Title Page
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Site conducted
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This inspection should be completed for each piece of HVAC equipment at each site.
For Split Systems, please fill out 2 inspections (1 for the air handler & 1 for the condenser)
For VAV, please add the total number of pieces in the the Unit Type Notes section.
For Unit Name, please refer to the below abbreviations.
AHU - AIR HANDLING UNIT
COND- AIR CONDENSING UNIT
PKG - PACKAGE UNIT
FCU - FANCOIL UNIT
FURN - FURNACE
HP - HEATPUMP -
Prepared by
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Conducted on
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Site ID
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Unit Type
- Air Handling Unit
- Heat Pump
- Package Unit
- Boiler
- Chiller
- Condenser
- CRAC
- Cooling Tower
- Fan Coil Unit
- Furnace
- Mini Split
- Split System
- Dehumidifier
- Other
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Equipment ID (Please use unit type + number. For example, the first package unit would be identified as PKG-01)
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Location
- Roof
- Basement
- Ground
- Attic
- Mechanical Room
- Other
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Unit Manufacturer
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Unit Serial #
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Unit Model #
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Refrigerant Type
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Capacity in Tons
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Number of Circuits
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Circuit 1 in lbs
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Circuit 2 in lbs (If there isn't a second circuit, please enter zero)
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Manufacturing Year
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Take a Photo of Data Plate
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Is this a split system?
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Please identify the air handler or condenser that this piece of equipment is linked to
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Is this HVAC unit replacing an old unit?
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Please identify the unit that was replaced
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Air Filter Type
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Belt type
