HVAC Checklist - Short Form
HVAC Checklist - Short Form
Page 1 of 4
Building Name: ____________________________________________ Address: __________________________________________ Completed by: ___________________________________________ Date: ______________ File Number: ___________________ Sections 2, 4 and 6 and Appendix B discuss the relationships between the HVAC system and indoor air quality.
MECHANICAL ROOM
s Clean and dry? s Describe items in need of attention
Stored refuse or chemicals?
MAJOR MECHANICAL EQUIPMENT
s Preventive maintenance (PM) plan in use?
Control System
s Type
s System operation
s Date of last calibration
Boilers
s Rated Btu input
Condition
s Combustion air: is there at least one square inch free area per 2,000 Btu input?
s Fuel or combustion odors
Cooling Tower
s Clean? no leaks or overflow?
Slime or algae growth?
s Eliminator performance
s Biocide treatment working? (list type of biocide)
s Spill containment plan implemented?
Dirt separator working?
Chillers
s Refrigerant leaks?
s Evidence of condensation problems?
s Waste oil and refrigerant properly stored and disposed of?
191 Indoor Air Quality Forms
HVAC Checklist - Short Form
Page 2 of 4
Building Name: ____________________________________________ Address: __________________________________________ Completed by: ___________________________________________ Date: ______________ File Number: ___________________
AIR HANDLING UNIT
s Unit identification
Area served
Outdoor Air Intake, Mixing Plenum, and Damper
s Outdoor air intake location
s Nearby contaminant sources? (describe)
s Bird screen in place and unobstructed?
s Design total cfm
outdoor air (O.A.) cfm
date last tested and balanced
s Minimum % O.A. (damper setting)
Minimum cfm O.A.
s Current O.A. damper setting (date, time, and HVAC operating mode)
(total cfm x minimum % O.A.) =
100
s Damper control sequence (describe)
s Condition of dampers and controls (note date)
Fans
s Control sequence
s Condition (note date)
s Indicated temperatures
supply air
mixed air
return air
outdoor air
s Actual temperatures
supply air
mixed air
return air
outdoor air
Coils
s Heating fluid discharge temperature
T
cooling fluid discharge temperature
T
s Controls (describe)
s Condition (note date)
Humidifier
s Type
if biocide is used, note type
s Condition (no overflow, drains trapped, all nozzles working?)
s No slime, visible growth, or mineral deposits?
Indoor Air Quality Forms 192
HVAC Checklist - Short Form
Page 3 of 4
Building Name: ____________________________________________ Address: __________________________________________ Completed by: ___________________________________________ Date: ______________ File Number: ___________________
DISTRIBUTION SYSTEM
Zone/ Room
System Type
Supply Air
ducted/ unducted
cfm*
Return Air
ducted/ unducted
cfm*
Power Exhaust
cfm*
control
serves (e.g. toilet)
Condition of distribution system and terminal equipment (note locations of problems)
s Adequate access for maintenance?
s Ducts and coils clean and obstructed?
s Air paths unobstructed?
supply
return
transfer
exhaust
s Note locations of blocked air paths, diffusers, or grilles
s Any unintentional openings into plenums?
s Controls operating properly?
s Air volume correct?
s Drain pans clean? Any visible growth or odors?
make-up
Filters
Location
Type/Rating
Size
Date Last Changed
Condition (give date)
193 Indoor Air Quality Forms
HVAC Checklist - Short Form
Page 4 of 4
Building Name: ____________________________________________ Address: __________________________________________ Completed by: ___________________________________________ Date: ______________ File Number: ___________________
OCCUPIED SPACE
Thermostat types
Zone/ Room
Thermostat Location
What Does Thermostat
Control? (e.g., radiator,
AHU-3)
Setpoints
Summer
Winter
Measured Temperature
Day/ Time
Humidistats/Dehumidistats type
Zone/ Room
Humidistat/ Dehumidistat
Location
What Does It Control?
Setpoints (%RH)
Measured Temperature
Day/ Time
s Potential problems (note location) s Thermal comfort or air circulation (drafts, obstructed airflow, stagnant air, overcrowding, poor thermostat location)
s Malfunctioning equipment s Major sources of odors or contaminants (e.g., poor sanitation, incompatible uses of space)
Indoor Air Quality Forms 194
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