Pre Functional Check List PDF

HEATING PLANT FUNCTIONAL TEST FT-1
CLEVELAND CLINIC REV 2/1/2011
FT-1
PRE-FUNCTIONAL CHECKLIST AND FUNCTIONAL TEST
FOR
HEATING PLANT
Participants
Name Company Title
Commissioning Authority
Party filling out this form and witnessing testing:

[Name, Company]
Date of test: ____________________
Page 1 of 8
System Description
Boiler(s)
Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description
Unit Tag Make
Unit Description
Primary Hot Water Pump(s)

Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Page 2 of 8
Secondary Hot Water Pump(s)

Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Relief Valve(s)
Unit Tag Make
Equipment Served Model No.
Capacity Rating Serial No.
Pressure Rating Type
Page 3 of 8
Pre-Functional Test Verification

Installation Checks
Boiler(s)
OK Check Comments
General Installation
General appearance good, no apparent damage
Site sufficiently clean for testing
Equipment labels affixed
Tube pulling, and access door space adequate
Required seismic restraints in place
Flue completely installed and sloped properly
Combustion air supply complete
System filled
Pressure gages installed
Thermometers installed
P/T plugs installed as per drawings
Multiple boiler interlocks completed
Piping (Immediately around unit. Full piping in HW Piping
Checklist.)
Gas piping installed and tested (supply is at proper pressure)
Hydronic piping complete, including blowdown system, makeup
water piping and safety reliefs
Hydronic system flushing complete and strainers cleaned
Isolation valves and balancing valves installed
Pipe fittings and accessories complete
Test ports installed near all control sensors and per spec
Flow switch installed as required
Flow meters installed as required
Piping type and flow direction labeled on piping
Chemical treatment system or plan installed
ASME pressure vessel data sheet or certification tag posted and
inspection complete for each expansion tank
Expansion tanks verified to not be air bound and system
completely full of water
Air vents and bleeds at high points of systems functional
Electrical and Controls

Power to unit and disconnect installed
All electrical components grounded
Sensors calibrated (see below)
Control system interlocks hooked up and functional
Page 4 of 8
All control devices, pneumatic tubing and wiring complete

Motorized valves, dampers and float switches functional
Fire and smoke sensing components functional
Final
Startup report completed with this checklist attached
Startup report includes written certification from boiler
manufacturer that all specified features, controls and safeties
have been installed and are functioning properly and that the
installation and application comply with the manufacturer’s
recommendations.
Safeties installed and safe operating ranges for this equipment
provided to the commissioning agent
Heating water piping and pumps prefunctional checklists
completed
NOTES:
Page 5 of 8
Pump(s)
Installation Checks
OK Check Comments
Label permanently affixed
Pumps in place and properly grouted
Vibration isolation devices installed and functional
Factory alignment appears correct
Field alignment, if required, completed
Seismic anchoring installed
Temperature, pressure and flow gages and sensors installed
Pump lubricated
No unusual noise or vibration
Pump rotation verified correct
No leaking apparent around fittings
Piping (immediately around pump, see full piping checklist)

Pipe fittings complete and pipes properly supported
Pipes properly labeled
Pipes properly insulated
Strainers in place and clean
Piping system properly flushed
Valves properly tagged
Sensors calibrated (See calibration section below)

Power disconnects in place and labeled
All electric connections tight
Proper grounding installed for components and unit
Motor safeties in place and operable
VFD
VFD powered (wired to controlled equipment)
VFD interlocked to control system
Pressure or other controlling sensor properly located and per
drawings and calibrated
Drive location not subject to excessive temperatures
Drive location not subject to excessive moisture or dirt
Drive size matches motor size
Internal setting designating the model is correct
Input of motor FLA represents 100% to 105% of motor FLA
rating
Appropriate Volts vs Hz curve is being used
Page 6 of 8
Accel and decel times are around 10-50 seconds, except for
special applications. Actual decel = ______ Actual accel =
_____
Lower frequency limit at 0 for VAV fans and around 10-30%
for chilled water pumps. Actual = ________________
Upper frequency limit set at 100%, unless explained otherwise
Unit is programmed with full written programming record on
site
VFD speed at panel matches BAS readout
TAB
Installation of system and balancing devices allowed balancing
to be completed following specified NEBB or AABC
procedures and contract documents
Final
NOTES:
Page 7 of 8
Functional Test
Test Spec/Dwg Ref Pass
Test Procedure Expected and Actual Response
No. Y/N
Verify communication, front end graphics and Front end communication with heating plant has
1. point mapping are complete. been established and graphics along with control
and monitoring points are set up.
Initiate a call for heating by forcing BAS to read Verify that the following occurs in sequence: lead
an OAT below the enable set point. secondary hot water pump is started, lead boiler
isolation valve is 100% open, lead primary hot
2.
water pump is started, the combustion air damper is
100% open, draft damper is 100% open and the
lead boiler is enabled.
While in heating mode, force associated hot Verify that the lead secondary hot water pump
3. water control valves to 100% open or until the speed increases to maintain static pressure set
static pressure is below set point. point.
4. water control valves to 100% closed or until the speed decreases to maintain static pressure set
While in heating mode, force associated BAS to Verify that the boiler and/or mixing valve respond
5. read an OAT at low end of HWS Temperature appropriately and hot water supply temperature
reset schedule. increases to maximum set point.
While in heating mode, force associated BAS to Verify that the boiler and/or mixing valve respond
6. read an OAT at high end of HWS Temperature appropriately and hot water supply temperature
reset schedule. decreases to maximum set point.
Boiler failure: While only the lead boiler is Verify the lag boiler is enabled and an alarm is sent
7.
enabled, manually de-energize boiler. to the BAS.
Primary Hot Water Pump Status: While in Verify that the lead boiler is de-energized, the lag
heating mode, Trip lead hot pump current sensor pump is energized and an alarm is sent to the BAS.
8.
or de-energize via the disconnect switch. After flow is proven the lead boiler should be
energized.
Secondary Hot Water Pump Status: While in Verify that the standby pump is energized and an
9. heating mode, Trip lead secondary pump current alarm is sent to the BAS.
sensor or de-energize via the disconnect switch.
Combustion air damper failure. While in heating Verify that the both boilers shut down and an alarm
10. mode, trip combustion current sensor or de- signal is sent to the BAS.
energize.
Verify that the heating system is de-energized Verify that the following occurs in sequence: lead
when the BAS is forced to read an OAT above secondary hot water pump is stopped, the lead and
the enable set point. lag boilers are fully de-energized, lead and lag
primary hot water pump is stopped after a
11.
predetermined time delay consistent with
preventing the boiler from overheating, the
combustion air damper is 100% closed and the
boiler isolation valves are 100% closed.
Return all changed control parameters and Check off in program printout when completed
12.
conditions to their pre-test values
A SUMMARY OF DEFICIENCIES IDENTIFIED DURING TESTING IS ATTACHED

-- END OF TEST --
Page 8 of 8
COOLING PLANT FUNCTIONAL TEST FT-2
FT-2
FOR
COOLING PLANT
Participants
Name Company Title

[Name, Company]
Date of test: ____________________
Page 1 of 13
System Description
Chillers
Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Primary Chilled Water Pumps

Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Page 2 of 13
Secondary Chilled Water Pumps

Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Page 3 of 13

Chiller(s)
Installation Checks
OK Check Comments
Proper vibration isolators installed and adjusted
Seismic restraints in place
Pipes not supported on chiller
Cooling tower or condenser system checked out
Evaporator air vent provided
Water cooled condenser air vent provided
Refrigerant relief pipe extended to outside
Test plugs installed near all control sensors and as per
spec
Flow meters installed
Proper refrigerant level
No refrigerant leakage
Proper oil types
Proper oil level
Purge unit installed, if specified
Oil heater installed properly
Size of overcurrent heater in motor starter correct
Oil filter clean

Power wiring installed properly
All electrical components grounded properly
Control wiring and control system hooked up
Sensors calibrated (see calibration section below)
Smoke detectors in place
Safeties installed and safe operating ranges for this
equipment provided to the commissioning agent
Chilled water piping and pumps prefunctional checklists
completed
Page 4 of 13
NOTES:
Page 5 of 13
Chilled Water Pump(s)
Installation Checks
OK Check Comments
Temperature, pressure and flow gages and sensors
installed
Pump lubricated
Piping (immediately around pump, see full piping

checklist)

VFD
Pressure or other controlling sensor properly located and
per drawings and calibrated
Input of motor FLA represents 100% to 105% of motor
FLA rating
Page 6 of 13
Accel and decel times are around 10-50 seconds, except

for special applications. Actual decel = ______ Actual
accel = _____
Lower frequency limit at 0 for VAV fans and around 10-
30% for chilled water pumps. Actual =
________________
Upper frequency limit set at 100%, unless explained
otherwise
Unit is programmed with full written programming record
on site
TAB
Installation of system and balancing devices allowed
balancing to be completed following specified NEBB or
AABC procedures and contract documents
Final
NOTES:
Page 7 of 13
Cooling Tower(s)
Installation Checks
OK Check Comments
Cooling tower in place and in good condition
Fan belts adjusted
Fan shaft collars installed and tight
Fan lubricated
Fan blade pitch adjusted (propeller fans only)
Tower basin access in place
Tower basin sump strainers clean and sump filled
Sump heater and other freeze protection in place (alarms,
tape)
Temperature gauges installed
Pressure gauges installed across circulating pump
Spray water inlet strainer installed and clean
Spray nozzles clean
Fan rotation correct
Electrical
Power to unit and disconnect installed
All electrical components grounded
Power available to sump heater
Motor protection and safeties installed
Controls
Bypass valve spanning calibrated
Tower isolation valve spanning calibrated
Vibration alarm: Jump the vibration sensor to simulate an
alarm. Verify fan shut down and BAS alarm.
Test high and low water alarms
Bypass valves and other valves and dampers calibrated
Piping (Immediately around unit. Full piping in CHW Piping

Checklist.)
Makeup water supply piped
Makeup water shut-off valve installed
Pipes are properly labeled (direction, etc.)
Page 8 of 13
Valves are properly tagged

Water treatment report submitted
Distribution header balanced
Test plugs installed
Isolation and balancing valves installed per drawings
NOTES:
Page 9 of 13
Installation Checks
Condenser Water Pump(s)
Installation Checks
OK Check Comments
Temperature, pressure and flow gages and sensors
installed
Pump lubricated
Piping (immediately around pump, see full piping

checklist)

VFD
Pressure or other controlling sensor properly located and
Page 10 of 13
Input of motor FLA represents 100% to 105% of motor

FLA rating
Accel and decel times are around 10-50 seconds, except
for special applications. Actual decel = ______ Actual
accel = _____
Lower frequency limit at 0 for VAV fans and around 10-
30% for chilled water pumps. Actual =
________________
Upper frequency limit set at 100%, unless explained
otherwise
on site
TAB
Installation of system and balancing devices allowed
balancing to be completed following specified NEBB or
AABC procedures and contract documents
Final
NOTES:
Page 11 of 13
Functional Test
Test Spec/Dwg Pass
No. Ref Y/N
Verify communication, front end graphics Front end communication with cooling plant
1. and point mapping are complete. has been established and graphics along with
control and monitoring points are set up.
Initiate a call for cooling. Verify that following occurs in sequence: lead
secondary chilled water pump is started, tower
bypass valve is closed to the cooling tower,
2. lead cooling tower cell is enabled (isolation
valve opens), lead condenser water pump is
started, lead primary chilled water pump is
started and lastly the lead chiller is started.
Enable the lag chiller. Verify that following occurs in sequence: lag
secondary chilled water pump is started, lag
cooling tower cell is enabled (isolation valve
3.
opens), lag condenser water pump is started,
lag primary chilled water pump is started and
lastly the lag chiller is started.
While in cooling mode, force associated Verify that the lead secondary chilled water
4. chilled water control valves to 100% open or pump speed increases to maintain static
until the static pressure is below set point. pressure set point.
While in cooling mode, force associated Verify that the lead secondary chiller water
5. chilled water control valves to 30% open or pump speed decreases to maintain static
until the static pressure is above set point. pressure set point.
While in cooling mode, verify the following Verify that the following occurs in sequence:
cooling tower sequence upon a sustained Tower bypass valve is 100% open to cooling
6. rise in leaving condenser water temperature tower, lead fan is energized and its speed
> 65°F. modulated, lag fan is energized and its speed
modulated.
Disable the lag chiller. Verify that following occurs in sequence: lag
chiller is de-energized, lag chilled water pump
is de-energized, lag condenser water pump is
7.
de-energized, lag cooling tower cell is
disabled, and lag secondary chilled water
pump is de-energized.
Disable the lead chiller. Verify that following occurs in sequence: lead
chiller is de-energized, lead chilled water
pump is de-energized, lead condenser water
8.
pump is de-energized, lead cooling tower cell
is disabled, and lead secondary chilled water
pump is de-energized.
While only the lead chiller is enabled, Verify the lag chiller/pump is energized and an
9.
manually de-energize chiller. alarm is sent to the BAS.
Force BAS to read a sump basin Verify that the sump heater is energized and
10.
temperature below minimum set point. that the sump temperature increases.
Force BAS to read an outdoor air Verify that heat trace is energized.
11. temperature below heat trace enable set
point.
Primary Chilled Water Pump Status: While Verify that the lead chiller/pump is de-
in cooling mode, Trip lead primary pump energized, the lag chiller/pump is energized
12.
current sensor or de-energize via the and an alarm is sent to the BAS.
disconnect switch.
Page 12 of 13
Test Spec/Dwg Pass

No. Ref Y/N
Secondary Chilled Water Pump Status: Verify that the standby pump is energized and
While in cooling mode, Trip lead secondary an alarm is sent to the BAS.
13.
pump current sensor or de-energize via the
disconnect switch.
Condenser Water Pump Status: While in Verify that the lead chiller/pump is de-
cooling mode, Trip lead condenser water energized, the lag chiller/pump is energized
14.
pump current sensor or de-energize via the and an alarm is sent to the BAS.
disconnect switch.
Force BAS to read an outdoor air Verify an alarm is sent to the BAS.
15. temperature below heat trace enable set
point and trip current sensor or de-energize
heat trace circuit.
High Limit Sump Temperature: Force BAS Verify an alarm is sent to the BAS.
16. to read a sump temperature above the high
limit set point.
Low Limit Sump Temperature: Force BAS Verify an alarm is sent to the BAS.
17. to read a sump temperature below the low
limit set point.
Spray Pump Status: While in cooling mode, Verify an alarm is sent to the BAS.
18. trip spray pump current sensor or
disconnect power.
Tower Vibration: Force BAS to read a tower Verify that the tower fan is de-energized and
19.
vibration level above set point. that an alarm is sent to the BAS.
High Sump Level: Force BAS to read a Verify an alarm is sent to the BAS.
20.
sump level above the high limit.
Low Sump Level: Force BAS to read a Verify an alarm is sent to the BAS and that the
21.
sump level below the low limit. spray pump is de-energized.
Return all changed control parameters Check off in program printout when
22.
and conditions to their pre-test values completed

-- END OF TEST --
Page 13 of 13
STEAM TO HOT WATER HEATING PLANT FUNCTIONAL TEST FT-3
FT-3
FOR
STEAM TO HOT WATER HEATING PLANT
Participants
Name Company Title

[Name, Company]
Date of test: ____________________
Page 1 of 8
System Description
Heat Exchangers
Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Primary Hot Water Pumps

Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Page 2 of 8
Secondary Hot Water Pumps

Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Relief Valve(s)
Unit Tag Make
Equipment Served Model No.
Capacity Rating Serial No.
Pressure Rating Type
Page 3 of 8

Installation Checks
Heat Exchangers
OK Check Comments
Site sufficiently clean for testing
Tube pulling, and access door space adequate
Required seismic restraints in place
Flue completely installed and sloped properly
System filled
P/T plugs installed as per drawings
Piping (Immediately around unit. Full piping in HW Piping

Checklist.)
Hydronic piping complete, including blowdown system, makeup
water piping and safety reliefs
Test ports installed near all control sensors and per spec
Flow meters installed as required
ASME pressure vessel data sheet or certification tag posted and
inspection complete for each expansion tank
Expansion tanks verified to not be air bound and system
completely full of water
Air vents and bleeds at high points of systems functional
Relief valve installed and piped to drain

Page 4 of 8
Final
Startup report includes written certification from boiler
manufacturer that all specified features, controls and safeties
have been installed and are functioning properly and that the
installation and application comply with the manufacturer’s
recommendations.
Heating water piping and pumps prefunctional checklists
completed
NOTES:
Page 5 of 8
Pumps
Installation Checks
OK Check Comments
Temperature, pressure and flow gages and sensors installed
Pump lubricated
Piping (immediately around pump, see full piping checklist)


VFD
Pressure or other controlling sensor properly located and per
drawings and calibrated
rating
Page 6 of 8
_____
for chilled water pumps. Actual = ________________
site
TAB
Final
NOTES:
Page 7 of 8
Functional Test
No. Y/N
Verify communication, front end graphics and Front end communication with heating plant has
1. point mapping are complete. been established and graphics along with control
and monitoring points are set up.
Initiate a call for heating by forcing BAS to read Verify that the following occurs in sequence: lead
an OAT below the enable set point. secondary hot water pump is started, lead HX HW
2. isolation valve is 100% open, lead primary hot
water pump is started, the 1/3 capacity steam
control valve modulates open.
3. water control valves to 100% open or until the speed increases to maintain static pressure set
4. water control valves to 100% closed or until the speed decreases to maintain static pressure set
While in heating mode, force associated BAS to Verify that the 1/3-2/3 capacity steam control
read an OAT at low end of HWS Temperature valves and/or hot water mixing valve respond
5.
reset schedule. appropriately and hot water supply temperature
increases to maximum set point.
While in heating mode, force associated BAS to Verify that the 1/3-2/3 capacity steam control
read an OAT at high end of HWS Temperature valves and/or hot water mixing valve respond
6.
reset schedule. appropriately and hot water supply temperature
decreases to maximum set point.
Primary Hot Water Pump Status: While in Verify that the lead boiler is de-energized, the lag
heating mode, Trip lead hot pump current sensor pump is energized and an alarm is sent to the BAS.
7.
or de-energize via the disconnect switch. After flow is proven the lead boiler should be
energized.
Secondary Hot Water Pump Status: While in Verify that the standby pump is energized and an
8. heating mode, Trip lead secondary pump current alarm is sent to the BAS.
sensor or de-energize via the disconnect switch.
Verify that the heating system is de-energized Verify that the following occurs in sequence: lead
when the BAS is forced to read an OAT above secondary hot water pump is stopped, the lead and
the enable set point. lag heat exchangers steam control valves all
modulate closed, lead and lag primary hot water
9.
pump is stopped after a predetermined time delay
consistent with preventing the heat exchangers
from overheating, the heat exchanger isolation
valves are 100% closed.
10.

-- END OF TEST --
Page 8 of 8
VAV AIR HANDLING UNIT FUNCTIONAL TEST FT-4
FT-4
FOR
VARIABLE VOLUME AIR HANDLING UNITS
Participants
Name Company Title

[Name, Company]
Date of test: ____________________
Unit Tag Make
Unit Description
Page 1 of 6

Installation Checks
OK Check Comments
Cabinet and General Installation
Permanent labels affixed, including for fans
Casing condition good: no dents, leaks, door gaskets installed
Access doors close tightly - no leaks
Boot between duct and unit tight and in good condition
Vibration isolation equipment installed & released from
shipping locks
Maintenance access acceptable for unit and components
Sound attenuation installed
Thermal insulation properly installed and according to
specification
Instrumentation installed according to specification
(thermometers, pressure gages, flow meters, etc.)
Clean up of equipment completed per contract documents
Filters installed and replacement type and efficiency
permanently affixed to housing--construction filters removed
Valves, Piping and Coils (see full piping checklists)

All coils are clean and fins are in good condition
All condensate drain pans clean and slope to drain, per spec
Valves properly labeled
Valves installed in proper direction
OSAT, MAT, SAT, RAT, chilled water supply sensors properly
located and secure (related OSAT sensor shielded)
Motors: Premium efficiency verified, if specified?
P/T plugs and isolation valves installed per drawings
Fans and Dampers

Supply fan and motor alignment correct
Supply fan belt tension & condition good
Supply fan protective shrouds for belts in place and secure
Supply fan area clean
Supply fan and motor properly lubricated
Return/exhaust fan and motor aligned
Return/exhaust fan belt tension & condition good
Page 2 of 6
Return/exhaust fan protective shrouds for belts in place and

secure
Return/exhaust fan area clean
Return/exhaust fan and motor lube lines installed and lubed
Filters clean and tight fitting
Filter pressure differential measuring device installed and
functional (magnehelic, inclined manometer, etc.)
Smoke and fire dampers installed properly per contract docs
(proper location, access doors, appropriate ratings verified)
All dampers close tightly
All damper linkages have minimum play
Low limit freeze stat sensor located to deal with stratification &
bypass
Ducts (preliminary check)

Sound attenuators installed
Duct joint sealant properly installed
No apparent severe duct restrictions
Turning vanes in square elbows as per drawings
OSA intakes located away from pollutant sources & exhaust
outlets
Pressure leakage tests completed
Branch duct control dampers operable
Ducts cleaned as per specifications
Balancing dampers installed as per drawings and TAB’s site
visit

Pilot lights are functioning
Safeties in place and operable
Starter overload breakers installed and correct size
VFD
Static pressure or other controlling sensor properly located and
Static pressure or other controlling sensor calibrated
Page 3 of 6

rating
_____
for chilled water pumps. Actual = _______________
site
TAB
Final
Smoke and fire dampers and unpowered TU’s are open
If unit is started and will be running during construction: have
quality filters on RA grills, etc. to minimize dirt in the ductwork
and coils and in any finished areas. Verify moisture migration is
not a problem, due to improper pressures between spaces.
NOTES:
Page 4 of 6
Functional Test
No. Y/N
Verify communication, front end graphics and Front end communication with AHU has been
1. point mapping are complete. established and graphics along with control and
monitoring points are set up.
Place BAS in Occupied Mode. Verify that the supply fan starts followed by the
2. return fan and lastly the mixed air dampers
modulate to the minimum outside air position.
While in Occupied Mode, force associated Verify that supply and return air fan speeds
3. terminal units closed until the static pressure is decrease to maintain static pressure set point.
above set point.
While in Occupied Mode, force associated Verify that supply and return air fan speeds
4. terminal units open until the static pressure is increase to maintain static pressure set point.
below set point.
While in the Occupied Mode, force BAS to read Verify that the supply air temperature set point
an outside air temperature at or above the resets downward in response to an increase in
5.
maximum OAT utilized for the minimum SA outside air temperature.
temperature set point reset schedule (>5°F).
While in the Occupied Mode, force BAS to read Verify that the supply air temperature set point
an outside air temperature at or below minimum resets upward in response to a decrease in outside
6.
OAT utilized for the maximum SA temperature air temperature.
set point reset schedule (<60°F).
While in the Occupied Mode, force BAS to read Verify that the mixed air dampers modulate so that
an outside air temperature below the economizer the outside air dampers are opened past their
7.
changeover value. minimum position as measured by the differential
pressure transmitter (OA-RA).
While in the Occupied Mode, force BAS into Verify that the mixed air dampers modulate so that
heating mode by increasing discharge air set the outside air dampers are at their minimum
8.
point. position and the heating valve and heating coil
bypass damper modulate open.
cooling mode by decreasing discharge air set the outside air dampers are at their minimum
9.
point and forcing the outside air damper to its position and the heating valve and heating coil
minimum position. bypass damper modulate open.
While in the Occupied Mode, force BAS to read Verify that the mixed air dampers modulate open.
10.
a CO2 level above set point.
While in the Occupied Mode, force BAS to read Verify that the mixed air dampers modulate closed.
11.
a CO2 level below set point.
Place BAS in Unoccupied Mode. Verify that the supply and return fans are de-
12. energized and the mixed air dampers modulate to
the100% return air position.
Warm-Up: Force all associated terminal unit Verify that the supply and return fans are energized
space temperature readings below the occupied and the mixed air dampers remain in the100%
13. heating set point and set the time of day to the return air position while the heating section
earliest warm-up mode time. modulates to maintain discharge air temperature set
point.
SA Smoke Detector: Trip the supply air Verify that the supply and return fans are de-
14.
smoke detector. energized and a signal is sent to the FACP.
Page 5 of 6

No. Y/N
RA Smoke Detector: Trip the return air Verify that the supply and return fans are de-
15. smoke detector. energized and an alarm signal is sent to the
FACP and BAS.
Freeze stat: Force BAS to sense a temperature Verify that the supply and return fans are de-
below the freeze stat low limit. energized, the mixed air dampers modulate to
100% return, the heating control valve opens and
16.
the heating face and bypass dampers modulate to
100% open, while a corresponding alarm is sent
to the BAS.
SA High Static Pressure: Force BAS to sense Verify that the supply and return fans de-
17. a static pressure above the high static set energize and a corresponding alarm is sent to the
point. BAS.
Pre-Filter DP: Force the BAS to sense a Verify that a corresponding alarm is sent to the
differential static pressure reading across the BAS.
18.
pre-filter bank above the change out set point
of 1 in wc.
Fan Status: While in Occupied Mode, Trip Verify that the supply and return fans are de-
supply fan current sensor or de-energize via energized, the outside air damper is 100%
19. the disconnect switch. closed, the heating control valve is 100% open,
the cooling control valve is 100% closed and an
alarm is sent to the BAS.
Fan Status: While in Occupied Mode, Trip Verify that the air handling unit continues to
20. return fan current sensor or de-energize via the operate normally and an alarm is sent to the
disconnect switch. BAS.
21.

-- END OF TEST --
Page 6 of 6
CONSTANT VOLUME AIR HANDLING UNIT FUNCTIONAL TEST FT-5
FT-5
FOR
CONSTANT VOLUME AIR HANDLING UNITS
Participants
Name Company Title

[Name, Company]
Date of test: ____________________
Unit Tag Make
Unit Description
Page 1 of 6

Installation Checks
OK Check Comments
Access doors close tightly - no leaks
shipping locks
Sound attenuation installed
specification
permanently affixed to housing--construction filters removed
Valves, Piping and Coils (see full piping checklists)

Valves properly labeled
Motors: Premium efficiency verified, if specified?
Fans and Dampers

Supply fan and motor alignment correct
Return/exhaust fan and motor aligned
Return/exhaust fan belt tension & condition good
Page 2 of 6
Return/exhaust fan protective shrouds for belts in place and

secure
Return/exhaust fan area clean
Return/exhaust fan and motor lube lines installed and lubed
Filter pressure differential measuring device installed and
functional (magnehelic, inclined manometer, etc.)
Low limit freeze stat sensor located to deal with stratification &
bypass

outlets
Ducts cleaned as per specifications
Balancing dampers installed as per drawings and TAB’s site
visit

Starter overload breakers installed and correct size
VFD
Static pressure or other controlling sensor properly located and
Static pressure or other controlling sensor calibrated
Page 3 of 6

rating
_____
for chilled water pumps. Actual = _______________
site
TAB
Final
Smoke and fire dampers and unpowered TU’s are open
If unit is started and will be running during construction: have
quality filters on RA grills, etc. to minimize dirt in the ductwork
and coils and in any finished areas. Verify moisture migration is
not a problem, due to improper pressures between spaces.
NOTES:
Page 4 of 6
Functional Test
No. Y/N
Verify communication, front end graphics and Front end communication with AHU has been
1. point mapping are complete. established and graphics along with control and
Place BAS in Occupied Mode. Verify that the supply fan starts followed by the
2. return fan and lastly the mixed air dampers
modulate to the minimum outside air position.
an outside air temperature below the economizer the outside air dampers are opened past their
3.
changeover value. minimum position as measured by the differential
pressure transmitter (OA-RA).
an outside air temperature above the economizer the outside air dampers are at their minimum
4.
changeover value. position as measured by the differential pressure
transmitter (OA-RA).
an outside air temperature above the economizer the outside air dampers are at their minimum
5.
changeover value. position as measured by the differential pressure
transmitter (OA-RA).
heating mode by increasing discharge air set the outside air dampers are at their minimum
6.
point. position and the heating valve and heating coil
bypass damper modulate open.
cooling mode by decreasing discharge air set the outside air dampers are at their minimum
7.
point and forcing the outside air damper to its position and the heating valve and heating coil
minimum position. bypass damper modulate open.
Place BAS in Unoccupied Mode. Verify that the supply and return fans are de-
8. energized and the mixed air dampers modulate to
the100% return air position.
Warm-Up: Force space temperature reading Verify that the supply and return fans are energized
below the occupied heating set point and set the and the mixed air dampers remain in the100%
9. time of day to the earliest warm-up mode time. return air position while the heating section
modulates to maintain discharge air temperature set
point.
SA Smoke Detector: Trip the supply air Verify that the supply and return fans are de-
10.
smoke detector. energized and a signal is sent to the FACP.
RA Smoke Detector: Trip the return air Verify that the supply and return fans are de-
11. smoke detector. energized and an alarm signal is sent to the
FACP and BAS.
Freeze stat: Force BAS to sense a temperature Verify that the supply and return fans are de-
below the freeze stat low limit. energized, the mixed air dampers modulate to
100% return, the heating control valve opens and
12.
the heating face and bypass dampers modulate to
100% open, while a corresponding alarm is sent
to the BAS.
Page 5 of 6

No. Y/N
Pre-Filter DP: Force the BAS to sense a Verify that a corresponding alarm is sent to the
differential static pressure reading across the BAS.
13.
pre-filter bank above the change out set point
of 1 in wc.
Fan Status: While in Occupied Mode, Trip Verify that the supply and return fans are de-
supply fan current sensor or de-energize via energized, the outside air damper is 100%
14. the disconnect switch. closed, the heating control valve is 100% open,
the cooling control valve is 100% closed and an
alarm is sent to the BAS.
Fan Status: While in Occupied Mode, Trip Verify that the air handler continues to operate
15. return fan current sensor or de-energize via the normally and an alarm is sent to the BAS.
disconnect switch.
16.

-- END OF TEST --
Page 6 of 6
TERMINAL UNIT FUNCTIONAL TEST FT-6
FT-6
FOR
TERMINAL UNITS
Participants
Name Company Title

[Name, Company]
Date of test: ____________________
Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Unit Tag Make
Page 1 of 4
Unit Description
Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Page 2 of 4

Installation Checks
Check
Application and installation in conformance with mf'rs
recommendations and job specs. Specified sound wrapping
and joint sealant installed.
Any high pressure ducting upstream has been leak and
pressure tested, cleaned and approved prior to setting TU.
Model and tag checked against plans and equipment list. Tag
or mark affixed.
Unit secured per manufacturer's recommendations, contract
documents and seismic requirements.
Unit has sufficient clearance to be serviced.
Inlet conditions OK: Smooth, round, straight duct for at least
3 duct diameters when possible and 2 diameters minimum for
velocity pressure sensor for flow readings and 3 to 5
diameters for single point electronic sensors, else airflow
straighteners, OR per manufacturer's recommendation.
All balancing devices have been provided in compliance with
the contract documents.
Any hot or chilled water piping installation complete with
valves tagged. Auto-flow control valves checked to ensure
proper model.
Controls Hardware Check: a) Wiring checked to each point.
b) Software pt. address input into box and checked for all
points (zone temp. pressures for flow calcs, damper position,
fan status, supply air temp., valve position, etc.). c) Release
actuator clutch and verify free damper.
Controls Software Load. Power up unit and download
approved software program.
NOTES:
Page 3 of 4
Functional Test
Spec/Dwg Pass (Y/N)
Test Ref Test Procedure Expected and Actual Response
No.
Verify TU communication, front end Front end communication with TU has

graphics and point mapping are been established and graphics along
1.
complete. with control and monitoring points are
set up.
Attempt to adjust space temperature Verify that temperature set point is
2. set point from space sensor. operator adjustable from space (rm)
temperature sensor.
Initial temperature set point for all Verify occupied initial temperature set
3. TUs shall be 72/75 F for occupied point
mode.
Initial temperature set point for all Verify unoccupied initial temperature
4. TU s shall be 62/82 F for unoccupied set point
mode
Command BAS to change initial set Verify temperature set point changed.
5.
points
While in Occupied Mode, force BAS Verify that TU damper starts to
6. to sense that space temperature is modulate open.
above cooling set point.
While in the Occupied Mode, force Verify that TU damper starts to
7. BAS to sense that space temperature modulate to minimum position.
is below heating set point.
While in Occupied Mode and with Verify that TU damper stays in
TU damper in its minimum position, minimum position. For TU’s with
8. continue to force BAS to sense that reheat verify that heating section is
space temperature is below heating enabled. For fan-powered TU’s verify
set point. that fan is energized.
Place BAS in Unoccupied Mode. Verify that TU damper modulates
9. closed, heating coil and are fan de-
energized as applicable.
While in Unoccupied Mode, force Verify that TU damper remains closed.
BAS to sense a space temperature For fan-powered TU’s verify that the
10.
below the unoccupied heating set fan and heating section are energized.
point.
Force associated air handler into Verify that TU damper initially
warm-up mode and force BAS to modulates to full open and later
11.
sense a space temperature below the modulates closed as space temperature
occupied heating set point. is satisfied.
Force associated air handler into Verify that TU damper initially
cool-down mode and BAS to sense a modulates to full open and later
12.
space temperature above the modulates closed as space temperature
occupied cooling set point. is satisfied.
Return all changed control Check off in program printout when
13. parameters and conditions to their completed
pre-test values

-- END OF TEST --
Page 4 of 4
HOT WATER CABINET & UNIT HEATER FUNCTIONAL TEST FT-7
FT-7
FOR
HOT WATER CABINET & UNIT HEATER
Participants
Name Company Title

[Name, Company]
Date of test: ____________________
Page 1 of 5
Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Page 2 of 5
Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Page 3 of 5

Installation Checks
OK Check
Unit mounted securely
Check Unit and valves accessible for servicing

tag to
right No visible leaks
No unusual noise or vibration in fan.
NOTES:
Page 4 of 5
Functional Test
Pass Y/N
Test Spec/Dwg Expected and
Test Procedure
No. Ref Actual Response
Verify CUH / HUH Front end

communication, communication with
front end graphics CUH / HUH has been
and point mapping established and
1.
are complete. graphics along with
control and
monitoring points are
set up.
Attempt to adjust Verify that
space temperature temperature set point
2. set point from space is operator adjustable
sensor. from space (room)
temperature sensor.
Initial temperature Verify occupied
set point shall be 72 initial temperature set
3.
F for occupied point
mode.
Initial temperature Verify unoccupied
4.
F for unoccupied point
mode
Command BAS to Verify temperature
5. change initial set set point changed.
points
Increase space Verify that fan is
temperature set energized and heating
6.
point above actual control valve
space temperature. modulates open.
Decrease space Verify that fan de-
temperature set energizes and heating
7.
point below actual control valve
space temperature. modulates closed.
Return all changed Check off in
control parameters program printout
8. and conditions to when completed
their pre-test
values

-- END OF TEST --
Page 5 of 5
HOT WATER RADIANT CEILING PANEL & FIN TUBE FUNCTIONAL TEST FT-8
FT-8
FOR
HOT WATER RADIANT CEILING PANEL & FIN TUBE
Participants
Name Company Title

[Name, Company]
Date of test: ____________________
Page 1 of 5
Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Page 2 of 5
Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Unit Tag Make
Unit Description
Page 3 of 5

Installation Checks
OK Check
Unit mounted securely

Check
tag to Unit and valves accessible for servicing
right
No visible leaks
NOTES:
Page 4 of 5
Functional Test
Pass Y/N
Test Spec/Dwg Expected and
Test Procedure
No. Ref Actual Response
Verify RCP / FT Front end

communication, communication with
front end graphics RCP / FT has been
and point mapping established and
1.
are complete. graphics along with
control and
monitoring points are
set up.
Attempt to adjust Verify that
space temperature temperature set point
2. set point from line is operator adjustable
voltage TSTAT. from space (room)
temperature snsr.
Initial temp set Verify occupied
3. point shall be 72 F initial temperature set
for occupied mode. point
Initial temperature Verify unoccupied
4.
F for unoccupied point
mode
Command BAS to Verify temperature
5. change initial set set point changed.
points
While in occupied Verify that the
Mode, raise TSTAT heating control valve
set point until space modulates open.
6.
temperature is
below heating set
point.
While in the Verify that the
occupied Mode, heating control valve
lower TSTAT set modulates closed.
7. point until space
temp is above
heating set point
plus deadband.
Return all changed Check off in
control parameters program printout
8. and conditions to when completed
their pre-test
values

-- END OF TEST --
Page 5 of 5
EXHAUST FAN WITH TOD FUNCTIONAL TEST FT-9
FT-9
FOR
EXHAUST FANS WITH TIME OF DAY CONTROL
Participants
Name Company Title

[Name, Company]
Date of test: ____________________
Unit Tag Make
Unit Description
Page 1 of 3

Installation Checks
OK Check Comments
Permanent labels affixed
Mountings checked and shipping bolts removed
Vibration isolators installed
Equipment guards installed
Pulleys aligned
Belt tension correct
Plenums clear of debri
Fans rotate freely
Fire and balance dampers installed
Backdraft dampers installed, per drawings, and operate freely
Duct system complete
Electrical
Electrical connections complete
Disconnect switch installed
Overload heaters in place
Control connections complete
Operational Checks
Electrical interlocks verified
Any fan status indicators functioning
No unusual vibration or and noise
Record full load running amps for each fan.
_____rated FL amps x ______srvc factor = _______ (Max
amps). Running less than max?
Check voltage: Rate = ______ Actual = _______ Within 5%?
The disconnect switch properly operates
After 24 hours of operation, recheck belt tension and alignment
NOTES:
Page 2 of 3
Functional Test
No. Y/N
Verify EF communication, front end graphics, Front end communication with EF has been
1. and point mapping are complete. established and graphics along with control and
Set BAS to unoccupied mode. Verify that fan de-energizes and OA damper
2.
modulates closed.
Set BAS to occupied mode and enable associated Verify that fan is energized and OA damper
3.
AHU. modulates open.
Set BAS to unoccupied mode. Verify that fan de-energizes and OA damper
4.
modulates closed.
AHU Interlock: While in ventilation mode, Verify that the fan de-energized, the outside air
5. disable associated AHU. damper is 100% closed and an alarm is sent to
the BAS.
Fan Status: While in ventilation mode, trip Verify that the fan de-energized, the outside air
6. fan current sensor or de-energize via the damper is 100% closed and an alarm is sent to
disconnect switch. the BAS.
7.

-- END OF TEST --
Page 3 of 3
EXHAUST FAN WITH TSTAT CONTROL FUNCTIONAL TEST FT-10
FT-10
FOR
EXHAUST FANS WITH TSTAT CONTROL
Participants
Name Company Title

[Name, Company]
Date of test: ____________________
Unit Tag Make
Unit Description
Page 1 of 3

Installation Checks
OK Check Comments
Pulleys aligned
Plenums clear of debris
Fans rotate freely
Electrical
Operational Checks
NOTES:
Page 2 of 3
Functional Test
No. Y/N
Attempt to adjust space temperature set point Verify that temperature set point is operator
2.
from space sensor. adjustable from space (room) temperature sensor.
Decrease space temperature set point below Verify that fan is energized and OA damper
3.
actual space temperature. modulates open.
While in the ventilation mode, increase space Verify that fan de-energizes and OA damper
4. temperature set point above actual space modulates closed.
temperature plus deadband.
While fan is de-energized, activate occupancy Verify that fan is energized and OA damper
5.
sensor. modulates open.
While in ventilation mode due to occupancy de- Verify that fan de-energizes and OA damper
6.
activate occupancy sensor. modulates closed after a 30 second time delay.
8.

-- END OF TEST --
Page 3 of 3
EXHAUST FAN – GENERAL FUNCTIONAL TEST FT-11
FT-11
FOR
EXHAUST FAN – GENERAL CONTROL
Participants
Name Company Title

[Name, Company]
Date of test: ____________________
Unit Tag Make
Unit Description
Page 1 of 4

Installation Checks
OK Check Comments
Pulleys aligned
Fans rotate freely
Pilot lights functioning
VFD wired to controlled equipment
Programming and Controls

rating
special applications. Record actual for each unit.
for chilled water pumps. Record actual for each unit.
Static or differential pressure sensor or other controlling sensor
properly located and per drawings
Controlling sensor calibrated
submitted
RPM readout in BAS verified with VFD readout
Specified sequences of operation and operating schedules have
been implemented with all variations documented
Specified point-to-point checks have been completed and
documentation record submitted for this system
Page 2 of 4
Electrical
Operational Checks
NOTES:
Page 3 of 4
Functional Test
No. Y/N
Set manual switch to on position and enable Verify that fan is energized and OA damper
2.
associated AHU. modulates open.
Set manual switch to off position. Verify that fan de-energizes and OA damper
3.
modulates closed.
VFD: While in ventilation mode and with Verify that fan speed decreases in response.
associated AHU enabled decrease exhaust air set
point below actual.
4.
Return exhaust air set point back to original set Verify that fan speed increases in response.
point.
the BAS.
7.

-- END OF TEST --
Page 4 of 4
LAB VENTILATION FUNCTIONAL TEST FT-12
FT-12
FOR
LAB VENTILATION
Participants
Name Company Title

[Name, Company]
Date of test: ____________________
Page 1 of 7
Supply Air Valve(s)
Unit Tag Make
Unit Description
General Exhaust Air Valve(s)
Unit Tag Make
Unit Description
Fume Hood Exhaust Air Valve(s)
Unit Tag Make
Unit Description
Fume Hood(s)
Unit Tag Make
Unit Description
Page 2 of 7

Installation Checks
Supply Air Valve(s)

Check
Application and installation in conformance with
manufacturer’s recommendations and job specs. Specified
sound wrapping and joint sealant installed.
pressure tested, cleaned and approved prior to setting air
valves.
or mark affixed.
Inlet conditions OK: Smooth, round, straight duct for at least
3 duct diameters when possible and 2 diameters minimum for
velocity pressure sensor for flow readings and 3 to 5
diameters for single point electronic sensors, else airflow
straighteners, OR per manufacturer's recommendation.
All balancing devices have been provided in compliance with
the contract documents.
Any hot or chilled water piping installation complete with
valves tagged. Auto-flow control valves checked to ensure
proper model.
Page 3 of 7
General Exhaust Air Valve(s)

Check
valves.
or mark affixed.
Fume Hood Air Valve(s)

Check
valves.
or mark affixed.
Page 4 of 7
Fume Hood(s)
Check
manufacturer’s recommendations and job specs.
Sash moves freely between minimum and maximum
positions.
All lab utilities (e.g. water, compressed air, etc.) are fully
installed and operate.
Lights are installed and fully operational
Electrical receptacles are installed and fully operational
or mark affixed.
NOTES:
Page 5 of 7
Functional Test
Spec/Dwg Pass (Y/N)
No.
Verify communication, front end Front end communication with AHU

graphics and point mapping are has been established and graphics
1.
complete. along with control and monitoring
points are set up.
Close all fume hood sashes and place Verify that the lab air change rate is at
BAS in Occupied Mode. minimum room occupied rate, while
2.
space temperature set point is
maintained.
Close all fume hood sashes and place Verify that the lab air change rate is at
BAS in Unoccupied Mode. minimum room unoccupied rate, while
space temperature set point is
maintained.
3.
Verify that fume hood sash velocity is
at set point throughout various
percentages of open.
Open all fume hood sashes and place Verify that the lab air change rate
BAS in Occupied Mode. increases, while space temperature set
point is maintained.
4.
Verify that fume hood sash velocity is
at set point throughout various
percentages of open.
Open all fume hood sashes and place Verify that the lab air change rate is at
BAS in Unoccupied Mode. or above the minimum room
unoccupied rate and that the general
5.
exhaust air valve is at its minimum set
point, while space temperature set
point is maintained.
Place BAS in occupied mode and Verify that temperature set point is
6. attempt to adjust space temperature operator adjustable from space (room)
set point from space sensor. temperature sensor.
Verify that occupied space Verify occupied temperature and
temperature and relative humidity set relative humidity set point
7.
point is per the drawings and
specifications.
Verify that unoccupied space Verify unoccupied temperature and
temperature and relative humidity set relative humidity set point
8.
point is per the drawings and
specifications.
Command BAS to change initial set Verify temperature set point changed.
9.
points
While room is in unoccupied mode Verify that occupancy sensor does not
10. and with room door open to corridor, falsely sense room occupancy.
walk past room.
While room is in unoccupied mode, Verify that room enters occupied mode
enter room. by observing that lights turn on and lab
11.
ventilation rate increases to minimum
occupied rate.
Page 6 of 7
Spec/Dwg Pass (Y/N)

No.
While room is in occupied mode, Verify that after prescribed time delay
leave room. that room enters unoccupied mode by
12. observing that lights turn off and lab
ventilation rate decreases to minimum
unoccupied rate.
While in the Occupied Mode, force Verify that heating section modulates
BAS to sense that space temperature closed, followed by the cold deck
is significantly above cooling set supply air damper modulating open
13.
point. until space temperature set point is
reached, while minimum room
ventilation rate is maintained .
While in the Occupied Mode, force Verify that cold deck damper
BAS to sense that space temperature modulates closed while the heating
is significantly below heating set section modulates open until space
14.
point. temperature set point is reached, while
minimum room ventilation rate is
maintained.
Return all changed control Check off in program printout when
15. parameters and conditions to their completed
pre-test values

-- END OF TEST --
Page 7 of 7
COMPUTER ROOM AIR CONDITIONING UNIT FUNCTIONAL TEST FT-13
FT-13
FOR
COMPUTER ROOM AIR CONDITIONING UNITS
Participants
Name Company Title

[Name, Company]
Date of test: ____________________
Unit Tag Make
Unit Description
Page 1 of 5

Installation Checks
OK Check Comments
shipping locks
specification
permanently affixed to housing
Reheat coil installed, if specified
Humidifier coil installed, if specified
Valves, Piping and Coils

Specified valves installed and properly labeled
Valves stroke fully and easily and spanning is calibrated (see
calibration section below)
Fans and Dampers

Page 2 of 5

All dampers (OSA, RA, EA, etc.) stroke fully without binding
and spans calibrated (follow procedure similar to valves Section
7.3 below)
Outside air capability to space installed

outlets

Current overload heaters installed and correct size
Sensors calibrated (see section below)
Enthalpy control and sensor properly installed (if applicable)
Related thermostats are installed
Related building automation system points are installed,
including high temperature alarm and emergency power
TAB
to be completed per specified NEBB or AABC procedures &
contract docs
Final
Functional test procedures for this equipment reviewed and
approved by installing contractor
Page 3 of 5
NOTES:
Page 4 of 5
Functional Test
No. Y/N
Verify CRAC communication, front end graphics Front end communication with CRAC has been
Attempt to adjust space temperature set point Verify that temperature set point is operator
2.
Attempt to adjust relative humidity set point Verify that temperature set point is operator
3.
While space relative humidity is at or below set Verify that fan and compressor are energized and
point, decrease space temperature set point below that space temperature begins to decrease towards
actual space temperature. set point.
4.
Verify that fan is energized and that space
Increase space temperature to original set point. temperature begins to increase towards set point.
While space temperature is at or below set point, Verify that fan, compressor and reheat are
decrease space relative humidity set point below energized and that space relative begins to decrease
actual space relative humidity. towards set point.
5.
Verify that fan and humidifier are energized and
Increase space relative humidity to original set that space relative humidity begins to increase
point. towards set point.
6. Enable unit thru BAS. Verify unit is energized.
7. Disable unit thru BAS. Verify unit is de-energized.
Increase space temperature set point well above Verify that an alarm signal is generated to BAS.
8.
actual space temperature.
Decrease space temperature set point well above Verify that an alarm signal is generated to BAS.
9.
actual space temperature.
Increase relative humidity set point well above Verify that an alarm signal is generated to BAS.
10.
actual space relative humidity.
Decrease relative humidity set point well above Verify that an alarm signal is generated to BAS.
11.
actual space relative humidity.
Activate smoke detector in test mode. Verify that fan de-energizes and an alarm signal is
12.
generated to the BAS.
13.

-- END OF TEST --
Page 5 of 5
KITCHEN VENTILATION FUNCTIONAL TEST FT-14
FT-14
FOR
KITCHEN VENTILATION
Participants
Name Company Title

[Name, Company]
Date of test: ____________________
Unit Tag Make
Unit Description
Page 1 of 4

Installation Checks
OK Check Comments
Pulleys aligned
Fans rotate freely
Pilot lights functioning
VFD wired to controlled equipment
Programming and Controls

rating
special applications. Record actual for each unit.
for chilled water pumps. Record actual for each unit.
Static or differential pressure sensor or other controlling sensor
properly located and per drawings
Controlling sensor calibrated
submitted
RPM readout in BAS verified with VFD readout
Specified sequences of operation and operating schedules have
been implemented with all variations documented
Specified point-to-point checks have been completed and
documentation record submitted for this system
Page 2 of 4
Electrical
Operational Checks
NOTES:
Page 3 of 4
Functional Test
No. Y/N
Set BAS to occupied mode and enable associated Verify that fan is energized and OA damper
2.
AHU. modulates open.
VFD: While in ventilation mode and with Verify that exhaust and make up air fan speeds
associated AHU enabled decrease exhaust air set decrease in response.
point below actual.
3.
Return exhaust air set point back to original set
point. Verify that fan exhaust and make up air fan speeds
increase in response.
Impose an increase in heat under associated Verify that exhaust and make up air rates increase
kitchen exhaust hood. in response.
Impose a decrease in heat under associated

kitchen hood. Verify that exhaust and make up air rates decrease
in response.
4. Impose an increase in smoke under associated
kitchen hood. Verify that exhaust and make up air rates increase
in response.
Impose a decrease in smoke under the associated
kitchen hood.
Verify that exhaust and make up air rates decrease
in response.
the BAS.
Set BAS to unoccupied mode / disable system. Verify that fan de-energizes and OA damper
7.
modulates closed.
8.

-- END OF TEST --
Page 4 of 4

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HEATING PLANT FUNCTIONAL TEST FT-1

CLEVELAND CLINIC REV 2/1/2011

Party filling out this form and witnessing testing:

Date of test: ____________________

Unit Location Model No.

Area Served Serial No.

Unit Tag Make

Unit Location Model No.

Area Served Serial No.

Primary Hot Water Pump(s)

Unit Location Model No.

Area Served Serial No.

Unit Tag Make

Unit Location Model No.

Area Served Serial No.

Secondary Hot Water Pump(s)

Unit Location Model No.

Area Served Serial No.

Unit Tag Make

Unit Location Model No.

Area Served Serial No.

Equipment Served Model No.

Capacity Rating Serial No.

Pressure Rating Type

Pre-Functional Test Verification

Electrical and Controls

All control devices, pneumatic tubing and wiring complete

Piping (immediately around pump, see full piping checklist)

Electrical and Controls

A SUMMARY OF DEFICIENCIES IDENTIFIED DURING TESTING IS ATTACHED

Party filling out this form and witnessing testing:

Date of test: ____________________

Unit Location Model No.

Area Served Serial No.

Unit Tag Make

Unit Location Model No.

Area Served Serial No.

Primary Chilled Water Pumps

Unit Location Model No.

Area Served Serial No.

Unit Tag Make

Unit Location Model No.

Area Served Serial No.

Secondary Chilled Water Pumps

Unit Location Model No.

Area Served Serial No.

Unit Tag Make

Unit Location Model No.

Area Served Serial No.

Pre-Functional Test Verification

Electrical and Controls

Chilled Water Pump(s)

Piping (immediately around pump, see full piping

Electrical and Controls

Accel and decel times are around 10-50 seconds, except