PC - EXHAUST FANS ID #'S

EXHAUST FAN PREFUNCTIONAL CHECKLIST
PC-_____
Prefunctional Checklist
Project ____________________________________
PC-____ EXHAUST FANS ID #’s_____________________________________
1. Submittal / Approvals
Submittal. The above equipment and systems integral to them are complete and ready for functional testing. The
checklist items are complete and have been checked off only by parties having direct knowledge of the event, as
marked below, respective to each responsible contractor. This prefunctional checklist is submitted for approval,
subject to an attached list of outstanding items yet to be completed. A Statement of Correction will be submitted
upon completion of any outstanding areas. None of the outstanding items preclude safe and reliable functional tests
being performed. ___ List attached.
____________________________ ______________ _________________________ _____________

Mechanical Contractor Date Controls Contractor Date
____________________________ ______________ _________________________ _____________

Electrical Contractor Date Sheet Metal Contractor Date
____________________________ ______________ _________________________ _____________

TAB Contractor Date General Contractor Date
Prefunctional checklist items are to be completed as part of startup & initial checkout, preparatory to functional testing.
· This checklist does not take the place of the manufacturer’s recommended checkout and startup procedures or report.
· Items that do not apply shall be noted with the reasons on this form (N/A = not applicable, BO = by others).
· If this form is not used for documenting, one of similar rigor shall be used.
· Contractors assigned responsibility for sections of the checklist shall be responsible to see that checklist items by their
subcontractors are completed and checked off.
· “Contr.” column or abbreviations in brackets to the right of an item refer to the contractor responsible to verify
completion of this item. A/E = architect/engineer, All = all contractors, CA = commissioning agent, CC =
controls contractor, EC = electrical contractor, GC = general contractor, MC = mechanical contractor, SC = sheet
metal contractor, TAB = test and balance contractor, ____ = _______________________________________.
Approvals. This filled-out checklist has been reviewed. Its completion is approved with the exceptions noted below.
____________________________ ______________ _________________________ _____________
Commissioning Agent Date Owner’s Representative Date
Notes:
File: 378004187.doc Commissioning Guide Specification --PECI: 2/1/2018 1

-- Large Buildings
PC-_____
2. Requested documentation submitted

Check if Okay. Enter comment or note number if deficient.
Check Equip Tag-> Contr.
Manufacturer’s cut sheets
Performance data (fan curves, coil data, etc.)
Installation and startup manual and plan
Sequences and control strategies
O&M manuals
· Documentation complete as per contract documents for given trade.......___ YES ___ NO
3. Model verification [Contr = ________]

1 = as specified, 2 = as submitted, 3 = as installed. Check if Okay. Enter note number if deficient.
Equip Tag--->
1
Manuf. 2
3
1
Model 2
3
Serial # 3
1
CFM 2
3
Sound Pwr 1
Level @ 63, 2
250; 1K Hz 3
· The equipment installed matches the specifications for given trade.........___ YES ___ NO
4. Installation Checks
Cabinet and General Installation
Permanent labels affixed
Casing condition good: no dents, leaks, door gaskets installed
Mountings checked and shipping bolts removed
Vibration isolators installed
Equipment guards installed
Pulleys aligned
Belt tension correct
Plenums clear of debri
Fans rotate freely
Fire and balance dampers installed
Backdraft dampers installed, per drawings, and operate freely
Notes:

-- Large Buildings
PC-_____

Duct system complete
Electrical
Electrical connnections complete
Disconnect switch installed
Overload heaters in place
Control connections complete
Operational Checks
Fan rotation correct
Electrical interlocks verified
Any fan status indicators functioning
No unusual vibration or and noise
Record full load running amps for each fan.
_____rated FL amps x ______srvc factor = _______ (Max amps).
Running less than max?
Check voltage: Rate = ______ Actual = _______ Within 5%?
The disconnect switch properly operates
After 24 hours of operation, recheck belt tension and alignment
· The checklist items of Part 4 are all successfully completed for given trade.___ YES ___ NO
-- END OF CHECKLIST--
Notes:

-- Large Buildings

PC - EXHAUST FANS ID #'S

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EXHAUST FAN PREFUNCTIONAL CHECKLIST

PC- EXHAUST FANS ID #’s_________________________________

______________ _ _

______________ _ _

______________ _ _

File: 378004187.doc Commissioning Guide Specification --PECI: 2/1/2018 1

2. Requested documentation submitted

3. Model verification [Contr = ________]

File: 378004187.doc Commissioning Guide Specification --PECI: 2/1/2018 2

Check if Okay. Enter comment or note number if deficient.

File: 378004187.doc Commissioning Guide Specification --PECI: 2/1/2018 3

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