J-1502000-16__Preventative_Maintenance_Program_-_Checklist.xls

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MARFORRES SOUTHEAST FACILITIES MAINTENANCE
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W912HP13R0019
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Preventative Maintenance Checklist

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Index

J-1502000-16
PREVENTATIVE MAINTENANCE PROGRAM CHECKLIST
INDEX OF EQUIPMENT SHEETS
Equipment Checklist SheetModificationExplanation
Air Conditioner - PackageOriginal Award
Air Conditioner - Split SystemOriginal Award
Air Conditioner - Package, ComputerOriginal Award
Air Conditioner - Package, Gas HeatOriginal Award
Air Conditioner-WindowOriginal Award
Air Filter ( sheet for each Activity)Original Award
Air Handling UnitOriginal Award
Air Handling Unit - Gas Heat OnlyOriginal Award
BoilerOriginal Award
Boiler - ElectricOriginal Award
Coil-DuctOriginal Award
DamperOriginal Award
FanOriginal Award
Fan Coil UnitOriginal Award
Fan Coil Unit - ComputerOriginal Award
Heat Pump - SplitOriginal Award
Heat Pump - PackageOriginal Award
Heater-Unit, Forced Air, ElectOriginal Award
Heater-Unit, Forced Air, GasOriginal Award
Heater-Unit, Forced Air, Water/SteamOriginal Award
Heater-Unit, Infra-red, ElectOriginal Award
Heater-Unit, Infra-red, GasOriginal Award
Rooftop UnitOriginal Award
Rooftop Unit - Gas HeatOriginal Award
Rooftop Unit - Gas Heat OnlyOriginal Award
Terminal-VAVOriginal Award
LightingOriginal Award
PanelboardsOriginal Award
Transformer - DryOriginal Award
Fire Detection and Alarm SystemOriginal Award
Fire Extinguisher (Portable) - Monthly Inspection (sheet for each Activity)Original Award
Fire Extinguisher (Portable) - Annual Maintenance (sheet for each Activity)Original Award
Fire HydrantOriginal Award
Fire PumpOriginal Award
Fire Sprinkler - Chemical (Dry/Wet)Original Award
Fire Sprinkler - Wet PipeOriginal Award
Fire Protection Water Storage TankOriginal Award
Leveler-Loading Dock, HydraulicOriginal Award
Aftercooler - Compressed AirOriginal Award
Air CompressorOriginal Award
Air Dryer - DesiccantOriginal Award
Air Dryer - RefrigerantOriginal Award
Air Filter - Compressed AirOriginal Award
Beam BarricadeOriginal Award
Door - OverheadOriginal Award
Drinking FountainOriginal Award
Emergency EyewashOriginal Award
Emergency Eyewash & ShowerOriginal Award
Filter - Cartridge (potw system)Original Award
Gutters/Down Spouts CleaningOriginal Award
Ice MachineOriginal Award
Oil Water SeparatorOriginal Award
Plumbing Fixtures (by room)Original Award
PumpOriginal Award
Pump Set - Sanitary LiftOriginal Award
RefrigeratorOriginal Award
Shutter-Roll-upOriginal Award
Slide Gate Operator & Entry SystemOriginal Award
Storm Water CleaningOriginal Award
Water Filtration - Reverse OsmosisOriginal Award
Water Heater-ElectricOriginal Award
Water Heater-Gas/OilOriginal Award
Water Softener (Potw)Original Award

Page &P of &N

AC - Package Unit

J-1502000-16
PREVENTATIVE MAINTENANCE PROGRAM CHECKLIST
AIR CONDITIONER - PACKAGE UNIT
ACTIVITY:MECHANIC SIGNATURE & DATE
DESIGNATION:
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETERECOMMENDATION FOR REPLACEMENT /REPAIR AND COST
POINTYESNOESTIMATE (Attach additional quote/specification if required)
TO BE PERFORMED AT EACH INSPECTION SERVICE
1Check motor and fan shaft bearings for noise, vibraton, overheating; lubrucate bearings.
2Inspect fan for bent blades, unbalance, excessive noise and vibration.
3Inspect, adjust belts and pulleys. Replace belt as needed.
4Clean dampers, louvers, or shutters; lubricate pivot points and inspect linkages for tightness.
5Clean evaporator coils. Use cleaning solvent that ia approved by equipment manufacturer. Clean blower wheels when coils are cleaned.
6Clean condenser coils and straighten fins as required. Use cleaning solvent that is approved by equipment manufacturer.
7Clean heat wheel using soap and water.
8Inspect for tightness of connection to duckwork.
9Inspect wiring and electrical controls for loose connections, charred, frayed or broken insulation, evidence of short circuiting, wrong size fuses, circuit breakers, or switches, and other electrical deficiencies. Tighten any loose connections.
10Inspect piping and valves for leaks and tighten loose connections.
11Inspect mounting brackets, bolts, fan guards, etc., adjust and tighten as required.
12Check all structural components; tighten bolts, nuts, and supports as required.
13Inspect for rust and corrosion. Apply paint where applicable.
14Inspect for waterlogged, loose, torn, or missing insulation. Repair as needed.
15Check the drain pan and condensate piping for blockages. Remove if found. Add treatment to prevent fungus growth. Clean drain pan.
16Inspect controls and unit for proper operation.
17Inspect unit for overall condition and recommend for replacement or other needed repairs.
TO BE PERFORMED ANNUALLY (SPRING)
1Check refrigerant pressures and add refrigerant as required. If a leak is suspected, check all piping and connections for leaks.
2Check oil level, add oil as required

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AC - Split Sys

J-1502000-16
PREVENTATIVE MAINTENANCE PROGRAM CHECKLIST
AIR CONDITIONER - SPLIT SYSTEM
ACTIVITY:MECHANIC SIGNATURE & DATE
DESIGNATION:
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETERECOMMENDATION FOR REPLACEMENT /REPAIR AND COST
POINTYESNOESTIMATE (Attach additional quote/specification if required)
TO BE PERFORMED AT EACH INSPECTION SERVICE
1Check motor and fan shaft bearings for noise, vibraton, overheating; lubrucate bearings.
2Inspect fan for bent blades or unbalance; adjust as necessary.
3Check belts for condition, proper tension, and misalignment; adjust for proper tension and/or alignment.
4Clean condenser coils and straighten fins as required. Use cleaning solvent that is approved by the equipment manufacturer.
5Inspect wiring and electrical controls for loose connections, charred, frayed or broken insulation, evidence of short circuiting, wrong size fuses, circuit breakers, or switches, and other electrical deficiencies. Tighten any loose connections.
6Inspect piping and valves for leaks and tighten loose connections.
7Inspect mounting brackets, bolts, fan guards, etc., adjust and tighten as required.
8Check all structural components; tighten bolts, nuts, and supports as required.
9Inspect for rust and corrosion. Apply paint where applicable.
10Inspect controls and unit for proper operation.
11Inspect unit for overall condition and recommend for replacement or other needed repairs.
TO BE PERFORMED ANNUALLY (SPRING)
2Check unit for proper refrigerant charge; add refrigerant, if necessary.

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AC - Package, Computer

J-1502000-16
PREVENTATIVE MAINTENANCE PROGRAM CHECKLIST
AIR CONDITIONER - PACKAGE UNIT, COMPUTER ROOM
ACTIVITY:MECHANIC SIGNATURE & DATE
DESIGNATION:
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETERECOMMENDATION FOR REPLACEMENT /REPAIR AND COST
POINTYESNOESTIMATE (Attach additional quote/specification if required)
TO BE PERFORMED AT EACH INSPECTION SERVICE
1Check motor and fan shaft bearings for noise, vibraton, overheating; lubrucate bearings.
2Inspect fan for bent blades, unbalance, excessive noise and vibration.
3Inspect, adjust belts and pulleys. Replace belt as needed.
4Clean dampers, louvers, or shutters; lubricate pivot points and inspect linkages for tightness.
5Inspect for tightness of connection to duckwork.
6Inspect wiring and electrical controls for loose connections, charred, frayed or broken insulation, evidence of short circuiting, wrong size fuses, circuit breakers, or switches, and other electrical deficiencies. Tighten any loose connections.
7Inspect piping and valves for leaks and tighten loose connections.
8Check humidity lamp, replace if necessary.
9Inspect humidifer canister for mineral deposits, replace as necessary.
10Check condition of humidifer electrodes.
11Inspect humidifer and water make-up hoses, fittings, and valves for leaks and tighten loose connections.
12Check operation of automatic condensate discharge system.
13Inspect mounting brackets, bolts, fan guards, etc., adjust and tighten as required.
14Check all structural components; tighten bolts, nuts, and supports as required.
15Inspect for rust and corrosion. Apply paint where applicable.
16Inspect for waterlogged, loose, torn, or missing insulation. Repair as needed.
17Check the drain pan and condensate piping for blockages. Remove if found. Add treatment to prevent fungus growth. Clean drain pan.
18Inspect controls and unit for proper operation.
19Inspect unit for overall condition and recommend for replacement or other needed repairs.
TO BE PERFORMED ANNUALLY (SPRING)
1Clean evaporator coil and blower.
2Clean condenser coils and straighten fins as required.
3Check refrigerant pressures and add refrigerant as required. If a leak is suspected, check all piping and connections for leaks.

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AC-Package, Gas Heat

J-1502000-16
PREVENTATIVE MAINTENANCE PROGRAM CHECKLIST
AIR CONDITIONER - PACKAGE UNIT, GAS HEAT
ACTIVITY:MECHANIC SIGNATURE & DATE
DESIGNATION:
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETERECOMMENDATION FOR REPLACEMENT /REPAIR AND COST
POINTYESNOESTIMATE (Attach additional quote/specification if required)
TO BE PERFORMED AT EACH INSPECTION SERVICE
1Check motor and fan shaft bearings for noise, vibraton, overheating; lubrucate bearings.
2Inspect fan for bent blades, unbalance, excessive noise and vibration.
3Inspect, adjust belts and pulleys. Replace belt as needed.
4Clean dampers, louvers, or shutters; lubricate pivot points and inspect linkages for tightness.
5Clean evaporator coils. Use cleaning solvent that ia approved by equipment manufacturer. Clean blower wheels when coils are cleaned.
6Clean condenser coils and straighten fins as required. Use cleaning solvent that is approved by equipment manufacturer.
7Inspect for tightness of connection to duckwork.
8Inspect wiring and electrical controls for loose connections, charred, frayed or broken insulation, evidence of short circuiting, wrong size fuses, circuit breakers, or switches, and other electrical deficiencies. Tighten any loose connections.
9Inspect piping and valves for leaks and tighten loose connections.
10Inspect mounting brackets, bolts, fan guards, etc., adjust and tighten as required.
11Check all structural components; tighten bolts, nuts, and supports as required.
12Inspect for rust and corrosion. Apply paint where applicable.
13Inspect for waterlogged, loose, torn, or missing insulation. Repair as needed.
14Check the drain pan and condensate piping for blockages. Remove if found. Add treatment to prevent fungus growth.
15Inspect controls and unit for proper operation.
16Inspect unit for overall condition and recommend for replacement or other needed repairs.
TO BE PERFORMED ANNUALLY (SPRING)
1Check refrigerant pressures and add refrigerant as required. If a leak is suspected, check all piping and connections for leaks.
TO BE PERFORMED ANNUALLY (FALL)
1Inspect fuel system for leaks.
2Check burner operation through a complete cycle by turning thermostat to proper setting; adjust if necessary.
3Check burner flame for proper color; adjust as required.
4Inspect and clean firebox.
5Check condition of flue pipe, damper and stack.

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AC-Window

J-1502000-16
PREVENTATIVE MAINTENANCE PROGRAM CHECKLIST
AIR CONDITIONER - WINDOW UNIT
ACTIVITY:MECHANIC SIGNATURE & DATE
DESIGNATION:
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETERECOMMENDATION FOR REPLACEMENT /REPAIR AND COST
POINTYESNOESTIMATE (Attach additional quote/specification if required)
1Check operating temperature.
2Inspect wiring and electrical controls for loose connections, charred, frayed or broken insulation, evidence of short circuiting, wrong size fuses, circuit breakers, or switches, and other electrical deficiencies. Tighten any loose connections.
3Inspect motor for excessive heat, noise, and vibration
4Clean condener and evaporator coils and blower.
5Inspect for rust and corrosion.
6Inspect unit for proper operation.
7Inspect unit for overall condition and recommend for replacement or other needed repairs.

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Air Filter (HVAC),Huntsville

J-1502000-16
MAINTENANCE & INSPECTION SERVICE CHECKLIST
AIR FILTER (HVAC)
ACTIVITY: MCRC HUNTSVILLEMECHANIC SIGNATURE & DATE
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETEIF TASK WAS NOT NOT COMPLETED, LIST REASONS WHY
POINTYESNO
ADMINISTRATIVE BUILDING AND VMF
AF-1AHU-1
AF-2AHU-2
AF-3RTU-1
AF-4RTU-2
AF-5ACW-1
AF-6FCU-1
AF-7FCU-2
AF-8FCU-3
AF-9FCU-4
AF-10FCU-5
AF-11FCU-6
AF-12FCU-7
HIMARS MAINTENANCE FACILITY
AF-1AHU-1
AF-2AHU-2
AF-3AHU-3
AF-4AHU-4
AF-5AHU-5

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Air Filter (HVAC),Mont

J-1502000-16
MAINTENANCE & INSPECTION SERVICE CHECKLIST
AIR FILTER (HVAC)
ACTIVITY: MCRC MONTGOMERYMECHANIC SIGNATURE & DATE
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETEIF TASK WAS NOT NOT COMPLETED, LIST REASONS WHY
POINTYESNO
AF-1AHU-1
AF-2AHU-2
AF-3AHU-3
AF-4AHU-4
AF-5CRU-1
AF-6FCU-1
AF-7SF-1

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Air Filter (HVAC),Jax

J-1502000-16
MAINTENANCE & INSPECTION SERVICE CHECKLIST
AIR FILTER (HVAC)
ACTIVITY: MCRC JACKSONVILLEMECHANIC SIGNATURE & DATE
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETEIF TASK WAS NOT NOT COMPLETED, LIST REASONS WHY
POINTYESNO
AF-1AHU-1
AF-2HP-1
AF-3AC-2
AF-4FPB1-1
AF-5FPB1-2

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Air Filter (HVAC),Tampa

J-1502000-16
MAINTENANCE & INSPECTION SERVICE CHECKLIST
AIR FILTER (HVAC)
ACTIVITY: MCRC TAMPAMECHANIC SIGNATURE & DATE
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETEIF TASK WAS NOT NOT COMPLETED, LIST REASONS WHY
POINTYESNO
ADMINISTRATIVE, VMF1
AF-1RTU-1
AF-2RTU-2
AF-3RTU-3
AF-4RTU-4
AF-5RTU-5
AF-6RTU-6
AF-7RTU-7
AF-8AC-1
AF-9AC-2
AF-10ACW-1
AF-11ACW-2
AF-12ACW-3
TURRET TRAINING BUILDING
AF-1WAC-1
MODULAR BUILDINGS
AF-1ACP-1
AF-2ACP-2
AF-3ACP-3
AF-4ACP-4

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Air Filter(HVAC),WH

J-1502000-16
MAINTENANCE & INSPECTION SERVICE CHECKLIST
AIR FILTER (HVAC)
ACTIVITY: MCRC WINDY HILLMECHANIC SIGNATURE & DATE
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETEIF TASK WAS NOT NOT COMPLETED, LIST REASONS WHY
POINTYESNO
BULDING 1114
AF-1AHU-1
AF-2AHU-2
AF-3AHU-3
AF-4FCU-1
AF-5FPB-1
AF-6FPB-2
AF-7FPB-3
AF-8FPB-4
AF-9FPB-5
AF-10FPB-7
AF-11FPB-8
AF-12FPB-9
AF-13FPB-10
AF-14FPB-11
AF-15FPB-12
BULDING 1115
AF-1AHU-1
AF-2VAV-5
AF-3VAV-7
AF-4VAV-8
AF-5VAV-9
AF-6VAV-10
AF-7VAV-13
AF-8VAV-14
BULDING 1113
AF-1BDU-1
AF-2BOAU-1
AF-3BHP-1
AF-4BHP-2
BULDING 1102
AF-1ACP-1
AF-2FCU-1
BULDINGS 1103, 1109, 1112
AF-1ACP-1
AF-2ACP-2
AF-3ACP-3
AF-4AHU-1
AF-5FCU-1
BULDINGS 1105, 1107
AF-1ACP-1
AF-2AHU-1
AF-3ACW-1
BULDING 1108
AF-1FCU-`1

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Air Filter (HVAC),Eastover

J-1502000-16
MAINTENANCE & INSPECTION SERVICE CHECKLIST
AIR FILTER (HVAC)
ACTIVITY: MCRC EASTOVERMECHANIC SIGNATURE & DATE
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETEIF TASK WAS NOT NOT COMPLETED, LIST REASONS WHY
POINTYESNO
ADMINISTRATIVE BUILDING
AF-1AHU-1
AF-2AHU-2
AF-3AHU-3
AF-4AHU-4
AF-5FCU-1
AF-6FCU-2
AF-7FCU-3
AF-8SF-1
AF-9SF-2
VMF
AF-1HP-1 (indoor unit)
AF-2HP-2 (indoor unit)

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Air Filter (HVAC),Memphis

J-1502000-16
MAINTENANCE & INSPECTION SERVICE CHECKLIST
AIR FILTER (HVAC)
ACTIVITY: MCRC MEMPHISMECHANIC SIGNATURE & DATE
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETEIF TASK WAS NOT NOT COMPLETED, LIST REASONS WHY
POINTYESNO
AF-1RTU-1
AF-2RTU-2
AF-3RTU-3
AF-4RTU-4
AF-5FCU-1

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AHU

J-1502000-16
PREVENTATIVE MAINTENANCE PROGRAM CHECKLIST
AIR HANDLING UNIT
ACTIVITY:MECHANIC SIGNATURE & DATE
DESIGNATION:
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETERECOMMENDATION FOR REPLACEMENT /REPAIR AND COST
POINTYESNOESTIMATE (Attach additional quote/specification if required)
TO BE PERFORMED AT EACH INSPECTION SERVICE
1Check motor and fan shaft bearings for noise, vibraton, overheating; lubrucate bearings.
2Inspect fan for bent blades, unbalance, excessive noise and vibration.
3Inspect, adjust belts and pulleys. Replace belt as needed.
4Clean dampers, louvers, or shutters; lubricate pivot points and inspect linkages for tightness.
5Inspect for tightness of connection to duckwork.
6Inspect wiring and electrical controls for loose connections, charred, frayed or broken insulation, evidence of short circuiting, wrong size fuses, circuit breakers, or switches, and other electrical deficiencies. Tighten any loose connections.
7Inspect piping and valves for leaks and tighten loose connections.
8Check hydronic control valves for proper operation.
9Inspect mounting brackets, bolts, fan guards, etc., adjust and tighten as required.
10Check all structural components; tighten bolts, nuts, and supports as required.
11Inspect for rust and corrosion. Apply paint where applicable.
12Inspect for waterlogged, loose, torn, or missing insulation. Repair as needed.
13Check the drain pan and condensate piping for blockages. Remove if found. Add treatment to prevent fungus growth. Clean drain pan.
14Inspect controls and unit for proper operation.
15Inspect unit for overall condition and recommend for replacement or other needed repairs.
TO BE PERFORMED ANNUALLY (SPRING)
1Clean evaporator coil and blower.

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AHU - Gas Heat Only

J-1502000-16
PREVENTATIVE MAINTENANCE PROGRAM CHECKLIST
AHU - GAS HEAT ONLY
ACTIVITY:MECHANIC SIGNATURE & DATE
DESIGNATION:
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETERECOMMENDATION FOR REPLACEMENT /REPAIR AND COST
POINTYESNOESTIMATE (Attach additional quote/specification if required)
1Check motor and fan shaft bearings for noise, vibraton, overheating; lubrucate bearings.
2Inspect fan for bent blades, unbalance, excessive noise and vibration.
3Inspect, adjust belts and pulleys. Replace belt as needed.
4Clean dampers, louvers, or shutters; lubricate pivot points and inspect linkages for tightness.
5Inspect for tightness of connection to duckwork.
6Inspect wiring and electrical controls for loose connections, charred, frayed or broken insulation, evidence of short circuiting, wrong size fuses, circuit breakers, or switches, and other electrical deficiencies. Tighten any loose connections.
7Inspect piping and valves for leaks and tighten loose connections.
8Inspect mounting brackets, bolts, fan guards, etc., adjust and tighten as required.
9Check all structural components; tighten bolts, nuts, and supports as required.
10Inspect for rust and corrosion. Apply paint where applicable.
11Inspect for waterlogged, loose, torn, or missing insulation. Repair as needed.
12Inspect fuel system for leaks.
13Check burner operation through a complete cycle by turning thermostat to proper setting; adjust if necessary.
14Check burner flame for proper color; adjust as required.
15Inspect and clean firebox.
16Check condition of flue pipe, damper and stack.
17Inspect controls and unit for proper operation.
18Inspect unit for overall condition and recommend for replacement or other needed repairs.

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Boiler

J-1502000-16
PREVENTATIVE MAINTENANCE PROGRAM CHECKLIST
BOILER -HOT WATER OR STEAM, GAS, OIL OR COMBINATION FIRED
ACTIVITY:MECHANIC SIGNATURE & DATE
DESIGNATION:
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETERECOMMENDATION FOR REPLACEMENT /REPAIR AND COST
POINTYESNOESTIMATE (Attach additional quote/specification if required)
WEEKLY (SITES WITH FULL TIME MAINTENANCE STAFFS) OR MONTHLY (REMOTE SITES) DURING HEATING SEASON
1Check fuel train including pressure regulators, cut-off valves, and associated equipment for leaks and proper operation; tighten connections as required.
2On condensing boilers, check condensate system neutralizer for marble chips or lime crystals. Replenish marble chips or lime crystals if needed (no smaller than 3/4"). Refill system with water. WARNING: must verify fow of condensate and make sure the cap is connected properly before leaving the boilerunattended.
3Inspect all water lines, valves, and connections for leaks or damage; repair as necessary.
4Check feedwater system and feedwater makeup control.
5Check pressure gauges.
6Check boiler for proper operation.
MONTHLY AT EACH INSPECTION SERVICE DURING HEATING SEASON
1Check operation and condition of safety pressure relief valve.
2Check operation of boiler low water cut off devices.
3Inspect and clean water column sight glass (or replace).
4Check main flame failure protection (gas or oil).
5Check pilot flame failure protection for gas burner equipment.
6Check main flame detection scanner on boiler equipped with spark ignition (oil burner).
7Check flame detection sanner (main and pilot) for boiler equipped with pilot flame (gas burner).
QUARTERLY AT EACH INSPECTION SERVICE DURING HEATING SEASON
1Check electrical system, thermostat, and all operating controls for proper response when operating.
2Check and lubricate blowers and motors.
3Check condition of flue pipe, damper and exhaust stack.
4Inspect boiler pipe insulation for loose, torn, or missing insulation. Repair as needed. Any replacement over two linear feet shall be listed as a repair item
5Check air intake and exhaust vent outlets for any blockage or restrictions. Clean as needed.
ANNUALLY BEFORE HEATING SEASON
1Inspect and clean oil burner gun and ignition assembly.
2Change fuel filter element.
3On condensing boilers, check condensate system for obstructions, none allowed.
4On condensing boilers, verify condensate pump is working properly.
5Check combustion chamber for air or gas leaks.
6Clean scale and soot from boiler interior heat exchange surfaces.
7Using boiler stack analyzer, make proper fuel air ratio adjustments to ensure that boiler is operating at peak efficiency.
8On units utilizing a flame rod, change the rod.
9Clean/replace flapper valve gasket
10Change the spark plug.
11Check boiler operation through complete cycle.
12Inspect unit for overall condition and recommend for replacement or other needed repairs.

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Boiler, Electric

J-1502000-16
PREVENTATIVE MAINTENANCE PROGRAM CHECKLIST
BOILER -ELECTRIC
ACTIVITY:MECHANIC SIGNATURE & DATE
DESIGNATION:
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETERECOMMENDATION FOR REPLACEMENT /REPAIR AND COST
POINTYESNOESTIMATE (Attach additional quote/specification if required)
MONTHLY AT EACH INSPECTION SERVICE DURING HEATING SEASON
1Check tightness of electrical connections; particularly at power entrance lugs, fuses (line side) and contractors (load side).
2Inspect the condition of the contactors, look for burned or corroded contacts or overheated coils and wires. If the contactors chatter or hum during operation, disassamble and clean to remove dust or other foreign material in the works or replac if needed.
3Check the wiring throughout the boiler for frayed or brittle insulation. Replace any wiring having exposed metal-parts.
4Inspect control cabinet cooling fan filter; clean or replace as required.
5Check boiler operation through complete cycle or up to 10 minutes.
6Inspect unit for overall condition and recommend for replacement or other needed repairs.
ANNUALLY BEFORE HEATING SEASON
1Inspect the heating elements. Verify the terminal contacts are tight, clean, and corrision-free.
2Remove the element access covers. Inspect all internal plumbing connections, particularly at the heating elements. Spot check torque on element flange bolts. The acceptable torque range is 10-15 ft lbs.
3Remove and replace any leaking elements or element gaskets. Inspect handhole and manhole gaskets. Replace any brittle gaskets.
4Clean scale from boiler interior.
5Remove and clean the low water cutoff probe.
6Clean (rod) out the pipes to the water columns.
7Inspect the operation of the floats in the level controllers.

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Coil-Duct

J-1502000-16
PREVENTATIVE MAINTENANCE PROGRAM CHECKLIST
COIL, INLINE DUCT
ACTIVITY:MECHANIC SIGNATURE & DATE
DESIGNATION:
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETERECOMMENDATION FOR REPLACEMENT /REPAIR AND COST
POINTYESNOESTIMATE (Attach additional quote/specification if required)
1Inspect surrounding ductwork for leakage or unnecessary movement.
2Modulate the thermostat control to verify proper control.
3Vacuum clean coil compartment and including coil.
4Inspect unit for overall condition and recommend for replacement or other needed repairs.

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Damper

J-1502000-16
PREVENTATIVE MAINTENANCE PROGRAM CHECKLIST
DAMPER
ACTIVITY:MECHANIC SIGNATURE & DATE
DESIGNATION:
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETERECOMMENDATION FOR REPLACEMENT /REPAIR AND COST
POINTYESNOESTIMATE (Attach additional quote/specification if required)
1Check motor bearings for noise, vibraton, overheating; lubrucate bearings.
2Inspect wiring and electrical controls for loose connections, charred, frayed or broken insulation, evidence of short circuiting, wrong size fuses, circuit breakers, or switches, and other electrical deficiencies. Tighten any loose connections.
3Inspect for rust and corrosion. Remove any found and repaint.
4Clean dampers; lubricate pivot points and inspect linkages for tightness.
5Inspect unit for proper operation.
6Inspect unit for overall condition and recommend for replacement or other needed repairs.

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Fan

J-1502000-16
PREVENTATIVE MAINTENANCE PROGRAM CHECKLIST
FAN
ACTIVITY:MECHANIC SIGNATURE & DATE
DESIGNATION:
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETERECOMMENDATION FOR REPLACEMENT /REPAIR AND COST
POINTYESNOESTIMATE (Attach additional quote/specification if required)
1Start and stop fan with local switch
2Check motor and fan shaft bearings for noise, vibraton, overheating; lubrucate bearings.
3Inspect, adjust belts and pulleys. Replace belt as needed.
4Clean dampers; lubricate pivot points and inspect linkages for tightness.
5Inspect fan for bent blades, unbalance, excessive noise and vibration.
6Clean fan.
7Inspect surrounding ductwork for leakage or unnecessary movement.
8Inspect wiring and electrical controls for loose connections, charred, frayed or broken insulation, evidence of short circuiting, wrong size fuses, circuit breakers, or switches, and other electrical deficiencies. Tighten any loose connections.
9Inspect for rust and corrosion. Remove any found and repaint. List any rusted area over two square feet as a repair item.
10Inspect unit for proper operation.
11Inspect unit for overall condition and recommend for replacement or other needed repairs.

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Fan Coil Unit

J-1502000-16
PREVENTATIVE MAINTENANCE PROGRAM CHECKLIST
FAN COIL UNIT
ACTIVITY:MECHANIC SIGNATURE & DATE
DESIGNATION:
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETERECOMMENDATION FOR REPLACEMENT /REPAIR AND COST
POINTYESNOESTIMATE (Attach additional quote/specification if required)
1Check motor and fan shaft bearings for noise, vibraton, overheating; lubrucate bearings.
2Inspect fan for bent blades, unbalance, excessive noise and vibration.
3Inspect, adjust belts and pulleys. Replace belt as needed.
4Clean dampers, louvers, or shutters; lubricate pivot points and inspect linkages for tightness.
5Clean evaporator coil and blower.
6Inspect for tightness of connection to duckwork.
7Inspect wiring and electrical controls for loose connections, charred, frayed or broken insulation, evidence of short circuiting, wrong size fuses, circuit breakers, or switches, and other electrical deficiencies. Tighten any loose connections.
8Inspect piping and valves for leaks and tighten loose connections.
9Inspect mounting brackets, bolts, fan guards, etc., adjust and tighten as required.
10Check all structural components; tighten bolts, nuts, and supports as required.
11Inspect for rust and corrosion. Apply paint where applicable.
12Inspect for waterlogged, loose, torn, or missing insulation. Repair as needed.
13Check the drain pan and condensate piping for blockages. Remove if found. Add treatment to prevent fungus growth. Clean drain pan.
14Inspect controls and unit for proper operation.
15Inspect unit for overall condition and recommend for replacement or other needed repairs.

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Fan Coil Unit-Computer

J-1502000-16
PREVENTATIVE MAINTENANCE PROGRAM CHECKLIST
FAN COIL UNIT - COMPUTER ROOM
ACTIVITY:MECHANIC SIGNATURE & DATE
DESIGNATION:
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETERECOMMENDATION FOR REPLACEMENT /REPAIR AND COST
POINTYESNOESTIMATE (Attach additional quote/specification if required)
TO BE PERFORMED AT EACH INSPECTION SERVICE
1Check motor and fan shaft bearings for noise, vibraton, overheating; lubrucate bearings.
2Inspect fan for bent blades, unbalance, excessive noise and vibration.
3Inspect, adjust belts and pulleys. Replace belt as needed.
4Clean dampers, louvers, or shutters; lubricate pivot points and inspect linkages for tightness.
5Inspect for tightness of connection to duckwork.
6Inspect wiring and electrical controls for loose connections, charred, frayed or broken insulation, evidence of short circuiting, wrong size fuses, circuit breakers, or switches, and other electrical deficiencies. Tighten any loose connections.
7Inspect piping and valves for leaks and tighten loose connections.
8Check humidity lamp, replace if necessary.
9Inspect humidifer canister for mineral deposits, replace as necessary.
10Check condition of humidifer electrodes.
11Inspect humidifer and water make-up hoses, fittings, and valves for leaks and tighten loose connections.
12Inspect mounting brackets, bolts, fan guards, etc., adjust and tighten as required.
13Check all structural components; tighten bolts, nuts, and supports as required.
14Inspect for rust and corrosion. Apply paint where applicable.
15Inspect for waterlogged, loose, torn, or missing insulation. Repair as needed.
16Check the drain pan and condensate piping for blockages. Remove if found. Add treatment to prevent fungus growth. Clean drain pan.
17Inspect controls and unit for proper operation.
18Inspect unit for overall condition and recommend for replacement or other needed repairs.
TO BE PERFORMED ANNUALLY (SPRING)
1Clean evaporator coil and blower.
2Check unit for proper refrigerant charge; add refrigerant, if necessary.

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Heat Pump - Split

J-1502000-16
PREVENTATIVE MAINTENANCE PROGRAM CHECKLIST
HEAT PUMP - SPLIT SYSTEM
ACTIVITY:MECHANIC SIGNATURE & DATE
DESIGNATION:
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETERECOMMENDATION FOR REPLACEMENT /REPAIR AND COST
POINTYESNOESTIMATE (Attach additional quote/specification if required)
TO BE PERFORMED AT EACH INSPECTION SERVICE
1Check motor and fan shaft bearings for noise, vibraton, overheating; lubrucate bearings.
2Inspect fan for bent blades or unbalance; adjust as necessary.
3Check belts for condition, proper tension, and misalignment; adjust for proper tension and/or alignment.
4Clean coils and straighten fins as required. Use cleaning solvent that is approved by the equipment manufacturer.
5Inspect wiring and electrical controls for loose connections, charred, frayed or broken insulation, evidence of short circuiting, wrong size fuses, circuit breakers, or switches, and other electrical deficiencies. Tighten any loose connections.
6Inspect piping and valves for leaks and tighten loose connections.
7Inspect mounting brackets, bolts, fan guards, etc., adjust and tighten as required.
8Check all structural components; tighten bolts, nuts, and supports as required.
9Inspect for rust and corrosion. Apply paint where applicable.
10Cycle the reverse cycle valve to insure proper operation.
11Inspect controls and unit for proper operation.
12Inspect unit for overall condition and recommend for replacement or other needed repairs.
TO BE PERFORMED ANNUALLY (SPRING)
1Check unit for proper refrigerant charge; add refrigerant, if necessary.

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Heat Pump - Package Unit

J-1502000-16
PREVENTATIVE MAINTENANCE PROGRAM CHECKLIST
HEAT PUMP - PACKAGE UNIT
ACTIVITY:MECHANIC SIGNATURE & DATE
DESIGNATION:
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETERECOMMENDATION FOR REPLACEMENT /REPAIR AND COST
POINTYESNOESTIMATE (Attach additional quote/specification if required)
TO BE PERFORMED AT EACH INSPECTION SERVICE
1Check motor and fan shaft bearings for noise, vibraton, overheating; lubrucate bearings.
2Inspect fan for bent blades, unbalance, excessive noise and vibration.
3Inspect, adjust belts and pulleys. Replace belt as needed.
4Clean dampers, louvers, or shutters; lubricate pivot points and inspect linkages for tightness.
5Clean evaporator coils. Use cleaning solvent that ia approved by equipment manufacturer. Clean blower wheels when coils are cleaned.
6Clean condenser coils and straighten fins as required. Use cleaning solvent that is approved by equipment manufacturer.
7Inspect for tightness of connection to duckwork.
8Inspect wiring and electrical controls for loose connections, charred, frayed or broken insulation, evidence of short circuiting, wrong size fuses, circuit breakers, or switches, and other electrical deficiencies. Tighten any loose connections.
9Inspect piping and valves for leaks and tighten loose connections.
10Inspect mounting brackets, bolts, fan guards, etc., adjust and tighten as required.
11Check all structural components; tighten bolts, nuts, and supports as required.
12Inspect for rust and corrosion. Apply paint where applicable.
13Inspect for waterlogged, loose, torn, or missing insulation. Repair as needed.
14Check the drain pan and condensate piping for blockages. Remove if found. Add treatment to prevent fungus growth. Clean drain pan.
15Cycle the reverse cycle valve to insure proper operation.
16Inspect controls and unit for proper operation.
17Inspect unit for overall condition and recommend for replacement or other needed repairs.
TO BE PERFORMED ANNUALLY (SPRING)
1Check refrigerant pressures and add refrigerant as required. If a leak is suspected, check all piping and connections for leaks.
2Check compressor oil level; add oil as required.

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Heater-Unit, Forced, Elect

J-1502000-16
PREVENTATIVE MAINTENANCE PROGRAM CHECKLIST
HEATER - UNIT, FORCED AIR, ELECTRIC
ACTIVITY:MECHANIC SIGNATURE & DATE
BUILDING:DESIGNATION:
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETERECOMMENDATION FOR REPLACEMENT /REPAIR AND COST
POINTYESNOESTIMATE (Attach additional quote/specification if required)
1Inspect wiring and electrical controls for loose connections, charred, frayed or broken insulation, evidence of short circuiting, wrong size fuses, circuit breakers, or switches, and other electrical deficiencies. Tighten any loose connections.
2Vacuum clean unit and heating element.
3Check operation of thermostat.
4Check motor and fan shaft bearings for noise, vibraton, overheating; lubrucate bearings.
5Inspect fan for bent blades, unbalance, excessive noise and vibration.
6Inspect unit for proper operation.
7Inspect unit for overall condition and recommend for replacement or other needed repairs.

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Heater-Unit, Forced, Gas

J-1502000-16
PREVENTATIVE MAINTENANCE PROGRAM CHECKLIST
HEATER - UNIT, FORCED AIR, GAS
ACTIVITY:MECHANIC SIGNATURE & DATE
DESIGNATION:
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETERECOMMENDATION FOR REPLACEMENT /REPAIR AND COST
POINTYESNOESTIMATE (Attach additional quote/specification if required)
1Clean dirt from heater using air hose (pressure not to exceed 30 psi).
2Check operation of gas regulator, adjust as required.
3Check for gas leaks.
4Check operation of thermostat.
6Clean and inspect gas pilot assembly, burner and jets, firebox and flue pipe; adjust burner and pilot flames as necessary.
7Inspect wiring and electrical controls for loose connections, charred, frayed or broken insulation, evidence of short circuiting, wrong size fuses, circuit breakers, or switches, and other electrical deficiencies. Tighten any loose connections.
8Inspect fan for bent blades, unbalance, excessive noise and vibration.
9Check motor and fan shaft bearings for noise, vibraton, overheating; lubrucate bearings.
10Inspect unit for proper operation.
11Inspect unit for overall condition and recommend for replacement or other needed repairs.

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Heater-Unit, Forced, Water

J-1502000-16
PREVENTATIVE MAINTENANCE PROGRAM CHECKLIST
HEATER - UNIT, FORCED AIR, WATER/STEAM
ACTIVITY:MECHANIC SIGNATURE & DATE
DESIGNATION:
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETERECOMMENDATION FOR REPLACEMENT /REPAIR AND COST
POINTYESNOESTIMATE (Attach additional quote/specification if required)
1Check heater coils and assocoated piping for leaks or corrision.
2Check hydronic control valve for proper operation.
3Clean heating coil.
4Inspect wiring and electrical controls for loose connections, charred, frayed or broken insulation, evidence of short circuiting, wrong size fuses, circuit breakers, or switches, and other electrical deficiencies. Tighten any loose connections.
5Inspect fan for bent blades, unbalance, excessive noise and vibration.
6Check motor and fan shaft bearings for noise, vibraton, overheating; lubrucate bearings.
7Verify proper control by modulating the thermostat through complete cycle.
8Inspect unit for proper operation.
9Inspect unit for overall condition and recommend for replacement or other needed repairs.

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Heater-Unit, Infra-red, Elect

J-1502000-16
PREVENTATIVE MAINTENANCE PROGRAM CHECKLIST
HEATER - UNIT, INFRA-RED RADIANT, ELECTRIC
ACTIVITY:MECHANIC SIGNATURE & DATE
DESIGNATION:
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETERECOMMENDATION FOR REPLACEMENT /REPAIR AND COST
POINTYESNOESTIMATE (Attach additional quote/specification if required)
1Check operation of thermostat.
2Inspect wiring and electrical controls for loose connections, charred, frayed or broken insulation, evidence of short circuiting, wrong size fuses, circuit breakers, or switches, and other electrical deficiencies. Tighten any loose connections.
3Inspect unit for proper operation.
4Inspect unit for overall condition and recommend for replacement or other needed repairs.

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Heater-Unit, Infra-red, Gas

J-1502000-16
PREVENTATIVE MAINTENANCE PROGRAM CHECKLIST
HEATER - UNIT, INFRA-RED RADIANT, GAS
ACTIVITY:MECHANIC SIGNATURE & DATE
DESIGNATION:
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETERECOMMENDATION FOR REPLACEMENT /REPAIR AND COST
POINTYESNOESTIMATE (Attach additional quote/specification if required)
1Clean dirt from heater using air hose (pressure not to exceed 30 psi). Blow out each venturi tube.
2Check operation of gas valve.
3Check for gas leaks.
4Check operation of thermostat.
5Replace primary air intake filter.
6Clean spark electrode and reset gap, replace if necessary.
7Inspect and clean vacuum pump (fan) and flue pipe.
8Inspect and clean outside air blower and blower intake.
9Inspect unit for proper operation.
10Inspect unit for overall condition and recommend for replacement or other needed repairs.

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Rooftop Unit

J-1502000-16
PREVENTATIVE MAINTENANCE PROGRAM CHECKLIST
ROOFTOP UNIT
ACTIVITY:MECHANIC SIGNATURE & DATE
DESIGNATION:
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETERECOMMENDATION FOR REPLACEMENT /REPAIR AND COST
POINTYESNOESTIMATE (Attach additional quote/specification if required)
TO BE PERFORMED AT EACH INSPECTION SERVICE
1Check motor and fan shaft bearings for noise, vibraton, overheating; lubrucate bearings.
2Inspect fan for bent blades, unbalance, excessive noise and vibration.
3Inspect, adjust belts and pulleys. Replace belt as needed.
4Clean dampers, louvers, or shutters; lubricate pivot points and inspect linkages for tightness.
5Inspect for tightness of connection to duckwork.
6Inspect wiring and electrical controls for loose connections, charred, frayed or broken insulation, evidence of short circuiting, wrong size fuses, circuit breakers, or switches, and other electrical deficiencies. Tighten any loose connections.
7Inspect piping and valves for leaks and tighten loose connections.
8Check hydronic control valve for proper operation.
9Inspect mounting brackets, bolts, fan guards, etc., adjust and tighten as required.
10Check all structural components; tighten bolts, nuts, and supports as required.
11Inspect for rust and corrosion. Apply paint where applicable.
12Inspect for waterlogged, loose, torn, or missing insulation. Repair as needed.
13Check the drain pan and condensate piping for blockages. Remove if found. Add treatment to prevent fungus growth. Clean drain pan.
14Inspect controls and unit for proper operation.
15Inspect unit for overall condition and recommend for replacement or other needed repairs.
TO BE PERFORMED ANNUALLY (SPRING)
1Clean evaporator coils. Use cleaning solvent that ia approved by equipment manufacturer. Clean blower wheels when coils are cleaned.
2Clean condenser coils and straighten fins as required. Use cleaning solvent that is approved by equipment manufacturer.
3Clean heat wheel using soap and water.
4Check refrigerant pressures and add refrigerant as required. If a leak is suspected, check all piping and connections for leaks.
Check compressor oil level; add oil as required.

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Rooftop Unit - Gas Heat

J-1502000-16
PREVENTATIVE MAINTENANCE PROGRAM CHECKLIST
ROOFTOP UNIT - GAS HEAT
ACTIVITY:MECHANIC SIGNATURE & DATE
DESIGNATION:
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETERECOMMENDATION FOR REPLACEMENT /REPAIR AND COST
POINTYESNOESTIMATE (Attach additional quote/specification if required)
TO BE PERFORMED AT EACH INSPECTION SERVICE
1Check motor and fan shaft bearings for noise, vibraton, overheating; lubrucate bearings.
2Inspect fan for bent blades, unbalance, excessive noise and vibration.
3Inspect, adjust belts and pulleys. Replace belt as needed.
4Clean dampers, louvers, or shutters; lubricate pivot points and inspect linkages for tightness.
5Inspect for tightness of connection to duckwork.
6Inspect wiring and electrical controls for loose connections, charred, frayed or broken insulation, evidence of short circuiting, wrong size fuses, circuit breakers, or switches, and other electrical deficiencies. Tighten any loose connections.
7Inspect piping and valves for leaks and tighten loose connections.
8Check hydronic control valve for proper operation.
9Inspect mounting brackets, bolts, fan guards, etc., adjust and tighten as required.
10Check all structural components; tighten bolts, nuts, and supports as required.
11Inspect for rust and corrosion. Apply paint where applicable.
12Inspect for waterlogged, loose, torn, or missing insulation. Repair as needed.
13Check the drain pan and condensate piping for blockages. Remove if found. Add treatment to prevent fungus growth. Clean drain pan.
14Inspect controls and unit for proper operation.
15Inspect unit for overall condition and recommend for replacement or other needed repairs.
TO BE PERFORMED AT THE BEGINNING OF THE COOLING SEASON (SPRING)
1Clean evaporator coils. Use cleaning solvent that ia approved by equipment manufacturer. Clean blower wheels when coils are cleaned.
2Clean condenser coils and straighten fins as required. Use cleaning solvent that is approved by equipment manufacturer.
3Clean heat wheel in accordance with manufacturer's instructions.
4Check refrigerant pressures and add refrigerant as required. If a leak is suspected, check all piping and connections for leaks.
5Check compressor oil level; add oil as required.
TO BE PERFORMED AT THE BEGINNING OF THE HEATING SEASON (FALL)
1Inspect fuel system for leaks.
2Check burner operation through a complete cycle by turning thermostat to proper setting; adjust if necessary.
3Check burner flame for proper color; adjust as required.
4Inspect and clean firebox.
5Check condition of flue pipe, damper and stack.

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Rooftop Unit - Gas Heat Only

J-1502000-16
PREVENTATIVE MAINTENANCE PROGRAM CHECKLIST
ROOFTOP UNIT - GAS HEAT ONLY
ACTIVITY:MECHANIC SIGNATURE & DATE
DESIGNATION:
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETERECOMMENDATION FOR REPLACEMENT /REPAIR AND COST
POINTYESNOESTIMATE (Attach additional quote/specification if required)
1Check motor and fan shaft bearings for noise, vibraton, overheating; lubrucate bearings.
2Inspect fan for bent blades, unbalance, excessive noise and vibration.
3Inspect, adjust belts and pulleys. Replace belt as needed.
4Clean dampers, louvers, or shutters; lubricate pivot points and inspect linkages for tightness.
5Inspect for tightness of connection to duckwork.
6Inspect wiring and electrical controls for loose connections, charred, frayed or broken insulation, evidence of short circuiting, wrong size fuses, circuit breakers, or switches, and other electrical deficiencies. Tighten any loose connections.
7Inspect piping and valves for leaks and tighten loose connections.
8Inspect mounting brackets, bolts, fan guards, etc., adjust and tighten as required.
9Check all structural components; tighten bolts, nuts, and supports as required.
10Inspect for rust and corrosion. Apply paint where applicable.
11Inspect for waterlogged, loose, torn, or missing insulation. Repair as needed.
12Inspect fuel system for leaks.
13Check burner operation through a complete cycle by turning thermostat to proper setting; adjust if necessary.
14Check burner flame for proper color; adjust as required.
15Inspect and clean firebox.
16Check condition of flue pipe, damper and stack.
17Inspect controls and unit for proper operation.
18Inspect unit for overall condition and recommend for replacement or other needed repairs.

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Terminal-VAV

J-1502000-16
PREVENTATIVE MAINTENANCE PROGRAM CHECKLIST
TERMINAL-VAV
ACTIVITY:MECHANIC SIGNATURE & DATE
DESIGNATION:
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETERECOMMENDATION FOR REPLACEMENT /REPAIR AND COST
POINTYESNOESTIMATE (Attach additional quote/specification if required)
1Inspect surrounding ductwork for leakage or unnecessary movement.
2Modulate the thermostat control to verify proper control.
3Inspect electric controls including the sensors (as applicable) for proper setting, complete connections, condition of contacts and switches, calibration, throttling range, wing range, and operation. adjust as necessary.
4Check hydronic heater coil and assocoated piping for leaks or corrision.
5Check hydronic control valve for proper operation.
6Clean coil.
7Lubricate drives and actuators as required.
8Check actuator bracket bolts for tightness.
9Inspect unit for proper operation.
10Inspect unit for overall condition and recommend for replacement or other needed repairs.

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Lighting

J-1502000-16
PREVENTATIVE MAINTENANCE PROGRAM CHECKLIST
LIGHTING
(ONE REPORT PER INSPECTION)
ACTIVITY:MECHANIC SIGNATURE & DATE
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETERECOMMENDATION FOR REPLACEMENT /REPAIR AND COST
POINTYESNOESTIMATE (Attach additional quote/specification if required)
TO BE PERFORMED AT EACH INSPECTION SERVICE
1Check operation of light fixture, switch, automatic switch (where available). Replace defective switches and/or automatic switches (ie. photo sensor).
2Check for proper operation of all emergency light fixtures.
TO BE PERFORMED IF BULB IS NON-FUNCTIONAL
1Replace defective lamp and/or ballast and clean fixture including all reflectors, refractors, glass, diffusers, and bulbs contained in fixture. Recycle/dispose as required.
2Check for evidence of overheating. Check wiring, contacts, terminals, and sockets if overheating detected. Tighten connection or replace components as necessary to fix problem.

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Panelboard

J-1502000-16
PREVENTATIVE MAINTENANCE PROGRAM CHECKLIST
PANELBOARD
ACTIVITY:MECHANIC SIGNATURE & DATE
DESIGNATION:
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETERECOMMENDATION FOR REPLACEMENT /REPAIR AND COST
POINTYESNOESTIMATE (Attach additional quote/specification if required)
1Field test panelboard for overheating by feeling all dead front surfaces with palm of hand or by using infrared scan. If high temperature detected, this is an indication of trouble and investigation is necessary.
2Install missing space blanks.
3Tighten all loose connections.
4Clean and check general condition of panel.

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Transformer- Dry

J-1502000-16
PREVENTATIVE MAINTENANCE PROGRAM CHECKLIST
TRANSFORMER - DRY
ACTIVITY:MECHANIC SIGNATURE & DATE
DESIGNATION:
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETERECOMMENDATION FOR REPLACEMENT /REPAIR AND COST
POINTYESNOESTIMATE (Attach additional quote/specification if required)
1Clean area around the transformer.

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Fire Detection

J-1502000-16
PREVENTATIVE MAINTENANCE PROGRAM CHECKLIST
FIRE DETECTION AND ALARM SYSTEM
ACTIVITY:INSPECTOR SIGNATURE & DATE
DESIGNATION:
NOTE: ALL INSPECTION, TESTING AND MAINTENANCE SHALL BE PERFORMED IN ACCORDANCE WITH UFC 3-600-02
CHECKCHECKPOINT DESCRIPTIONTASK COMPLETERECOMMENDATION FOR REPLACEMENT /REPAIR AND COST

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