Manufacturer reserves the right to discontinue, or change at any time, specifications or designs without notice and without incurring obligations.
Catalog No. 04-53190055-01 Printed in U.S.A. Form 19DV-CLT-2SI Pg CL-2 5-19 Replaces: 19DV-CLT-1SI
Copyright 2019 Carrier Corporation
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CUT ALONG DOTTED LINE CUT ALONG DOTTED LINE
TESTING YES/NO DATE TO BE
COMPLETED
1. The cooling tower fan has been checked for blade pitch and
proper operation.
2. The chilled water and condenser water lines have been:
a. Filled
b. Tested
c. Flushed
d. Vented
e. Strainers cleaned
f. Chemically treated
3. The chilled water and condenser water pumps have been
checked for proper rotation and flow.
4. The following cooling load will be available for start-up:
a. 25%
b. 50%
c. 75%
d. 100%
5. The refrigerant charge identified and will be available
near machine for commissioning. Rigging is available
to lift refrigerant drums.
6. Services such as electrical power and control air will be available
at start-up up over evaporator for gravity feed.
7. The building automation system is operational.
8. The electrical, building automation and mechanical representatives
will be available to assist in commissioning the machine.
9. The customer’s operators will be available to receive instructions
for proper operation of the chiller after start-up.
Concerns about the installation/request for additional assistance:
I am aware that the start-up time for a Carrier chiller can take between 2 and 6 days depending on the model of the machine and the
options and accessories used with it.
Your contact at the jobsite will be ______________________________________________________________________________
Phone number ______________________________________
Pager/Cell number ___________________________________
Fax number ________________________________________
In accordance with our contract, we hereby request the services of your technician to render start-up services per contract terms for this
job on
(Date). I understand that the technician’s time will be charged as extra services due to correcting items in this
checklist that are incomplete.
Signature of Purchaser _______________________________________________________________________________________
Signature of Jobsite Supervisor ________________________________________________________________________________
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