Commercial HVAC Efficiency Inspection Form
Site Information
Site Name
Address
Date
Inspector
Equipment Information
Equipment Type
Manufacturer
Model
Serial Number
Capacity (Tons/Btu)
Installation Date
Inspection Checklist
Thermostat Operation
OK
Needs Attention
N/A
Air Filters Condition
OK
Needs Replacement
N/A
Condenser Coil Condition
Clean
Dirty
N/A
Evaporator Coil Condition
Clean
Dirty
N/A
Electrical Connections
Secure
Loose
N/A
Refrigerant Levels
Normal
Low
N/A
Belts & Pulleys Condition
OK
Worn
N/A
Fan Motor Operation
OK
Needs Attention
N/A
Ductwork Condition
OK
Needs Repair
N/A
Insulation Condition
OK
Needs Repair
N/A
Efficiency Measurements
Supply Air Temperature (°F)
Return Air Temperature (°F)
Delta T (°F)
Compressor Amps
Notes / Recommendations
Inspector Signature
Name
Date