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HDWA-SVX001D-EN
71
Impedance Ground, or Ungrounded Wye)
6. T
Te
essttiin
ng
g
☐
Dry nitrogen available for pressure testing
☐
Trace gas amounts of R-134a available for leak
testing (if necessary)
7. R
Re
effrriig
ge
erra
an
ntt
☐
Refrigerant on job site and in close proximity to
chiller (if shipped separately)
Total amount in cylinders/drums:
___________ (specify lb or kg) and fill in
specifics below:
Number of cylinders/drums _____ of size
_____ (specify lb or kg)
Number of cylinders/drums _____ of size
_____ (specify lb or kg)
N
No
otte
e:: After commissioning is complete, it is the
installer’s responsibility to transport
empty refrigerant containers to an easily
accessible point of loading to facilitate
container return or recycling.
8. S
Sy
ysstte
em
m
☐
Systems can be operated under all design
selection points to verify proper operation.
9. E
Eq
qu
uiip
pm
me
en
ntt rro
oo
om
m
☐
Does the equipment room have a refrigerant
monitor/sensor capable of monitoring and
alarming within the allowable exposure level of
the refrigerant?
☐
Does the installation have properly placed and
operating audible and visual refrigerant alarms?
☐
Does the equipment room have proper
mechanical ventilation?
☐
If it is required by local code, is a self-contained
breathing apparatus available?
☐
Does the equipment room meet environmental
condition requirements specified in the chiller
Installation, Operation, and Maintenance
manual?
10. O
Ow
wn
ne
err a
aw
wa
arre
en
ne
essss
☐
Has the owner been fully instructed on the
proper use and handling of refrigerant?
☐
Does the owner have a copy of the MSDS for
refrigerant?
N
No
otte
e:: Additional time required to properly complete
the start-up and commissioning, due to any
incompleteness of the installation, will be
invoiced at prevailing rates.
This is to certify that the Trane equipment has been
properly and completely installed, and that the
applicable items listed above have been satisfactorily
completed.
Checklist Completed by
(Print Name):
SIGNATURE:
DATE:
In accordance with your quotation and our purchase
order number ______________, we therefore require the
presence of Trane service on this site, for the purpose
of start-up and commissioning, by ______________
(date).
N
No
otte
e:: Minimum of two week advance notification is
required to allow for scheduling of the chiller
start-up.
ADDITIONAL COMMENTS/INSTRUCTIONS
N
No
otte
e:: A copy of this completed form must be
submitted to the Trane Service Agency that will
be responsible for start-up of chiller.