Beruflich Dokumente
Kultur Dokumente
PROJECT:_____________________
Equipment Name/Tag:___________________________________
Location:_____________________________________
Comment:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Response
Comment:
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Response
Comment:
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
NO Responses
Item
Date
Contactor:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Contactor:
Comment:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Response
Comment:
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
NO Responses:
Item
Date
Contactor:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Comment:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Centrifugal Chiller
Contactor:
Response
Comment:
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Centrifugal Chiller
Response
Comment:
No
No
No
No
No
No
NO Responses:
Item
Date
Contactor:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Centrifugal Chiller
Contactor:
Comment:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Cooling Tower
Contactor:
Response
Comment:
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Cooling Tower
Response
Comment:
No
No
No
No
No
No
No
NO Responses:
Item
Date
Contactor:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Cooling Tower
Contactor:
Comment:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Coil, HW Heat
Response
Comment:
No
No
No
No
No
/
/
No
NO Responses:
Item
Date
Contactor:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Coil, HW Heat
Task Description
System Checks
Sheet Metal Ductwork Installation Checks
Ductwork is clean and free of damage prior to installation.
Ductwork is installed in accordance with SMACNA HVAC Duct
Construction Standards, 2005
All hat sections and standoff brackets are at the same height as the
duct lining.
Access doors are installed in all casting, plenums, ductwork
adjacent to fire dampers, automatic dampers, smoke dampers, and
reheat coils, and as indicated on drawing.
The access doors on casings or housings open to the inside on the
discharge side and to the outside on the suction side.
All galvanized sheet metal is separated from aluminum and copper
with lead or felt gaskets.
Ductwork is structurally sound to prevent drumming and sagging.
All transverse and longitudinal joints are sealed
All branch the tee connections are 45 degree.
All medium pressure branch and tee connections are expanded 30
degrees on at least three sides.
Ductwork meets static pressure requirements specified below and
leakage class A for these pressures as defined by SMACNA
HVAC Duct Construction Standards, 1985
All ductwork except as noted in the specification is leak tested.
Elbows have an inside radius equal to a minimum of of the
width if the duct
All square elbows and radius elbows larger than 18 inches have
turning vanes
All wall and floor penetrations are sealed
Volume dampers are at minimum provided for each horizontal
branch from vertical risers serving two or more floors and
branches serving two or more outlets
All equipment requiring maintenance is accessible (valves,
junction boxes, etc.)
All duct openings temporary sealed to maintain duct system
cleanliness.
Record drawings have been updated to reflect any changes made.
Contactor:
Response
Comment:
Submitted
Yes
Yes
Delivered
No
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
Yes
Yes
Yes
No
No
No
No
Yes
No
Yes
Yes
No
No
Yes
No
Yes
Yes
No
No
Yes
No
Yes
No
Yes
Yes
No
No
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Ductwork: Installation
Task Description
System Checks
Flexile Ductwork Installation Checks
Flexible ductwork is clean and free from damage prior to
installation
Flexible ductwork is free of sags and kinks.
Flexible ductwork is installed using extra heavy flexible duct
straps
The maximum length of flexible ductwork is 5 feet
Flexible ductwork does not penetrate walls
Flexible ductwork does not have 90 degree bends.
Ductwork Type Static Pressure Classification Installation
Checks
From fan discharge to and including vertical risers, +6 in. static
pressure
Branch supply ductwork, +4 in. static pressure.
Branch supply ductwork from terminal to room outlet, +1 in. static
pressure.
Exhaust/return ductwork, 1 in. static pressure
All other ductwork, 2 in. static pressure
Response
Comment:
Submitted
Yes
Delivered
No
Yes
Yes
No
No
Yes
Yes
Yes
No
No
No
Yes
No
Yes
Yes
No
No
Yes
Yes
No
No
NO Responses:
Item
Date
Contactor:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Ductwork: Installation
Date
A. Clean
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Checklist Items
B. Flex
C. Less 5
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Percent
Complete
Initial
Checklist Items
B.
Drumming
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Percent
Complete
Initial
A.
B.
Date
A.
SMACNA
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
C. Assess
Doors
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
A.
B.
Ductwork is installed in accordance with SMACNA HVAC Duct Construction Standards, 2005.
Ductwork is structurally sound to prevent drumming and sagging.
C. All required access doors installed.
3. Conflicts (Attach sketches or other documentation, including resolutions support; all items in section 1 and 2 to be noted
in this section. In addition, any conflicts or non-compliance of any items on the general checklist (Checklist Number 7A) or
items not on the checklist should be noted in this section. If Cx Team determines it is significant issues, items will be added
to the daily checklist
Resolution or Suggested Resolution
Resolved
Date Description of Conflict
Yes/No
Yes/No
Yes/No
Yes/No
Contactor:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
10
11
12
13
Task Description
System Checks
Installation Checks
Ductwork is clean, dry and free of damage prior to insulation
installation.
Insulation is clean and dry during installation and application of
any finish
Pressure and leakage tests performed and reports have been
submitted prior to insulation installation.
All equipment requiring maintenance is accessible (valve, junction
boxes, etc.)
Insulation is continuous through openings and sleeves in momrated construction, and is butted tightly against the fire stop with
butt joints taped in rated construction.
All insulation edges temporary sealed to maintain duct insulation
cleanliness
Insulation is removable at access panels with metal corner beads.
Insulation omitted at all equipment name plates and/or data plates
All outdoor intakes, housing, plenums from point of entry into the
building to the fan or supply discharge and to exhaust duct from
damper to outside and elsewhere be indicated on drawings are
insulated with 1 inch rigid insulation board w/ vapor barrier
All exposed conditioned supply ductwork within the building is
insulated with 1 inch thick rigid insulation board with vapor
barrier
All non flexible ductwork insulation is fastened by applying Foster
No. 85-20 adhesive in 4-inch wide continuous bands on 120inch
centers and further secured by welded mechanical pins applied on
12-inch centers as specified.
All concealed flexible and round ductwork is insulated with 1
inch thick insulation and secured by the means of metal staples
using the stitching methods of application an das detailed in the
specifications.
All exterior corners are sealed with a 5-inch wide tape
Contactor:
Response
Comment:
Submitted
Yes
Delivered
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
Yes
Yes
No
No
No
Yes
No
Yes
No
Yes
No
Yes
No
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Ductwork: Insulation
Task Description
System Checks
Installation checks Flexible Ductwork
Flexible ductwork is clean and free from damage prior to
installation
Flexible ductwork is free of sags and kinks.
Flexible ductwork is installed using extra heavy flexible duct
straps
The maximum length of flexible ductwork is 5 feet
Flexible ductwork does not penetrate walls
Flexible ductwork does not have 90 degree bends.
Response
Comment:
Submitted
Yes
Delivered
No
Yes
Yes
No
No
Yes
Yes
Yes
No
No
No
NO Responses:
Item
Date
Contactor:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Ductwork: Insulation
Date
A. Clean
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Checklist Items
B. Leak
C. Material
Tested
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Percent
Complete
Initial
Checklist Items
B. Sealed
Percent
Complete
Initial
A.
B.
Date
A.
Thickness
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
C. Vapor
Barrier
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
A.
B.
3. Conflicts (Attach sketches or other documentation, including resolutions support; all items in section 1 and 2 to be noted
in this section. In addition, any conflicts or non-compliance of any items on the general checklist (Checklist Number 8A) or
items not on the checklist should be noted in this section. If Cx Team determines it is significant issues, items will be added
to the daily checklist
Resolution or Suggested Resolution
Resolved
Date Description of Conflict
Yes/No
Yes/No
Yes/No
Contactor:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Task Description
Owners Project Requirements
Energy Efficiency Goal: Less than 20,000
kWh/ month, 35 kW, and 120 therms
Actual kWh
Actual kW
Actual therms
System Manual and Building Documentation
B
1
2
3
4
5
6
C
1
2
3
4
5
Response
Record Actual
Usage
Provide
appropriate
document
Contactor:
Comment:
No
Yes
No
Yes
Yes
No
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
Yes
No
No
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
YES or NO Responses:
Item
Contactor:
Item
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Contactor:
Comment:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Contactor:
Response
Comment:
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Response
Comment:
No
No
No
NO Responses:
Item
Date
Contactor:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Comment:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Exhaust Fan
Response
Comment:
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
NO Responses:
Item
Date
Contactor:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Exhaust Fan
Comment:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Contactor:
Response
Comment:
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Response
Comment:
No
No
No
No
No
No
No
No
No
NO Responses:
Item
Item
Contactor:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Comment:
NO Responses:
Item
Item
Contactor:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Fire Damper
Comment:
NO Responses:
Item
Item
Contactor:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Contactor:
Comment:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Humidifier, Steam
Response
Comment:
No
No
No
No
NO Responses:
Item
Item
Contactor:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Humidifier, Steam
Task Description
System Checks
Installation Checks
Piping is clean and free of damage prior to installation
Piping is free to expand and contract without noise or damage to
hangers, joints, or the building.
Piping is installed with sufficient pitch and arranged in a manner
to ensure drainage and venting of the entire system
Manual air vents are provided at high points in close water
systems
Changes in pipe sizes are made with the proper size reducing
fittings, reducing fittings, reducing elbow or reducing tees.
Bushings are not allows
All piping supports and hangers meet criteria set in Section 15140
of the specification
All fittings meet specification requirements.
All equipment requiring maintenance is accessible (valves,
junction boxed, etc)
Piping does not block access to equipment that is part of this
system or another system (e.g., air terminal units)
Piping is installed in a manner to ensure that insulation will not
contact adjacent surfaces
All pipe openings are temporarily sealed to maintain piping system
cleanliness
Record drawings have been updated to reflect any changes made.
Nipples are made of the same material as the pipe
Connections between copper and steel pipes are made with
dielectric fittings
A union is provided ahead of each screwed valve, trap, or strainer,
and on each side of each piece of equipment and whatever needed
to dismantle piping.
Mechanical coupling if used is only used for piping and location as
described in the specification section 15060
The chilled water system is installed with high pressure fittings,
flanges and unions
Auxiliary drain valves are provided at all low points in hose bib
piping to facilitate seasonal draining.
Contactor:
Response
Comment:
Submitted
Yes
Yes
Delivered
No
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
Yes
No
No
Yes
No
Yes
No
Yes
No
Yes
Yes
Yes
No
No
No
Yes
No
Yes
No
Yes
No
Yes
No
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
NO Responses:
Item
Date
Contactor:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Contactor:
Comment:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Item
Date
Contactor:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Date
A. Clean
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Checklist Items
B. Valves
C. Material
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Percent
Complete
Initial
Checklist Items
B. Sealed
C. Vapor
barrier
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Percent
Complete
Initial
A.
B.
Date
A. Thickness
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
A.
B.
3. Conflicts (Attach sketches or other documentation, including resolutions support; all items in section 1 and 2 to be noted
in this section. In addition, any conflicts or non-compliance of any items on the general checklist (Checklist Number 8A) or
items not on the checklist should be noted in this section. If Cx Team determines it is significant issues, items will be added
to the daily checklist
Resolution or Suggested Resolution
Resolved
Date Description of Conflict
Yes/No
Yes/No
Yes/No
Yes/No
Contactor:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Task Description
Delivery Book
Model Verification
Manufacturer
Model
Serial Number
Pump Type
Impeller diameter (in.)
Inlet / Outlet Sizes (in.)
Capacity / Heat (gpm / ft wg)
Motor Speed / Power (rmp/hp)
Motor Voltage / Phase / Frequency (V/ _ / Hz)
Physical Checks
Unit is free from physical damage
All components present
The water openings are sealed with plastic plugs
Unit tags affixed
Installation and startup manual provided
Manufacturers ratings readable / accurate
Construction Checklist
Installation of Pump
Unit is supported as required by manufacturer and specifications
Adequate clearance around unit for service
All components accessible for maintenance
Unit can be removed from building
Unit labeled and is easy to see
Piping
All piping components have been installed (in the correct order) as
required by detail drawing
Piping arranged for ease of unit removal
Shut-off valves and unions installed on inlet and outlet of pump
Pressure gauges installed on inlet and outlet of pump
Piping supported as required by specifications
Piping is clean
Piping insulation complete and installed as per specifications
All valves and test ports are easily accessible
Valve tags attached
Contactor:
Response
Comment:
Submitted
Delivered
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
Yes
No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Pump, HVAC
Electrical
Safety disconnect installed in an accessible location
Motor rotation in the proper direction
All electrical connections are tight
All electrical components are grounded
Mechanical Startup
Unit checked, aligned, and certified prior to startup and report
submitted
Unit and motor lubricated before startup
Pump shaft rotates easily with power turned off
System starts and runs without any unusual noise or vibration
Manufacturers startup checklist completed and attached
TAB
Flow Rate, gpm
Inlet pressure (ft) / Outlet pressure (ft)
Motor rotation in the proper direction
Motor overload verified
Motor voltage and amps verified each phase
Start-up strainer removed (after 24 hours)
Yes
Yes
Yes
Yes
No
No
No
No
Yes
No
Yes
Yes
Yes
Yes
No
No
No
No
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
NO Responses:
Item
Item
Contactor:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Pump, HVAC
Task Description
Delivery Book
Model Verification
Manufacturer
Model
Serial Number
Airflow (cfm)
Fan Motor Power (hp)
Fan Motor Voltage / Phase / Frequency (V/ _ / Hz)
Total Cooling Capacity (MBH)
Physical Checks
Unit is free from physical damage
All components present
The refrigerant line openings are sealed
Unit tags affixed
Installation and startup manual provided
Construction Checklist
Installation of Split System Coil
Unit supported using adequately sized mounting anchors
Adequate clearance around unit for service
All components accessible for maintenance
Unit can be removed from building
Condensate drain piping un-trapped and runs to open sight drain
Unit labeled and is easy to see
Piping
All piping components have been installed (in the correct order) as
required by detail drawing
Piping arranged for ease of unit removal
Piping supported as required by specifications
Refrigerant lines connected to indoor and outdoor units
Piping is clean and free from leaks
Piping insulation complete and installed as per specifications
Unit filled with correct refrigerant
All valves and test ports are easily accessible
Valve tags attached
Contactor:
Response
Comment:
Submitted
Delivered
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
Yes
No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Electrical
Local disconnect installed in an accessible location
Fan motor rotation in the proper direction
All electrical connections are tight
All electrical components are grounded
Control installation
Room thermostat installed and calibration verified
Control wiring provided to outdoor (compressor) unit
Communication with outdoor unit verified
Control startup
Cooling sequence of control verified
System starts and runs with no unusual noise or vibration
Manufacturers startup checklist completed and attached
TAB
Filters installed and are clean
Entering and leaving air temperature (F)
Airflow (cfm)
Yes
Yes
Yes
Yes
No
No
No
No
Yes
Yes
Yes
No
No
No
Yes
Yes
Yes
No
No
No
Yes
Yes
Yes
No
No
No
NO Responses:
Item
Item
Contactor:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Task Description
Delivery Book
Model Verification
Manufacturer
Model
Serial Number
Airflow (cfm)
Fan Motor Power (hp)
Fan Motor Voltage / Phase / Frequency (V/ _ / Hz)
Ambient Temperature (F)
Physical Checks
Unit is free from physical damage
All components present
The refrigerant line openings are sealed
Unit tags affixed
Installation and startup manual provided
Construction Checklist
Installation of Split System Compressor
Unit secured as required by manufacturer and specifications
Adequate clearance around unit for service
All components accessible for maintenance
Unit labeled and is easy to see
Piping
All piping components have been installed (in the correct order) as
required by detail drawing
Piping arranged for ease of unit removal
Piping supported as required by specifications
Refrigerant lines connected to indoor and outdoor units
Piping is clean and free from leaks
Piping insulation complete and installed as per specifications
Unit filled with correct refrigerant
All valves and test ports are easily accessible
Valve tags attached
Contactor:
Response
Comment:
Submitted
Delivered
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
Yes
Yes
Yes
Yes
No
No
No
No
Yes
No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Electrical
Local disconnect installed in an accessible location
Fan motor rotation in the proper direction
All electrical connections are tight
All electrical components are grounded
Control installation
Control wiring provided to outdoor (compressor) unit
Communication with outdoor unit verified
Control startup
Safety items operational (high pres., low pres., discharge temp.
switch).
System starts and runs with no unusual noise or vibration
Manufacturers startup checklist completed and attached
Yes
Yes
Yes
Yes
No
No
No
No
Yes
Yes
No
No
Yes
No
Yes
Yes
No
No
NO Responses:
Item
Item
Contactor:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Task Description
Delivery Book
Model Verification
Manufacturer
Model
Serial Number
Total Heating Capacity (MBH)
Fan Motor Power (hp)
Fan Motor Voltage / Phase / Frequency (V/ _ / Hz)
Heating Fluid Flow /Pressure Drop (gpm / ft wg)
Physical Checks
Unit is free from physical damage
All components present
The water openings are sealed with plastic plugs
Manufacturers data readable/ accurate
Unit identification attached and visible
Construction Checklist
Installation of Unit Heater
Unit supported using adequately sized mounting anchors
Adequate clearance around unit for service
All components accessible for maintenance
Unit can be removed from building
Unit identification attached and visible
Piping
All piping components have been installed (in the correct order) as
required by detail drawing
Piping arranged for ease of unit removal
Piping supported as required by specifications
Piping is clean
Piping insulation complete and installed as per specifications
All valves and test ports are easily accessible
Electrical
Local disconnect installed in an accessible location
Motor rotation in the proper direction
All electrical connections are tight
All electrical components are grounded
Contactor:
Response
Comment:
Submitted
Delivered
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
Yes
No
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
Yes
Yes
Yes
Yes
No
No
No
No
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Unit Heater
Control
Room thermostat installed and calibration verified
Hot water actuator calibration verified
Heating sequence of control verified
Valve tags are attached
TAB
Motor rotation in the proper direction
Motor overloads verified
Motor voltage and amps verified each phase
Entering and leaving air temperatures (F)
Flow and air/water pressure drops verified
Yes
Yes
Yes
Yes
No
No
No
No
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
NO Responses:
Item
Item
Contactor:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Unit Heater
Task Description
Delivery Book
Model Verification
Manufacturer
Model
Serial Number
Service Area
Maximum Capacity (amps)
Voltage / Phase / Frequency (V/ _ / Hz)
Physical Checks
Unit is free from physical damage
All components present
Installation and startup manual provided
Wiring schematics (electrical & controls) for this application
attached
Unit tags affixed
Manufacturers ratings readable/accurate
Construction Checklist
Installation of VSD
Unit secured as required by manufacturer and specifications
Adequate clearance around unit for service
All components accessible for maintenance
Unit can be removed from building
Unit labeled and is easy to see
Wiring schematic inside enclosure and includes bypass section
Electrical
Drive to motor leads are in grounded metal conduit
All electrical connections are tight
All electrical components are grounded
Control Installation
Control panel accessible and labeled properly
Low voltage control signals are shielded and in own conduit
Auxiliary safeties (F/A shutdown, etc) are installed and
operational
Analog output to control unit is isolated type
Contactor:
Response
Comment:
Submitted
Delivered
Yes
Yes
Yes
Yes
No
No
No
No
Yes
Yes
No
No
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
Yes
Yes
Yes
No
No
No
Yes
Yes
Yes
No
No
No
Yes
No
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Yes
Yes
Yes
Yes
No
No
No
No
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
Yes
Yes
Yes
No
No
No
Yes
Yes
No
No
Yes
Yes
No
No
NO Responses:
Item
Item
Contactor:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Task Description
Delivery Book
Model Verification
Manufacturer
Model
Serial Number
Size (in)
Max / Min Airflow (cfm)
Heating Capacity (MBH/kW)
Total Static Pressure (in. w.g.)
Fan Power / Speed (hp/rpm)
Voltage / Phase / Frequency (V/ _ / Hz)
Physical Checks
Unit is free from physical damage
The air openings are sealed with plastic
The airflow sensing tubing is plugged
The grommets for the airflow sensing tubing are secure
The enclosure for the DDC control panel is in the proper location
Installation and startup manual provided
Unit tags affixed
Manufacturers ratings readable/accurate
Construction Checklist
Hanging
Unit is supported as required by manufacturer and specifications
Metal to metal connections eliminated to prevent noise problems
Adequate clearance around control panel for maintenance
Clear access below unit for easy maintenance
Unit labeled and is easy to see
Box openings temporarily sealed to maintain system cleanliness
Ductwork
Balancing damper present on inlet duct
Sufficient length of straight ductwork installed upstream of unit
Downstream ductwork free of transitions for sufficient length
All components are accessible for maintenance
Flexible connector (vibration isolator) installed on inlet duct to
avoid noise problems from metal to metal contact
Flex duct (if used) is installed in a way that avoids forming kinks
on both inlet and outlet ductwork
Contactor:
Response
Comment:
Submitted
Delivered
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
Yes
Yes
Yes
No
No
No
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Yes
Yes
Yes
Yes
No
No
No
No
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
Yes
Yes
Yes
Yes
No
No
No
No
Yes
Yes
Yes
No
No
No
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
NO Responses:
Item
Item
Contactor:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Task Description
Delivery Book
Model Verification
Manufacturer
Model
Serial Number
Size (in.)
Max/Min Airflow (cfm)
Heating Capacity (MBH/gpm)
Physical Checks
Unit is free from physical damage
The air openings are sealed with plastic
The water openings are sealed with plastic plugs
The airflow sensing tubing is plugged
The grommets for the airflow sensing tubing are secure
The enclosure for the DDC control panel is in the proper location
Installation and startup manual provided
Unit tags affixed
Manufacturers ratings readable/accurate
Construction Checklist
Hanging
Unit is supported as required by manufacturer and specifications
Metal to metal connections eliminated to prevent noise problems
Adequate clearance around control panel for maintenance
Clear access below unit for easy maintenance
Unit labeled and is easy to see
Box openings temporarily sealed to maintain system cleanliness
Contactor:
Response
Comment:
Submitted
Delivered
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
No
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
Ductwork
Balancing damper present on inlet duct
Sufficient length of straight ductwork installed upstream of unit
Downstream ductwork free of transitions for sufficient length
All components are accessible for maintenance
Flexible connector (vibration isolator) installed on inlet duct to
avoid noise problems from metal-to-metal contact
Flex duct ( if used) is installed in a way that avoids forming kinks
on both inlet and outlet ductwork
Piping
All piping components have been installed (in the correct order) as
required by detail drawing
Piping is arranged for ease of unit/coil removal
Piping supported as required by specifications
Piping is clean
Piping insulation is complete and installed as per specifications
All valves and test ports are easily accessible
Valve tags attached
Controls - Installation
Temperature sensor calibration verified
Airflow sensor calibration verified
Point-to- Point connections of control wiring verified
Central system accurately represents condition of unit
Controls Startup
Cooling/heating sequence of control verified
Warm-up/cool-down sequence of control verified
Unoccupied sequence of control verified
Contactor:
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
Yes
No
Yes
No
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
Yes
Yes
Yes
Yes
No
No
No
No
Yes
Yes
Yes
No
No
No
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature
TAB
Minimum airflow (cfm) (design / measured)
Maximum airflow (cfm) (design / measured)
Entering and leaving coil air temperature (F)
Entering and leaving coil water temperature (F)
Coil flow and air/water pressure drops verified
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
NO Responses:
Item
Date
Contactor:
LAWA Representative:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Commissioning
Agency:
Checks by: _____________ ________________ Date: _______; Checks by:_____________ _____________ Date: __________
Print name
Signature
Print name
Signature