North Fork Cooling - Gas Furnace Fall Service

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Heating - Gas

System Information

• Name Plate on Filter

  Media

• Name Plate on Furnace

  Media

• Name Plate on Pump

  Media
System Data

• Name

  Record in Notes

• Model

  Record in Notes

• Serial

  Record in Notes

• Inducer Fan

  Record in Notes

• Gas Valve

  Record in Notes

Condition of inside system

• Visible and Audible Inspection

  Yes

  No

  N/A

• Air handler <br>Inspect drive, bearings, belts. Visual and Audible.

  Safe

  At Risk

  N/A

• Fan control

  Safe

  At Risk

  N/A

• Thermostat<br>Remove cover to verify terminal assignments.

  Safe

  At Risk

  N/A

• Blower wheel

  Safe

  At Risk

  N/A

• Blower motor

  Safe

  At Risk

  N/A

• Pipe insulation

  Yes

  No

  N/A

• Capacitor<br>Test with wires removed.

  Safe

  At Risk

  N/A

• Transformer

  Safe

  At Risk

  N/A

• Disconnect

  Safe

  At Risk

  N/A

• Circuit boards

  Safe

  At Risk

  N/A

• Safety controls/ switches

  Safe

  At Risk

  N/A

• Ignition control

  Safe

  At Risk

  N/A

• Vent pipe

  Safe

  At Risk

  N/A

• Clean tubes

  Yes

  No

  N/A

• Inspect Igniter

  Safe

  At Risk

  N/A

• Flame Rod, test and clean<br>

  Safe

  At Risk

  N/A

• Inspect Gas Valve, record pressure

  Safe

  At Risk

  N/A

• Inducer fan Bearings

  Safe

  At Risk

  N/A

Pressure Readings

• GPH Rating

  Yes

  No

  N/A

• Temperature<br>At Furnace<br>At Register (get 2 locations)

  Yes

  No

  N/A