Quality Control Inspection Checklist. WX Contractor: BWR: Yes / No DCF: Yes / No Work Order: Yes / No

Transcription

1 Quality Control Inspection Checklist Date of Quality Control Inspection: Date Unit Completed: Client Name: Address: City: Quality Control Inspector: Energy Auditor: Job#: HVAC Contractor: WX Contractor: FILE REVIEW Housing Type: A B C D E F G H I BWR: Yes / No DCF: Yes / No Work Order: Yes / No SHPO Form: Yes / No / NA Lead Notification: Yes / No / NA Mold Form: Yes / No Manual J: Yes / No / NA Lead Safe Doc.: Yes / No / NA Cert. of Insulation: Yes / No ASHRAE Form Yes / No Change Order(s): Yes / No / NA Eligibility Doc.: Yes / No WCD: (Initial) Yes / No (Daily) Yes / No (Final) Yes / No NEAT/MHEA: Yes / No / NA Accurate/All Measures Installed: Yes / No / NA INITIAL INSPECTION REVIEW Auditor inspected all areas of the home? Yes / No Auditor completed all testing procedures? Yes / No Auditor accurately completed all sections of the Data Collection Form? Yes / No Auditor issued a complete and thorough Work Order? Yes / No Auditor accurately addressed the HVAC and energy conservation work? Yes / No Auditor made an in-progress visit while measures were being installed? Yes / No Auditor provided detailed and accurate consumer education? Yes / No Page 1 of 5

2 ON-SITE WORK ASSESSSMENT Heating _ Manufacturer/ Model: Unit Replaced: Yes / No Fuel: NG Elec. Propane Oil Other Tune-up: Yes / No Heating Contractor: Gas Leak: Yes / No BTU Rating Volume CAZ Confined: Yes / No Rated Temp Rise Actual Tem Rise Venting Correct: Yes / No Ducts Sealed: Yes / No Water Heating Manufacturer/ Model: Fuel: NG Elec. Propane Oil Other Unit Replaced: Yes / No Tune-up: Yes / No Heating Contractor: Gas Leak: Yes / No Venting Correct: Yes / No BTU Rating Volume CAZ Confined: Yes / No Water Temp Stack Temp Oxygen CO SSE Pipe wrap: Yes / No Stack Temp Oxygen CO SSE Tank Insulation: Yes / No / N/A Page 2 of 5

3 Ventilation Fan required: (ASHRAE) Yes / No Proper Switch/Setting: Yes / No Continuous Yes / No CFM Intermittent CFM Minutes/Hr. Exhaust Fans Properly Insulated/Vented: Yes / No Clothes Dryer vented correctly: Yes / No Attic Attic Insulation Installed: Yes / No Insulation Certificate Signed/ Complete: Yes / No Attic Access Insulated and Secured: Yes / No Proper R-Value Installed: Yes / No Heat Source/ Vent Damming: Yes / No Attic Ventilation Installed: Yes / No / NA Insulation type installed: Cellulose / Fiberglass / batts Sidewalls & Kneewalls Work meets Standards: Yes/ No Walls Insulated: Yes / No Interior Drill: Yes / No Siding Re-installed Properly: Yes / No Dense Pack Method: Yes / No Patching & Painting Appropriate: Yes / No Insulation type installed: Cellulose / Fiberglass / batts Page 3 of 5

4 Subspace Foundation/Perimeter Insulation Added: Yes / No Vapor Barrier Added; Coverage & Secure: Yes / No Floor Insulation Added: Yes / No Basement Wall Insulated Yes / No Windows/Doors Window(s) Replaced: Yes / No Quantity: Proper Installation: Yes / No Storm Window(s) Installed: Yes / No Quantity: Proper Installation: Yes / No Doors Replaced: Yes / No Quantity: Proper Installation: Yes / No Proper Energy Audit Justification: Yes / No / NA (SIR 1.0+) Door Weather Stripping Installed: Yes / No Threshold(s) Sweep(s) Jammer Baseload Low Flow Showerheads: Yes / No Refrigerator Replacement: Yes / No Lighting CFLs Installed: Yes / No Metering/Other Documentation: Yes / No Page 4 of 5

5 Diagnostic Testing Blower Door: Pre: Post: Site: Reduction % Connectivity Test(s): Attic/Main Body Pa. Subspace/Main Body Pa. Room to Room: Bath#1 Bath#2 Bed#1 Bed#2 Bed#3 Other Other Other Pressure Pan Test(s): S1 S2 S3 S4 S5 S6 R1 R2 R3 R4 R5 Subtraction Test: Ducts unsealed CFM50 Ducts sealed CFM50 Worst Case Draft: Enclose completed form in client file Additional Health and Safety Meets Standards: Yes / No Carbon Monoxide Detectors Installed Properly: Yes / No Cook Stove: Tested: Yes/No LF RF LR RR Oven Electric: Yes / No Comments: This unit needs additional attention from the agency/contractor: Yes / No This unit passed the Quality Control Inspection: Yes / No CERTIFICATION I certify that the work completed on this job meets all requirements of the Ohio Standard Work Specifications and installation procedures as described in the Ohio Weatherization Field Guide SWS-Aligned Edition. QCI Printed Name QCI Signature Date Page 5 of 5