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Use this form to record initial system hardware, site conditions, and controller programming information.
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Retain a copy for future reference.
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Fill in the appropriate data (if available).
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Checklist data should be collected and logged on this form for each system installed.
Start-up Data:
Installation Date: ___________________________
Installer: _________________________________
Installation Site: ___________________________
Application: _______________________________
System Model/Serial Number: ______________
Water Source: ___________________________
Water Analysis:
Turbidity: _____________________________
Total Iron: _____________________________
Water Temperature: _____________________
System Inlet Pressure (if available): ________
System Outlet Pressure: (if available):_______
Flow Rate During Pressure Reads: _________
Chlorine: _____________________________
Pretreatment Installed: ______________________
Back-flush Kit Installed: Yes ________ No _______
Set Volume Between Flushes: ____________
Set Flushing Duration: __________________
Set Day Override: __________________________
Initial Product Water Flow Rate: _______________
_________________________________________
Other Program Details: ______________________
_________________________________________
General Notes:
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
Installation & Start-Up Checklist
Checklist of Installation/Start-Up Steps
1.
Installation location allows access to membrane ___
2.
Mounting provision accommodates system weight ___
3.
Listed components/fittings present ___
4.
Loose components assembled to system ___
5.
System securely mounted ___
6.
Solenoid valve/flow meter signal connections ___
7.
Plumbing connections completed ___
8.
Initial flush w/o leaks ___
9.
Electrical power connected ___
10.
System sanitized ___
11.
Back-up battery installed in controller ___
12.
Controller display okay ___
13.
Time of day set ___
14.
All programming steps completed ___
15.
Proper operation verified ___
16.
Installation/Set-Up information entered onto form ___
Specific Installation Notes
(Problems/Suggestions/Comments):
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
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