Appendix A: Forms
A.2 Periodic General Maintenance Checks and Services Checklist for Cold Row CW
Date: ____________________________
Model Number: ____________________________
Item Number: ____________________________
Filters:
Cleanliness.
No obstructions.
Miscellaneous:
Check chilled water circuit for air (bleed as required).
Humidifier and controls operate properly.
Clean coils.
Clean condensate pump.
Tighten electrical connections.
Chilled water systems:
Inspect chilled water system for leaks and corrosion.
Conduct a complete check of all services listed above and clean unit's interior.
NOTES: ____________________________________________________________________________________________
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*** If factory assistance is required for any reason, provide the model number, serial number, and Black Box item number found
on the unit nameplate. This will speed the process and ensure accuracy of information. ***
Page 122
Prepared By: ___________________________
Serial Number: __________________________
Monthly
Blower Section:
All blowers turn freely.
Semi-Annually
Annually
724-746-5500 | blackbox.com
Condensate Drain:
Drain is open.
Condensate pan safety switch
operates freely.
Check contacts on contactors for pitting.
Clean the inside unit as necessary.
Signature: _______________________________