HVAC Commissioning Checklist

15 Aug 2022 / Aden Prosper Hospital Complete

Score 71.88% Flagged items 7 Actions 2

Project Name Aden Prosper Hospital

Location CJ64+WQ Sudbury, MA, USA

Prepared by Shelby Zaiden

Conducted on 15.08.2022 00:00 PST

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1.Flaggeditems&Actions

Flagged items & Actions 7 flagged, 2 actions  

Flagged items 7 flagged, 2 actions

HVAC Commissioning Checklist / Variable Air Volume (VAV) Terminals / Installation

Reheat coil connected to hot water pipe. Fail

Photo 1

HVAC Commissioning Checklist / Variable Air Volume (VAV) Terminals / Controls

Reheat terminal/coil controls verified. Fail

To Do | Assignee SafetyCulture Staff | Priority Low | Due 22.08.2022 11:30 PST | Created by S
afetyCulture Staff

Verify this regularly.

HVAC Commissioning Checklist / Variable Air Volume (VAV) Terminals / Testing, Adjusting, and
Balancing (TAB)

TAB operation complete Fail

HVAC Commissioning Checklist / Variable Air Volume Handling Unit / Installation

Insulation undamaged. Fail

Photo 2

HVAC Commissioning Checklist / Variable Air Volume Handling Unit / Testing, Adjusting, and
Balancing (TAB)

TAB report submitted. Fail

To Do | Assignee SafetyCulture Staff | Priority High | Due 22.08.2022 11:34 PST | Created by S
afetyCulture Staff

Submit the TAB report for the last inspection.

HVAC Commissioning Checklist / Variable Air Volume Handling Unit / Testing, Adjusting, and
Balancing (TAB)

TAB results within +10%/-0% of L/s cfm shown on drawings Fail

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HVAC Commissioning Checklist / Variable Air Volume Handling Unit / Testing, Adjusting, and
Balancing (TAB)

TAB results for outside air intake within +10%/-0% of both the
Fail
minimum and maximum L/s cfms shown on drawings.

Other actions 0 actions

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2.HVACCommissioningChecklist-71.88%

HVAC Commissioning Checklist 7 flagged, 2 actions, 71.88%  

2.1.ProgrammableThermostats-100%

 
Programmable Thermostats 100%

Installed per manufacturers instructions Pass

Programmed per designed control strategy Pass

Verify heating operation during occupied periods Pass

Verify heating operation during unoccupied periods Pass

Verify cooling operation during occupied periods Pass

Verify cooling operation during unoccupied periods N/A

The hospital is always occupied so we weren't able to check this yet.

Verify system operation during occupied hours under no-load

Pass
condition

Verify system operation during unoccupied hours under

N/A
no-load condition

The hospital is always occupied so we weren't able to check this yet.

Verify system status when power is lost Pass

Verify system operation when power is returned Pass

Verify battery back-up (if applicable) Pass

Measure room temperatures for compliance with set point. Pass

2.2.DXAirCooledCondensingUnits-0%

 
DX Air Cooled Condensing Units 0%
2.2.1.Installation-0%

 
Installation 0%

Refrigerant pipe leak tested.  

Refrigerant pipe evacuated and charged in accordance with

 
manufacturer's instructions.

Check condenser fans for proper rotation.  

Any damage to coil fins has been repaired.  

Manufacturer's required maintenance/ operational clearance

 
provided.
2.2.2.Electrical-0%

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Electrical 0%

Power available to unit disconnect.  

Power available to unit control panel.  

Verify that power disconnect is located within sight of the unit

 
it controls
2.2.3.Controls-0%

 
Controls 0%

Unit safety/protection devices tested.  

Control system and interlocks installed.  

Control system and interlocks operational.  

2.3.VariableAirVolume(VAV)Terminals-70%

 
Variable Air Volume (VAV) Terminals 3 flagged, 1 action, 70%
2.3.1.Installation-80%

 
Installation 1 flagged, 80%

VAV terminal in place. Pass

VAV terminal ducted. Pass

VAV terminal connected to controls. Pass

Reheat coil connected to hot water pipe. Fail

Photo 1

Manufacturer's required maintenance clearance provided. Pass

2.3.2.Controls-50%

 
Controls 1 flagged, 1 action, 50%

Reheat VAV terminal controls set. Pass

Reheat terminal/coil controls verified. Fail

To Do | Assignee SafetyCulture Staff | Priority Low | Due 22.08.2022 11:30 PST | Created by S
afetyCulture Staff

Verify this regularly.

2.3.3.Testing,Adjusting,andBalancing(TAB)-66.67%

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Testing, Adjusting, and Balancing (TAB) 1 flagged, 66.67%

Verify terminal maximum air flow set. Pass

Verify terminal minimum air flow set. Pass

TAB operation complete Fail

2.4.VariableAirVolumeHandlingUnit-87.88%

 
Variable Air Volume Handling Unit 4 flagged, 1 action, 87.88%
2.4.1.Installation-85.71%

 
Installation 1 flagged, 85.71%

Vibration isolation devices installed. Pass

Inspection and access doors are operable and sealed. Pass

Casing undamaged. Pass

Insulation undamaged. Fail

Photo 2

Condensate drainage is unobstructed. (Visually verify

Pass
drainage by pouring a cup of water into drain pan.)

Fan belt adjusted. Pass

Manufacturer's required maintenance clearance provided. Pass

2.4.2.Electrical-100%

 
Electrical 100%

Power available to unit disconnect. Pass

Power available to unit control panel. Pass

Proper motor rotation verified. Pass

Verify that power disconnect is located within sight of the unit

Pass
it controls.

Power available to humidifier. Pass

2.4.3.Coils-100%

 
Coils 100%

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 Chilled water piping properly connected. Pass

Chilled water piping pressure tested. Pass

Hot water piping properly connected. Pass

Hot water piping pressure tested. Pass

Air vents installed on water coils with shutoff valves as

Pass
specified.

Any damage to coil fins has been repaired. Pass

2.4.4.HeatRecoveryUnit-100%

 
Heat Recovery Unit 100%

Controls operable. Pass

Power connected and rotation check. Pass

Bypass dampers operable. Pass

2.4.5.Controls-100%

 
Controls 100%

Control valves/actuators properly installed. Pass

Control valves/actuators operable. Pass

Dampers/actuators properly installed. Pass

Dampers/actuators operable. Pass

Verify proper location, installation and calibration of duct

Pass
static pressure sensor.

Fan air volume controller operable. Pass

Air handler controls system operational. Pass

2.4.6.Testing,Adjusting,andBalancing(TAB)-40%

 
Testing, Adjusting, and Balancing (TAB) 3 flagged, 1 action, 40%

Power available to unit disconnect. Pass

Construction filters removed and replaced. Pass

TAB report submitted. Fail

To Do | Assignee SafetyCulture Staff | Priority High | Due 22.08.2022 11:34 PST | Created by S
afetyCulture Staff

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 Submit the TAB report for the last inspection.

TAB results within +10%/-0% of L/s cfm shown on drawings Fail

TAB results for outside air intake within +10%/-0% of both the
Fail
minimum and maximum L/s cfms shown on drawings.
2.5.Completion

 
Completion  

Additional Comments  

Address the failed items on this checklist, immediately.

Inspector Name & Signature  

Wilder Rylanlee
15.08.2022 11:41 PST

Installer Name & Signature  

Holden Scottie
15.08.2022 11:42 PST

Contractor Name & Signature  

Russell Melvyn
15.08.2022 11:42 PST

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3.Appendix

Appendix

Photo 1 Photo 2

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