Trane RTHC - Page 126

1-27.135-(Back)-(698)
Compliance to ASHRAE Standard 15
YES No Does the equipment room have a refrigerant monitor/sensor capable of monitoring
and alarming within the acceptable exposure level (AEL) of the refrigerant?
YES No Does the equipment room have an audible or visual alarm (other than the light on the
monitor) which is controlled by the monitor?
YES No Does the equipment room have the mechanical ventilation?***
YES No Is a self contained breathing apparatus available in close proximity of the equipment
room?
YES No Are the purge discharge and the rupture disk piped to the indoors?
*** The mechanical ventilation consists of two flow requirements i.e., a two-speed fan where the high speed is sized
by the formula Cfm=100 X the square foot of the pounds of refrigerant of the largest chiller, low speed is 0.5 Cfm per
square foot of the equipment room space. (This requirement is for chillers located within the building which is the
most common.)
Owner awareness of safe refrigerant handling procedures
YES No Has the owner been fully instructed on the proper use of the refrigerant used in the
Series R chiller?
YES No Was the owner given a copy of the MSDS sheet for the refrigerant used in the
chiller?
YES No Was the owner given a copy of Trane publication “CFC-GUIDE-2, Refrigerant Han-
dling Guidelines”?
Additional time required to complete the start-up and adjustment due to incompleteness of the installation will be
invoiced at prevailing rates.
Evaporator National Board Number: _________________________
Starter Model Number: ____________________________________
Compressor Serial Number: ________________________________
Special Start-up Instructions: ___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Checklist Completed by: ___________________________________________________________________
Signed: ___________________________________________________________________
Dated: ___________________________________________________________________
Notice to Trane Service Agency:
A copy of this completed form must be submitted to the Series R Technical Service Department in Pueblo, CO prior
to the actual start-up date.