Unit Assessment

• Conducted on

  Date

• Prepared by

• Client

• Site

• Assessment Number

• Location
  Address
• Address
  Address

• Brand of unit

  Select Daiken Dunham Bush Lennox Mitsubishi Carrier Other

  • Daiken
  • Dunham Bush
  • Lennox
  • Mitsubishi
  • Carrier
  • Other

• Type unit

  Select Split Package VRF Chiller Central unit Cold Room Other

  • Split
  • Package
  • VRF
  • Chiller
  • Central unit
  • Cold Room
  • Other

• Unit overall condition

  Good

  Fair

  Poor

  N/A

Compressor

• Number of compressors

• Defective compressors

  Yes

  No

  N/A

• Compressor windings resistance measured

  Yes

  No

  N/A

• Abnormal compressor temperature

  Yes

  No

  N/A

Condenser

• Condenser coil condition

  Clean

  Partially clean

  Dirty

  Other

• Condenser fan functional

  Yes

  No

  N/A

• Condenser fan current measured

  Yes

  No

  N/A

Evaporator

• Evaporator coil condition

  Clean

  Partially clean

  Dirty

  Other

• Blower motor functional

  Yes

  No

  N/A

• Blower motor winding resistance measured?

  Yes

  No

  N/A

• Refrigerant superheat leaving coil in excess of 10 degrees?

  Yes

  No

  N/A

Thermostat

• Thermostat functional

  Yes

  No

  N/A

• Thermostat issues

Ductwork

• Issues with ductwork

  Yes

  No

  N/A

• Issues with diffusers/grills

  Yes

  No

  N/A

Expansion valve

• Expansion valve operation

  Safe

  At Risk

  N/A

• Expansion valve issues

Condensate drain

• Condensate drain line

  Safe

  At Risk

  N/A

• Condensate drain line issues

Support components

• Support components (drier, accumulator, etc.) condition

  Safe

  At Risk

  N/A

• Support component issues

  Safe

  At Risk

  N/A

Piping / Pipe run

• Pipe conditions

  Safe

  At Risk

  N/A

• Piping / pipe run issues

Electrical components

• Electrical components (sensors, circuit breakers, fuses, relays, etc.) condition

  Safe

  At Risk

  N/A

• Electrical component parameters

  Safe

  At Risk

  N/A

Flooring, access, platforms

• Flooring, access or platforms

  Safe

  At Risk

  N/A

• Issues/concerns

• Technical documentation (installation manual, parts list manual) for unit available?

  Yes

  No

  N/A

• Overall recommendations

• Manager's signature

  Sign