Multi-family Building HVAC Assessment Form
Building Information
Building Name
Address
City
State
Zip Code
Number of Units
Year Built
Contact Name
Contact Phone
Contact Email
HVAC System Information
System Type
Centralized
Decentralized
Packaged
Split
Other
Heating Type
Boiler
Furnace
Heat Pump
Radiant
Other
Cooling Type
Chiller
Central AC
DX Unit
Heat Pump
Other
Primary Fuel Type
Natural Gas
Electric
Oil
Other
Approximate Age of System (years)
Last Service Date
System Capacity (Tons or BTU/hr)
Ventilation Type
Natural
Mechanical
ERV/HRV
Other
Distribution
Distribution Type
Ducted
Radiators
Baseboard
Fan Coil
Other
Condition
Good
Fair
Poor
Notes
Controls
Control Type
Manual Thermostat
Programmable Thermostat
Building Automation System
Other
Number of Zones
Notes
General Assessment
Observed Issues / Concerns
Recommendations