HVAC SYSTEM MAINTENANCE - PATIENT CARE AREAS CHECKLIST

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--- GENERAL SYSTEM OVERVIEW & DOCUMENTATION ---
[ ] Last System Performance Review Date
[ ] System Serial Number(s)
[ ] Brief Description of Current System Configuration
[ ] System Type (e.g., VAV, RTU, VRF) (VAV, RTU, VRF, Other)
[ ] System Operational Status (Operational, Needs Repair, Decommissioned)
[ ] Upload Current System Schematics (if available)
[ ] Contact Person for HVAC System Information
[ ] Total System Capacity (BTU/hr)

--- AIR FILTRATION & VENTILATION ---
[ ] Filter Change Date
[ ] Filter Type (MERV 8, MERV 11, MERV 13, HEPA)
[ ] Air Exchange Rate (ACH)
[ ] Exhaust Fan Operation (Operating Correctly, Operating Incorrectly, Not Operating)
[ ] Notes on Air Quality/Ventilation
[ ] Ventilation Issues Observed (Drafts, Stale Air, Odors, Uneven Airflow, None)
[ ] Last Duct Cleaning Date

--- TEMPERATURE & HUMIDITY CONTROL ---
[ ] Ambient Temperature (Degrees F)
[ ] Supply Air Temperature (Degrees F)
[ ] Return Air Temperature (Degrees F)
[ ] Relative Humidity (%)
[ ] Thermostat Mode (Cool/Heat/Auto/Off) (Cool, Heat, Auto, Off)
[ ] Dew Point Setting (if applicable) (Default, Adjusted)
[ ] Notes on Temperature/Humidity Control
[ ] Last Calibration Date (Thermostat/Sensors)

--- EQUIPMENT PERFORMANCE & SAFETY ---
[ ] Supply Air Temperature (Patient Zone 1) - Â°F
[ ] Return Air Temperature (Patient Zone 1) - Â°F
[ ] Static Pressure (Supply Duct) - Inches of Water
[ ] Equipment Condition (e.g., Excellent, Good, Fair, Poor) (Excellent, Good, Fair, Poor)
[ ] Visible Signs of Leaks (Refrigerant, Water) (None, Minor, Major)
[ ] Any unusual noises or vibrations observed?
[ ] Safety Guarding Intact and Secure? (Yes, No)
[ ] Date of Last Belt Inspection/Replacement

--- NOISE & VIBRATION ---
[ ] Sound Level (dB) at Patient Bed
[ ] Vibration Measurement (mm/s) - Equipment Base
[ ] Describe any unusual noises observed (e.g., humming, rattling) (None, Humming, Rattling, Clicking, Other (Specify in LONG_TEXT))
[ ] If 'Other' noise selected, please describe:
[ ] Is vibration noticeable to patients/staff? (Yes, No, Uncertain)
[ ] Notes on vibration reduction measures taken (if any):
[ ] Date of last vibration/noise mitigation work:

--- AIRFLOW & DISTRIBUTION ---
[ ] Supply Air Volume (CFM) - Verify setpoint & reading
[ ] Return Air Volume (CFM) - Verify setpoint & reading
[ ] Airflow Direction - Correct? (Yes, No)
[ ] Air Outlets - Free of Obstructions? (Yes, No)
[ ] Areas with Airflow Concerns? (Patient Rooms, Waiting Areas, Nursing Stations, Hallways, None)
[ ] Notes/Comments on Airflow Distribution
[ ] Location of Airflow Issues (if any)

--- EMERGENCY & BACKUP SYSTEMS ---
[ ] Last Generator Test Date
[ ] Generator Run Time (Hours)
[ ] Generator Status (Operational, Needs Repair, Out of Service)
[ ] Emergency Power Transfer Switch Status (Functional, Needs Repair, Out of Service)
[ ] Last Battery System Inspection Date
[ ] Battery Voltage (Volts)
[ ] Comments/Observations regarding Emergency Systems
[ ] Verification of Emergency Contact List Availability (Available & Current, Needs Update, Unavailable)

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