Title Page

  • Location
  • Conducted on

  • Prepared by

Level I Verification

  • Visual Inspection of Unit for Fit and Finish of Installation

  • Take Photos from multiple angels on both load and unload side

  • Is there damage to the unit? If Yes, provide pictures of damage

  • Assign responsible person to follow up and repair/replace damaged components

Level II Verification

  • Unit(s) Placed per drawings

  • Unit(s) Leveled

  • Seismic Anchoring executed as required

  • Inspect door(s) for proper alighment, no binding during open or close, Latch adjusted

Utilities

  • Verify electrical connection is correct and power cord is routed properly

  • Ensure Exhaust is connected properly (for units with Vent Hood)

  • Verify HEPA and Pre-filter are installed

Inspect Panels, Trim and enclosure installation for completeness, fit, and finish

  • All components installed properly

  • All Panels and Trim installed

Level III Verification

Final Acceptance

  • All Surfaces Cleaned and/or Polished

  • Verify Temperature/Set Point for each Chamber

  • Verify audible/visual over-temp alarm

  • Verify temperature recorder is operating

  • Install Meets Belimed Standards

Inspection Sign Off

  • Add any general inspection comments

  • Signature (provide First Name, Last Name, Position

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.