SYSTEM PERFORMANCE REPORT

Address *

THERMOSTAT

	OK	CONCERN	MUST ACT NOW	N/A
ENERGY-SAVING THERMOSTAT EXISTING?
BATTERIES REPLACED (HOMEOWNER SUPPLIED)?
THERMOSTAT MOUNTES FIRMLY TO WALL?
PROGRAM SET TO CLIENTS NEEDS?

AIR CONDITIONING / HEAT PUMP

	OK	CONCERN	MUST ACT NOW	N/A
LOG COMPRESSOR AMPS
CONDENSER FAN AMPS/CONDITION
CAPACITOR uF VALUE
VOLT DROP/INSPECT CONTRACTOR
OUTDOOR TEMP / INDOOR TEMP
UNIT SUPERHEAT
UNIT SUBCOOL
TIGHTEN WIRE CONNECTIONS
CONDITION OF START ASSIST DEVICE
TEST DEFROST TIMER OPERATION
TEST REVERSING VALVE OPERATION
CHECK CONDITION OF COIL FINS
CHECK FOR FREON LEAKS
O-RING SCHRADER CAPS INSTALLED?
CONDITION OF ELECTRICAL DISCONNECT?
TIGHTEN LUGS IN DISCONNECT AND CIRCUIT BREAKER
VERIFY PROPER CIRCUIT BREAKER SIZE TO NAMEPLATE
VERIFY PROPER WIRE SIZE TO UNIT
LOW VOLTAGE WIRE CONNECTION
CONDENSING UNIT IS LEVEL
SCHRUBS ARE CUT BACK FROM UNIT?
LINE SET IS INSULATED TO CONDENSING UNIT?
INSTALL STICKER ON OUTDOOR UNIT

DUCTWORK SYSTEM

	OK	CONCERN	MUST ACT NOW	N/A
SHOW CLEANLINESS OF DUCTWORK
SUPPLY DUCTS INSULATED?
ARE THE BOOTS SEALED TO THE FLOOR?
OVERALL CONDITION OF DUCTWORK?
DUCT IS PROPERLY STRAPPED AND CONNECTED?
RETURN FG SIZED MIN. 140 SQ. IN. PER TON?
RETURN DUCT INSULATED?
PLATFORM RETURN NEEDS SEALED?
DUCTWORK SEALED TO LESS THAN 15% LEAKEAGE?

FURNACE / AIR HANDLER

	OK	CONCERN	MUST ACT NOW	N/A
RETURN STATIC PRESSURE
SUPPLY STATIC PRESSURE
EVAPORATOR COIL CLEANING NEEDED
INSPECT START COLLAR SEAL AT PLENUM
INSPECT BLOWER CABINET INSULATION
INSPECT BLOWER WHEEL CLEANLINESS
INSPECT ALL ELECTRICAL
CHECK CIRCUIT BOARD FOR BURN MARKS
CHECK BLOWER WHEEL BEARINGS
TXV BULB MOUNTED @10 OR @2
INSPECT FOR SIGNS OF REFRIGERANT LEAKS
PRIMARY DRAIN RAN PROPERLY?
SECONDARY DRAIN RAN TO DAYLIGHT?
CHECK CONDENSATE PUMP
INSPECT DRAIN SAFETY SWITCH
PAN TREATMENT NEEDED?
ALL SCREWS REPLACED IN CABINET?
READ BLOWER MOTOR AMPS
CHECK INDUCER MOTOR AMPS BLOWER CAPACITOR uF VALUE
MEASURE TEMP RISE
ADJUST GAS PRESSURE
CHECK LIMIT SWITCHES AND MOUNTS
CHECK BURNER CROSSOVER PORTS
VACUUM FURNACE AREA AND BURNERS
CHECK FOR SUFFICIENT COMB. AIR
CLEAN COMBUSTION AIR VENT SCREEN
INSPECT HEAT EXCHANGER
CHECK HOSES FOR CRACKS & WEAR
CHECK PRESSURE SWITCH
CHECK FOR PROPER FLUE RISE
MEASURE FLUE CLEARANCES
CHECK FLUE PIPE FOR LEAKS AND RUST
INSPECT PVC FOR LEAKS, ETC
TEST GAS CONNECTIONS FOR LEAKS
ANY FLAMMABLES NEAR FURNACE?
CHECK FOR PROPER IGNITION
RUN FURNACE IN ALL STAGES
TEST GAS SHUT OFF OPERATION
CARBON MONOXIDE DETECTOR INSTALLED?
UV GERMICIDAL LAMP NEEDED?
CLEAN / WAX OUTSIDE OF THE FURNACE
FILTER CHANGE / CLEAN (STANDARD SIZE OR CLUB)
INSTALL STICKER ON FRONT OF FURNACE
SHOW OWNER POST OPERATION OF FURNACE

FINISH
ADDITIONAL JOB NOTES / INSTRUCTIONS:
ACCEPTANCE OF WORK PERFORMED: I acknowledge satisfactory completion of the above described work and that the premises has been left in satisfactory condition. I understand that if my check does not clear, I am liable for the check and any charges from the bank. I agree to pay 1.75% per month for past due contracts (minimum charge $15). In the event that collection efforts are initiated against me, I shall payfor all associated fees at the posted rates as well as all collection fees and reasonable attorney fees. I agree that the amount set forth in the space marked "Total Amount Due" is the total upfront cost I have agreed to.
CUSTOMER SIGNATURE *

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