Section 1: Bird Screen
1. 1. Is it unobstructed?
Yes
No
N/A
2. 2. What is the general condition?
3. 3. Is the size of the mesh at least 1 ⁄2" minimum?
Yes
No
N/A
Section 2: Pressurized Ceiling Supply Plenum
1. 1. Are there no unintentional openings?
Yes
No
N/A
2. 2. Are all ceiling tiles in place?
Yes
No
N/A
3. 3. Is barrier paper correctly placed and in good condition?
Yes
No
N/A
4. 4. Is there a proper layout for air distribution?
Yes
No
N/A
5. 5. Are supply diffusers open?
Yes
No
N/A
6. 6. Are supply diffusers balanced?
Yes
No
N/A
7. 7. Is there a noticeable flow of air?
Yes
No
N/A
8. 8. Are there any short circuiting or other air distribution problems?
Yes
No
N/A
Section 3: Mechanical Rooms
1. 1. What is the general condition?
2. 2. Are controls operational?
Yes
No
N/A
3. 3. Is the compressor operational and Is the air dryer operational for pneumatic controls?
Yes
No
N/A
4. 4. Are the electric controls operational?
Yes
No
N/A
5. 5. For EMS (Energy Management System) or DDC (Direct Digital Control), are the following checked: Is the operator on site?
Yes
No
N/A
6. 6. For EMS (Energy Management System) or DDC (Direct Digital Control), are the following checked: Is it controlled off-site?
Yes
No
N/A
7. 7. For EMS (Energy Management System) or DDC (Direct Digital Control), are the following checked: Are fans cycled "off" while the building is occupied?
Yes
No
N/A
8. 8. For EMS (Energy Management System) or DDC (Direct Digital Control), are the following checked: Is the chiller reset to shed load?
Yes
No
N/A
Section 4: Outside Air Dampers
1. 1. Is the operation acceptable?
Yes
No
N/A
2. 2. Do they seal when closed?
Yes
No
N/A
3. 3. Are the actuators operational?
Yes
No
N/A
Section 5: Terminal Equipment (supply)
1. 1. Are housing interiors clean and unobstructed?
Yes
No
N/A
2. 2. Are controls working?
Yes
No
N/A
3. 3. Are they delivering the rated volume?
Yes
No
N/A
4. 4. Have they been balanced within 3-5 years?
Yes
No
N/A
5. 5. Are filters in place?
Yes
No
N/A
6. 6. Are condensate pans clean and draining freely?
Yes
No
N/A
Section 6: Preventive Maintenance
1. 1. Are spare parts inventoried?
Yes
No
N/A
2. 2. Are spare air filters available?
Yes
No
N/A
3. 3. Is the control drawing posted?
Yes
No
N/A
4. 4. Is the preventive maintenance (PM) schedule available?
Yes
No
N/A
5. 5. Is the PM followed?
Yes
No
N/A
Section 7: Outdoor Air (O.A.) Quantity (Check Against Applicable Codes And ASHRAE 62-1989)
1. 1. What is the minimum % O.A.?
2. 2. What is the measured % O.A.?
3. 3. What is the maximum % O.A.?
4. 4. Is the minimum O.A. a separate damper?
5. 5. For VAV systems: is O.A. increased as total system airflow is reduced?
Section 8: VAV Box
1. 1. What is the minimum stop %?
2. 2. What is the minimum outside air % (from page 2 of this form)?
3. 3. What is the minimum airflow in cubic feet per minute (cfm)?
4. 4. What is the minimum outside air cfm?
5. 5. What is the supply setpoint in degrees Fahrenheit (summer)? In degrees Fahrenheit (winter)?
Section 9: Boilers
1. 1. Are flues and breeches tight?
Yes
No
N/A
2. 2. Is the purge cycle working?
Yes
No
N/A
3. 3. Are door gaskets tight?
Yes
No
N/A
4. 4. Is the fuel system tight with no leaks?
Yes
No
N/A
5. 5. Is there sufficient combustion air (at least 1 square inch free area per 2000 Btu input)?
Yes
No
N/A
Section 10: Mixing Plenum
1. 1. Is it clean?
Yes
No
N/A
2. 2. Is the floor drain trapped?
Yes
No
N/A
3. 3. What is the airtightness of outside air dampers?
4. 4. What is the airtightness of return air dampers?
5. 5. What is the airtightness of exhaust air dampers?
6. 6. Are all damper motors connected?
Yes
No
N/A
7. 7. Are all damper motors operational?
Yes
No
N/A
8. 8. Are air mixers or opposed blades used?
Yes
No
N/A
9. 9. What is the mixed air temperature control setting in degrees Fahrenheit?
10. 10. What is the freeze stat setting in degrees Fahrenheit?
11. 11. Is the mixing plenum under negative pressure?
Yes
No
N/A
Section 11: Thermostats
1. 1. What type are they?
2. 2. Are they properly located?
Yes
No
N/A
3. 3. Are they working?
Yes
No
N/A
4. 4. What are the setpoints in summer and in winter?
5. 5. What is the space temperature?
Section 12: Cooling Tower
1. 1. Is the sump clean?
Yes
No
N/A
2. 2. Are there no leaks or overflow?
Yes
No
N/A
3. 3. Are eliminators working with no carryover?
Yes
No
N/A
4. 4. Is there no slime or algae?
Yes
No
N/A
5. 5. Is the biocide treatment working?
Yes
No
N/A
6. 6. Is the dirt separator working?
Yes
No
N/A
Section 13: Filters
1. 1. What type of filter is used?
2. 2. Is there complete coverage (i.e., no bypassing)?
Yes
No
N/A
3. 3. What is the correct pressure drop? (Compare to the manufacturer's recommendations)
4. 4. Are contaminants visible?
Yes
No
N/A
5. 5. Is any odor noticeable?
Yes
No
N/A
Section 14: Humidity Sensor
1. 1. What are the humidistat setpoints in percentage relative humidity (% RH)?
2. 2. What are the dehumidistat setpoints in percentage relative humidity (% RH)?
3. 3. What is the actual relative humidity in percentage (% RH)?
Section 15: Chillers
1. 1. Are there no refrigerant leaks?
Yes
No
N/A
2. 2. Is the purge cycle normal?
Yes
No
N/A
3. 3. Are waste oil and refrigerant properly disposed of and spare refrigerant properly stored?
Yes
No
N/A
4. 4. Are there any condensation problems?
Yes
No
N/A
Section 16: Spray Humidifiers Or Air Washers
1. 1. What type of humidifier is used?
2. 2. Are all nozzles working?
Yes
No
N/A
3. 3. Is there complete coil coverage?
Yes
No
N/A
4. 4. Are the pans clean with no overflow?
Yes
No
N/A
5. 5. Are the drains trapped?
Yes
No
N/A
6. 6. Is the biocide treatment working?
Yes
No
N/A
7. 7. Is there a spill contaminant system in place?
Yes
No
N/A
Section 17: Room Partitions
1. 1. Is there a gap allowing airflow at the top?
Yes
No
N/A
2. 2. Is there a gap allowing airflow at the bottom?
Yes
No
N/A
3. 3. Are there supply and return vents in each room?
Yes
No
N/A
Section 18: Face And Bypass Dampers
1. 1. Is the damper operation correct?
Yes
No
N/A
2. 2. Are the damper motors operational?
Yes
No
N/A
Section 19: Stairwells
1. 1. Do doors close and latch properly?
Yes
No
N/A
2. 2. Are there no openings allowing uncontrolled airflow?
Yes
No
N/A
3. 3. Are they clean and dry?
Yes
No
N/A
4. 4. Are there no noticeable odors?
Yes
No
N/A
Section 20: Cooling Coil
1. 1. Is there inspection access?
Yes
No
N/A
2. 2. Is it clean?
Yes
No
N/A
3. 3. What is the supply water temperature?
4. 4. Is there any water carryover?
Yes
No
N/A
5. 5. Are there any indications of condensation problems?
Yes
No
N/A
Section 21: Return Air Plenum
1. 1. Are tiles in place?
Yes
No
N/A
2. 2. Are there no unintentional openings?
Yes
No
N/A
3. 3. Are there return grilles?
Yes
No
N/A
4. 4. Is there balancing capability?
Yes
No
N/A
5. 5. Is there a noticeable flow of air?
Yes
No
N/A
6. 6. Are transfer grilles present?
Yes
No
N/A
7. 7. Are fire dampers open?
Yes
No
N/A
Section 22: Condensate Drip Pans
1. 1. Are they accessible to inspect and clean?
Yes
No
N/A
2. 2. Are they clean with no residue?
Yes
No
N/A
3. 3. Is there no standing water or leaks?
Yes
No
N/A
4. 4. Is there any noticeable odor?
Yes
No
N/A
5. 5. Is there visible growth (e.g., slime)?
Yes
No
N/A
6. 6. Are drains and traps clear and working?
Yes
No
N/A
7. 7. Are they trapped in an air gap?
Yes
No
N/A
8. 8. Is there any water overflow?
Yes
No
N/A
Section 23: Ducted Returns
1. 1. Have they been balanced within 3-5 years?
Yes
No
N/A
2. 2. Are grilles unobstructed?
Yes
No
N/A
3. 3. Is the return air path unobstructed?
Yes
No
N/A
Section 24: Mist Eliminators
1. 1. Are they clean, straight, with no carryover?
Yes
No
N/A
Section 25: Return Fan Chambers
1. 1. Are they clean with no trash or storage?
Yes
No
N/A
2. 2. Is there no standing water?
Yes
No
N/A
3. 3. Are floor drain traps wet or sealed?
Yes
No
N/A
4. 4. Are there no air leaks?
Yes
No
N/A
5. 5. Do doors close tightly and are they kept closed?
Yes
No
N/A
Section 26: Supply Fan Chambers
1. 1. Are they clean?
Yes
No
N/A
2. 2. Is there no trash or storage?
Yes
No
N/A
3. 3. Are floor drain traps wet or sealed?
Yes
No
N/A
4. 4. Are there no air leaks?
Yes
No
N/A
5. 5. Do the doors close tightly?
Yes
No
N/A
Section 27: Return Fans
1. 1. What is their location?
2. 2. Are fan blades clean?
Yes
No
N/A
3. 3. Are belt guards installed?
Yes
No
N/A
4. 4. Is there proper belt tension?
Yes
No
N/A
5. 5. Is there excess vibration?
Yes
No
N/A
6. 6. Are there corrosion problems?
Yes
No
N/A
7. 7. Are controls working and calibrated?
Yes
No
N/A
8. 8. Does the control sequence conform to design/specifications?
Yes
No
N/A
Section 28: Supply Fans
1. 1. What is the location?
2. 2. Are fan blades clean?
Yes
No
N/A
3. 3. Are belt guards installed?
Yes
No
N/A
4. 4. Is there proper belt tension?
Yes
No
N/A
5. 5. Is there excess vibration?
Yes
No
N/A
6. 6. Are there corrosion problems?
Yes
No
N/A
7. 7. Are controls operational and calibrated?
Yes
No
N/A
8. 8. Does the control sequence conform to design/specifications?
Yes
No
N/A
9. 9. Are there no pneumatic leaks?
Yes
No
N/A
Section 29: Exhaust Fans
1. 1. Are they central?
Yes
No
N/A
2. 2. If distributed, what are their locations?
3. 3. Are they operational?
Yes
No
N/A
4. 4. Are controls operational?
Yes
No
N/A
5. 5. Are they for toilet exhaust only?
Yes
No
N/A
6. 6. Is there gravity relief?
Yes
No
N/A
7. 7. What is the total powered exhaust in cubic feet per minute (cfm)?
8. 8. Is make-up air sufficient?
Yes
No
N/A
Section 30: Heating Coil
1. 1. Is there inspection access?
Yes
No
N/A
2. 2. Is it clean?
Yes
No
N/A
3. 3. Does the control sequence conform to design/specifications? (Please describe any changes.)
Yes
No
N/A
4. 4. What is the supply water temperature?
5. 5. What is the discharge thermostat temperature setting?
Section 31: Toilet Exhausts
1. 1. Are fans working during occupied hours?
Yes
No
N/A
2. 2. Are registers open and clear?
Yes
No
N/A
3. 3. Is the make-up air path adequate?
Yes
No
N/A
4. 4. Is the volume according to code?
Yes
No
N/A
5. 5. Are floor drain traps wet or sealable?
Yes
No
N/A
6. 6. Do bathrooms run slightly negative relative to the building?
Yes
No
N/A
Section 32: Reheat Coils
1. 1. Are they clean?
Yes
No
N/A
2. 2. Are they not obstructed?
Yes
No
N/A
3. 3. Are they operational?
Yes
No
N/A
Section 33: Smoking Lounge Exhaust
1. 1. Does the room run negative relative to the building?
Yes
No
N/A
Section 34: Steam Humidifier
1. 1. What type of humidifier is it?
2. 2. Is treated boiler water used?
Yes
No
N/A
3. 3. Is there any standing water?
Yes
No
N/A
4. 4. Is there visible growth?
Yes
No
N/A
5. 5. Are there mineral deposits?
Yes
No
N/A
6. 6. What is the control setpoint?
7. 7. What is the high limit setpoint?
8. 8. Is there a duct liner within 12 feet? (If so, check for dirt, mold growth.)
Yes
No
N/A
Section 35: Print Room Exhaust
1. 1. Does the room run negative relative to the building?
Yes
No
N/A
Section 36: Outside Air Intake
1. 1. Where is it located?
2. 2. Is it open during occupied hours?
Yes
No
N/A
3. 3. Is it unobstructed?
Yes
No
N/A
4. 4. Is there standing water, bird droppings in the vicinity?
Yes
No
N/A
5. 5. Are there odors from outdoors? (Please describe.)
Yes
No
N/A
6. 6. Is there carryover of exhaust heat?
Yes
No
N/A
7. 7. Is the cooling tower within 25 feet?
Yes
No
N/A
8. 8. Is the exhaust outlet within 25 feet?
Yes
No
N/A
9. 9. Is the trash compactor within 25 feet?
Yes
No
N/A
10. 10. Is it near a parking facility, busy road, or loading dock?
Yes
No
N/A
Section 37: Supply Ductwork
1. 1. Is it clean?
Yes
No
N/A
2. 2. Is it sealed and are there no leaks and tight connections?
Yes
No
N/A
3. 3. Are fire dampers open?
Yes
No
N/A
4. 4. Are access doors closed?
Yes
No
N/A
5. 5. Are there lined ducts?
Yes
No
N/A
6. 6. Is the flex duct connected with no tears?
Yes
No
N/A
7. 7. Is there a light troffer supply?
Yes
No
N/A
8. 8. Has it been balanced within 3-5 years?
Yes
No
N/A
9. 9. Was it balanced after recent renovations?
Yes
No
N/A
10. 10. Are there any short circuiting or other air distribution problems?
Yes
No
N/A
Section 38: Garage Ventilation
1. 1. Does it operate according to codes?
Yes
No
N/A
2. 2. Do fans, controls, and dampers all operate?
Yes
No
N/A
3. 3. Is the garage slightly negative relative to the building?
Yes
No
N/A
4. 4. Do doors to the building close tightly?
Yes
No
N/A
5. 5. Is there a vestibule entrance to the building from the garage?
Yes
No
N/A