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HDWA-SVX002C-EN
☐ Non-Solidly Grounded (Any Delta, High
Impedance Ground, or Ungrounded Wye)
6. Testing
☐ Dry nitrogen available for pressure testing
☐ Trace gas amounts of R-134a available for leak
testing (if necessary)
7. Refrigerant
☐ 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)
Note: 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. System
☐ Systems can be operated under all design selection
points to verify proper operation.
9. Equipment room
☐ 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. Owner awareness
☐ 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?
Note: 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): ________________________________
Signed: ________________________________
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).
Note: Minimum of two week advance notification is
required to allow for scheduling of the chiller start-up.
Additional Comments/Instructions:
Note: A copy of this completed form must be submitted to
the Trane Service Agency that will be responsible for
start-up of chiller.
Appendix B: Chiller Installation Completion and Request for Trane Service
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