ARTC-SVX005B-EN
B–1
Appendix B.
Request for Initial Startup
PolyTherm Chiller/Heater
As part of a continuous commitment to quality, initial
startup of this chiller by a factory-certified technician
may be purchased from Trane. No initial startup will be
scheduled without a Request for Initial Startup form
completed and on file with the Trane customer service
department. Submitting this form indicates that all
critical work described on the form has been
completed. To prevent additional charges for aborted
startups, the following items must be completely
functional and operating and this form signed and
returned to Trane at least 10 working days prior to the
scheduled initial startup date.
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Model Number:
Primary Module Serial Number:
Primary Contact Name:
Primary Contact Phone:
Primary Contact FAX:
Primary Contact Mobile:
Name of Chiller Site:
Physical Location of Chiller:
Requested Date for Initial Start-up:
Requested Time for Initial Start-up:
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Mandatory Tasks
Date Completed
Initialed
Complete
All chiller modules are installed with minimum clearances available from all sides.
Refrigeration gauges are indicating equal pressures.
Chilled water lines from chiller to customer’s equipment are permanently connected.
Chilled water lines have been flushed clean of mud, slag, and other construction debris.
All chilled water line filters and strainers are clean.
Chilled water lines have been leak tested according to prestart instructions.
Chiller reservoir (if included) is at operating level with correct water/glycol mixture.
High voltage wiring is installed, tested, and functional.
All water, refrigeration, electrical, and control connections between chiller modules are
completed.
All control wiring between modular chillers is installed, tested, and functional.
Control wiring is complete, including any remote interface panel or special-purpose module
wiring.
Automatic City Water Switchover (if included) is installed, flushed, and leak-tested.
Condenser, if applicable, is installed, piped, wired, and leak-tested.
All responsible installing contractors and sub-contractors are notified to have
representatives available on site to provide technical support for the initial start-up
procedure.
Full load shall be available for chiller on the initial start-up date.
Initial Startup Agreement
By signing this form, you agree the chiller is ready for
initial startup. It is understood that, if the chiller is not
ready for initial startup due to site problems, the initial
startup will be aborted at the discretion of the
designated startup technician. Payment for an aborted
startup will be forfeited. Rescheduled initial startups
are subject to any additional costs that may have been
incurred by the technician. An approved purchase
