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HEATING PLANT FUNCTIONAL TEST FT-1

CLEVELAND CLINIC REV 2/1/2011



Page 1 of 8
FT-1
PRE-FUNCTIONAL CHECKLIST AND FUNCTIONAL TEST
FOR
HEATING PLANT




Participants
Name Company Title
Commissioning Authority






Party filling out this form and witnessing testing:
[Name, Company]
Date of test: ____________________
HEATING PLANT FUNCTIONAL TEST FT-1
CLEVELAND CLINIC REV 2/1/2011
Page 2 of 8
System Description





Boiler(s)
Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description




Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description




Primary Hot Water Pump(s)
Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description

Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description

HEATING PLANT FUNCTIONAL TEST FT-1
CLEVELAND CLINIC REV 2/1/2011
Page 3 of 8
Secondary Hot Water Pump(s)
Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description

Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description

Relief Valve(s)
Unit Tag Make
Equipment Served Model No.
Capacity Rating Serial No.
Pressure Rating Type


HEATING PLANT FUNCTIONAL TEST FT-1
CLEVELAND CLINIC REV 2/1/2011
Page 4 of 8
Pre-Functional Test Verification
Installation Checks
Boiler(s)
OK Check Comments
General Installation
General appearance good, no apparent damage
Site sufficiently clean for testing
Equipment labels affixed
Tube pulling, and access door space adequate
Required seismic restraints in place
Flue completely installed and sloped properly
Combustion air supply complete
System filled
Pressure gages installed
Thermometers installed
Pressure gages installed
P/T plugs installed as per drawings
Multiple boiler interlocks completed
Piping (Immediately around unit. Full piping in HW Piping
Checklist.)

Gas piping installed and tested (supply is at proper pressure)
Hydronic piping complete, including blowdown system, makeup
water piping and safety reliefs

Hydronic system flushing complete and strainers cleaned
Isolation valves and balancing valves installed
Pipe fittings and accessories complete
Test ports installed near all control sensors and per spec
Flow switch installed as required
Flow meters installed as required
Piping type and flow direction labeled on piping
Chemical treatment system or plan installed
ASME pressure vessel data sheet or certification tag posted and
inspection complete for each expansion tank

Expansion tanks verified to not be air bound and system
completely full of water

Air vents and bleeds at high points of systems functional


Electrical and Controls

Power to unit and disconnect installed
All electrical components grounded
Sensors calibrated (see below)
Control system interlocks hooked up and functional
HEATING PLANT FUNCTIONAL TEST FT-1
CLEVELAND CLINIC REV 2/1/2011
Page 5 of 8
All control devices, pneumatic tubing and wiring complete
Motorized valves, dampers and float switches functional
Fire and smoke sensing components functional


Final

Startup report completed with this checklist attached
Startup report includes written certification from boiler
manufacturer that all specified features, controls and safeties
have been installed and are functioning properly and that the
installation and application comply with the manufacturers
recommendations.

Safeties installed and safe operating ranges for this equipment
provided to the commissioning agent

Heating water piping and pumps prefunctional checklists
completed

NOTES:
HEATING PLANT FUNCTIONAL TEST FT-1
CLEVELAND CLINIC REV 2/1/2011
Page 6 of 8
Pump(s)
Installation Checks
OK Check Comments

General Installation

Label permanently affixed
Pumps in place and properly grouted
Vibration isolation devices installed and functional
Factory alignment appears correct
Field alignment, if required, completed
Seismic anchoring installed
Temperature, pressure and flow gages and sensors installed
Pump lubricated
No unusual noise or vibration
Pump rotation verified correct
No leaking apparent around fittings

Piping (immediately around pump, see full piping checklist)

Pipe fittings complete and pipes properly supported
Pipes properly labeled
Pipes properly insulated
Strainers in place and clean
Piping system properly flushed
Valves properly tagged
Sensors calibrated (See calibration section below)

Electrical and Controls

Power disconnects in place and labeled
All electric connections tight
Proper grounding installed for components and unit
Motor safeties in place and operable
Control system interlocks hooked up and functional
All control devices, pneumatic tubing and wiring complete

VFD

VFD powered (wired to controlled equipment)
VFD interlocked to control system
Pressure or other controlling sensor properly located and per
drawings and calibrated

Drive location not subject to excessive temperatures
Drive location not subject to excessive moisture or dirt
Drive size matches motor size
Internal setting designating the model is correct
Input of motor FLA represents 100% to 105% of motor FLA
rating

Appropriate Volts vs Hz curve is being used
HEATING PLANT FUNCTIONAL TEST FT-1
CLEVELAND CLINIC REV 2/1/2011
Page 7 of 8
Accel and decel times are around 10-50 seconds, except for
special applications. Actual decel = ______ Actual accel =
_____

Lower frequency limit at 0 for VAV fans and around 10-30%
for chilled water pumps. Actual = ________________

Upper frequency limit set at 100%, unless explained otherwise
Unit is programmed with full written programming record on
site

VFD speed at panel matches BAS readout

TAB

Installation of system and balancing devices allowed balancing
to be completed following specified NEBB or AABC
procedures and contract documents



Final

Startup report completed with this checklist attached
Safeties installed and safe operating ranges for this equipment
provided to the commissioning agent

NOTES:
HEATING PLANT FUNCTIONAL TEST FT-1
CLEVELAND CLINIC REV 2/1/2011
Page 8 of 8
Functional Test
Test
No.
Spec/Dwg Ref
Test Procedure Expected and Actual Response
Pass
Y/N
1.
Verify communication, front end graphics and
point mapping are complete.
Front end communication with heating plant has
been established and graphics along with control
and monitoring points are set up.

2.
Initiate a call for heating by forcing BAS to read
an OAT below the enable set point.
Verify that the following occurs in sequence: lead
secondary hot water pump is started, lead boiler
isolation valve is 100% open, lead primary hot
water pump is started, the combustion air damper is
100% open, draft damper is 100% open and the
lead boiler is enabled.

3.
While in heating mode, force associated hot
water control valves to 100% open or until the
static pressure is below set point.
Verify that the lead secondary hot water pump
speed increases to maintain static pressure set
point.

4.
While in heating mode, force associated hot
water control valves to 100% closed or until the
static pressure is below set point.
Verify that the lead secondary hot water pump
speed decreases to maintain static pressure set
point.

5.
While in heating mode, force associated BAS to
read an OAT at low end of HWS Temperature
reset schedule.
Verify that the boiler and/or mixing valve respond
appropriately and hot water supply temperature
increases to maximum set point.

6.
While in heating mode, force associated BAS to
read an OAT at high end of HWS Temperature
reset schedule.
Verify that the boiler and/or mixing valve respond
appropriately and hot water supply temperature
decreases to maximum set point.

7.
Boiler failure: While only the lead boiler is
enabled, manually de-energize boiler.
Verify the lag boiler is enabled and an alarm is sent
to the BAS.

8.
Primary Hot Water Pump Status: While in
heating mode, Trip lead hot pump current sensor
or de-energize via the disconnect switch.
Verify that the lead boiler is de-energized, the lag
pump is energized and an alarm is sent to the BAS.
After flow is proven the lead boiler should be
energized.

9.
Secondary Hot Water Pump Status: While in
heating mode, Trip lead secondary pump current
sensor or de-energize via the disconnect switch.
Verify that the standby pump is energized and an
alarm is sent to the BAS.

10.
Combustion air damper failure. While in heating
mode, trip combustion current sensor or de-
energize.
Verify that the both boilers shut down and an alarm
signal is sent to the BAS.

11.
Verify that the heating system is de-energized
when the BAS is forced to read an OAT above
the enable set point.
Verify that the following occurs in sequence: lead
secondary hot water pump is stopped, the lead and
lag boilers are fully de-energized, lead and lag
primary hot water pump is stopped after a
predetermined time delay consistent with
preventing the boiler from overheating, the
combustion air damper is 100% closed and the
boiler isolation valves are 100% closed.

12.

Return all changed control parameters and
conditions to their pre-test values
Check off in program printout when completed

A SUMMARY OF DEFICIENCIES IDENTIFIED DURING TESTING IS ATTACHED
-- END OF TEST --
COOLING PLANT FUNCTIONAL TEST FT-2
CLEVELAND CLINIC REV 2/1/2011

Page 1 of 13
FT-2
PRE-FUNCTIONAL CHECKLIST AND FUNCTIONAL TEST
FOR
COOLING PLANT




Participants
Name Company Title
Commissioning Authority






Party filling out this form and witnessing testing:
[Name, Company]
Date of test: ____________________
COOLING PLANT FUNCTIONAL TEST FT-2
CLEVELAND CLINIC REV 2/1/2011

Page 2 of 13
System Description



.


Chillers
Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description

Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description

Primary Chilled Water Pumps
Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description

Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description

COOLING PLANT FUNCTIONAL TEST FT-2
CLEVELAND CLINIC REV 2/1/2011

Page 3 of 13
Secondary Chilled Water Pumps
Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description

Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description
COOLING PLANT FUNCTIONAL TEST FT-2
CLEVELAND CLINIC REV 2/1/2011

Page 4 of 13
Pre-Functional Test Verification
Chiller(s)
Installation Checks
OK Check Comments

General appearance good, no apparent damage


Proper vibration isolators installed and adjusted


Seismic restraints in place


Isolation valves and balancing valves installed


Pipe fittings and accessories complete


Pipes not supported on chiller


Hydronic system flushing complete and strainers cleaned


Cooling tower or condenser system checked out


Evaporator air vent provided


Water cooled condenser air vent provided


Refrigerant relief pipe extended to outside


Thermometers installed


Pressure gages installed


Test plugs installed near all control sensors and as per
spec


Flow switch installed as required


Flow meters installed


Proper refrigerant level


No refrigerant leakage


Proper oil types


Proper oil level


Purge unit installed, if specified


Piping type and flow direction labeled on piping


Equipment labels affixed


Oil heater installed properly


Size of overcurrent heater in motor starter correct


Oil filter clean


Electrical and Controls


Power wiring installed properly


All electrical components grounded properly


Control wiring and control system hooked up


Sensors calibrated (see calibration section below)


Control system interlocks hooked up and functional


Smoke detectors in place


All control devices, pneumatic tubing and wiring complete


Safeties installed and safe operating ranges for this
equipment provided to the commissioning agent


Chilled water piping and pumps prefunctional checklists
completed

COOLING PLANT FUNCTIONAL TEST FT-2
CLEVELAND CLINIC REV 2/1/2011

Page 5 of 13
NOTES:
COOLING PLANT FUNCTIONAL TEST FT-2
CLEVELAND CLINIC REV 2/1/2011

Page 6 of 13
Chilled Water Pump(s)
Installation Checks
OK Check Comments

General Installation


Label permanently affixed


Pumps in place and properly grouted


Vibration isolation devices installed and functional


Factory alignment appears correct


Field alignment, if required, completed


Seismic anchoring installed


Temperature, pressure and flow gages and sensors
installed


Pump lubricated


No unusual noise or vibration


Pump rotation verified correct


No leaking apparent around fittings


Piping (immediately around pump, see full piping
checklist)


Pipe fittings complete and pipes properly supported


Pipes properly labeled


Pipes properly insulated


Strainers in place and clean


Piping system properly flushed


Valves properly tagged


Sensors calibrated (See calibration section below)


Electrical and Controls


Power disconnects in place and labeled


All electric connections tight


Proper grounding installed for components and unit


Motor safeties in place and operable


Control system interlocks hooked up and functional


All control devices, pneumatic tubing and wiring complete


VFD


VFD powered (wired to controlled equipment)


VFD interlocked to control system


Pressure or other controlling sensor properly located and
per drawings and calibrated


Drive location not subject to excessive temperatures


Drive location not subject to excessive moisture or dirt


Drive size matches motor size


Internal setting designating the model is correct


Input of motor FLA represents 100% to 105% of motor
FLA rating


Appropriate Volts vs Hz curve is being used

COOLING PLANT FUNCTIONAL TEST FT-2
CLEVELAND CLINIC REV 2/1/2011

Page 7 of 13

Accel and decel times are around 10-50 seconds, except
for special applications. Actual decel = ______ Actual
accel = _____


Lower frequency limit at 0 for VAV fans and around 10-
30% for chilled water pumps. Actual =
________________


Upper frequency limit set at 100%, unless explained
otherwise


Unit is programmed with full written programming record
on site


VFD speed at panel matches BAS readout


TAB


Installation of system and balancing devices allowed
balancing to be completed following specified NEBB or
AABC procedures and contract documents





Final


Startup report completed with this checklist attached


Safeties installed and safe operating ranges for this
equipment provided to the commissioning agent

NOTES:

COOLING PLANT FUNCTIONAL TEST FT-2
CLEVELAND CLINIC REV 2/1/2011

Page 8 of 13
Cooling Tower(s)
Installation Checks
OK Check Comments
General Installation

Cooling tower in place and in good condition


Fan belts adjusted


Fan shaft collars installed and tight


Fan lubricated


Fan blade pitch adjusted (propeller fans only)


Tower basin access in place


Tower basin sump strainers clean and sump filled


Sump heater and other freeze protection in place (alarms,
tape)


Temperature gauges installed


Pressure gauges installed across circulating pump


Spray water inlet strainer installed and clean


Spray nozzles clean


Fan rotation correct





Electrical


Power to unit and disconnect installed


All electrical components grounded


Power available to sump heater


Motor protection and safeties installed





Controls


Sensors calibrated (see below)


Control system interlocks hooked up and functional


All control devices, pneumatic tubing and wiring complete


Bypass valve spanning calibrated


Tower isolation valve spanning calibrated


Motorized valves, dampers and float switches functional


Vibration alarm: Jump the vibration sensor to simulate an
alarm. Verify fan shut down and BAS alarm.


Test high and low water alarms


Bypass valves and other valves and dampers calibrated





Piping (Immediately around unit. Full piping in CHW Piping
Checklist.)


Pipe fittings and accessories complete


Makeup water supply piped


Makeup water shut-off valve installed


Pipes are properly labeled (direction, etc.)

COOLING PLANT FUNCTIONAL TEST FT-2
CLEVELAND CLINIC REV 2/1/2011

Page 9 of 13

Valves are properly tagged


Chemical treatment system or plan installed


Water treatment report submitted


Distribution header balanced


Test plugs installed


Isolation and balancing valves installed per drawings

NOTES:

COOLING PLANT FUNCTIONAL TEST FT-2
CLEVELAND CLINIC REV 2/1/2011

Page 10 of 13
Installation Checks
Condenser Water Pump(s)
Installation Checks
OK Check Comments

General Installation


Label permanently affixed


Pumps in place and properly grouted


Vibration isolation devices installed and functional


Factory alignment appears correct


Field alignment, if required, completed


Seismic anchoring installed


Temperature, pressure and flow gages and sensors
installed


Pump lubricated


No unusual noise or vibration


Pump rotation verified correct


No leaking apparent around fittings


Piping (immediately around pump, see full piping
checklist)


Pipe fittings complete and pipes properly supported


Pipes properly labeled


Pipes properly insulated


Strainers in place and clean


Piping system properly flushed


Valves properly tagged


Sensors calibrated (See calibration section below)


Electrical and Controls


Power disconnects in place and labeled


All electric connections tight


Proper grounding installed for components and unit


Motor safeties in place and operable


Control system interlocks hooked up and functional


All control devices, pneumatic tubing and wiring complete


VFD


VFD powered (wired to controlled equipment)


VFD interlocked to control system


Pressure or other controlling sensor properly located and
per drawings and calibrated


Drive location not subject to excessive temperatures


Drive location not subject to excessive moisture or dirt


Drive size matches motor size


Internal setting designating the model is correct

COOLING PLANT FUNCTIONAL TEST FT-2
CLEVELAND CLINIC REV 2/1/2011

Page 11 of 13

Input of motor FLA represents 100% to 105% of motor
FLA rating


Appropriate Volts vs Hz curve is being used


Accel and decel times are around 10-50 seconds, except
for special applications. Actual decel = ______ Actual
accel = _____


Lower frequency limit at 0 for VAV fans and around 10-
30% for chilled water pumps. Actual =
________________


Upper frequency limit set at 100%, unless explained
otherwise


Unit is programmed with full written programming record
on site


VFD speed at panel matches BAS readout


TAB


Installation of system and balancing devices allowed
balancing to be completed following specified NEBB or
AABC procedures and contract documents





Final


Startup report completed with this checklist attached


Safeties installed and safe operating ranges for this
equipment provided to the commissioning agent

NOTES:
COOLING PLANT FUNCTIONAL TEST FT-2
CLEVELAND CLINIC REV 2/1/2011

Page 12 of 13
Functional Test
Test
No.
Spec/Dwg
Ref
Test Procedure Expected and Actual Response
Pass
Y/N
1.
Verify communication, front end graphics
and point mapping are complete.
Front end communication with cooling plant
has been established and graphics along with
control and monitoring points are set up.

2.
Initiate a call for cooling. Verify that following occurs in sequence: lead
secondary chilled water pump is started, tower
bypass valve is closed to the cooling tower,
lead cooling tower cell is enabled (isolation
valve opens), lead condenser water pump is
started, lead primary chilled water pump is
started and lastly the lead chiller is started.

3.
Enable the lag chiller. Verify that following occurs in sequence: lag
secondary chilled water pump is started, lag
cooling tower cell is enabled (isolation valve
opens), lag condenser water pump is started,
lag primary chilled water pump is started and
lastly the lag chiller is started.

4.
While in cooling mode, force associated
chilled water control valves to 100% open or
until the static pressure is below set point.
Verify that the lead secondary chilled water
pump speed increases to maintain static
pressure set point.

5.
While in cooling mode, force associated
chilled water control valves to 30% open or
until the static pressure is above set point.
Verify that the lead secondary chiller water
pump speed decreases to maintain static
pressure set point.

6.
While in cooling mode, verify the following
cooling tower sequence upon a sustained
rise in leaving condenser water temperature
> 65F.
Verify that the following occurs in sequence:
Tower bypass valve is 100% open to cooling
tower, lead fan is energized and its speed
modulated, lag fan is energized and its speed
modulated.

7.
Disable the lag chiller. Verify that following occurs in sequence: lag
chiller is de-energized, lag chilled water pump
is de-energized, lag condenser water pump is
de-energized, lag cooling tower cell is
disabled, and lag secondary chilled water
pump is de-energized.

8.
Disable the lead chiller. Verify that following occurs in sequence: lead
chiller is de-energized, lead chilled water
pump is de-energized, lead condenser water
pump is de-energized, lead cooling tower cell
is disabled, and lead secondary chilled water
pump is de-energized.

9.
While only the lead chiller is enabled,
manually de-energize chiller.
Verify the lag chiller/pump is energized and an
alarm is sent to the BAS.

10.
Force BAS to read a sump basin
temperature below minimum set point.
Verify that the sump heater is energized and
that the sump temperature increases.

11.
Force BAS to read an outdoor air
temperature below heat trace enable set
point.
Verify that heat trace is energized.

12.
Primary Chilled Water Pump Status: While
in cooling mode, Trip lead primary pump
current sensor or de-energize via the
disconnect switch.
Verify that the lead chiller/pump is de-
energized, the lag chiller/pump is energized
and an alarm is sent to the BAS.

COOLING PLANT FUNCTIONAL TEST FT-2
CLEVELAND CLINIC REV 2/1/2011

Page 13 of 13
Test
No.
Spec/Dwg
Ref
Test Procedure Expected and Actual Response
Pass
Y/N
13.
Secondary Chilled Water Pump Status:
While in cooling mode, Trip lead secondary
pump current sensor or de-energize via the
disconnect switch.
Verify that the standby pump is energized and
an alarm is sent to the BAS.

14.
Condenser Water Pump Status: While in
cooling mode, Trip lead condenser water
pump current sensor or de-energize via the
disconnect switch.
Verify that the lead chiller/pump is de-
energized, the lag chiller/pump is energized
and an alarm is sent to the BAS.

15.
Force BAS to read an outdoor air
temperature below heat trace enable set
point and trip current sensor or de-energize
heat trace circuit.
Verify an alarm is sent to the BAS.

16.
High Limit Sump Temperature: Force BAS
to read a sump temperature above the high
limit set point.
Verify an alarm is sent to the BAS.

17.
Low Limit Sump Temperature: Force BAS
to read a sump temperature below the low
limit set point.
Verify an alarm is sent to the BAS.

18.
Spray Pump Status: While in cooling mode,
trip spray pump current sensor or
disconnect power.
Verify an alarm is sent to the BAS.

19.
Tower Vibration: Force BAS to read a tower
vibration level above set point.
Verify that the tower fan is de-energized and
that an alarm is sent to the BAS.

20.
High Sump Level: Force BAS to read a
sump level above the high limit.
Verify an alarm is sent to the BAS.

21.

Low Sump Level: Force BAS to read a
sump level below the low limit.
Verify an alarm is sent to the BAS and that the
spray pump is de-energized.

22.

Return all changed control parameters
and conditions to their pre-test values
Check off in program printout when
completed

A SUMMARY OF DEFICIENCIES IDENTIFIED DURING TESTING IS ATTACHED
-- END OF TEST --
STEAM TO HOT WATER HEATING PLANT FUNCTIONAL TEST FT-3
CLEVELAND CLINIC REV 2/1/2011

Page 1 of 8
FT-3
PRE-FUNCTIONAL CHECKLIST AND FUNCTIONAL TEST
FOR
STEAM TO HOT WATER HEATING PLANT




Participants
Name Company Title
Commissioning Authority






Party filling out this form and witnessing testing:
[Name, Company]
Date of test: ____________________
STEAM TO HOT WATER HEATING PLANT FUNCTIONAL TEST FT-3
CLEVELAND CLINIC REV 2/1/2011

Page 2 of 8
System Description



.

Heat Exchangers
Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description




Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description




Primary Hot Water Pumps
Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description

Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description

STEAM TO HOT WATER HEATING PLANT FUNCTIONAL TEST FT-3
CLEVELAND CLINIC REV 2/1/2011

Page 3 of 8
Secondary Hot Water Pumps
Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description

Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description

Relief Valve(s)
Unit Tag Make
Equipment Served Model No.
Capacity Rating Serial No.
Pressure Rating Type


STEAM TO HOT WATER HEATING PLANT FUNCTIONAL TEST FT-3
CLEVELAND CLINIC REV 2/1/2011

Page 4 of 8
Pre-Functional Test Verification
Installation Checks
Heat Exchangers
OK Check Comments
General Installation
General appearance good, no apparent damage
Site sufficiently clean for testing
Equipment labels affixed
Tube pulling, and access door space adequate
Required seismic restraints in place
Flue completely installed and sloped properly
System filled
Pressure gages installed
Thermometers installed
Pressure gages installed
P/T plugs installed as per drawings

Piping (Immediately around unit. Full piping in HW Piping
Checklist.)

Hydronic piping complete, including blowdown system, makeup
water piping and safety reliefs

Hydronic system flushing complete and strainers cleaned
Isolation valves and balancing valves installed
Pipe fittings and accessories complete
Test ports installed near all control sensors and per spec
Flow switch installed as required
Flow meters installed as required
Piping type and flow direction labeled on piping
Chemical treatment system or plan installed
ASME pressure vessel data sheet or certification tag posted and
inspection complete for each expansion tank

Expansion tanks verified to not be air bound and system
completely full of water

Air vents and bleeds at high points of systems functional
Relief valve installed and piped to drain


Electrical and Controls

Sensors calibrated (see below)
Control system interlocks hooked up and functional
All control devices, pneumatic tubing and wiring complete
Motorized valves, dampers and float switches functional

STEAM TO HOT WATER HEATING PLANT FUNCTIONAL TEST FT-3
CLEVELAND CLINIC REV 2/1/2011

Page 5 of 8

Final

Startup report completed with this checklist attached
Startup report includes written certification from boiler
manufacturer that all specified features, controls and safeties
have been installed and are functioning properly and that the
installation and application comply with the manufacturers
recommendations.

Safeties installed and safe operating ranges for this equipment
provided to the commissioning agent

Heating water piping and pumps prefunctional checklists
completed

NOTES:
STEAM TO HOT WATER HEATING PLANT FUNCTIONAL TEST FT-3
CLEVELAND CLINIC REV 2/1/2011

Page 6 of 8
Pumps
Installation Checks
OK Check Comments

General Installation

Label permanently affixed
Pumps in place and properly grouted
Vibration isolation devices installed and functional
Factory alignment appears correct
Field alignment, if required, completed
Seismic anchoring installed
Temperature, pressure and flow gages and sensors installed
Pump lubricated
No unusual noise or vibration
Pump rotation verified correct
No leaking apparent around fittings

Piping (immediately around pump, see full piping checklist)

Pipe fittings complete and pipes properly supported
Pipes properly labeled
Pipes properly insulated
Strainers in place and clean
Piping system properly flushed
Valves properly tagged
Sensors calibrated (See calibration section below)

Electrical and Controls

Power disconnects in place and labeled
All electric connections tight
Proper grounding installed for components and unit
Motor safeties in place and operable
Control system interlocks hooked up and functional
All control devices, pneumatic tubing and wiring complete

VFD

VFD powered (wired to controlled equipment)
VFD interlocked to control system
Pressure or other controlling sensor properly located and per
drawings and calibrated

Drive location not subject to excessive temperatures
Drive location not subject to excessive moisture or dirt
Drive size matches motor size
Internal setting designating the model is correct
Input of motor FLA represents 100% to 105% of motor FLA
rating

Appropriate Volts vs Hz curve is being used
STEAM TO HOT WATER HEATING PLANT FUNCTIONAL TEST FT-3
CLEVELAND CLINIC REV 2/1/2011

Page 7 of 8
Accel and decel times are around 10-50 seconds, except for
special applications. Actual decel = ______ Actual accel =
_____

Lower frequency limit at 0 for VAV fans and around 10-30%
for chilled water pumps. Actual = ________________

Upper frequency limit set at 100%, unless explained otherwise
Unit is programmed with full written programming record on
site

VFD speed at panel matches BAS readout

TAB

Installation of system and balancing devices allowed balancing
to be completed following specified NEBB or AABC
procedures and contract documents



Final

Startup report completed with this checklist attached
Safeties installed and safe operating ranges for this equipment
provided to the commissioning agent

NOTES:
STEAM TO HOT WATER HEATING PLANT FUNCTIONAL TEST FT-3
CLEVELAND CLINIC REV 2/1/2011

Page 8 of 8
Functional Test
Test
No.
Spec/Dwg Ref
Test Procedure Expected and Actual Response
Pass
Y/N
1.
Verify communication, front end graphics and
point mapping are complete.
Front end communication with heating plant has
been established and graphics along with control
and monitoring points are set up.

2.
Initiate a call for heating by forcing BAS to read
an OAT below the enable set point.
Verify that the following occurs in sequence: lead
secondary hot water pump is started, lead HX HW
isolation valve is 100% open, lead primary hot
water pump is started, the 1/3 capacity steam
control valve modulates open.

3.
While in heating mode, force associated hot
water control valves to 100% open or until the
static pressure is below set point.
Verify that the lead secondary hot water pump
speed increases to maintain static pressure set
point.

4.
While in heating mode, force associated hot
water control valves to 100% closed or until the
static pressure is below set point.
Verify that the lead secondary hot water pump
speed decreases to maintain static pressure set
point.

5.
While in heating mode, force associated BAS to
read an OAT at low end of HWS Temperature
reset schedule.
Verify that the 1/3-2/3 capacity steam control
valves and/or hot water mixing valve respond
appropriately and hot water supply temperature
increases to maximum set point.

6.
While in heating mode, force associated BAS to
read an OAT at high end of HWS Temperature
reset schedule.
Verify that the 1/3-2/3 capacity steam control
valves and/or hot water mixing valve respond
appropriately and hot water supply temperature
decreases to maximum set point.

7.
Primary Hot Water Pump Status: While in
heating mode, Trip lead hot pump current sensor
or de-energize via the disconnect switch.
Verify that the lead boiler is de-energized, the lag
pump is energized and an alarm is sent to the BAS.
After flow is proven the lead boiler should be
energized.

8.
Secondary Hot Water Pump Status: While in
heating mode, Trip lead secondary pump current
sensor or de-energize via the disconnect switch.
Verify that the standby pump is energized and an
alarm is sent to the BAS.

9.
Verify that the heating system is de-energized
when the BAS is forced to read an OAT above
the enable set point.
Verify that the following occurs in sequence: lead
secondary hot water pump is stopped, the lead and
lag heat exchangers steam control valves all
modulate closed, lead and lag primary hot water
pump is stopped after a predetermined time delay
consistent with preventing the heat exchangers
from overheating, the heat exchanger isolation
valves are 100% closed.

10.

Return all changed control parameters and
conditions to their pre-test values
Check off in program printout when completed

A SUMMARY OF DEFICIENCIES IDENTIFIED DURING TESTING IS ATTACHED
-- END OF TEST --
VAV AIR HANDLING UNIT FUNCTIONAL TEST FT-4
CLEVELAND CLINIC REV 2/1/2011

Page 1 of 6
FT-4
PRE-FUNCTIONAL CHECKLIST AND FUNCTIONAL TEST
FOR
VARIABLE VOLUME AIR HANDLING UNITS



Participants
Name Company Title
Commissioning Authority






Party filling out this form and witnessing testing:
[Name, Company]
Date of test: ____________________

Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description



VAV AIR HANDLING UNIT FUNCTIONAL TEST FT-4
CLEVELAND CLINIC REV 2/1/2011

Page 2 of 6
Pre-Functional Test Verification
Installation Checks
OK Check Comments
Cabinet and General Installation
Permanent labels affixed, including for fans
Casing condition good: no dents, leaks, door gaskets installed
Access doors close tightly - no leaks
Boot between duct and unit tight and in good condition
Vibration isolation equipment installed & released from
shipping locks

Maintenance access acceptable for unit and components
Sound attenuation installed
Thermal insulation properly installed and according to
specification

Instrumentation installed according to specification
(thermometers, pressure gages, flow meters, etc.)

Clean up of equipment completed per contract documents
Filters installed and replacement type and efficiency
permanently affixed to housing--construction filters removed


Valves, Piping and Coils (see full piping checklists)
Pipe fittings complete and pipes properly supported
Pipes properly labeled
Pipes properly insulated
Strainers in place and clean
Piping system properly flushed
No leaking apparent around fittings
All coils are clean and fins are in good condition
All condensate drain pans clean and slope to drain, per spec
Valves properly labeled
Valves installed in proper direction
OSAT, MAT, SAT, RAT, chilled water supply sensors properly
located and secure (related OSAT sensor shielded)

Sensors calibrated (See calibration section below)
Motors: Premium efficiency verified, if specified?
P/T plugs and isolation valves installed per drawings

Fans and Dampers
Supply fan and motor alignment correct
Supply fan belt tension & condition good
Supply fan protective shrouds for belts in place and secure
Supply fan area clean
Supply fan and motor properly lubricated
Return/exhaust fan and motor aligned
Return/exhaust fan belt tension & condition good
VAV AIR HANDLING UNIT FUNCTIONAL TEST FT-4
CLEVELAND CLINIC REV 2/1/2011

Page 3 of 6
Return/exhaust fan protective shrouds for belts in place and
secure

Return/exhaust fan area clean
Return/exhaust fan and motor lube lines installed and lubed
Filters clean and tight fitting
Filter pressure differential measuring device installed and
functional (magnehelic, inclined manometer, etc.)

Smoke and fire dampers installed properly per contract docs
(proper location, access doors, appropriate ratings verified)

All dampers close tightly
All damper linkages have minimum play
Low limit freeze stat sensor located to deal with stratification &
bypass


Ducts (preliminary check)
Sound attenuators installed
Duct joint sealant properly installed
No apparent severe duct restrictions
Turning vanes in square elbows as per drawings
OSA intakes located away from pollutant sources & exhaust
outlets

Pressure leakage tests completed
Branch duct control dampers operable
Ducts cleaned as per specifications
Balancing dampers installed as per drawings and TABs site
visit


Electrical and Controls
Pilot lights are functioning
Power disconnects in place and labeled
All electric connections tight
Proper grounding installed for components and unit
Safeties in place and operable
Starter overload breakers installed and correct size
Sensors calibrated (see below)
Control system interlocks hooked up and functional
Smoke detectors in place
All control devices, pneumatic tubing and wiring complete

VFD
VFD powered (wired to controlled equipment)
VFD interlocked to control system
Static pressure or other controlling sensor properly located and
per drawings and calibrated

Static pressure or other controlling sensor calibrated
Drive location not subject to excessive temperatures
Drive location not subject to excessive moisture or dirt
VAV AIR HANDLING UNIT FUNCTIONAL TEST FT-4
CLEVELAND CLINIC REV 2/1/2011

Page 4 of 6
Drive size matches motor size
Internal setting designating the model is correct
Input of motor FLA represents 100% to 105% of motor FLA
rating

Appropriate Volts vs Hz curve is being used
Accel and decel times are around 10-50 seconds, except for
special applications. Actual decel = ______ Actual accel =
_____

Lower frequency limit at 0 for VAV fans and around 10-30%
for chilled water pumps. Actual = _______________

Upper frequency limit set at 100%, unless explained otherwise
Unit is programmed with full written programming record on
site


TAB
Installation of system and balancing devices allowed balancing
to be completed following specified NEBB or AABC
procedures and contract documents


Final
Smoke and fire dampers and unpowered TUs are open
Startup report completed with this checklist attached
Safeties installed and safe operating ranges for this equipment
provided to the commissioning agent

If unit is started and will be running during construction: have
quality filters on RA grills, etc. to minimize dirt in the ductwork
and coils and in any finished areas. Verify moisture migration is
not a problem, due to improper pressures between spaces.

NOTES:
VAV AIR HANDLING UNIT FUNCTIONAL TEST FT-4
CLEVELAND CLINIC REV 2/1/2011

Page 5 of 6
Functional Test

Test
No.
Spec/Dwg Ref
Test Procedure Expected and Actual Response
Pass
Y/N
1.
Verify communication, front end graphics and
point mapping are complete.
Front end communication with AHU has been
established and graphics along with control and
monitoring points are set up.

2.
Place BAS in Occupied Mode. Verify that the supply fan starts followed by the
return fan and lastly the mixed air dampers
modulate to the minimum outside air position.

3.
While in Occupied Mode, force associated
terminal units closed until the static pressure is
above set point.
Verify that supply and return air fan speeds
decrease to maintain static pressure set point.

4.
While in Occupied Mode, force associated
terminal units open until the static pressure is
below set point.
Verify that supply and return air fan speeds
increase to maintain static pressure set point.

5.
While in the Occupied Mode, force BAS to read
an outside air temperature at or above the
maximum OAT utilized for the minimum SA
temperature set point reset schedule (>5F).
Verify that the supply air temperature set point
resets downward in response to an increase in
outside air temperature.

6.
While in the Occupied Mode, force BAS to read
an outside air temperature at or below minimum
OAT utilized for the maximum SA temperature
set point reset schedule (<60F).
Verify that the supply air temperature set point
resets upward in response to a decrease in outside
air temperature.

7.
While in the Occupied Mode, force BAS to read
an outside air temperature below the economizer
changeover value.
Verify that the mixed air dampers modulate so that
the outside air dampers are opened past their
minimum position as measured by the differential
pressure transmitter (OA-RA).

8.
While in the Occupied Mode, force BAS into
heating mode by increasing discharge air set
point.
Verify that the mixed air dampers modulate so that
the outside air dampers are at their minimum
position and the heating valve and heating coil
bypass damper modulate open.

9.
While in the Occupied Mode, force BAS into
cooling mode by decreasing discharge air set
point and forcing the outside air damper to its
minimum position.
Verify that the mixed air dampers modulate so that
the outside air dampers are at their minimum
position and the heating valve and heating coil
bypass damper modulate open.

10.
While in the Occupied Mode, force BAS to read
a CO2 level above set point.
Verify that the mixed air dampers modulate open.

11.
While in the Occupied Mode, force BAS to read
a CO2 level below set point.
Verify that the mixed air dampers modulate closed.

12.
Place BAS in Unoccupied Mode. Verify that the supply and return fans are de-
energized and the mixed air dampers modulate to
the100% return air position.

13.
Warm-Up: Force all associated terminal unit
space temperature readings below the occupied
heating set point and set the time of day to the
earliest warm-up mode time.
Verify that the supply and return fans are energized
and the mixed air dampers remain in the100%
return air position while the heating section
modulates to maintain discharge air temperature set
point.

14.
SA Smoke Detector: Trip the supply air
smoke detector.
Verify that the supply and return fans are de-
energized and a signal is sent to the FACP.

VAV AIR HANDLING UNIT FUNCTIONAL TEST FT-4
CLEVELAND CLINIC REV 2/1/2011

Page 6 of 6
Test
No.
Spec/Dwg Ref
Test Procedure Expected and Actual Response
Pass
Y/N
15.
RA Smoke Detector: Trip the return air
smoke detector.
Verify that the supply and return fans are de-
energized and an alarm signal is sent to the
FACP and BAS.

16.
Freeze stat: Force BAS to sense a temperature
below the freeze stat low limit.
Verify that the supply and return fans are de-
energized, the mixed air dampers modulate to
100% return, the heating control valve opens and
the heating face and bypass dampers modulate to
100% open, while a corresponding alarm is sent
to the BAS.

17.
SA High Static Pressure: Force BAS to sense
a static pressure above the high static set
point.
Verify that the supply and return fans de-
energize and a corresponding alarm is sent to the
BAS.

18.
Pre-Filter DP: Force the BAS to sense a
differential static pressure reading across the
pre-filter bank above the change out set point
of 1 in wc.
Verify that a corresponding alarm is sent to the
BAS.

19.
Fan Status: While in Occupied Mode, Trip
supply fan current sensor or de-energize via
the disconnect switch.
Verify that the supply and return fans are de-
energized, the outside air damper is 100%
closed, the heating control valve is 100% open,
the cooling control valve is 100% closed and an
alarm is sent to the BAS.

20.
Fan Status: While in Occupied Mode, Trip
return fan current sensor or de-energize via the
disconnect switch.
Verify that the air handling unit continues to
operate normally and an alarm is sent to the
BAS.

21.

Return all changed control parameters and
conditions to their pre-test values
Check off in program printout when completed

A SUMMARY OF DEFICIENCIES IDENTIFIED DURING TESTING IS ATTACHED
-- END OF TEST --
CONSTANT VOLUME AIR HANDLING UNIT FUNCTIONAL TEST FT-5
CLEVELAND CLINIC REV 2/1/2011

Page 1 of 6
FT-5
PRE-FUNCTIONAL CHECKLIST AND FUNCTIONAL TEST
FOR
CONSTANT VOLUME AIR HANDLING UNITS



Participants
Name Company Title
Commissioning Authority






Party filling out this form and witnessing testing:
[Name, Company]
Date of test: ____________________

Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description



CONSTANT VOLUME AIR HANDLING UNIT FUNCTIONAL TEST FT-5
CLEVELAND CLINIC REV 2/1/2011
Page 2 of 6
Pre-Functional Test Verification
Installation Checks
OK Check Comments
Cabinet and General Installation
Permanent labels affixed, including for fans
Casing condition good: no dents, leaks, door gaskets installed
Access doors close tightly - no leaks
Boot between duct and unit tight and in good condition
Vibration isolation equipment installed & released from
shipping locks

Maintenance access acceptable for unit and components
Sound attenuation installed
Thermal insulation properly installed and according to
specification

Instrumentation installed according to specification
(thermometers, pressure gages, flow meters, etc.)

Clean up of equipment completed per contract documents
Filters installed and replacement type and efficiency
permanently affixed to housing--construction filters removed


Valves, Piping and Coils (see full piping checklists)
Pipe fittings complete and pipes properly supported
Pipes properly labeled
Pipes properly insulated
Strainers in place and clean
Piping system properly flushed
No leaking apparent around fittings
All coils are clean and fins are in good condition
All condensate drain pans clean and slope to drain, per spec
Valves properly labeled
Valves installed in proper direction
OSAT, MAT, SAT, RAT, chilled water supply sensors properly
located and secure (related OSAT sensor shielded)

Sensors calibrated (See calibration section below)
Motors: Premium efficiency verified, if specified?
P/T plugs and isolation valves installed per drawings

Fans and Dampers
Supply fan and motor alignment correct
Supply fan belt tension & condition good
Supply fan protective shrouds for belts in place and secure
Supply fan area clean
Supply fan and motor properly lubricated
Return/exhaust fan and motor aligned
Return/exhaust fan belt tension & condition good
CONSTANT VOLUME AIR HANDLING UNIT FUNCTIONAL TEST FT-5
CLEVELAND CLINIC REV 2/1/2011
Page 3 of 6
Return/exhaust fan protective shrouds for belts in place and
secure

Return/exhaust fan area clean
Return/exhaust fan and motor lube lines installed and lubed
Filters clean and tight fitting
Filter pressure differential measuring device installed and
functional (magnehelic, inclined manometer, etc.)

Smoke and fire dampers installed properly per contract docs
(proper location, access doors, appropriate ratings verified)

All dampers close tightly
All damper linkages have minimum play
Low limit freeze stat sensor located to deal with stratification &
bypass


Ducts (preliminary check)
Sound attenuators installed
Duct joint sealant properly installed
No apparent severe duct restrictions
Turning vanes in square elbows as per drawings
OSA intakes located away from pollutant sources & exhaust
outlets

Pressure leakage tests completed
Branch duct control dampers operable
Ducts cleaned as per specifications
Balancing dampers installed as per drawings and TABs site
visit


Electrical and Controls
Pilot lights are functioning
Power disconnects in place and labeled
All electric connections tight
Proper grounding installed for components and unit
Safeties in place and operable
Starter overload breakers installed and correct size
Sensors calibrated (see below)
Control system interlocks hooked up and functional
Smoke detectors in place
All control devices, pneumatic tubing and wiring complete

VFD
VFD powered (wired to controlled equipment)
VFD interlocked to control system
Static pressure or other controlling sensor properly located and
per drawings and calibrated

Static pressure or other controlling sensor calibrated
Drive location not subject to excessive temperatures
Drive location not subject to excessive moisture or dirt
CONSTANT VOLUME AIR HANDLING UNIT FUNCTIONAL TEST FT-5
CLEVELAND CLINIC REV 2/1/2011
Page 4 of 6
Drive size matches motor size
Internal setting designating the model is correct
Input of motor FLA represents 100% to 105% of motor FLA
rating

Appropriate Volts vs Hz curve is being used
Accel and decel times are around 10-50 seconds, except for
special applications. Actual decel = ______ Actual accel =
_____

Lower frequency limit at 0 for VAV fans and around 10-30%
for chilled water pumps. Actual = _______________

Upper frequency limit set at 100%, unless explained otherwise
Unit is programmed with full written programming record on
site


TAB
Installation of system and balancing devices allowed balancing
to be completed following specified NEBB or AABC
procedures and contract documents


Final
Smoke and fire dampers and unpowered TUs are open
Startup report completed with this checklist attached
Safeties installed and safe operating ranges for this equipment
provided to the commissioning agent

If unit is started and will be running during construction: have
quality filters on RA grills, etc. to minimize dirt in the ductwork
and coils and in any finished areas. Verify moisture migration is
not a problem, due to improper pressures between spaces.


NOTES:

CONSTANT VOLUME AIR HANDLING UNIT FUNCTIONAL TEST FT-5
CLEVELAND CLINIC REV 2/1/2011
Page 5 of 6
Functional Test

Test
No.
Spec/Dwg Ref
Test Procedure Expected and Actual Response
Pass
Y/N
1.
Verify communication, front end graphics and
point mapping are complete.
Front end communication with AHU has been
established and graphics along with control and
monitoring points are set up.

2.
Place BAS in Occupied Mode. Verify that the supply fan starts followed by the
return fan and lastly the mixed air dampers
modulate to the minimum outside air position.

3.
While in the Occupied Mode, force BAS to read
an outside air temperature below the economizer
changeover value.
Verify that the mixed air dampers modulate so that
the outside air dampers are opened past their
minimum position as measured by the differential
pressure transmitter (OA-RA).

4.
While in the Occupied Mode, force BAS to read
an outside air temperature above the economizer
changeover value.
Verify that the mixed air dampers modulate so that
the outside air dampers are at their minimum
position as measured by the differential pressure
transmitter (OA-RA).

5.
While in the Occupied Mode, force BAS to read
an outside air temperature above the economizer
changeover value.
Verify that the mixed air dampers modulate so that
the outside air dampers are at their minimum
position as measured by the differential pressure
transmitter (OA-RA).

6.
While in the Occupied Mode, force BAS into
heating mode by increasing discharge air set
point.
Verify that the mixed air dampers modulate so that
the outside air dampers are at their minimum
position and the heating valve and heating coil
bypass damper modulate open.

7.
While in the Occupied Mode, force BAS into
cooling mode by decreasing discharge air set
point and forcing the outside air damper to its
minimum position.
Verify that the mixed air dampers modulate so that
the outside air dampers are at their minimum
position and the heating valve and heating coil
bypass damper modulate open.

8.
Place BAS in Unoccupied Mode. Verify that the supply and return fans are de-
energized and the mixed air dampers modulate to
the100% return air position.

9.
Warm-Up: Force space temperature reading
below the occupied heating set point and set the
time of day to the earliest warm-up mode time.
Verify that the supply and return fans are energized
and the mixed air dampers remain in the100%
return air position while the heating section
modulates to maintain discharge air temperature set
point.

10.
SA Smoke Detector: Trip the supply air
smoke detector.
Verify that the supply and return fans are de-
energized and a signal is sent to the FACP.

11.
RA Smoke Detector: Trip the return air
smoke detector.
Verify that the supply and return fans are de-
energized and an alarm signal is sent to the
FACP and BAS.

12.
Freeze stat: Force BAS to sense a temperature
below the freeze stat low limit.
Verify that the supply and return fans are de-
energized, the mixed air dampers modulate to
100% return, the heating control valve opens and
the heating face and bypass dampers modulate to
100% open, while a corresponding alarm is sent
to the BAS.

CONSTANT VOLUME AIR HANDLING UNIT FUNCTIONAL TEST FT-5
CLEVELAND CLINIC REV 2/1/2011
Page 6 of 6
Test
No.
Spec/Dwg Ref
Test Procedure Expected and Actual Response
Pass
Y/N
13.
Pre-Filter DP: Force the BAS to sense a
differential static pressure reading across the
pre-filter bank above the change out set point
of 1 in wc.
Verify that a corresponding alarm is sent to the
BAS.

14.
Fan Status: While in Occupied Mode, Trip
supply fan current sensor or de-energize via
the disconnect switch.
Verify that the supply and return fans are de-
energized, the outside air damper is 100%
closed, the heating control valve is 100% open,
the cooling control valve is 100% closed and an
alarm is sent to the BAS.

15.
Fan Status: While in Occupied Mode, Trip
return fan current sensor or de-energize via the
disconnect switch.
Verify that the air handler continues to operate
normally and an alarm is sent to the BAS.

16.

Return all changed control parameters and
conditions to their pre-test values
Check off in program printout when completed




A SUMMARY OF DEFICIENCIES IDENTIFIED DURING TESTING IS ATTACHED
-- END OF TEST --
TERMINAL UNIT FUNCTIONAL TEST FT-6
CLEVELAND CLINIC REV 2/1/2011

Page 1 of 4
FT-6
PRE-FUNCTIONAL CHECKLIST AND FUNCTIONAL TEST
FOR
TERMINAL UNITS




Participants
Name Company Title
Commissioning Authority



Party filling out this form and witnessing testing:
[Name, Company]
Date of test: ____________________
Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description

Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description


Unit Tag Make
TERMINAL UNIT FUNCTIONAL TEST FT-6
CLEVELAND CLINIC REV 2/1/2011

Page 2 of 4
Unit Location Model No.
Area Served Serial No.
Unit Description

Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description

Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description

Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description

Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description

Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description
TERMINAL UNIT FUNCTIONAL TEST FT-6
CLEVELAND CLINIC REV 2/1/2011

Page 3 of 4
Pre-Functional Test Verification
Installation Checks
Check
Application and installation in conformance with mf'rs
recommendations and job specs. Specified sound wrapping
and joint sealant installed.

Any high pressure ducting upstream has been leak and
pressure tested, cleaned and approved prior to setting TU.

Model and tag checked against plans and equipment list. Tag
or mark affixed.

Unit secured per manufacturer's recommendations, contract
documents and seismic requirements.

Unit has sufficient clearance to be serviced.
Inlet conditions OK: Smooth, round, straight duct for at least
3 duct diameters when possible and 2 diameters minimum for
velocity pressure sensor for flow readings and 3 to 5
diameters for single point electronic sensors, else airflow
straighteners, OR per manufacturer's recommendation.

All balancing devices have been provided in compliance with
the contract documents.

Any hot or chilled water piping installation complete with
valves tagged. Auto-flow control valves checked to ensure
proper model.

Controls Hardware Check: a) Wiring checked to each point.
b) Software pt. address input into box and checked for all
points (zone temp. pressures for flow calcs, damper position,
fan status, supply air temp., valve position, etc.). c) Release
actuator clutch and verify free damper.

Controls Software Load. Power up unit and download
approved software program.

NOTES:
TERMINAL UNIT FUNCTIONAL TEST FT-6
CLEVELAND CLINIC REV 2/1/2011

Page 4 of 4
Functional Test
Test
No.
Spec/Dwg
Ref
Test Procedure Expected and Actual Response
Pass (Y/N)

1.
Verify TU communication, front end
graphics and point mapping are
complete.
Front end communication with TU has
been established and graphics along
with control and monitoring points are
set up.

2.
Attempt to adjust space temperature
set point from space sensor.
Verify that temperature set point is
operator adjustable from space (rm)
temperature sensor.

3.
Initial temperature set point for all
TUs shall be 72/75 F for occupied
mode.
Verify occupied initial temperature set
point

4.
Initial temperature set point for all
TU s shall be 62/82 F for unoccupied
mode
Verify unoccupied initial temperature
set point

5.
Command BAS to change initial set
points
Verify temperature set point changed.
6.
While in Occupied Mode, force BAS
to sense that space temperature is
above cooling set point.
Verify that TU damper starts to
modulate open.

7.
While in the Occupied Mode, force
BAS to sense that space temperature
is below heating set point.
Verify that TU damper starts to
modulate to minimum position.

8.
While in Occupied Mode and with
TU damper in its minimum position,
continue to force BAS to sense that
space temperature is below heating
set point.
Verify that TU damper stays in
minimum position. For TUs with
reheat verify that heating section is
enabled. For fan-powered TUs verify
that fan is energized.


9.
Place BAS in Unoccupied Mode. Verify that TU damper modulates
closed, heating coil and are fan de-
energized as applicable.

10.
While in Unoccupied Mode, force
BAS to sense a space temperature
below the unoccupied heating set
point.
Verify that TU damper remains closed.
For fan-powered TUs verify that the
fan and heating section are energized.

11.
Force associated air handler into
warm-up mode and force BAS to
sense a space temperature below the
occupied heating set point.
Verify that TU damper initially
modulates to full open and later
modulates closed as space temperature
is satisfied.

12.
Force associated air handler into
cool-down mode and BAS to sense a
space temperature above the
occupied cooling set point.
Verify that TU damper initially
modulates to full open and later
modulates closed as space temperature
is satisfied.

13.
Return all changed control
parameters and conditions to their
pre-test values
Check off in program printout when
completed

A SUMMARY OF DEFICIENCIES IDENTIFIED DURING TESTING IS ATTACHED
-- END OF TEST --
HOT WATER CABINET & UNIT HEATER FUNCTIONAL TEST FT-7
CLEVELAND CLINIC REV 2/1/2011

Page 1 of 5
FT-7
PRE-FUNCTIONAL CHECKLIST AND FUNCTIONAL TEST
FOR
HOT WATER CABINET & UNIT HEATER




Participants
Name Company Title
Commissioning Authority






Party filling out this form and witnessing testing:
[Name, Company]
Date of test: ____________________
HOT WATER CABINET & UNIT HEATER FUNCTIONAL TEST FT-7
CLEVELAND CLINIC REV 2/1/2011

Page 2 of 5

Unit Tag Make
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Unit Description

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HOT WATER CABINET & UNIT HEATER FUNCTIONAL TEST FT-7
CLEVELAND CLINIC REV 2/1/2011

Page 3 of 5

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Area Served Serial No.
Unit Description
HOT WATER CABINET & UNIT HEATER FUNCTIONAL TEST FT-7
CLEVELAND CLINIC REV 2/1/2011

Page 4 of 5
Pre-Functional Test Verification
Installation Checks
OK Check
Check
tag to
right
Unit mounted securely
Unit and valves accessible for servicing
No visible leaks
No unusual noise or vibration in fan.
NOTES:
HOT WATER CABINET & UNIT HEATER FUNCTIONAL TEST FT-7
CLEVELAND CLINIC REV 2/1/2011

Page 5 of 5
Functional Test
Test
No.
Spec/Dwg
Ref
Test Procedure
Expected and
Actual Response
Pass Y/N

1.
Verify CUH / HUH
communication,
front end graphics
and point mapping
are complete.
Front end
communication with
CUH / HUH has been
established and
graphics along with
control and
monitoring points are
set up.

2.
Attempt to adjust
space temperature
set point from space
sensor.
Verify that
temperature set point
is operator adjustable
from space (room)
temperature sensor.

3.
Initial temperature
set point shall be 72
F for occupied
mode.
Verify occupied
initial temperature set
point

4.
Initial temperature
set point shall be 62
F for unoccupied
mode
Verify unoccupied
initial temperature set
point

5.
Command BAS to
change initial set
points
Verify temperature
set point changed.

6.
Increase space
temperature set
point above actual
space temperature.
Verify that fan is
energized and heating
control valve
modulates open.

7.
Decrease space
temperature set
point below actual
space temperature.
Verify that fan de-
energizes and heating
control valve
modulates closed.

8.
Return all changed
control parameters
and conditions to
their pre-test
values
Check off in
program printout
when completed

A SUMMARY OF DEFICIENCIES IDENTIFIED DURING TESTING IS ATTACHED
-- END OF TEST --
HOT WATER RADIANT CEILING PANEL & FIN TUBE FUNCTIONAL TEST FT-8
CLEVELAND CLINIC REV 2/1/2011

Page 1 of 5
FT-8
PRE-FUNCTIONAL CHECKLIST AND FUNCTIONAL TEST
FOR
HOT WATER RADIANT CEILING PANEL & FIN TUBE




Participants
Name Company Title
Commissioning Authority






Party filling out this form and witnessing testing:
[Name, Company]
Date of test: ____________________
HOT WATER RADIANT CEILING PANEL & FIN TUBE FUNCTIONAL TEST FT-8
CLEVELAND CLINIC REV 2/1/2011
Page 2 of 5

Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description

Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description

Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description

Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description

Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description

Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description
HOT WATER RADIANT CEILING PANEL & FIN TUBE FUNCTIONAL TEST FT-8
CLEVELAND CLINIC REV 2/1/2011
Page 3 of 5

Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description

Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description

Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description

Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description

Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description

Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description
HOT WATER RADIANT CEILING PANEL & FIN TUBE FUNCTIONAL TEST FT-8
CLEVELAND CLINIC REV 2/1/2011
Page 4 of 5
Pre-Functional Test Verification
Installation Checks
OK Check
Check
tag to
right
Unit mounted securely
Unit and valves accessible for servicing
No visible leaks
NOTES:
HOT WATER RADIANT CEILING PANEL & FIN TUBE FUNCTIONAL TEST FT-8
CLEVELAND CLINIC REV 2/1/2011
Page 5 of 5
Functional Test
Test
No.
Spec/Dwg
Ref
Test Procedure
Expected and
Actual Response
Pass Y/N

1.
Verify RCP / FT
communication,
front end graphics
and point mapping
are complete.
Front end
communication with
RCP / FT has been
established and
graphics along with
control and
monitoring points are
set up.

2.
Attempt to adjust
space temperature
set point from line
voltage TSTAT.
Verify that
temperature set point
is operator adjustable
from space (room)
temperature snsr.

3.
Initial temp set
point shall be 72 F
for occupied mode.
Verify occupied
initial temperature set
point

4.
Initial temperature
set point shall be 62
F for unoccupied
mode
Verify unoccupied
initial temperature set
point

5.
Command BAS to
change initial set
points
Verify temperature
set point changed.

6.
While in occupied
Mode, raise TSTAT
set point until space
temperature is
below heating set
point.
Verify that the
heating control valve
modulates open.

7.
While in the
occupied Mode,
lower TSTAT set
point until space
temp is above
heating set point
plus deadband.
Verify that the
heating control valve
modulates closed.

8.
Return all changed
control parameters
and conditions to
their pre-test
values
Check off in
program printout
when completed

A SUMMARY OF DEFICIENCIES IDENTIFIED DURING TESTING IS ATTACHED
-- END OF TEST --
EXHAUST FAN WITH TOD FUNCTIONAL TEST FT-9
CLEVELAND CLINIC REV 2/1/2011

Page 1 of 3
FT-9
PRE-FUNCTIONAL CHECKLIST AND FUNCTIONAL TEST
FOR
EXHAUST FANS WITH TIME OF DAY CONTROL



Participants
Name Company Title
Commissioning Authority






Party filling out this form and witnessing testing:
[Name, Company]
Date of test: ____________________
Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description



EXHAUST FAN WITH TOD FUNCTIONAL TEST FT-9
CLEVELAND CLINIC REV 2/1/2011
Page 2 of 3
Pre-Functional Test Verification
Installation Checks
OK Check Comments
Cabinet and General Installation
Permanent labels affixed
Casing condition good: no dents, leaks, door gaskets installed
Mountings checked and shipping bolts removed
Vibration isolators installed
Equipment guards installed
Pulleys aligned
Belt tension correct
Plenums clear of debri
Fans rotate freely
Fire and balance dampers installed
Backdraft dampers installed, per drawings, and operate freely
Duct system complete

Electrical
Electrical connections complete
Disconnect switch installed
Overload heaters in place
Control connections complete

Operational Checks
Fan rotation correct
Electrical interlocks verified
Any fan status indicators functioning
No unusual vibration or and noise
Record full load running amps for each fan.
_____rated FL amps x ______srvc factor = _______ (Max
amps). Running less than max?

Check voltage: Rate = ______ Actual = _______ Within 5%?
The disconnect switch properly operates
After 24 hours of operation, recheck belt tension and alignment
NOTES:
EXHAUST FAN WITH TOD FUNCTIONAL TEST FT-9
CLEVELAND CLINIC REV 2/1/2011
Page 3 of 3
Functional Test
Test
No.
Spec/Dwg Ref
Test Procedure Expected and Actual Response
Pass
Y/N
1.
Verify EF communication, front end graphics,
and point mapping are complete.
Front end communication with EF has been
established and graphics along with control and
monitoring points are set up.

2.
Set BAS to unoccupied mode. Verify that fan de-energizes and OA damper
modulates closed.

3.
Set BAS to occupied mode and enable associated
AHU.
Verify that fan is energized and OA damper
modulates open.

4.
Set BAS to unoccupied mode. Verify that fan de-energizes and OA damper
modulates closed.

5.
AHU Interlock: While in ventilation mode,
disable associated AHU.
Verify that the fan de-energized, the outside air
damper is 100% closed and an alarm is sent to
the BAS.

6.
Fan Status: While in ventilation mode, trip
fan current sensor or de-energize via the
disconnect switch.
Verify that the fan de-energized, the outside air
damper is 100% closed and an alarm is sent to
the BAS.

7.
Return all changed control parameters and
conditions to their pre-test values
Check off in program printout when completed

A SUMMARY OF DEFICIENCIES IDENTIFIED DURING TESTING IS ATTACHED
-- END OF TEST --
EXHAUST FAN WITH TSTAT CONTROL FUNCTIONAL TEST FT-10
CLEVELAND CLINIC REV 2/1/2011

Page 1 of 3
FT-10
PRE-FUNCTIONAL CHECKLIST AND FUNCTIONAL TEST
FOR
EXHAUST FANS WITH TSTAT CONTROL



Participants
Name Company Title
Commissioning Authority






Party filling out this form and witnessing testing:
[Name, Company]
Date of test: ____________________
Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description



EXHAUST FAN WITH TSTAT CONTROL FUNCTIONAL TEST FT-10
CLEVELAND CLINIC REV 2/1/2011

Page 2 of 3
Pre-Functional Test Verification
Installation Checks
OK Check Comments
Cabinet and General Installation
Permanent labels affixed
Casing condition good: no dents, leaks, door gaskets installed
Mountings checked and shipping bolts removed
Vibration isolators installed
Equipment guards installed
Pulleys aligned
Belt tension correct
Plenums clear of debris
Fans rotate freely
Fire and balance dampers installed
Backdraft dampers installed, per drawings, and operate freely
Duct system complete

Electrical
Electrical connections complete
Disconnect switch installed
Overload heaters in place
Control connections complete

Operational Checks
Fan rotation correct
Electrical interlocks verified
Any fan status indicators functioning
No unusual vibration or and noise
Record full load running amps for each fan.
_____rated FL amps x ______srvc factor = _______ (Max
amps). Running less than max?

Check voltage: Rate = ______ Actual = _______ Within 5%?
The disconnect switch properly operates
After 24 hours of operation, recheck belt tension and alignment
NOTES:
EXHAUST FAN WITH TSTAT CONTROL FUNCTIONAL TEST FT-10
CLEVELAND CLINIC REV 2/1/2011

Page 3 of 3
Functional Test
Test
No.
Spec/Dwg Ref
Test Procedure Expected and Actual Response
Pass
Y/N
1.
Verify EF communication, front end graphics,
and point mapping are complete.
Front end communication with EF has been
established and graphics along with control and
monitoring points are set up.

2.
Attempt to adjust space temperature set point
from space sensor.
Verify that temperature set point is operator
adjustable from space (room) temperature sensor.

3.
Decrease space temperature set point below
actual space temperature.
Verify that fan is energized and OA damper
modulates open.

4.
While in the ventilation mode, increase space
temperature set point above actual space
temperature plus deadband.
Verify that fan de-energizes and OA damper
modulates closed.

5.
While fan is de-energized, activate occupancy
sensor.
Verify that fan is energized and OA damper
modulates open.

6.
While in ventilation mode due to occupancy de-
activate occupancy sensor.
Verify that fan de-energizes and OA damper
modulates closed after a 30 second time delay.

7.
Fan Status: While in ventilation mode, trip
fan current sensor or de-energize via the
disconnect switch.
Verify that the fan de-energized, the outside air
damper is 100% closed and an alarm is sent to
the BAS.

8.
Return all changed control parameters and
conditions to their pre-test values
Check off in program printout when completed

A SUMMARY OF DEFICIENCIES IDENTIFIED DURING TESTING IS ATTACHED
-- END OF TEST --
EXHAUST FAN GENERAL FUNCTIONAL TEST FT-11
CLEVELAND CLINIC REV 2/1/2011

Page 1 of 4
FT-11
PRE-FUNCTIONAL CHECKLIST AND FUNCTIONAL TEST
FOR
EXHAUST FAN GENERAL CONTROL



Participants
Name Company Title
Commissioning Authority






Party filling out this form and witnessing testing:
[Name, Company]
Date of test: ____________________
Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description



EXHAUST FAN GENERAL FUNCTIONAL TEST FT-11
CLEVELAND CLINIC REV 2/1/2011


Page 2 of 4
Pre-Functional Test Verification
Installation Checks
OK Check Comments
Cabinet and General Installation
Permanent labels affixed
Casing condition good: no dents, leaks, door gaskets installed
Mountings checked and shipping bolts removed
Vibration isolators installed
Equipment guards installed
Pulleys aligned
Belt tension correct
Plenums clear of debris
Fans rotate freely
Fire and balance dampers installed
Backdraft dampers installed, per drawings, and operate freely
Duct system complete
Drive location not subject to excessive temperatures
Drive location not subject to excessive moisture or dirt
Drive size matches motor size
Pilot lights functioning
VFD wired to controlled equipment


Programming and Controls

Internal setting designating the model is correct
Input of motor FLA represents 100% to 105% of motor FLA
rating

Appropriate Volts vs Hz curve is being used
Accel and decel times are around 10-50 seconds, except for
special applications. Record actual for each unit.

Lower frequency limit at 0 for VAV fans and around 10-30%
for chilled water pumps. Record actual for each unit.

Upper frequency limit set at 100%, unless explained otherwise
VFD interlocked to control system
Static or differential pressure sensor or other controlling sensor
properly located and per drawings

Controlling sensor calibrated
Unit is programmed with full written programming record
submitted

RPM readout in BAS verified with VFD readout
All control devices, pneumatic tubing and wiring complete
Specified sequences of operation and operating schedules have
been implemented with all variations documented

Specified point-to-point checks have been completed and
documentation record submitted for this system

EXHAUST FAN GENERAL FUNCTIONAL TEST FT-11
CLEVELAND CLINIC REV 2/1/2011


Page 3 of 4

Electrical
Electrical connections complete
Disconnect switch installed
Overload heaters in place
Control connections complete

Operational Checks
Fan rotation correct
Electrical interlocks verified
Any fan status indicators functioning
No unusual vibration or and noise
Record full load running amps for each fan.
_____rated FL amps x ______srvc factor = _______ (Max
amps). Running less than max?

Check voltage: Rate = ______ Actual = _______ Within 5%?
The disconnect switch properly operates
After 24 hours of operation, recheck belt tension and alignment
NOTES:
EXHAUST FAN GENERAL FUNCTIONAL TEST FT-11
CLEVELAND CLINIC REV 2/1/2011


Page 4 of 4
Functional Test
Test
No.
Spec/Dwg Ref
Test Procedure Expected and Actual Response
Pass
Y/N
1.
Verify EF communication, front end graphics,
and point mapping are complete.
Front end communication with EF has been
established and graphics along with control and
monitoring points are set up.

2.
Set manual switch to on position and enable
associated AHU.
Verify that fan is energized and OA damper
modulates open.

3.
Set manual switch to off position. Verify that fan de-energizes and OA damper
modulates closed.

4.
VFD: While in ventilation mode and with
associated AHU enabled decrease exhaust air set
point below actual.

Return exhaust air set point back to original set
point.
Verify that fan speed decreases in response.



Verify that fan speed increases in response.

5.
Fan Status: While in ventilation mode, trip
fan current sensor or de-energize via the
disconnect switch.
Verify that the fan de-energized, the outside air
damper is 100% closed and an alarm is sent to
the BAS.

6.

AHU Interlock: While in ventilation mode,
disable associated AHU.
Verify that the fan de-energized, the outside air
damper is 100% closed and an alarm is sent to
the BAS.

7.
Return all changed control parameters and
conditions to their pre-test values
Check off in program printout when completed

A SUMMARY OF DEFICIENCIES IDENTIFIED DURING TESTING IS ATTACHED
-- END OF TEST --
LAB VENTILATION FUNCTIONAL TEST FT-12
CLEVELAND CLINIC REV 2/1/2011

Page 1 of 7
FT-12
PRE-FUNCTIONAL CHECKLIST AND FUNCTIONAL TEST
FOR
LAB VENTILATION




Participants
Name Company Title
Commissioning Authority






Party filling out this form and witnessing testing:
[Name, Company]
Date of test: ____________________



LAB VENTILATION FUNCTIONAL TEST FT-12
CLEVELAND CLINIC REV 2/1/2011
Page 2 of 7
Supply Air Valve(s)
Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description
General Exhaust Air Valve(s)
Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description
Fume Hood Exhaust Air Valve(s)
Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description
Fume Hood(s)
Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description
LAB VENTILATION FUNCTIONAL TEST FT-12
CLEVELAND CLINIC REV 2/1/2011
Page 3 of 7
Pre-Functional Test Verification
Installation Checks
Supply Air Valve(s)
Check
Application and installation in conformance with
manufacturers recommendations and job specs. Specified
sound wrapping and joint sealant installed.

Any high pressure ducting upstream has been leak and
pressure tested, cleaned and approved prior to setting air
valves.

Model and tag checked against plans and equipment list. Tag
or mark affixed.

Unit secured per manufacturer's recommendations, contract
documents and seismic requirements.

Unit has sufficient clearance to be serviced.
Inlet conditions OK: Smooth, round, straight duct for at least
3 duct diameters when possible and 2 diameters minimum for
velocity pressure sensor for flow readings and 3 to 5
diameters for single point electronic sensors, else airflow
straighteners, OR per manufacturer's recommendation.

All balancing devices have been provided in compliance with
the contract documents.

Any hot or chilled water piping installation complete with
valves tagged. Auto-flow control valves checked to ensure
proper model.

Controls Hardware Check: a) Wiring checked to each point.
b) Software pt. address input into box and checked for all
points (zone temp. pressures for flow calcs, damper position,
fan status, supply air temp., valve position, etc.). c) Release
actuator clutch and verify free damper.

Controls Software Load. Power up unit and download
approved software program.

LAB VENTILATION FUNCTIONAL TEST FT-12
CLEVELAND CLINIC REV 2/1/2011
Page 4 of 7
General Exhaust Air Valve(s)
Check
Application and installation in conformance with
manufacturers recommendations and job specs. Specified
sound wrapping and joint sealant installed.

Any high pressure ducting upstream has been leak and
pressure tested, cleaned and approved prior to setting air
valves.

Model and tag checked against plans and equipment list. Tag
or mark affixed.

Unit secured per manufacturer's recommendations, contract
documents and seismic requirements.

Unit has sufficient clearance to be serviced.
Controls Hardware Check: a) Wiring checked to each point.
b) Software pt. address input into box and checked for all
points (zone temp. pressures for flow calcs, damper position,
fan status, supply air temp., valve position, etc.). c) Release
actuator clutch and verify free damper.

Controls Software Load. Power up unit and download
approved software program.

Fume Hood Air Valve(s)
Check
Application and installation in conformance with
manufacturers recommendations and job specs. Specified
sound wrapping and joint sealant installed.

Any high pressure ducting upstream has been leak and
pressure tested, cleaned and approved prior to setting air
valves.

Model and tag checked against plans and equipment list. Tag
or mark affixed.

Unit secured per manufacturer's recommendations, contract
documents and seismic requirements.

Unit has sufficient clearance to be serviced.
Controls Hardware Check: a) Wiring checked to each point.
b) Software pt. address input into box and checked for all
points (zone temp. pressures for flow calcs, damper position,
fan status, supply air temp., valve position, etc.). c) Release
actuator clutch and verify free damper.

Controls Software Load. Power up unit and download
approved software program.


LAB VENTILATION FUNCTIONAL TEST FT-12
CLEVELAND CLINIC REV 2/1/2011
Page 5 of 7
Fume Hood(s)
Check
Application and installation in conformance with
manufacturers recommendations and job specs.

Sash moves freely between minimum and maximum
positions.

All lab utilities (e.g. water, compressed air, etc.) are fully
installed and operate.

Lights are installed and fully operational

Electrical receptacles are installed and fully operational

Model and tag checked against plans and equipment list. Tag
or mark affixed.

Unit secured per manufacturer's recommendations, contract
documents and seismic requirements.

Unit has sufficient clearance to be serviced.
Controls Hardware Check: a) Wiring checked to each point.
b) Software pt. address input into box and checked for all
points (zone temp. pressures for flow calcs, damper position,
fan status, supply air temp., valve position, etc.). c) Release
actuator clutch and verify free damper.

Controls Software Load. Power up unit and download
approved software program.

NOTES:
LAB VENTILATION FUNCTIONAL TEST FT-12
CLEVELAND CLINIC REV 2/1/2011
Page 6 of 7
Functional Test
Test
No.
Spec/Dwg
Ref
Test Procedure Expected and Actual Response
Pass (Y/N)

1.
Verify communication, front end
graphics and point mapping are
complete.
Front end communication with AHU
has been established and graphics
along with control and monitoring
points are set up.

2.
Close all fume hood sashes and place
BAS in Occupied Mode.
Verify that the lab air change rate is at
minimum room occupied rate, while
space temperature set point is
maintained.

3.
Close all fume hood sashes and place
BAS in Unoccupied Mode.
Verify that the lab air change rate is at
minimum room unoccupied rate, while
space temperature set point is
maintained.

Verify that fume hood sash velocity is
at set point throughout various
percentages of open.

4.
Open all fume hood sashes and place
BAS in Occupied Mode.
Verify that the lab air change rate
increases, while space temperature set
point is maintained.

Verify that fume hood sash velocity is
at set point throughout various
percentages of open.

5.
Open all fume hood sashes and place
BAS in Unoccupied Mode.
Verify that the lab air change rate is at
or above the minimum room
unoccupied rate and that the general
exhaust air valve is at its minimum set
point, while space temperature set
point is maintained.

6.
Place BAS in occupied mode and
attempt to adjust space temperature
set point from space sensor.
Verify that temperature set point is
operator adjustable from space (room)
temperature sensor.

7.
Verify that occupied space
temperature and relative humidity set
point is per the drawings and
specifications.
Verify occupied temperature and
relative humidity set point

8.
Verify that unoccupied space
temperature and relative humidity set
point is per the drawings and
specifications.
Verify unoccupied temperature and
relative humidity set point

9.
Command BAS to change initial set
points
Verify temperature set point changed.
10.
While room is in unoccupied mode
and with room door open to corridor,
walk past room.
Verify that occupancy sensor does not
falsely sense room occupancy.

11.
While room is in unoccupied mode,
enter room.
Verify that room enters occupied mode
by observing that lights turn on and lab
ventilation rate increases to minimum
occupied rate.

LAB VENTILATION FUNCTIONAL TEST FT-12
CLEVELAND CLINIC REV 2/1/2011
Page 7 of 7
Test
No.
Spec/Dwg
Ref
Test Procedure Expected and Actual Response
Pass (Y/N)

12.
While room is in occupied mode,
leave room.
Verify that after prescribed time delay
that room enters unoccupied mode by
observing that lights turn off and lab
ventilation rate decreases to minimum
unoccupied rate.

13.
While in the Occupied Mode, force
BAS to sense that space temperature
is significantly above cooling set
point.
Verify that heating section modulates
closed, followed by the cold deck
supply air damper modulating open
until space temperature set point is
reached, while minimum room
ventilation rate is maintained .

14.
While in the Occupied Mode, force
BAS to sense that space temperature
is significantly below heating set
point.
Verify that cold deck damper
modulates closed while the heating
section modulates open until space
temperature set point is reached, while
minimum room ventilation rate is
maintained.

15.
Return all changed control
parameters and conditions to their
pre-test values
Check off in program printout when
completed

A SUMMARY OF DEFICIENCIES IDENTIFIED DURING TESTING IS ATTACHED
-- END OF TEST --
COMPUTER ROOM AIR CONDITIONING UNIT FUNCTIONAL TEST FT-13
CLEVELAND CLINIC REV 2/1/2011

Page 1 of 5
FT-13
PRE-FUNCTIONAL CHECKLIST AND FUNCTIONAL TEST
FOR
COMPUTER ROOM AIR CONDITIONING UNITS




Participants
Name Company Title
Commissioning Authority






Party filling out this form and witnessing testing:
[Name, Company]
Date of test: ____________________
Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description


COMPUTER ROOM AIR CONDITIONING UNIT FUNCTIONAL TEST FT-13
CLEVELAND CLINIC REV 2/1/2011

Page 2 of 5
Pre-Functional Test Verification
Installation Checks
OK Check Comments
Cabinet and General Installation
Permanent labels affixed, including for fans
Casing condition good: no dents, leaks, door gaskets installed
Boot between duct and unit tight and in good condition
Vibration isolation equipment installed & released from
shipping locks

Maintenance access acceptable for unit and components
Thermal insulation properly installed and according to
specification

Instrumentation installed according to specification
(thermometers, pressure gages, flow meters, etc.)

Clean up of equipment completed per contract documents
Filters installed and replacement type and efficiency
permanently affixed to housing

Reheat coil installed, if specified
Humidifier coil installed, if specified

Valves, Piping and Coils
Pipe fittings complete and pipes properly supported
Pipes properly labeled
Pipes properly insulated
Piping system properly flushed
No leaking apparent around fittings
All coils are clean and fins are in good condition
All condensate drain pans clean and slope to drain, per spec
Specified valves installed and properly labeled
Valves installed in proper direction
Valves stroke fully and easily and spanning is calibrated (see
calibration section below)

OSAT, MAT, SAT, RAT, chilled water supply sensors properly
located and secure (related OSAT sensor shielded)

Sensors calibrated (See calibration section below)
P/T plugs and isolation valves installed per drawings

Fans and Dampers
Supply fan belt tension & condition good
Supply fan protective shrouds for belts in place and secure
Supply fan area clean
Supply fan and motor properly lubricated
Filters clean and tight fitting
No unusual noise or vibration
Smoke and fire dampers installed properly per contract docs
COMPUTER ROOM AIR CONDITIONING UNIT FUNCTIONAL TEST FT-13
CLEVELAND CLINIC REV 2/1/2011

Page 3 of 5
(proper location, access doors, appropriate ratings verified)
All dampers (OSA, RA, EA, etc.) stroke fully without binding
and spans calibrated (follow procedure similar to valves Section
7.3 below)

All dampers close tightly
All damper linkages have minimum play
Outside air capability to space installed

Ducts (preliminary check)
Sound attenuators installed
Duct joint sealant properly installed
No apparent severe duct restrictions
Turning vanes in square elbows as per drawings
OSA intakes located away from pollutant sources & exhaust
outlets

Pressure leakage tests completed
Branch duct control dampers operable

Electrical and Controls
Pilot lights are functioning
Power disconnects in place and labeled
All electric connections tight
Proper grounding installed for components and unit
Safeties in place and operable
Current overload heaters installed and correct size
Sensors calibrated (see section below)
Control system interlocks hooked up and functional
Smoke detectors in place
Enthalpy control and sensor properly installed (if applicable)
Related thermostats are installed
Related building automation system points are installed,
including high temperature alarm and emergency power

All control devices, pneumatic tubing and wiring complete

TAB
Installation of system and balancing devices allowed balancing
to be completed per specified NEBB or AABC procedures &
contract docs


Final
Startup report completed with this checklist attached
Safeties installed and safe operating ranges for this equipment
provided to the commissioning agent

Functional test procedures for this equipment reviewed and
approved by installing contractor



COMPUTER ROOM AIR CONDITIONING UNIT FUNCTIONAL TEST FT-13
CLEVELAND CLINIC REV 2/1/2011

Page 4 of 5
NOTES:

COMPUTER ROOM AIR CONDITIONING UNIT FUNCTIONAL TEST FT-13
CLEVELAND CLINIC REV 2/1/2011

Page 5 of 5
Functional Test

Test
No.
Spec/Dwg Ref
Test Procedure Expected and Actual Response
Pass
Y/N
1.
Verify CRAC communication, front end graphics
and point mapping are complete.
Front end communication with CRAC has been
established and graphics along with control and
monitoring points are set up.

2.
Attempt to adjust space temperature set point
from space sensor.
Verify that temperature set point is operator
adjustable from space (room) temperature sensor.

3.
Attempt to adjust relative humidity set point
from space sensor.
Verify that temperature set point is operator
adjustable from space (room) temperature sensor.

4.
While space relative humidity is at or below set
point, decrease space temperature set point below
actual space temperature.


Increase space temperature to original set point.
Verify that fan and compressor are energized and
that space temperature begins to decrease towards
set point.

Verify that fan is energized and that space
temperature begins to increase towards set point.



5.
While space temperature is at or below set point,
decrease space relative humidity set point below
actual space relative humidity.


Increase space relative humidity to original set
point.
Verify that fan, compressor and reheat are
energized and that space relative begins to decrease
towards set point.

Verify that fan and humidifier are energized and
that space relative humidity begins to increase
towards set point.

6. Enable unit thru BAS. Verify unit is energized.
7. Disable unit thru BAS. Verify unit is de-energized.
8.
Increase space temperature set point well above
actual space temperature.
Verify that an alarm signal is generated to BAS.
9.
Decrease space temperature set point well above
actual space temperature.
Verify that an alarm signal is generated to BAS.
10.
Increase relative humidity set point well above
actual space relative humidity.
Verify that an alarm signal is generated to BAS.
11.
Decrease relative humidity set point well above
actual space relative humidity.
Verify that an alarm signal is generated to BAS.
12.
Activate smoke detector in test mode. Verify that fan de-energizes and an alarm signal is
generated to the BAS.

13.
Return all changed control parameters and
conditions to their pre-test values
Check off in program printout when completed

A SUMMARY OF DEFICIENCIES IDENTIFIED DURING TESTING IS ATTACHED
-- END OF TEST --

KITCHEN VENTILATION FUNCTIONAL TEST FT-14
CLEVELAND CLINIC REV 2/1/2011

Page 1 of 4
FT-14
PRE-FUNCTIONAL CHECKLIST AND FUNCTIONAL TEST
FOR
KITCHEN VENTILATION


Participants
Name Company Title
Commissioning Authority






Party filling out this form and witnessing testing:
[Name, Company]
Date of test: ____________________
Unit Tag Make
Unit Location Model No.
Area Served Serial No.
Unit Description



KITCHEN VENTILATION FUNCTIONAL TEST FT-14
CLEVELAND CLINIC REV 2/1/2011
Page 2 of 4
Pre-Functional Test Verification
Installation Checks
OK Check Comments
Cabinet and General Installation
Permanent labels affixed
Casing condition good: no dents, leaks, door gaskets installed
Mountings checked and shipping bolts removed
Vibration isolators installed
Equipment guards installed
Pulleys aligned
Belt tension correct
Plenums clear of debris
Fans rotate freely
Fire and balance dampers installed
Backdraft dampers installed, per drawings, and operate freely
Duct system complete
Drive location not subject to excessive temperatures
Drive location not subject to excessive moisture or dirt
Drive size matches motor size
Pilot lights functioning
VFD wired to controlled equipment


Programming and Controls

Internal setting designating the model is correct
Input of motor FLA represents 100% to 105% of motor FLA
rating

Appropriate Volts vs Hz curve is being used
Accel and decel times are around 10-50 seconds, except for
special applications. Record actual for each unit.

Lower frequency limit at 0 for VAV fans and around 10-30%
for chilled water pumps. Record actual for each unit.

Upper frequency limit set at 100%, unless explained otherwise
VFD interlocked to control system
Static or differential pressure sensor or other controlling sensor
properly located and per drawings

Controlling sensor calibrated
Unit is programmed with full written programming record
submitted

RPM readout in BAS verified with VFD readout
All control devices, pneumatic tubing and wiring complete
Specified sequences of operation and operating schedules have
been implemented with all variations documented

Specified point-to-point checks have been completed and
documentation record submitted for this system


KITCHEN VENTILATION FUNCTIONAL TEST FT-14
CLEVELAND CLINIC REV 2/1/2011
Page 3 of 4
Electrical
Electrical connections complete
Disconnect switch installed
Overload heaters in place
Control connections complete

Operational Checks
Fan rotation correct
Electrical interlocks verified
Any fan status indicators functioning
No unusual vibration or and noise
Record full load running amps for each fan.
_____rated FL amps x ______srvc factor = _______ (Max
amps). Running less than max?

Check voltage: Rate = ______ Actual = _______ Within 5%?
The disconnect switch properly operates
After 24 hours of operation, recheck belt tension and alignment
NOTES:
KITCHEN VENTILATION FUNCTIONAL TEST FT-14
CLEVELAND CLINIC REV 2/1/2011
Page 4 of 4
Functional Test

Test
No.
Spec/Dwg Ref
Test Procedure Expected and Actual Response
Pass
Y/N
1.
Verify EF communication, front end graphics,
and point mapping are complete.
Front end communication with EF has been
established and graphics along with control and
monitoring points are set up.

2.
Set BAS to occupied mode and enable associated
AHU.
Verify that fan is energized and OA damper
modulates open.

3.
VFD: While in ventilation mode and with
associated AHU enabled decrease exhaust air set
point below actual.

Return exhaust air set point back to original set
point.
Verify that exhaust and make up air fan speeds
decrease in response.



Verify that fan exhaust and make up air fan speeds
increase in response.

4.
Impose an increase in heat under associated
kitchen exhaust hood.

Impose a decrease in heat under associated
kitchen hood.

Impose an increase in smoke under associated
kitchen hood.

Impose a decrease in smoke under the associated
kitchen hood.
Verify that exhaust and make up air rates increase
in response.


Verify that exhaust and make up air rates decrease
in response.

Verify that exhaust and make up air rates increase
in response.


Verify that exhaust and make up air rates decrease
in response.

5.
AHU Interlock: While in ventilation mode,
disable associated AHU.
Verify that the fan de-energized, the outside air
damper is 100% closed and an alarm is sent to
the BAS.

6.
Fan Status: While in ventilation mode, trip
fan current sensor or de-energize via the
disconnect switch.
Verify that the fan de-energized, the outside air
damper is 100% closed and an alarm is sent to
the BAS.

7.
Set BAS to unoccupied mode / disable system. Verify that fan de-energizes and OA damper
modulates closed.

8.
Return all changed control parameters and
conditions to their pre-test values
Check off in program printout when completed

A SUMMARY OF DEFICIENCIES IDENTIFIED DURING TESTING IS ATTACHED
-- END OF TEST --

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