • Poor
  • Need to replace due to condition

• Drain Pan Safety Switch

  Pass

  Fail

  N/A

• Refrigerant Pipe insulation Condition

  Pass

  Good

  Fair

  Poor

  N/A

• Blower motor Operation

  Pass

  Good

  Fair

  Poor

  N/A

• Blower wheel Condition

  Clean

  Semi-dirty

  Dirty

  N/A

• Capacitor (Blower Motor)

  Within Tolerance %

  Outside Tolerance %

  Failed

  N/A

• Transformer

  HVAC Heating Inspection

  HVAC Cooling Inspection

• Disconnect

  Compliant

  Non-Compliant

  N/A

• Circuit board Condition/Operation

  Pass

  Fail

  N/A

• Heater Kit Operation

  Pass

  Fail

  N/A

Condition of the Outdoor Unit (Heat-Pump)

• Condenser Condition

  Pass

  Good

  Fair

  Poor

  N/A

• Name Plate

  Media

• Condenser pad

  Compliant

  Non-Compliant

  N/A

• Service disconnect

  Compliant

  Non-Compliant

  N/A

• Surge protector

  Compliant

  Non-Compliant

  N/A

• Electrical whip

  Compliant

  Non-Compliant

  N/A

• Defrost controls

  Pass

  Fail

  N/A

• Contactor

  Pass

  Fail

  N/A

• Capacitor

  Within Tolerance %

  Outside Tolerance %

  Failed

  N/A

• Start assist

  Within Tolerance %

  Outside Tolerance %

  Failed

  N/A

• Circuit board Condition/Operation

  Pass

  Fail

  N/A

• Fan motor Operation

  Pass

  Good

  Fair

  Poor

  N/A

• Fan blade Condition

  Pass

  Fail

  N/A

• Compressor

  Pass

  Good

  Fair

  Poor

  N/A

• Reversing valve

  Pass

  Fail

  N/A

• Condenser coils

  Clean

  Semi-dirty

  Dirty

  N/A

• Refrigerant Leaks (Visual inspection)

  No Visual Leaks

  Leak

• Outdoor Refrigeration pipe Insulation Condition

  Pass

  Good

  Fair

  Poor

  N/A

Condition of Ducts & Ventilation

• Ductwork type

  Metal

  Flex

  Metal/Flex

• Ductwork sealing

  Yes

  No

  N/A

Overall Heating Inspection Result

• Rating

  Select Good Fair Poor Need to replace due to condition

  • Good
  • Fair
  • Poor
  • Need to replace due to condition

Signature

• Signature

  Sign