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Contractor’s: Name_________________________Telephone_____________Checklist Completed____________________
Job Address_____−________________________________Technician’s Name___________________________________
UNIT OPERATION
(typical)
1
HEATING MODE
GAS MANIFOLD PRESSURE W.C._____
COMBUSTION SAMPLE CO
2
%
______
CO PPM_______
2
INDOOR BLOWER AMPS______
3
TEMPERATURE RISE
4
Supply Duct Temperature ________
Return Duct Temperature
_
_____
Temperature Rise = ________
5
COOLING MODE
INDOOR BLOWER AMPS______
3
TEMPERATURE DROP
Return Duct Temperature _________
Supply Duct Temperature
_
_______
4
5
6
7
DRAIN LINE
Leak Free
THERMOSTAT
Adjusted and Programmed
Operation Explained to Owner
RETURN
AIR
RETURN
AIR
SUPPLY
AIR
6
7
Blower Motor Amps
3
Thermostat
2
Combustion CO
2
Duct Static
Gas Manifold Pressure
1
4
5
Temperatures
Filter
Temperature Drop = _________
TOTAL EXTERNAL STATIC (dry coil)
Supply External Static _______
Return External Static + ______
Total External Static = _______
TOTAL EXTERNAL STATIC (dry coil)
Supply External Static _______
Return External Static + ______
Total External Static = _______
upflow furnace shown