Title Page

  • Site conducted

  • Conducted on

  • Please select and move forward

  • Prepared by

  • Site ID
  • VUE Work Order Number

  • What is Outside Air Temp

  • What is the Delta T

  • Verify the unit thermostat is accurate, operating properly, and programmed to PNC set point schedule

  • Add notes or action here

  • If unit is new and has not been serviced yet, please complete the PNC Retail HVAC Assessment - Survey Form NEW 1.2 as well

  • Unit Type

  • Unit Name/# (for example, the second package unit would be named PKG-02)

  • Unit Location

  • Inspect cabinet for signs of rust, wear or failure (provide comments)

  • Provide comments

  • Inspect all wiring and connections for tightness, signs if overheating, discoloration or compromise of wire insulation

  • Inspect for refrigerant and oil leaks

  • Does this unit have an economizer installed?

  • Inspect Mechanical linkages for wear, tightness, and clearances

  • Lubricate all motors and bearings if applicable

  • Straighten Condenser Coils

  • Is this unit equipped with Discharge and Supply air temperature sensors and control devices?

  • Verify operation of these sensors

  • Are all exhaust fans & HVAC return and supply grills clean of debri?

Evaporative/Blower Section

  • Turn the heater on and let run for 5 minutes to burn any dust (please be sure to put system in test mode first so alarm is not set off)

  • Straighten evaporator coils (up to 10% of the surface area)

  • Check fan cleanliness; inspect wheel, shaft and cage for wear and clearance

  • Check sheaves and pulleys for wear and alignment

  • Check belt for tension, wear, cracks, and/or glazing

  • Check motor starter if applicable

  • Clean and flush evaporator drain pan, P trap and drain line

  • Ensure drain is adequately sized, has proper slope and support

  • Replace air filter with MERV 8 filter or appropriate media

  • Write the date with permanent marker on filter frame. LEED BRANCHES REQUIRE MERV 13 FILTERS

  • Gas Heat?

  • Visually inspect heat exchanger for rust, pitting, and holes

  • Check supply air stream for presence of combustion gasses using a combustion gas analyzer

  • Inspect combustion air or induced draft fan and clean and lubricate if required

  • Verify operation of combustion air flow proving device (Vacuum, manifold or pitot)

  • Verify operation of flame detection device (thermocouple, thermopile, bi-metal)

  • Verify operation of high limit and rollout switches

  • Verify integrity of flue system

  • Verify operation and sequence of gas valve and burner controls

  • If needed verify proper gas pressure to the unit or manifold

  • Inspect gas line for leaks rust or needed repairs

  • Electric Heat?

  • Turn the heater on and let run for 5 minutes to burn any dust (please be sure to put system in test mode first so alarm is not set off)

  • Inspect all wiring and connections for tightness, signs of overheating, discoloration or compromised insulation.

  • Verify operation of resistive heating element

  • Check and record voltage ad amperage draw and compare to rating of heater

  • Check for proper operation of controls, safeties, high limit switches etc. calibrate if necessary

  • Heat Pump?

  • Verify proper operation of reversing valve

  • Verify proper operation of defrost cycle

  • Verify proper operation of auxiliary heat if applicable

  • Verify smooth operation of compressor and fans

  • Record rated and actual fan and compressor running amps

  • Check and or test operation of high/low pressure safety devices

  • Ensure TXV bulb is securely mounted and distributor tubes are protected from vibration and rubbing

  • Does unit have a Variable Frequency Drive?

  • Verify proper operation

  • Clean heat sink

  • Verify proper DC buss voltage

  • Are there VAV or Fan power units?

  • Inspect all wiring and connections for tightness, signs of overheating, wiring insulation compromised or discoloration

  • Check linkages for wear, tightness, and clearance

  • Verify fan cleanliness, inspect wheel, shaft and cage for wear and clearance

  • Verify sequence of operations as applicable

  • Verify operation of fan and motor

  • Verify valve/actuator operation

  • Check and record voltage and amp draw of resistive heating elements and compare with rating of the heater

  • Check and adjust controls, safeties, high limit switches etc. as needed

  • Replace air filter with MERV 8 filter

  • Write the date on filter frame in permanent marker. LEED branches require MERV 13 filters.

  • Does the site have any pumps that support HVAC operations?

  • Check for leaks on the pump and seals

  • Check inlet and outlet pressures

  • Ensure all drain and weeps are free and clear

  • Lubricate motor and pump bearing as required

  • Record rated amps and actual amp draw

  • Verify smooth operation of pump

  • Are there any Unit ventilators or Make up or air only units?

  • Inspect unit for cleanliness

  • Check dampers for wear, security. linkage adjustments

  • Clean condensate drain pan, P trap and drain

  • Inspect Fan cleanliness, inspect wheel, shaft and cage for wear and clearance

  • Check sheaves and pulleys for wear and alignment

  • Replace Belt

  • Check operation of fan switch

  • Check operation of low temperature safety device

  • Economizer and power exhausts, inspect linkages, motors, and seals calibrate as necessary

  • Boilers? Gas and #2 oil

  • Blow down feed water mud drums

  • Check and test blow valve and level float if applicable

  • Open fire side for cleaning and inspection

  • Check heating surfaces for corrosion, pitting, scale, blisters, bulges and soot

  • Visually inspect refractory for large cracks, broken pieces, or exposed metal

  • Check expansion tank and drain if needed

  • Clean fire inspection glass

  • Perform hydrostatic test if required

  • Check valves, supply piping and solenoids for leaks

  • Replace fuel nozzles

  • Inspect, clean and function test flame scanner and relay

  • Clean and adjust ignition electrode

  • Verify operation of burner fan air flow switch if applicable

  • Inspect and clean burner assembly, fan, blast tube, intake and dampers

  • Verify operation of firing rate motor

  • Inspect flue and barometric damper

  • Preform combustion test and adjust burner for maximum efficiency. Record: firing rate , fuel air ratio, CO2, CO, NOX

  • Perform smoke test

  • Test safety relief valve

  • Verify proper Delta T through boiler

  • Inspect and clean low water cutoff safety device and feed controls

  • Inspect all hot water/steam coils and valves for cleanliness and leaks

  • Steam Traps?

  • Inspect and clean strainer

  • Inspect and clean precipitate drum

  • Check trap for proper operation

  • Gas and Electric Unit Heaters, Heating Only units?

  • Check general condition of unit

  • Verify Fan, fan guards, and louvers are tight and securely mounted

  • Inspect flue barometric damper

  • Verify clean burner assembly

  • Light pilot (if applicable) and fire heater; verify proper flame, combustion air and flue operation

  • Lubricate fan motor if applicable

  • Verify proper operation of temperature control, pilot, high temperature and fan safety devices

  • Inspect all wiring connections for tightness, signs of overheating, discoloration or compromised insulation

  • Verify fan cleanliness; inspect wheel, shaft and cage for wear and clearance

  • Check sheaves and pulleys for wear and alignment

  • Replace Belt and tension properly

  • Fire Dampers?

  • Remove fusible link

  • Check operation of damper mechanism ensure it moves freely and closes fully

  • Reset damper, lubricate damper track and replace fusible link

  • Provide label or tag indicating damper was tested including date.

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.