Information

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Project details

  • RTU # and project description

  • Estimated Date/time of start

  • Add media

  • Add drawing

Roof top details

  • Roof type

  • Add media

  • Are there any security clearance or special parking requirements ?

  • ID badge required

  • Site specific training

  • Specific parking location and/or permit

  • Sign in/out

  • Roof top access

  • Add media

  • Is roof hatch located in safe easily accessible area

  • Is roof hatch in good working condition

  • Does roof hatch location on roof have or need any fall protection around it ?

  • Picture of hatch location

  • Is door located in a safe accessible location ?

  • Does door require key to access roof ?

  • Are the door and entrance/exit of access in in safe clean condition ?

  • Picture of access

  • Is ladder safely and easily accessible ?

  • Is fixed ladder in good condition ?<br>Secure<br>Clean<br>No damage

  • Are there any specific concerns with fixed ladder not mentioned ?

  • Picture of fixed ladder

  • Is temporary ladder needed to be brought on site ?

  • What is the height of the roof edge from ground level

  • Will ladder be able to be secured at roof edge ?

  • Take picture of ladder positioning location

  • Is ladder provided properly maintained and inspected ?

  • Is ladder provided appropriate for work and able to be secured to roof edge ?

  • Picture of appointed ladder

  • Describe access to roof

  • Picture describing access to roof

Unit specific details

  • Model number

  • Additional description

  • Picture of unit

  • Serial number

  • How many compressors

  • Customer asset tag

  • Occupancy type

  • Unit voltage

  • Convenience outlet ?

  • Low voltage

  • Thermostat

  • Discharge Profile

  • Additional information ?

Curb Details

  • Is curb needed ?

  • Curb description

  • Adapter curb

  • Curb vendor

  • CDI curb verification is required (one time fee of $125 applies) Account manager needs to accompany CDI during verification visit

  • Utilities through curb ?

  • Curb insulated ?

Location of RTU

  • Unit location (in feet) from rigging point

  • Please show sketch with details

  • Refrigerant type

  • Cooling stages

  • Heating stages

  • Heating fuel type

  • Gas line size and type

  • Outdoor air inlet ?

  • Actuated outdoor air inlet

  • actuator control description required

Unit options and accessories

  • Return air smoke detector

  • Power exhaust

  • Automation connection

  • Other options

  • List additional options

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.