Ptac/Pthp Startup Report-Audit - Daikin IM 938-4 Installation & Maintenance Data

PTAC/PTHP Startup Report–Audit
Job Name __________________________________________ City ________________ G.O. # ____________
Installer __________________________________________________________________ Total No. of Units_____
Date of Final Inspection and Start-up ________________________________________
Manufacturers' Representative Name ___________________________________
Name of Maintenance Manager Instructed ___________________________________ Other__________________
Essential Items Check
A. Voltage Check _____________ Volts (measured)
B. Yes No
□ □
Filters Clean
□ □
Evaporator Coils/Drain Pans Clean
□ □
Wall Boxes Sealed To Wall, No Leaks
□ □
Wall Box Pitch Satisfactory
□ □
Air Discharge Free of Obstruction
□ □
Condenser Air Free of Obstruction
□ □
Other Conditions Found: ___________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Note: "No" answers above require notice to installer by memorandum (attached copy).
Please include any suggestions or comments: _______________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Above System is in Proper Working Order
Sales Representative Signature
IM 938-4 / Page 22 of 42
Condition
Date
Customer Signature
Yes No
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Operates in Heating
□ □
Operates in Cooling
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Operates in Fan Only (if so equipped)
□ □
Hi-Lo Fan Speed Operational (if so equipped)
□ □
Fans Rotate Freely Without Striking Fan Housing
□ □
Cycle/Continuous Fan (if so equipped)
Release:
Unit Type
□
APTAC 16 × 42
□
APTAC 16 × 44
□
Enersaver
Condition
FOR INTERNAL USE
SM ______________
CTS _____________
T________________
Service Manager Approval
Date
Form No. 13F-1206
□
Type K
□
Type J