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Department of Veterans Affairs

[Project Title]
[Project Location]

Variable-Air Volume Units (Multiple)


Pre-Functional Checklist

Equipment ID [Equipment ID]


Building [Building]
Location [Room]

Statement of Readiness
The above equipment and/or systems integral to them are complete and ready for functional testing, except as
noted. None of the outstanding items preclude safe and reliable functional tests being performed. This checklist
does not take the place of the manufacturer’s recommended checkout and startup procedures or report.

Responsible Contractor Sign Here

CONTRACTOR PRINTED NAME SIGNATURE DATE

General Contractor (GC)

Mechanical Contractor (MC)

Electrical Contractor (EC)

TAB Contractor (TAB)

Controls Contractor (CC)

This statement of readiness has been received by the Commissioning Agent on ___________________ and will
be incorporated as part of the final commissioning report.

Equipment Information
Make Model Number

Serial Number Capacity CFM

Volts/Phase Function Service


Area
Notes:      

Page 1 of 10 Sample
[Date] [Equipment ID]
Contractor
Responsible
Requirement

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---
Sig
(Tag numbers based
n
on Mechanical
Off
Drawings)
AHU RTU AHU RTU AHU RTU AHU RTU AHU RTU AHU RTU AHU RTU AHU RTU-
-9 -9 -# -# -# -# -# -# -# -# -# -# -# -# -# #
Equipment Information
MC Make
MC Model
MC Serial Number
MC Capacity
MC CFM
MC Volts/Phase
MC Function
MC Service Area
TAB Min CFM Setting
TAB Max CFM Setting
General Installation
Permanent labels
affixed to equipment,
MC switches, controls and
safety devices.
Each equipment
model number
MC complies with
approved submittal.
Connection to
MC ductwork is tight and
in good condition.
Fan and motor
MC properly installed and
operational.
Correct VAV box
MC location is shown on
as-built drawings.
Air terminal units are
MC installed level and
plumb.

Page 2 of 10 Sample
[Date] [Equipment ID]
Contractor
Responsible
Requirement

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---
Sig
(Tag numbers based
n
on Mechanical
Off
Drawings)
AHU RTU AHU RTU AHU RTU AHU RTU AHU RTU AHU RTU AHU RTU AHU RTU-
-9 -9 -# -# -# -# -# -# -# -# -# -# -# -# -# #
Equipment
installation meets
MC serviceability
requirements.
Ductwork pressure
test has been
MC completed and
approved.
Cabinet panels
MC permanently affixed.
Thermal insulation
has been installed
MC according to
specification.
Coils, Piping and Valves
Dampers are installed
MC and operating
properly.
Damper operator
MC linkages are tight.
Required length of
straight duct provided
MC upstream of air supply
terminals.
Manual balancing
dampers permanently
MC marked at final
setting.
Valve actuators have
MC been fully stroked.
Automatic damper
MC operates full stroke
without binding.
Hot water is properly
MC piped to the coil.

Page 3 of 10 Sample
[Date] [Equipment ID]
Contractor
Responsible
Requirement

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---
Sig
(Tag numbers based
n
on Mechanical
Off
Drawings)
AHU RTU AHU RTU AHU RTU AHU RTU AHU RTU AHU RTU AHU RTU AHU RTU-
-9 -9 -# -# -# -# -# -# -# -# -# -# -# -# -# #
Piping is supported by
MC hangers independent
of the coil.
Hydrostatic test for
re-heat piping
MC complete and report
submitted.
Strainers removed and
MC cleaned after system
flushing.
Piping insulation
MC complete and
undamaged.
Isolation valves are
installed, open and
MC accurately located on
as-built drawings.
Piping is labeled
correctly and flow
MC direction is indicated
clearly.
P&T ports have been
installed on the inlet
and outlet piping of
MC the coil or as indicated
in the construction
documents.
Coils are clean and
MC fins are in good
condition.
Control valves
installed as indicated
MC on the document
details.

Page 4 of 10 Sample
[Date] [Equipment ID]
Contractor
Responsible
Requirement

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---
Sig
(Tag numbers based
n
on Mechanical
Off
Drawings)
AHU RTU AHU RTU AHU RTU AHU RTU AHU RTU AHU RTU AHU RTU AHU RTU-
-9 -9 -# -# -# -# -# -# -# -# -# -# -# -# -# #
Air vents installed at
MC high points in piping.
Drain valves installed
MC at low points and have
hose connections.
All piping and
accessories installed
MC per contract document
details.
Contractor
Responsible

Requirement
VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---
Sig
(Tag numbers based
n
on Mechanical
Off
Drawings)
AHU RTU AHU RTU AHU RTU AHU RTU AHU RTU AHU RTU AHU RTU AHU RTU
-9 -9 -# -# -# -# -# -# -# -# -# -# -# -# -# -#
Testing and Balance
TA Water balancing is
B complete.
TA Air balancing is
B complete.
TA Balancing valves are
B marked at final setting.
TA Dampers are marked at
B final setting.
Test and balancing
TA
(T&B) report
B submitted.

Page 5 of 10 Sample
[Date] [Equipment ID]
Contractor
Responsible
Requirement

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---
Sig
(Tag numbers based
n
on Mechanical
Off
Drawings)
AHU RTU AHU RTU AHU RTU AHU RTU AHU RTU AHU RTU AHU RTU AHU RTU
-9 -9 -# -# -# -# -# -# -# -# -# -# -# -# -# -#
All system pressure
and airflow set points
have been documented
TA
during the test and
B balance procedure and
will be included in the
final TAB report.
Electrical and Controls
Proper power voltage
EC is supplied.
Normal power supply
EC energized and
identified.
Control circuit
EC energized and properly
identified.
All control panels are
EC in place.
Control devices have
TCC been calibrated and
programmed.
Control loops have
TCC been tuned in field.
Control damper(s)
TCC operator has been fully
stroked.
Coil control valve
TCC installed and
terminated.

Page 6 of 10 Sample
[Date] [Equipment ID]
Contractor
Responsible
Requirement

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---
Sig
(Tag numbers based
n
on Mechanical
Off
Drawings)
AHU RTU AHU RTU AHU RTU AHU RTU AHU RTU AHU RTU AHU RTU AHU RTU
-9 -9 -# -# -# -# -# -# -# -# -# -# -# -# -# -#
Coil control valve
TCC powered and
calibrated.
Coil control valve is
programmed and reads
TCC correctly at front end
computer.
Operator Workstation -
points programmed
TCC and generated in
graphics.
Discharge temperature
sensor installed and
TCC accurately located on
as-built drawings.
Controls (Sensors I/O)
TCC Analog Inputs
TCC Zone Temperature
TCC Zone Setpoint
TCC Supply #1 CFM
TCC Supply #2 CFM
TCC Supply #3 CFM
Exhaust #1 CFM /
TCC
snorkel
TCC Exhaust #2 CFM
TCC Exhaust #3 CFM
TCC Exhaust #4 CFM
Exhaust #1
TCC
Pressure / snorkel
Exhaust #1
TCC
Discharge Air Temp
Exhaust #2
TCC
Discharge Air Temp

Page 7 of 10 Sample
[Date] [Equipment ID]
Contractor
Responsible
Requirement

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---

VAV ---
Sig
(Tag numbers based
n
on Mechanical
Off
Drawings)
AHU RTU AHU RTU AHU RTU AHU RTU AHU RTU AHU RTU AHU RTU AHU RTU
-9 -9 -# -# -# -# -# -# -# -# -# -# -# -# -# -#
Exhaust #3
TCC
Discharge Air Temp
TCC Analog Outputs
Supply #1 Air
TCC
Damper Position
Supply #2 Air
TCC
Damper Position
Supply #3 Air
TCC
Damper Position
Exhaust #1 Air
TCC Damper
Position/Snorkel
Exhaust #2 Air
TCC
Damper Position
Exhaust #3 Air
TCC
Damper Position
Exhaust #4 Air
TCC
Damper Position
Supply #1 Reheat
TCC
Valve Position
Supply #2 Reheat
TCC
Valve Position
Supply #3 Reheat
TCC
Valve Position
TCC Binary Outputs
Supply #1 Radiant
TCC
Panel Valve
Supply #2 Radiant
TCC
Panel Valve
Supply #3 Radiant
TCC
Panel Valve

Page 8 of 10 Sample
[Date] [Equipment ID]
Yes = Checked and Completed, N/A = Not Applicable

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[Date] [Equipment ID]
Additional Comments:
     

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[Date] [Equipment ID]

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