Replacement Unit Checklist

Print Form
Submit by Email
Replacement Unit Checklist
(One RTU or Split System per form)
Store Name
Store Number
Address:
City
State
Unit No:
Mfg:
Model:
Serial:
Unit No *:
Mfg:
Model:
Serial:
* AHU Data (if split system)
Application:
Other
Down Discharge
RTU
Gas/Electric
Side Discharge
Electric/Electric
Split System
Air Flow (CFM)
Wire Size
Heat Pump
Circuit Ampacity
Tonnage
AHU Voltage
Blower HP
Cooling Only
Unit Voltage
Damper Type:
Heating Data:
Manual
Modulating
LP Gas
Natural Gas
DDC Controls:
Smoke Detectors:
Mechanical T'Stat
Novar
Electronic T'Stat
Remote Sensor
Johnson Controls
Central Alarm Panel
Self Standing
Yes
Standard Curb
Pneumatic Controls
Honeywell Controls
Locking Cover
Other
Annunciator Required
Unit Mounted
No
Duct Mounted
Recommend coil coating?
Distance from body of salt water:
Curbs:
Seismic
Vibration Isolation
Adapter Curbs:
Output
KW
Are you licensed for this work?
Coil Coating:
Power Exhaust
BTUH Input
Electric
Controls:
Economizer
Yes
No
Pitched
Burglar Bars
Curb/Other
Is this a ducted or concentric system?
Ducted
Will the mall, landlord or municipality allow a
curb adapter?
No
Yes
Is the existing unit already installed on an
adapter curb?
No
Yes
Concentric
Existing curb outside dimensions?
Length
Width
* If concentric diffuser is existing, it must be determined if the duct transition is located within the curb. Adapter curbs may not
be applicable in this application!
Misc Information:
Age of Unit
Are there any special codes for: Disconnects
Condition of Unit
Yes
No
Existing Unit Weight
Convenience Outlets
Yes
No
Roof Lighting
Yes
No
You are responsible for providing and coordinating any other trade required for a complete "Turn Key" installation of the equipment to be
replaced.
©
2013 Engineering Excellence, Inc
Rev 06/14/2013