| | | |
| Created by checklistguro.com | | |
| | | |
| Pre-Inspection & Safety (STEP) | | |
| Scheduled Inspection Date (DATE) | | |
| Start Time of Inspection (DATE) | | |
| HVAC Unit Location (LOCATION) | | |
| Ambient Temperature (Fahrenheit/Celsius) (NUMBER) | | |
| PPE Required (Select all that apply) (SELECTION options: Safety Glasses, Gloves, Hearing Protection, Respirator, Hard Hat) | | |
| Notes on Potential Hazards (TEXT) | | |
| Inspector Signature (SIGNATURE) | | |
| | | |
| Visual Inspection & Cleaning (STEP) | | |
| Overall System Condition (Brief Description) (TEXT) | | |
| Specific Areas of Visible Dirt or Debris (TEXT) | | |
| Photographs of Visible Issues (UPLOAD) | | |
| Estimated Dust/Debris Thickness (mm) (NUMBER) | | |
| Presence of Mold/Mildew (SELECTION options: Yes, No, Unsure) | | |
| Description of Any Rust or Corrosion Observed (TEXT) | | |
| | | |
| Filter Maintenance (STEP) | | |
| Filter Identification Number (if applicable) (NUMBER) | | |
| Filter Condition (SELECTION options: Clean, Slightly Dirty, Moderately Dirty, Very Dirty) | | |
| Filter Type (SELECTION options: Disposable, Washable/Reusable) | | |
| Date Filter Replaced/Cleaned (DATE) | | |
| Pressure Drop (in) (NUMBER) | | |
| Filter Material (SELECTION options: Fiberglass, Pleated, Electrostatic, Other) | | |
| Notes on Filter Condition or Replacement (TEXT) | | |
| | | |
| Coil Inspection & Cleaning (STEP) | | |
| Coil Fin Condition Rating (1-5, 1=Excellent, 5=Severe) (NUMBER) | | |
| Type of Cleaning Method Used (SELECTION options: Brush, Chemical Wash, Vacuum, Water Flush) | | |
| Description of any visible damage or corrosion (TEXT) | | |
| Upload before/after photos of coils (UPLOAD) | | |
| Refrigerant Charge Adjustment (oz/g) (NUMBER) | | |
| Coil Material (SELECTION options: Aluminum, Copper, Stainless Steel) | | |
| | | |
| Blower Motor & Fan Assessment (STEP) | | |
| Motor RPM (Revolutions Per Minute) (NUMBER) | | |
| Belt Tension Gauge Reading (if applicable) (NUMBER) | | |
| Motor Lubrication Status (SELECTION options: Lubricated, Needs Lubrication, Not Applicable (Sealed Motor)) | | |
| Fan Balance Check (SELECTION options: Balanced, Slight Vibration, Significant Vibration) | | |
| Notes on Motor Condition (TEXT) | | |
| Belt Condition (if applicable) (SELECTION options: Excellent, Good, Fair, Poor) | | |
| | | |
| Refrigerant Level & Pressure (STEP) | | |
| Suction Line Pressure (PSI) (NUMBER) | | |
| Liquid Line Pressure (PSI) (NUMBER) | | |
| Superheat (Degrees F) (NUMBER) | | |
| Subcooling (Degrees F) (NUMBER) | | |
| Refrigerant Type (SELECTION options: R-22, R-410A, R-134a, R-32, Other) | | |
| Notes on Refrigerant Condition (TEXT) | | |
| Refrigerant Added (oz) (NUMBER) | | |
| | | |
| Electrical Components (STEP) | | |
| Capacitor Microfarads (µF) (NUMBER) | | |
| Capacitor Voltage (V) (NUMBER) | | |
| Wiring Condition (SELECTION options: Excellent, Good, Fair, Poor) | | |
| Electrical Issues Observed (SELECTION options: Loose Connections, Damaged Wiring, Arcing, Overheating, None) | | |
| Last Electrical Inspection Date (DATE) | | |
| Notes on Electrical Component Condition (TEXT) | | |
| | | |
| Drainage System (STEP) | | |
| Condensate Pan Depth (inches) (NUMBER) | | |
| Drain Line Condition (SELECTION options: Clear, Slightly Obstructed, Obstructed) | | |
| Description of Any Drainage Issues (TEXT) | | |
| Airflow through Drain Line? (SELECTION options: Yes, No) | | |
| Last Drain Line Cleaning Date (DATE) | | |
| Description of Cleaning Method Used (if applicable) (TEXT) | | |
| | | |
| Performance Testing (STEP) | | |
| Supply Air Temperature (Leaving) (NUMBER) | | |
| Return Air Temperature (NUMBER) | | |
| Delta T (Temperature Difference) (NUMBER) | | |
| Airflow (CFM) (NUMBER) | | |
| Static Pressure (NUMBER) | | |
| Noise Level (SELECTION options: Normal, Slightly Elevated, Elevated - Requires Investigation) | | |
| Vibration Assessment (SELECTION options: None, Minor, Moderate, Significant - Requires Investigation) | | |
| Test Start Time (DATE) | | |
| | | |
| Post-Maintenance & Documentation (STEP) | | |
| Date of Maintenance (DATE) | | |
| Time of Maintenance Start (DATE) | | |
| Maintenance Hours (NUMBER) | | |
| Detailed Notes on Work Performed (TEXT) | | |
| Overall System Performance (Post-Maintenance) (SELECTION options: Excellent, Good, Fair, Needs Improvement) | | |
| Refrigerant Added (Yes/No) (SELECTION options: Yes, No) | | |
| Attach Photos/Reports (Optional) (UPLOAD) | | |
| Technician Signature (SIGNATURE) | | |
| |
