Mini Split Commissioning Checklist Form
Complete this checklist to verify the mini split HVAC system is ready for operation.
Project Name / Location
*
System Model Number
*
System Serial Number
*
Date of Commissioning
*
 -
Month
 -
Day
Year
Date
Installer/Technician Name
*
First Name
Last Name
Power Supply Verified
*
Yes
No
N/A
Refrigerant Line Connections Checked
*
Yes
No
N/A
Initial System Pressure (psi)
*
Initial Supply Air Temperature (°F)
*
Final Status / Notes
Submit Checklist
Should be Empty: