Warranty Registration Form Form 573882Y
Group: Unit Ventilato®
Document PN: 573882Y
Date: June 2016
Check, Test & Start Procedure For:
Daikin Applied Unit Ventilators
Note: This form must be completely lled out and returned to, Daikin Warranty Department within ten days in order to comply with the terms of the Daikin Applied
warranty. Forms should be returned to Daikin Applied Warranty Department, P.O. Box 920, Auburn, NY 13021-0920.
Sales Ofce: ___________________________________S.O.#: _______________________ Date Started: _______________
Job Name: _____________________________________________G.O. # __________________________________________
Job Location: ___________________________________________________________________________________________
Unit Location: ____________________________ Unit Tagging: __________________________________________________
Model No: ________________________________ Serial No.: __________________________________________________
Supply Voltage: L1/L2 __________ L2/L3 __________ L3/L1 ___________ Rated: _____________________________
Room Fan Motor Amps: T1: __________ RPM _________ Nameplate Rating: ___________________________
I. Initial check
A. Does electrical service correspond to unit nameplate? ................................................................................. Yes No
B. Are all electrical power connections tight? ................................................................................................... Yes No
C. Does all eld wiring conform to unit electrical schematic? ........................................................................... Yes No
D. Is unit installed per IM bulletin? .................................................................................................................... Yes No
F. Cabinet paint O.K.? ...................................................................................................................................... Yes No
G. Cabinet bent? ............................................................................................................................................... Yes No
H. Do outdoor (AEQ, AED, AZS, AZQ & AZR) and indoor fans turn freely? ..................................................... Yes No
I. Are all setscrews on outdoor and indoor fan couplings tight? ...................................................................... Yes No
J. Are end bearing bolts on outdoor and indoor fan shaft tight? ....................................................................... Yes No
K. Have the fan shaft end bearing and room fan motor been oiled (if applicable)? .......................................... Yes No
L. Are outdoor air and return air dampers operating properly? ......................................................................... Yes No
M. Is the lter clean? ......................................................................................................................................... Yes No
N. Is there excessive noise or vibration? . ........................................................................................................ Yes No
If Yes, corrective action (if any) ______________________________________________________________________________
© 2016 Daikin Applied • www.DaikinApplied.com • (800) 432–1342 Form 573882Y (06/16)
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