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
Date
Model of the Thermostat
1
Equip ID #
Type of Unit
Manufacturer
Model
Serial
Tonnage
Age
Area Served
Unit #1
Unit #2
Unit #3
Unit #4
2
OK
Needs Attention
Not Applicable
Comments
Check the condenser coil to determine if it needs cleaning.
3
4
5
Check all wiring and connections to controls and electrical connections.
6
7
8
Check blower belt wear, tension & adjust.
9
10
11
Check voltage & amperage draw on all motors with meter.
12
13
14
Check compressor contactor.
15
16
17
Visually inspect compressor and check amp draw.
18
19
20
Check start capacitor & potential relay.
21
22
23
Check pressure switch cut-out setting.
24
25
26
Replace air filter or clean reusable type filter.
27
28
29
Install gauges & check operating pressures.
30
31
32
Check expansion valve & coil temperatures.
33
34
35
Additional Comments
Submit
Should be Empty: