Check, Test And Start Form - Daikin WRA Installation And Maintenance Data

Check, Test and Start Form

General Information
Customer Name __________________________________________
Address _________________________________________________
________________________________________________________
________________________________________________________
Phone # _________________________________________________
Product Information
Unit Model # _____________________________________________________________________
Unit Serial # ______________________________________________________________________
Source Coil Application
Load Coil Application
Voltage ________________ Amperage ___________________ Phase ___________________ Transformer Volts
Unit Function
Heating (WRA & WHA)
Load Liquid Temperature, °F
From fan coil unit, radiant coils,
baseboard radiation, etc.
Source Liquid Temperature, °F
From well, geothermal closed loop,
plate heat exchanger, etc.
Cooling (WRA & WCA)
Load Liquid Temperature, °F
To fan coil unit, radiant coils,
baseboard radiation, etc.
Source Liquid Temperature, °F
From well, geothermal closed loop,
plate heat exchanger, etc.
Load Fluid Pressure FT. HD or PSIG
[Note 1 PSIG = 2.31 FT. HD]
Source Fluid Pressure
Load GPM ____________________
Source Fluid
HA or HR = 500 x TD x GPM
Calculation __________ x
(Load) 500 or 485
Check product performance tables on "Antifreeze Correction" on
Page 40 of 44
Ground Source
Fan Coil Unit
Other _____________________________________________
_________________
_________________
_________________
_________________
_________________
_________________
Source GPM __________________
Water
For Anti-Freeze solution = 485 x TD x GPM
__________ x __________ = ________________
TD GPM
Water to Water Source Heat Pumps
Dealer Name ____________________________________________
Address ________________________________________________
_______________________________________________________
_______________________________________________________
Phone # ________________________________________________
Open Well
Radiant Htg/Clg Coils
Entering Leaving
_________________
_________________
_________________
_________________
________________
________________
Anti-freeze
HA or HR
page 13 to determine if calculation is within 10% of table value.
Other _________________
Baseboard Radiation
_________________
Diff (TD)
________________
________________
________________
________________
_________________
_________________
IM 1072-1