CV-22 30 00 Water Heaters (Electric) – Equipment Identification/Tag: _______ Location: _________________________ Group/Item Group/Task Description Submitted Delivered A MODEL VERIFICATION 1 Manufacturer 2 Model 3 Serial Number 4 Heating Input (kW) 5 Voltage / Phase / Frequency (V / - / Hz) 6 Storage Capacity (gal.) 7 Recovery capacity at 100 deg. F rise (gph) CHECKLIST GROUP COMPLETE INITIALS: DATE: Group/Item Group/Task Description Response B PHYSICAL CHECKS 1 Unit is free from physical damage. YES NO 2 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: C INSTALLATION 1 YES NO Unit secured as required by manufacturer and specifications. 2 Equipment location coordinated with piping, ductwork, conduit and YES NO equipment of other trades to allow sufficient clearances. 3 Unit is set on concrete housekeeping pad and is level (commercial units YES NO ONLY). 4 Adequate clearance around unit for service. YES NO 5 YES NO All components accessible for maintenance. 6 YES NO Drain pan installed and piped to an adequate drain. 7 YES NO Proper clearances from combustible surfaces maintained per and applicable codes. manufacturer’s instructions 8 YES NO Unit labeled and is easy to see. CHECKLIST GROUP COMPLETE INITIALS: DATE: D WATER PIPING 1 YES NO All piping components have been installed (in the correct order) as required by contract document or manufacturer. 2 YES NO Piping arranged for ease of unit removal. 3 YES NO Piping supported as required by specifications. 4 YES NO Piping is clean. 5 Unit connected to water supply and return/make-up piping using unions or YES NO flanges and isolation valves. 6 Dielectric fittings installed to isolate dissimilar pipe materials. YES NO 7 YES NO Piping and valves properly checked and free of leaks. 8 YES NO Thermometers and pressure gauges supplied on supply and return lines. 9 YES NO Piping insulation is complete and installed as per specifications. 10 All valves and test ports are easily accessible. YES NO 11 YES NO Valve tags attached.
CV-22 30 00 – Water Heaters (Electric) Equipment Identification/Tag: _______ Location: _________________________ Group/Item Group/Task Description Submitted Delivered A MODEL VERIFICATION 1 Manufacturer 2 Model 3 Serial Number 4 Heating Input (kW) 5 Voltage / Phase / Frequency (V / - / Hz) 6 Storage Capacity (gal.) 7 Recovery capacity at 100 deg. F rise (gph) CHECKLIST GROUP COMPLETE INITIALS: DATE: Group/Item Group/Task Description Response B PHYSICAL CHECKS 1 Unit is free from physical damage. YES NO 2 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: C INSTALLATION 1 Unit secured as required by manufacturer and specifications. YES NO 2 Equipment location coordinated with piping, ductwork, conduit and equipment of other trades to allow sufficient clearances. YES NO 3 Unit is set on concrete housekeeping pad and is level (commercial units ONLY). YES NO 4 Adequate clearance around unit for service. YES NO 5 All components accessible for maintenance. YES NO 6 Drain pan installed and piped to an adequate drain. YES NO 7 Proper clearances from combustible surfaces maintained per manufacturer’s instructions and applicable codes. YES NO 8 Unit labeled and is easy to see. YES NO CHECKLIST GROUP COMPLETE INITIALS: DATE: D WATER PIPING 1 All piping components have been installed (in the correct order) as required by contract document or manufacturer. YES NO 2 Piping arranged for ease of unit removal. YES NO 3 Piping supported as required by specifications. YES NO 4 Piping is clean. YES NO 5 Unit connected to water supply and return/make-up piping using unions or flanges and isolation valves. YES NO 6 Dielectric fittings installed to isolate dissimilar pipe materials. YES NO 7 Piping and valves properly checked and free of leaks. YES NO 8 Thermometers and pressure gauges supplied on supply and return lines. YES NO 9 Piping insulation is complete and installed as per specifications. YES NO 10 All valves and test ports are easily accessible. YES NO 11 Valve tags attached. YES NO
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