CV-23 52 00 Boilers –Condensing Equipment Identification/Tag: ______ Location:_________________________ Group/Item Group/Task Description Submitted Delivered A MODEL VERIFICATION 1 Manufacturer 2 Model 3 Serial Number 4 Total Input / Output Capacity (MBH) / / 5 Gas inlet pressure (psi) 6 Voltage / Phase / Frequency (V / - / Hz) / / / / CHECKLIST GROUP COMPLETE INITIALS: DATE: Group/Item Group/Task Description Response B PHYSICAL CHECKS 1 Unit is free from physical damage. YES NO 2 The water and gas openings are sealed with plastic plugs. YES NO 3 All components present. YES NO 4 Installation and startup manual provided. YES NO 5 Unit tags affixed. YES NO CHECKLIST GROUP COMPLETE INITIALS: DATE: Group/Item Group/Task Description Response C INSTALLATION 1 Unit located indoors and protected from freezing temperatures. YES NO 2 Unit not located near an air-moving device. YES NO Proper clearances from combustible surfaces maintained per 3 YES NO instructions and applicable codes. manufacturer’s 4 Installation area free of corrosive elements and flammable materials. YES NO 5 Unit is set on concrete housekeeping pad and is level. YES NO 6 Unit secured as required by manufacturer and specifications. YES NO Equipment location coordinated with piping, ductwork, conduit and 7 YES NO equipment of other trades to allow sufficient clearances. 8 Adequate clearance around unit for service. YES NO 9 All components accessible for maintenance. YES NO 10 Unit labeled and is easy to see. YES NO CHECKLIST GROUP COMPLETE INITIALS: DATE: Group/Item Group/Task Description Response D VENTILATION AND COMBUSTION AIR SUPPLY Fresh air not taken from areas that contain negative pressure producing 1 YES NO devices. 2 Fresh air supply free of corrosive elements and flammable vapors. YES NO Fresh air openings located correctly with consideration given to the 3 YES NO blocking effect of louvers and grilles. Overall ductwork length and restrictions comply with manufacturer 4 YES NO requirements. 5 Ductwork is the same cross-sectional area as openings. YES NO 6 All ductwork is properly sealed and sloped per manufacturer specifications. YES NO CHECKLIST GROUP COMPLETE INITIALS: DATE:
CV-23 52 00 –Condensing Boilers Equipment Identification/Tag: ______ Location:_________________________ Group/Item Group/Task Description Submitted Delivered A MODEL VERIFICATION 1 Manufacturer 2 Model 3 Serial Number 4 Total Input / Output Capacity (MBH) / / 5 Gas inlet pressure (psi) 6 Voltage / Phase / Frequency (V / - / Hz) / / / / CHECKLIST GROUP COMPLETE INITIALS: DATE: Group/Item Group/Task Description Response B PHYSICAL CHECKS 1 Unit is free from physical damage. YES NO 2 The water and gas openings are sealed with plastic plugs. YES NO 3 All components present. YES NO 4 Installation and startup manual provided. YES NO 5 Unit tags affixed. YES NO CHECKLIST GROUP COMPLETE INITIALS: DATE: Group/Item Group/Task Description Response C INSTALLATION 1 Unit located indoors and protected from freezing temperatures. YES NO 2 Unit not located near an air-moving device. YES NO 3 Proper clearances from combustible surfaces maintained per manufacturer’s instructions and applicable codes. YES NO 4 Installation area free of corrosive elements and flammable materials. YES NO 5 Unit is set on concrete housekeeping pad and is level. YES NO 6 Unit secured as required by manufacturer and specifications. YES NO 7 Equipment location coordinated with piping, ductwork, conduit and equipment of other trades to allow sufficient clearances. YES NO 8 Adequate clearance around unit for service. YES NO 9 All components accessible for maintenance. YES NO 10 Unit labeled and is easy to see. YES NO CHECKLIST GROUP COMPLETE INITIALS: DATE: Group/Item Group/Task Description Response D VENTILATION AND COMBUSTION AIR SUPPLY 1 Fresh air not taken from areas that contain negative pressure producing devices. YES NO 2 Fresh air supply free of corrosive elements and flammable vapors. YES NO 3 Fresh air openings located correctly with consideration given to the blocking effect of louvers and grilles. YES NO 4 Overall ductwork length and restrictions comply with manufacturer requirements. YES NO 5 Ductwork is the same cross-sectional area as openings. YES NO 6 All ductwork is properly sealed and sloped per manufacturer specifications. YES NO CHECKLIST GROUP COMPLETE INITIALS: DATE:
23%2008%2000.docx