None-Recommended Broken-Replace Other None N/A N/A Flue Type: Flue Condition: Flue Diameter (in): Combustion Air: Metal-Single Wall Good Adequate Wall Fair Present-Inadequate PVC Poor (working) Combustion System: None Other Broken Sealed N/A Unsealed Elec. Service Switch: Daytime Setting: Inspections: Thermostat: Good Cracked heat exchanger Thermostat Type: Fair Nighttime Setting: Insufficient Clearance Bimetal Poor (working) Gas Leak Present Mercury Bulb Broken Anticipator Setting: Fuel Shutoff MISSING Elec-(no setback) None Drip Leg MISSING Elec-Setback N/A Relocate Any Other Problems Powerpile Adjustment Needed Furnace Components: Adjustable Control Settings Fan On: | Fan Off: |High Limit: | Limit not working Burner Type: Burner Condition: Type: Blower Type: Belt Condition: Ribbon Good On in Summer Direct Good Fair Off in Summer Belt Fair Upshot Poor (working) Hot Surface Blower Condition Poor (working) Flame Retention Broken IID Clean Broken None Other Dirty None N/A Plugged N/A Humidifier: Elect Air Cleaner AC Coil: Filter Size: Filter Condition: Good Good Good Fair Fair Fair Fair Poor (working) Poor (working) Poor (working) Dirty Broken Broken Broken Plugged None None None None ASBESTOS PRESENT REMOVAL REQUIRED Boiler Components: System Type: Xtank Condition: Drain Valve Condition: General Condition: Gravity Good Good Good Pump Fair Fair Fair Pump Location: Poor (working) Poor (working) Poor (working) Supply Broken Broken Broken Return T/P Valve Present Convector Type: Zone Type/Model: Radiator Pressure Reading:
None-Recommended Broken-Replace N/A Other None N/A Flue Type: Metal-Single Wall Wall PVC Other Flue Condition: Good Fair Poor (working) Broken N/A Flue Diameter (in): Combustion System: Sealed Unsealed Combustion Air: Adequate Present-Inadequate None Inspections: Cracked heat exchanger Insufficient Clearance Gas Leak Present Fuel Shutoff MISSING Drip Leg MISSING Any Other Problems Elec. Service Switch: Good Fair Poor (working) Broken None N/A Thermostat: Thermostat Type: Bimetal Mercury Bulb Elec-(no setback) Elec-Setback Powerpile Daytime Setting: Nighttime Setting: Anticipator Setting: Relocate Adjustment Needed Furnace Components: Adjustable Control Settings Fan On: | Fan Off: |High Limit: | Limit not working Burner Type: Ribbon Upshot Flame Retention Burner Condition: Good Fair Poor (working) Broken None N/A Type: On in Summer Off in Summer Hot Surface IID Other Blower Type: Direct Belt Blower Condition Clean Dirty Plugged Belt Condition: Good Fair Poor (working) Broken None N/A Humidifier: Good Fair Poor (working) Broken None Elect Air Cleaner Good Fair Poor (working) Broken None AC Coil: Good Fair Poor (working) Broken None Filter Size: Filter Condition: Fair Dirty Plugged None Boiler Components: ASBESTOS PRESENT REMOVAL REQUIRED System Type: Gravity Pump Pump Location: Supply Return Xtank Condition: Good Fair Poor (working) Broken Drain Valve Condition: Good Fair Poor (working) Broken General Condition: Good Fair Poor (working) Broken T/P Valve Present Pressure Reading: Convector Type: Radiator Zone Type/Model:
audit-data-collect-py15-option.docx