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HVAC Checklist Company Name:__________________________________________________File Number:_________________ Address:___________________________________________________________________________________ Completed by:___________________________________________________Date:__________________________ MECHANICAL ROOM Clean and dry?____________________________Stored refuse or chemicals?______________________________ Describe items in need of attention________________________________________________________________ MAJOR MECHANICAL EQUIPMENT Preventative maintenance (PM) plan in use?_________________________________________________________ Control System Type_______________________________________________________________________________________ System operation_____________________________________________________________________________ Date of last calibration_________________________________________________________________________ Boiler Rated Btu input________________Condition_______________________________________________________ Combustion air: is there at least one square inch free area per 2,000 Btu input?______________________________ Fuel or combustion odors_______________________________________________________________________ Cooling Tower Clean? No leaks or overflow? ______________________Slime or algae growth?____________________________ Eliminator performance_________________________________________________________________________ Biocide treatment working? (List type of biocide)_____________________________________________________ Spill containment plan implemented?_____________________________Dirt separator working?_______________ Chillers Refrigeration leaks?___________________________________________________________________________ Evidence of condensation problems?______________________________________________________________ Waste oil and refrigerant properly stored and disposed of?______________________________________________
HVAC Checklist AIR HANDLING UNIT Unit identification_______________________________________Area served____________________________ Outdoor Air Intake, Mixing Plenum, and Dampers Outdoor air intake location______________________________________________________________________ Nearby contaminant sources? (Describe)___________________________________________________________ Bird screen in place and unobstructed?_____________________________________________________________ Design total cfm___________ outdoor air (O.A.) Cfm____________ date last tested and balanced_______________ Minimum % O. A. (Damper setting)______________Minimum cfm O. A.(Total cfm x minimum% O.A.)/100= ___________ Current O. A. Damper setting (date, time, and HVAC operating mode)___________________________________ Damper control sequence (describe)_______________________________________________________________ Condition of dampers and controls (note date)________________________________________________________ Fans Control sequence_____________________________________________________________________________ Condition (note date)___________________________________________________________________________ Indicate temperature supply air_________ mixed air_________ return air_________ outdoor air_________ Actual temperatures supply air_________ mixed air_________ return air_________ outdoor air_________ Coils Heating fluid discharge temperature ________ T_______cooling fluid discharge temperature_______ T_______ Controls (describe)____________________________________________________________________________ Condition (note date)___________________________________________________________________________ Humidifier Type________________________________If biocide is used, note type__________________________________ Condition (no overflow, drains trapped, all nozzles working?)___________________________________________ No slime, visible growth, or mineral deposits?_______________________________________________________
HVAC Checklist OCCUPIED SPACE Thermostat types______________________________________________________________________________
Humidistat/Dehumidistat types__________________________________________________________________
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