HVAC Installation Checklist Form
Inspector Information
Inspector Name
First Name
Last Name
Building Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
HVAC Checklist
Did you check the Air Conditioner?
Yes
No
Air Conditioner
Rows
OK
Require Action
Not Checked
Voltage and Amperage
1
2
3
Condenser Coil
4
5
6
Blower Belt Wear
7
8
9
Compressor Contactor
10
11
12
Air Filter
13
14
15
Switch Cut-Out Setting
16
17
18
Compressor Amp Draw
19
20
21
Thermostat
22
23
24
Condensate Drain
25
26
27
Evaporator Coil
28
29
30
Refrigerant Level
31
32
33
Operating Pressures
34
35
36
Did you check the Heat Pump?
Yes
No
Heat Pump
Rows
OK
Require Action
Not Checked
Indoor&Outdoor Units
37
38
39
Electrical Connections
40
41
42
Blower Belt Wear
43
44
45
Evaporator Coil
46
47
48
Air Filter
49
50
51
Voltage
52
53
54
Blower Motor Amp Draw
55
56
57
Thermostat
58
59
60
Defrost Controls
61
62
63
Coil Temperature
64
65
66
Condensate Drain
67
68
69
Visual Inspection
70
71
72
Did you check the Gas Furnace?
Yes
No
Gas Furnace
Rows
OK
Require Action
Not Checked
Heat Anticipator
73
74
75
Furnace/Heat
76
77
78
Thermostat
79
80
81
Blower Belt Wear
82
83
84
Air Filter
85
86
87
Manifold Pressure
88
89
90
Blower Motor Bearings
91
92
93
Electronic Spark
Ignition Control
94
95
96
Electrical Connections
97
98
99
Burners
100
101
102
Fuel Efficiency
103
104
105
Heat Exchanger
106
107
108
Fan Controls
109
110
111
General Feedback of Maintenance
Name & Surname
*
First Name
Last Name
Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature
*
Submit
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