Professional Documents
Culture Documents
Components included:
___ Other_____________________________________
Associated Checklists:
___Pipe
___Pumps
___Other_______________________
1. Submittal / Approvals
Submittal. The above equipment and systems integral to them are complete and ready
for functional testing. The checklist items are complete and have been checked off only
by parties having direct knowledge of the event, as marked below, respective to each
responsible contractor. This prefunctional checklist is submitted for approval, subject to
an attached list of outstanding items yet to be completed. A Statement of Correction will
be submitted upon completion of any outstanding areas. None of the outstanding items
preclude safe and reliable functional tests being performed. ___ List attached.
This checklist does not take the place of the manufacturer’s recommended
checkout and startup procedures or report.
Contractors assigned responsibility for sections of the checklist shall be
responsible to see that checklist items by their subcontractors are completed and
checked off.
3. Model Verification
4. Installation Checks
d. General Installation
b. Pressure Vessels/Shells
i. Pressure vessels have ASME Code stamp: Yes / No
ii. Non-code shells are proof tested to 45 psig on refrigerant
side: Yes / No
iii. Cooler and condenser water side design working pressure is 150
psig:
Yes / No
c. ASHRAE 15 Compliance
iv. Refrigerant monitoring system(s) installed: Yes / No
v. Ventilation system(s) installed: Yes / No
vi. Exhaust fan prefunctional checklists are complete: Yes / No
vii. Refrigerant relief vents piped to outside: Yes / No
c. Final
iv. Prefunctional testing complete for all connected equipment: Yes /
No
v. Chiller and connected equipment are ready for TAB: Yes / No
vi. Flushing complete: Yes / No
vii. Water quality test complete: N/A / Yes / No
viii. Water quality test results accepted by MDAD: N/A / Yes / No
ix. Piping system charged: Yes / No
x. Water treatment test results accepted: N/A / Yes / No
xi. Compressor and motor are aligned: N/A / Yes / No
xii. Refrigerant leak test results approved: N/A / Yes / No
xiii. Startup report completed with this checklist attached: Yes / No
xiv. Safeties and safe operating ranges for this equipment have been
reviewed and accepted: Yes / No
xv. Sequence of Operation adequately show all information: Yes /
No
xvi. System is ready for functional testing: Yes / No
All test instruments have had a certified calibration within the last 12 months:
Y/N______.
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