5900-174 HVAC QI Checklist for Verifiers

OMB Control No. xxxx-xxxx

E

NERGY STAR Qualified Homes

HVAC Quality Installation Verifier Checklist

For EPA-Approved Verifiers Only: The HVAC Quality Installation Contractor Checklist must be completed by the HVAC contractor. Please review the checklist using the form below to help ensure that the equipment was installed to design specifications.

Home Address: City: State:
Inspection Guidelines	Must Correct	Verifier Approved	N/A
1. Review of HVAC Quality Installation Contractor Checklist
1.1. Checklist completed in its entirety			
1.2 Compliance with Manual J, S, D, and T or equivalents indicated			
1.3 Required outdoor/indoor temperature and infiltration rate assumptions used to complete Manual J calculations			
1.4 ARI Certificate attached			
1.5 Reported equipment capacity field values within 5% of design values			
1.6 Reported air flow field values within 5% of design values			
1.7 Reported duct static pressure field values within 5% of design values			
1.8 Reported design fan motor type the same as the field fan motor type			
1.9 Reported fan speed field values within 5% of design values			
1.10 Reported refrigerant charge and metering device field types the same as design types			
1.11 For Non-Lennox TXV devices, reported sub-cooling temperature deviation within +/- 3 degrees F of goal			
1.12 For Lennox TXV devices, reported approach temperature deviation +/- 1 degrees F of goal			
1.13 For Fixed Orifice devices, reported superheat temperature deviation +/- 5 degrees F of goal			
2. Duct Quality Installation
2.1 Connections and routing of ductwork completed without kinks or bends > 90° 1			
2.2 No excess coiled or looped flexible ductwork 1			
2.3 No compression of flexible ductwork 1			
2.4 Flexible ducts supported at intervals as recommended by manufacturer but at a distance not > 5 ft. and with maximum sag of 0.5 in. per ft. of spacing between supports 1			
2.5 All connections to trunk ducts in unconditioned space insulated			
2.6 Building cavities not used as return ducts			
2.7 Bedrooms pressure-balanced such that 1 sq. in. of opening is provided per 1 CFM of supply air. Dedicated return ducts, transfer grills, and/or jump ducts may be used to meet this requirement.			
Verifier Name: Inspection of Checklist Date: Verifier Signature: Verifier Company Name:

1. Scope of work applies to all HVAC and ventilation ductwork.

EPA Form 5900-174

The government estimates the average time needed to fill out this form is 0.40 hours and welcomes suggestions for reducing this effort. Send comments (referencing OMB Control Number) to the Director, Collection Strategies Division, U.S. EPA (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460.