Sharp Edge Heating & Ventilation

• Customer Name

• Location
  Address

• Conducted on

  Date

• Prepared by

• Additional Technician Onsite

Condition of indoor system

• Furnace Brand

• Photo Of Furnace

  Media

• Furnace Model & Serial#

  Media

• Thermostat

  Good

  Fair

  Poor

  N/A

• Thermostat Mode

• Thermostat Setting

• Filter

  Good

  Fair

  Poor

  N/A

• Was Filter Replaced

  Yes

  No

  N/A

• Filter Size

• Blower motor

  Good

  Fair

  Poor

  N/A

• Blower wheel

  Good

  Fair

  Poor

  N/A

• Capacitor

  Good

  Fair

  Poor

  N/A

• Capacitor microfarad meter reading

• Transformer

  Good

  Fair

  Poor

  N/A

• Disconnect

  Good

  Fair

  Poor

  N/A

• Circuit boards

  Good

  Fair

  Poor

  N/A

• Heat Exchanger

  Good

  Fair

  Poor

  N/A

• Safety controls/ switches

  Good

  Fair

  Poor

  N/A

• Door switch

  Good

  Fair

  Poor

  N/A

• Ignition control

  Good

  Fair

  Poor

  N/A

• Gas valve

  Good

  Fair

  Poor

  N/A

• Thermocouple

  Good

  Fair

  Poor

  N/A

• Hot surface ignitor

  Good

  Fair

  Poor

  N/A

• Flame Sensor Clean

  Good

  Fair

  Poor

  N/A

• Pressure switch

  Good

  Fair

  Poor

  N/A

• Vent pipe

  Good

  Fair

  Poor

  N/A

• Inducer fan

  Good

  Fair

  Poor

  N/A

• Additional Notes Or Recommendation?

• Additional Photos?

  Media

Signature

• Technician's Signature

  Sign