Customer Notes
Customer Name
Customer #
Customer Email
(Required)
Technician Name
Age Of Unit
1-13 years
14-15 years
16+ years
Under Warrantry
Yes
Parts Only
None
Check List
Inspect Air Filter
Inspect Air Filter
Replaced Filter
Yes
No
Filter Size
14 X 30 X 1
14 X 25 X 1
14 X 20 X 1
16 X 20 X 1
16 X 24 X 1
16 X 25 X 1
20 X 25 X 1
20 X 24 X 1
20 X 20 X 1
Aprilair 610
Aprilair 810
Aprilair 413
Aprilair 213
Aprilair 501
Other
Inspect Humidifier Water Panel
Inspect Humidifier Water Panel
Replaced Filter
Yes
No
Filter Size
10
35
45
Steam Canister
Other
Flush humidifier
Flush Humidifier
Start and Test Humidifier
Start and Test Humidifier
Inspect Flue Pipe and Termination
Inspect Flue Pipe and Termination
Clean And Test Trap On Condensing Furnace.
Clean And Test Trap On Condensing Furnace
Inspect Burners
Inspect Burners
Inspect and Test Blower Cleanliness
Inspect and Test Blower Cleanliness
Test Blower Capacito
Test Blower Capacitor (if applicable)
Clean Flame Sensor
Clean Flame Sensor
Check The Ignitor
Check The Ignitor
Visual Inspect Heat Exchanger
Visual Inspect Heat Exchanger
Check For Gas Leaks
Check For Gas Leaks
Check Update and Reset Reminders on Thermostat
Check Update and Reset Reminders on Thermostat
System Profile
Type Of Equipment
80% Gas Furnace
90% Gas Furnace
Boiler
80% Gas Furnace
90% Gas Furnace
Gas Boiler
Fuel Type
Natural Gas
Propane
Combustion Safety & Efficiency
CO
CO Status
In Range
Out of Range
COaf (Air Free)
COaf (Air Free) Status
In Range
Out of Range
Fuel Input Rate & Heat Transfer
Draft Test
Normal .01-.04 | High Draft >.04
Draft Test Status
In Range
Out of Range
Draft Test
Normal .02-.08 | High Draft >.08
Draft Test Status
In Range
Out of Range
Inlet Pressure
Inlet Pressure Status
In Range
Out of Range
Test and Adjust Manifold Pressure
Test and Adjust Manifold Pressure
Manifold Pressure Status
In Range
Out of Range
Manifold Pressure
W.C Low
W.C High
L.P W.C Low
L.P W.C High
Air Distribution
Test Temp. Rise Through Furnace
Test Temp. Rise Through Furnace
Temperature Split Status
In Range
Out of Range
Temperature Split
Return
Supply
Rise
Total External Static Pressure
Normal .5-.7 | Warning .7-.8 | Danger >.8
Total External Static Pressure Status
In Range
Out of Range
Heating System Vitals
Grade Of System
Good
Fair
Poor
Closing Out Notes
Combustion Report
Max. file size: 300 MB.
Technicians Notes