(possible) (Action items in italics) HVAC and pipes (id # ___________ ) Condition: 1mo No unusual noises, vibration? No corrosion or deterioration? Insulation in place, acceptable condition? No water, or gas leaks? circulates with pump when cooled? Valves and gaskets: 1 mo Valves open & close OK ? No corrosion or Hand hold not leaking or deteriorating? Inspect/test safety valves & devices. 1mo Tanks: Expansion and other tanks and receivers operate properly? No leaks or deterioration? 1mo Drains and traps: Drains clean and unobstructed? charged? Heat and lubrication: 3 mo No excessive heat or sparking? Lubrication OK? 3 mo Hangers, connectors, fittings: No loose, missing parts in hangers? Fittings and connectors are not deteriorating? Couplings: 3 mo Shaft security, and safety guards of couplings OK? Alignment OK? (If belt coupled, tension and condition.) No uneven wear? Impeller: Impeller moving 3 mo medium through pipe OK?. Housing: Packing, seals, gaskets 3 mo OK? No leaks?. Checklist & Y N Actions taken / Notes Freq Date Action (possible) (Action items in italics) HVAC pumps and pipes (id # ___________ ) continued No broken, frayed, and 3 mo Wiring: loose wiring? No leaks, corrosion? No 3 mo Pipes: loose connections? 3 mo Inspect and perform preventive maintenance on pumps over 1 H.P.
(Action items in italics) (possible) HVAC and pipes (id # ___________ ) Condition: No unusual noises, vibration? No corrosion or deterioration? Insulation in place, acceptable condition? No water, or gas leaks? circulates with pump when cooled? 1mo Valves and gaskets: Valves open & close OK ? No corrosion or Hand hold not leaking or deteriorating? Inspect/test safety valves & devices. 1 mo Tanks: Expansion and other tanks and receivers operate properly? No leaks or deterioration? 1mo Drains and traps: Drains clean and unobstructed? charged? 1mo Heat and lubrication: No excessive heat or sparking? Lubrication OK? 3 mo Hangers, connectors, fittings: No loose, missing parts in hangers? Fittings and connectors are not deteriorating? 3 mo Couplings: Shaft security, and safety guards of couplings OK? Alignment OK? (If belt coupled, tension and condition.) No uneven wear? 3 mo Impeller: Impeller moving medium through pipe OK?. 3 mo Housing: Packing, seals, gaskets OK? No leaks?. 3 mo Checklist & Action (Action items in italics) Y N Actions taken / Notes Freq (possible) Date HVAC pumps and pipes (id # ___________ ) continued Wiring: No broken, frayed, and loose wiring? 3 mo Pipes: No leaks, corrosion? No loose connections? 3 mo Inspect and perform preventive maintenance on pumps over 1 H.P. 3 mo
om_periodic_inspections.docx