HVAC Equipment Survey Form
Technician Name
First Name
Last Name
Site Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date Checked
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Model of the Thermostat
Rows
Equip ID #
Type of Unit
Manufacturer
Model
Serial
Tonnage
Age
Area Served
Unit #1
Unit #2
Unit #3
Unit #4
Rows
OK
Needs Attention
Not Applicable
Comments
Check the condenser coil to determine if it needs cleaning.
1
2
3
Check all wiring and connections to controls and electrical connections.
4
5
6
Check blower belt wear, tension & adjust.
7
8
9
Check voltage & amperage draw on all motors with meter.
10
11
12
Check compressor contactor.
13
14
15
Visually inspect compressor and check amp draw.
16
17
18
Check start capacitor & potential relay.
19
20
21
Check pressure switch cut-out setting.
22
23
24
Replace air filter or clean reusable type filter.
25
26
27
Install gauges & check operating pressures.
28
29
30
Check expansion valve & coil temperatures.
31
32
33
Additional Comments
Submit
Should be Empty: