6/5/03
Arizona School Facilities Board
Preventive Maintenance Task Descriptions
Quarterly Tasks
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H1 H2 H3 H4 H5 H6 H7
HQ1 *Auxiliary Equipment Function 2 30 30 30
HQ2 *Burner Assembly & Control Condition 2 20 20
HQ3 *Filter Condition 1 20 20 20 20
HQ4 *Joint/Pipe Leaks 1 15 15 15 15 15 15
Semi-Annual Tasks
H1 H2 H3 H4 H5 H6 H7
HS1 *Blower Condition and Condensation Drain Operation 1 5 5 5 5 5
HS2 Circulation and Water Spray Device Condition 2 20 20 30
HS3 Combustion Chamber and Smoke Pipe Condition 2 60 60
HS4 Condenser Condition and Function 2 5 5 5
HS5 Condition of Interlock Functions & Limit and Shutdown Switches 2 30 30 30 30 30
HS6 Condition of Motors, Pumps and/or Strainer Cleanliness 2 30 30 30 30
HS7 *Distribution Pipe Condition 2 30 30 30 30 30
HS8 Electrical Heating Coil Function 2 5 5 5
HS9 Electrical Wiring Connection 2 15 15 15 15
HS10 Entrapped Air 2 15 15 15 15
HS11 Excessive Debris Build-up and Chips and Cracks on Blades 1 15 15 15 15 15
HS12 Filter Cartridge Condition 3 15
HS13 Filter Replacement 1 15 15 15 15
HS14 Gearbox Condition 1 45
HS15 General Lubrication and Lubrication of Flow Control Valves 1 15 15 15 15 15 15 15
HS16 Noise, Vibration and Stability of Mounted Units 1 30 30 30 30 30 30 30
HS17 Oil level 1 30 30 30
HS18 Overall Condition, Cleanliness and Corrosion 2 15 15 15 15 15 15 15
HS19 Pressure Gauges & Relief Valves 2 15 15 15 15 15
HS20 Solution Tanks 2 30 30 30
HS21 Temperature and Humidity Control 2 30 30 30 30 30 30
HS22 Thermal Insulation and Vapor Barrier Condition 1 30 30 30 30 30 30
HS23 Variable Frequency Drive Function 2 15 15 15 15 15 15 15
HS24 Water Level and Flow Rate and Scale 1 30 30 30
Annual Tasks
H1 H2 H3 H4 H5 H6 H7
HA1 Back Feed Pumps Function 2 15
HA2 *Belt Replacement 1 10 10 10 10
HA3 Certification (per authority with jurisdiction) 3 30
HA4 Condenser/Evaporator Tube Condition & Oil/Oil Filter Condition 3 30 60
HA5 Evaporator Condition and Function 2 15 15 15
HA6 Housing Stability 1 10 10
HA7 Louver Condition 1 15
HA8 Obstructions 2 5 5 5 5 5 5
HA9 Piping Condition 1 30 30 30 30 30 30
HA10 Pump Alignment 2 30 30 30
HA11 Register and Duct Distribution 2 30 30 30 30
6/5/03
Arizona School Facilities Board
Preventive Maintenance Task Descriptions
General Notes
1. Where noted:
* - Recommended to perform monthly, but quarterly at a minimum.
2. Skill levels:
Skill Level 1 Basic skill range with some formal training.
Skill Level 2 Advanced skill range with formal training and certification.
Skill Level 3 Advanced skill range with factory training and certification.
3. Times:
Times are noted in minutes under the task item. Times are suggested averages and may vary.
Quarterly Task Descriptions
HQ1 *Auxiliary Equipment Function:
Inspect support equipment, such as pumps, blowers, water sources, blowdown units and compressors, for proper operation.
HQ2 Burner assemblies and Control Condition:
Visually inspect for smooth ignition, proper flame color and positioning. Check operation of limit devices and/or flame sensors. Clean
burners as needed. Test gas connections for leaks.
HQ3 Filter Condition:
Visually inspect filters for cleanliness and condition. Replace filters as recommended by unit manufacturer or sooner, if needed.
HQ4 Joint / Pipe Leaks:
Visually inspect piping for signs of leakage, deterioration, or weak points. Repair or replace as needed.
Semi-Annual Task Descriptions
HS1 Blower Condition and Condensate Drain Operation:
Inspect blower for cleanliness, cracks and fin or blade stability. Verify correct rotation and listen for unusual sounds. Oil bearings as
needed. Verify that equipment belt deflection is about 1". Test pulley alignment using a straight-edge laid along each pulley/belt/pulley
combination to check for straight alignment from pulley to pulley.
When servicing blower section remove any condensate drain restrictions. Pans should be free of debris, clean, and dry or draining. Fill
and manually check condensate pumps to verify proper operation.
HS2 Circulation and Water Spray Device Condition:
Check and lubricate water recirculation pumps. Inspect for leaks, bearing noises, excess heat build-up on motors or bearings and motor
coupling condition. Repair or re-adjust as required. Perform visual inspections to verify full and direct spray patterns of of water spray
devices. Remove any scale buildup which can redirect spray patterns and allow scale buildup on coils.
HS3 Combustion Chamber and Smoke Pipe Condition:
Inspect combustion chamber to verify that an airtight condition exists from chamber to flu exit. Inspect heat exchangers for cracks,
separations, excessive soot or discoloration. Visually inspect smoke/flu equipment for solid, airtight construction. Remove any blockage
to insure the free flow of air and or gases.
HS4 Condenser Condition and Function:
Disassemble chiller condenser barrels at end caps/bells to allow for visual inspection. If needed, brush condenser tubes to remove
debris which may inhibit efficient heat transfer and reduce tube/barrel life. Perform an electrical eddy test to determine tube wall
thickness, as necessary.
HS5 Condition of Interlock Functions, Limit and Shutdown Switches:
Interlocks (safety devices/controls within control or safety circuits) insure proper sequencing for ignition or start/run cycles. Inspect
switch condition and sequencing by simulating emergency conditions to insure correct operation. Check condition and operation of
shutdown switches by manually operating switch. Test by simulating emergency conditions to verify correct operation.
HS6 Condition of Motors, Pumps and Strainer Cleanliness:
Clean excess oil or grease from motors and inspect bearings for excessive play or noise. Oil or grease and set amp draw per
manufacturer recommendation. Use a diagnostic tool if applicable. Inspect pump equipment for proper operation and record amp draw
readings to track performance and predict possible repairs or breakdowns. Inspect strainers and manually cleaned filters and clean per
manufacturer instructions to promote clear flow and extend equipment life.
HS7 Distribution Pipe Condition: (**with small repairs).
Inspect distribution and return piping. Repair water leaks, torn or ripped insulation and missing supports.
6/5/03
Arizona School Facilities Board
Preventive Maintenance Task Descriptions
Semi-Annual Task Descriptions (continued)
HS8 Electrical heating coil function:
Check all strap/coil heating elements (crankcase, crankcase heaters, block heaters, condensate pan heaters, etc.) to insure that they are
maintaining heat within the particular application range. Repair or adjust as required.
HS9 Electrical Wiring Connections:
Check electrical connections loose connections and wire connection conditions. Tighten any loose connections to eliminate over-heating
at connection points.
HS10 Entrapped Air:
Check all purge or prevention equipment for proper operation to eliminate entrapped air which can damage equipment. Repair any water
leaks in these devices, because leaks generally indicate a problem.
HS11 Excessive Debris Build-up and Chips and Cracks on Blades:
Inspect leading edges of fan blades for debris build-up. Clean to insure proper operation. Inspect fan blades for chips or cracks which
promote blade wobble, vibration and premature motor bearing wear. Replace blades if such conditions exist.
HS12 Filter Cartridge Condition:
Test the chiller filter cartridge for pressure drop or perform a visual inspection to evaluate filter element conditions. Replace filter
elements as needed.
HS13 Filter Replacement:
Inspect and replace air filters as needed for proper unit operation. Dirty air filters cause higher electrical usage and shorten normal
equipment life.
HS14 Gearbox Condition:
Inspect gearboxes for cleanliness, proper lubricant level, unusual noise, heat or vibration. Repair required.
HS15 General Lubrication and Lubrication of Flow Control Valves:
Oil motors and bearings per manufacturer recommendation to extend motor/bearing life. Inspect manually lubricated flow control valves
for full operation range. Lubricate and exercise enclosed flow control valves to verify proper operation.
HS16 Noise, Vibration and Stability of Mounted Units:
Inspect for normal sound levels during equipment operation. Note unusual vibrations. Repair or adjust any metal-to-metal and out-of-
balance conditions. Inspect equipment hangers or attachment systems for stability by checking bolts and hardware for stress or
weakness. Adjust or replace as required.
HS17 Oil Level:
Check the oil level at the sight glass on chiller equipment. Oil or lubricate per manufacturer recommendations.
HS18 Overall Condition, Cleanliness and Corrosion:
Visually inspect equipment for overall condition and cleanliness and to confirm that equipment and housings have no rust, fatigued
metals or worn conditions. Repair the source of any oil stains which may indicate leaking seals or bearings.
HS19 Pressure Gauges and Relief Valves:
Visually inspect gauges and relief valves for leaks or loose fittings. Repair as required. Exercise per manufacturer instructions.
HS20 Solution Tank Condition:
Inspect solution tanks and associated tubing or piping for leaks and overall condition. Make repairs or adjustments as required
HS21 Temperature and Humidity Control:
Perform visual inspections to confirm performance and condition. Perform calibration if required. Test as necessary to maintain
accuracy.
HS22 Thermal Insulation, Vapor Barrier and/or Air Curtain Condition:
Inspect insulation and vapor barrier condition. Repair and replace damaged or wet insulation or vapor barriers. Visually inspect air
curtains. Perform service at intervals recommended by equipment manufacturer.
HS23 Variable Frequency Drive Function:
Inspect VFD motor controls for proper motor function. Cycle motors through a normal shutdown/turn-on sequence to verify VFD ability to
ramp a motor to required speed.
HS24 Water Levels, Flow Rate and Scale Conditions:
Check water levels to insure proper equipment operation. Test flow rates per manufacturer instructions. Perform visual inspections for
scale build-up. Remove scale to maximize equipment performance. Use commercial scale removers for extremely heavy buildups.
6/5/03
Arizona School Facilities Board
Preventive Maintenance Task Descriptions
Annual Task Descriptions
HA1 Back Feed Pump Function:
Reverse flow using valves as available to clean and clear any debris from pumps and screens.
HA2 Belt Replacement: (*when servicing blower section of equipment).
Remove and visually inspect drive belts for cracks, groves, or uneven appearance. Excessively high glossed appearance on working
surfaces may indicate slippage. Replace as required.
HA3 Certification (per authority with jurisdiction)
Obtain required certifications by the appropriate and responsible jurisdictional party to testify that a piece of equipment or system
performs in accordance to rules, regulations, laws and specifications.
HA4 Condenser/Evaporator Tube Condition & Oil/Oil Filter Condition
Disassemble chiller condenser barrels at end caps/bells to allow inspection. Brush evaporator tubes to remove debris that may inhibit
efficient heat transfer and reduce life. Perform an electrical eddy test to determine tube wall thickness. Check evaporator coil for debris
and blockage. Wash as needed.
Service evaporator units as recommended by manufacturer, including refrigerant charge, fan motor/blade condition, oil and coil
condition. Condensers should be clean with no signs of oil, oil stains or debris. Fins should be straight for proper air flow. Use a
manufacturer approved cleaning product to wash finned coils as needed to remove excessive dirt and debris.
Remove a chiller oil sample to check condition and acid content. Change or add oil as needed. Inspect or change oil filters at
manufacturer recommended intervals or if acid or poor oil condition is noted when the sample is tested.
HA5 Evaporator Condition and Function:
Check the evaporator coil for debris and blockage. Wash dirty coils to enhance airflow. Evaporator units should be serviced for total
operation, including refrigerant charge, fan motor/blade condition, oil and coil condition.
HA6 Housing Stability:
Inspect housings, support structures and metal connection points for signs of rust, deterioration or weak points. Repair or replace items
as needed to extend system life.
HA7 Louver Condition:
Where applicable, check manual or pneumatic louver systems for free and easy movement, bent louvers, leaking lines or actuators.
Repair or replace as needed.
HA8 Obstructions:
Inspect coils, fan blades, blower wheels and louvers. Remove debris or obstructions that prevent normal operation.
HA9 Piping Condition:
Inspect exposed piping for obvious leakage and insulation conditions. Repair or replace insulation covering pipes as needed.
HA10 Pump Alignment:
Check pump alignment using a straight edge device to aid in the verification and correction of alignment. Improper alignment destroys
pump coupling devices and prematurely wears pump bearings. Adjust as required.
HA11 Register and Duct Distribution:
Visually inspect registers and ducts to insure unrestricted air flow and condition. Repair any separated ductwork or blocked. Wipe
register faces clean as needed.
6/5/2003 Arizona School Facilities Board
Preventive Maintenance Checklist
School Name:
Category: HVAC Building (Optional)
Equip. Type: H1 Boilers
Fiscal Year: Room (Optional)
> > > Note: Check boxes using P (presently performing task) or N (new PM task being performed).
* Denotes item recommended to perform monthly, but quarterly at a minimum.
** Denotes item recommended to perform quarterly, but semi-annually at a minimum.
Quarterly Checks
1 2 3 4 Ref. 1 2 3 4 Ref.
HQ1 *Auxiliary Equipment Function
HQ2 *Burner Assembly & Control Condition
HQ4 *Joint/Pipe Leaks
Tech. Date/Sign: Tech. Date/Sign:
Tech. Date/Sign: Tech. Date/Sign:
Semi-Annual
1 2 Ref. 1 2 Ref.
*Blower Condition and General Lubrication and Lubrication
HS1 HS15
Condensation Drain Operation of Flow Control Valves
HS2 Circulation & Water Spray Device Condition HS16 Noise, Vibration and Stability of Mounted Units
HS3 Combustion Chamber & Smoke pipe Condition HS18 Overall Condition, Cleanliness and Corrosion
Condition of Interlock Functions & HS19 Pressure Gauges & Relief Valves
HS5
Limit and Shutdown Switches HS20 Solution Tanks
Condition of Motors, Pumps and/or HS21 Temperature and Humidity Control
HS6
Strainer Cleanliness HS22 Thermal Insulation and Vapor Barrier Condition
HS7 *Distribution Pipe Condition HS23 Variable Frequency Damper Function
HS9 Electrical Wiring Connection HS24 Water Level and Flow Rate and Scale
HS10 Entrapped Air
Tech. Date/Sign:
Tech. Date/Sign:
Annual
1 Ref. 1 Ref.
HA1 Back Feed Pumps Function
HA3 Certification (per authority with jurisdiction)
Condenser/Evaporator Tube Condition & Oil/Oil
HA4
Filter Condition
HA8 Obstructions
HA9 Piping Condition
HA10 Pump Alignment
Tech. Date/Sign:
Maintenance Director
Signature/Date:
Number of possible checks on this checklist: 52
List the number of checks actually performed:
6/5/2003 Arizona School Facilities Board
Preventive Maintenance Checklist
School Name:
Category: HVAC Building (Optional)
Equip. Type: H2 Chillers
Fiscal Year: Room (Optional)
> > > Note: Check boxes using P (presently performing task) or N (new PM task being performed).
* Denotes item recommended to perform monthly, but quarterly at a minimum.
** Denotes item recommended to perform quarterly, but semi-annually at a minimum.
Quarterly Checks
1 2 3 4 Ref. 1 2 3 4 Ref.
HQ1 *Auxiliary Equipment Function
HQ4 *Joint/Pipe Leaks
Tech. Date/Sign: Tech. Date/Sign:
Tech. Date/Sign: Tech. Date/Sign:
Semi-Annual
1 2 Ref. 1 2 Ref.
HS2 Circulation and Water Spray Device Condition HS17 Oil level
HS4 Condenser Condition and Function HS18 Overall Condition, Cleanliness and Corrosion
HS5 Condition of Interlock Functions & HS19 Pressure Gauges & Relief Valves
Limit and Shutdown Switches HS20 Solution Tanks
Condition of Motors, Pumps and/or HS21 Temperature and Humidity Control
HS6
Strainer Cleanliness HS22 Thermal Insulation and Vapor Barrier Condition
HS7 *Distribution Pipe Condition HS23 Variable Frequency Damper Function
HS9 Electrical Wiring Connection HS24 Water Level and Flow Rate and Scale
HS10 Entrapped Air
HS12 Filter Cartridge Condition
General Lubrication and Lubrication
HS15
of Flow Control Valves
HS16 Noise, Vibration and Stability of Mounted Units
Tech. Date/Sign:
Tech. Date/Sign:
Annual
1 Ref. 1 Ref.
Condenser/Evaporator Tube Condition & Oil/Oil
HA4
Filter Condition
HA5 Evaporator Condition and Function
HA8 Obstructions
HA9 Piping Condition
HA10 Pump Alignment
Tech. Date/Sign:
Maintenance Director
Signature/Date:
Number of possible checks on this checklist: 49
List the number of checks actually performed:
6/5/2003 Arizona School Facilities Board
Preventive Maintenance Checklist
School Name:
Category: HVAC Building (Optional)
Equip. Type: H3 Cooling Towers
Fiscal Year: Room (Optional)
> > > Note: Check boxes using P (presently performing task) or N (new PM task being performed).
* Denotes item recommended to perform monthly, but quarterly at a minimum.
** Denotes item recommended to perform quarterly, but semi-annually at a minimum.
Quarterly Checks
1 2 3 4 Ref. 1 2 3 4 Ref.
HQ1 *Auxiliary Equipment Function
HQ3 *Filter Condition
HQ4 *Joint/Pipe Leaks
Tech. Date/Sign: Tech. Date/Sign:
Tech. Date/Sign: Tech. Date/Sign:
Semi-Annual
1 2 Ref. 1 2 Ref.
HS2 Circulation and Water Spray Device Condition HS16 Noise, Vibration and Stability of Mounted Units
Condition of Interlock Functions & HS18 Overall Condition, Cleanliness and Corrosion
HS5
Limit and Shutdown Switches HS19 Pressure Gauges & Relief Valves
Condition of Motors, Pumps and/or HS20 Solution Tanks
HS6
Strainer Cleanliness HS23 Variable Frequency Damper Function
HS9 Electrical Wiring Connection HS24 Water Level and Flow Rate and Scale
HS10 Entrapped Air
Excessive Debris Build-up and Chips
HS11
and Cracks on Blades
HS14 Gearbox Condition
General Lubrication and Lubrication
HS15
of Flow Control Valves
Tech. Date/Sign:
Tech. Date/Sign:
Annual
1 Ref. 1 Ref.
HA2 *Belt Replacement
HA6 Housing Stability
HA8 Obstructions
HA9 Piping Condition
HA11 Register and Duct Distribution
Tech. Date/Sign:
Maintenance Director
Signature/Date:
Number of possible checks on this checklist: 45
List the number of checks actually performed:
6/5/2003 Arizona School Facilities Board
Preventive Maintenance Checklist
School Name:
Category: HVAC Building (Optional)
Equip. Type: H4 Fan Coils-Fans
Fiscal Year: Room (Optional)
> > > Note: Check boxes using P (presently performing task) or N (new PM task being performed).
* Denotes item recommended to perform monthly, but quarterly at a minimum.
** Denotes item recommended to perform quarterly, but semi-annually at a minimum.
Quarterly Checks
1 2 3 4 Ref. 1 2 3 4 Ref.
HQ3 *Filter Condition
HQ4 *Joint/Pipe Leaks
Tech. Date/Sign: Tech. Date/Sign:
Tech. Date/Sign: Tech. Date/Sign:
Semi-Annual
1 2 Ref. 1 2 Ref.
*Blower Condition and Condensation General Lubrication and Lubrication
HS1 HS15
Drain Operation of Flow Control Valves
Condition of Motors, Pumps and/or HS16 Noise, Vibration and Stability of Mounted Units
HS6
Strainer Cleanliness HS18 Overall Condition, Cleanliness and Corrosion
HS7 *Distribution Pipe Condition HS21 Temperature and Humidity Control
HS9 Electrical Wiring Connection HS22 Thermal Insulation and Vapor Barrier Condition
HS10 Entrapped Air HS23 Variable Frequency Drive Function
Excessive Debris Build-up and
HS11
Chips and Cracks on Blades
HS13 Filter Replacement
Tech. Date/Sign:
Tech. Date/Sign:
Annual
1 Ref. 1 Ref.
HA2 *Belt Replacement
HA6 Housing Stability
HA8 Obstructions
HA9 Piping Condition
HA11 Register and Duct Distribution
Tech. Date/Sign:
Maintenance Director
Signature/Date:
Number of possible checks on this checklist: 39
List the number of checks actually performed:
6/5/2003 Arizona School Facilities Board
Preventive Maintenance Checklist
School Name:
Category: HVAC Building (Optional)
Equip. Type: H5 Heat Pumps
Fiscal Year: Room (Optional)
> > > Note: Check boxes using P (presently performing task) or N (new PM task being performed).
* Denotes item recommended to perform monthly, but quarterly at a minimum.
** Denotes item recommended to perform quarterly, but semi-annually at a minimum.
Quarterly Checks
1 2 3 4 Ref. 1 2 3 4 Ref.
HQ3 *Filter Condition
HQ4 *Joint/Pipe Leaks
Tech. Date/Sign: Tech. Date/Sign:
Tech. Date/Sign: Tech. Date/Sign:
Semi-Annual
1 2 Ref. 1 2 Ref.
*Blower Condition and Condensation General Lubrication and Lubrication
HS1 HS15
Drain Operation of Flow Control Valves
HS4 Condenser Condition and Function HS16 Noise, Vibration and Stability of Mounted Units
Condition of Interlock Functions & Limit and
HS5 HS17 Oil level
Shutdown Switches
HS7 *Distribution Pipe Condition HS18 Overall Condition, Cleanliness and Corrosion
HS8 Electrical Heating Coil Function HS19 Pressure Gauges & Relief Valves
Excessive Debris Build-up and Chips and Cracks
HS11 HS21 Temperature and Humidity Control
on Blades
HS13 Filter Replacement HS22 Thermal Insulation and Vapor Barrier Condition
HS23 Variable Frequency Drive Function
Tech. Date/Sign:
Tech. Date/Sign:
Annual
1 Ref. 1 Ref.
HA2 *Belt Replacement
HA5 Evaporator Condition and Function
HA8 Obstructions
HA9 Piping Condition
HA11 Register and Duct Distribution
Tech. Date/Sign:
Maintenance Director
Signature/Date:
Number of possible checks on this checklist: 43
List the number of checks actually performed:
6/5/2003 Arizona School Facilities Board
Preventive Maintenance Checklist
School Name:
Category: HVAC Building (Optional)
Equip. Type: H6 Heating Systems
Fiscal Year: Room (Optional)
> > > Note: Check boxes using P (presently performing task) or N (new PM task being performed).
* Denotes item recommended to perform monthly, but quarterly at a minimum.
** Denotes item recommended to perform quarterly, but semi-annually at a minimum.
Quarterly Checks
1 2 3 4 Ref. 1 2 3 4 Ref.
HQ2 *Burner Assembly & Control Condition
Tech. Date/Sign: Tech. Date/Sign:
Tech. Date/Sign: Tech. Date/Sign:
Semi-Annual
1 2 Ref. 1 2 Ref.
*Blower Condition and HS21 Temperature and Humidity Control
HS1
Condensation Drain Operation Thermal Insulation and Vapor
HS22
Combustion Chamber and Barrier Condition
HS3
Smoke pipe Condition HS23 Variable Frequency Damper Function
HS7 *Distribution Pipe Condition
HS8 Electrical Heating Coil Function
Excessive Debris Build-up and
HS11
Chips and Cracks on Blades
HS13 Filter Replacement
General Lubrication and Lubrication
HS15
of Flow Control Valves
HS16 Noise, Vibration and Stability of Mounted Units
HS18 Overall Condition, Cleanliness and Corrosion
Tech. Date/Sign:
Tech. Date/Sign:
Annual
1 Ref. 1 Ref.
HA11 Register and Duct Distribution
Tech. Date/Sign:
Maintenance Director
Signature/Date:
Number of possible checks on this checklist: 29
List the number of checks actually performed:
6/5/2003 Arizona School Facilities Board
Preventive Maintenance Checklist
School Name:
Category: HVAC Building (Optional)
Equip. Type: H7 Package Refrigeration
Fiscal Year: Room (Optional)
> > > Note: Check boxes using P (presently performing task) or N (new PM task being performed).
* Denotes item recommended to perform monthly, but quarterly at a minimum.
** Denotes item recommended to perform quarterly, but semi-annually at a minimum.
Quarterly Checks
1 2 3 4 Ref. 1 2 3 4 Ref.
HQ3 *Filter Condition
HQ4 *Joint/Pipe Leaks
Tech. Date/Sign: Tech. Date/Sign:
Tech. Date/Sign: Tech. Date/Sign:
Semi-Annual
1 2 Ref. 1 2 Ref.
*Blower Condition and Condensation Drain
HS1 HS16 Noise, Vibration and Stability of Mounted Units
Operation
HS4 Condenser Condition and Function HS17 Oil level
Condition of Interlock Functions & Limit and
HS18 Overall Condition, Cleanliness and Corrosion
HS5 Shutdown Switches
HS8 Electrical Heating Coil Function HS19 Pressure Gauges & Relief Valves
Excessive Debris Build-up and Chips HS21 Temperature and Humidity Control
HS11
and Cracks on Blades Thermal Insulation and
HS22
HS13 Filter Replacement Vapor Barrier Condition
General Lubrication and Lubrication HS23 Variable Frequency Damper Function
HS15
of Flow Control Valves
Tech. Date/Sign:
Tech. Date/Sign:
Annual
1 Ref. 1 Ref.
HA2 *Belt Replacement
HA5 Evaporator Condition and Function
HA8 Obstructions
HA9 Piping Condition
HA11 Register and Duct Distribution
Tech. Date/Sign:
Maintenance Director
Signature/Date:
Number of possible checks on this checklist: 41
List the number of checks actually performed:
###### Arizona School Facilities Board
Preventive Maintenance Annualized Cost Worksheet
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Quarterly Tasks
HQ1 *Auxiliary Equipment Function
HQ2 *Burner Assembly & Control Condition
HQ3 *Filter Condition
HQ4 *Joint/Pipe Leaks
Total Quarterly HVAC Tasks Annual Cost
Semi-Annual Tasks
HS1 *Blower Condition and Condensation Drain Operation
HS2 Circulation and Water Spray Device Condition
HS3 Combustion Chamber and Smoke pipe Condition
HS4 Condenser Condition and Function
HS5 Condition-Interlock Functions&Limit/Shutdown Switches
HS6 Condition of Motors, Pumps/Strainer Cleanliness
HS7 *Distribution Pipe Condition
HS8 Electrical Heating Coil Function
HS9 Electrical Wiring Connection
HS10 Entrapped Air
HS11 Excessive Debris Build-up/Chips & Cracks on Blades
HS12 Filter Cartridge Condition
HS13 Filter Replacement
HS14 Gearbox Condition
HS15 General Lubrication/Lub. of Flow Control Valves
HS16 Noise, Vibration and Stability of Mounted Units
HS17 Oil level
HS18 Overall Condition, Cleanliness and Corrosion
HS19 Pressure Gauges & Relief Valves
HS20 Solution Tanks
HS21 Temperature and Humidity Control
HS22 Thermal Insulation and Vapor Barrier Condition
HS23 Variable Frequency Drive Function
HS24 Water Level and Flow Rate and Scale
Total Semi-Annual HVAC Tasks Annual Cost
Subtotal Quarterly and Semi Annual Costs
Arizona School Facilities Board
Preventive Maintenance Checklist
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Annual Tasks
HA1 Back Feed Pumps Function
HA2 *Belt Replacement
HA3 Certification (per authority with jurisdiction)
Condenser/Evaporator Tube Condition & Oil/Oil Filter
HA4
Condition
HA5 Evaporator Condition and Function
HA6 Housing Stability
HA7 Louver Condition
HA8 Obstructions
HA9 Piping Condition
HA10 Pump Alignment
HA11 Register and Duct Distribution
Total Annual HVAC Tasks Cost
Total Estimated Annual Cost for HVAC Tasks