HVAC Service Call Diagnostic Report

SERVICE CALL DIAGNOSTIC REPORT

Customer Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Job Information
Date*

MonthDayYear
Date
Job #*
Technician*

Equipment Information
How many systems on site?*

1234
Indoor Unit
Manufacturer*
Model #*
Serial #*
System Type
Equipment
Area Served
Outdoor Unit
Manufacturer Brand*
Model #*
Serial #*
System Type
Equipment
Area Served

SYSTEM DIAGNOSTICS
Refrigerant Type*
System Capacity (Tons)*
Refrigerant Suction Pressure*
Refrigerant Liquid Pressure*
Condenser Fan Amps [rated]*
Condenser Fan Amps [actual]*
Compressor Amps [rated]*
Compressor Amps [actual]*
Dual Capacitor [rated]
Dual Capacitor [actual]
Compressor Voltage [L1-G] [L2-G]
Condenser Voltage [L1-L2]
Air Handler Voltage [L1-L2]
Electric Heat Kit Amps [rated/actual]
Air Handler Amps [rated/actual]
Condenser Voltage [L1-L2]
Air Handler Voltage [L1-L2]
Electric Heat Kit Amps [rated/actual]
Air Handler Amps [rated/actual]
Supply Air Side [dry bulb]
Supply Air Side [humidity %]
Return Air Side [dry bulb]
Return Air Side [humidity %]
Outdoor Temperature [ambient]
Outdoor Temperature [humidity %]
Indoor Temperature [dry bulb]
Indoor Temperature [wet bulb]
Enthalpy % [supply]
Enthalpy % [total]
Air Flow CFM Reading [supply]
Air Flow CFM Reading [return]
Duct Static Pressure [supply/after blower]
Static Pressure [pre-filter]
Total External Static Pressure

SYSTEM CONDITION ASSESSMENT
Refrigerant Suction Pressure within acceptable specs?
Refrigerant Liquid Pressure within acceptable specs?
Refrigerant Subcooling within rated specs?
Refrigerant Superheat within rated specs?
Compressor and Motor Amp Readings within rated specs?
Condenser Fan Motor sealed and free of oil leakage?
Electrical Defrost Board and Wiring in good condition?
Defrost Initiate and Termination functioning?
Compressor and Fan Motor Capacitors within rated specs?
Compressor Contactor in good condition?
Low and High Side Pressure Switches functioning?
Condenser Coil clean?
Blower Motor Amp Readings within specs?
Electric Heat Kit Amp Readings within specs?
Air Handler Circuit Board and Wiring in good condition?
Evaporator Coil Clean?
Air Filter in good condition?
Condensate drains clear of overgrowth and debris?
Evaporator Condensate Drain Pan Condition clear of overgrowth and debris?
Condensate Safety Float Switches installed on drain?
Thermostat Operation and Temperature Accurate?
Airflow throughout home within acceptable specs?

SYSTEM ASSESSMENT RECOMMENDATIONS
Condenser Coil
Evaporator Coil
Compressor
Condenser Fan Motor
Blower Motor
Dual Capacitor at Condenser
Fan Motor Capacitor at Condenser
Blower Motor Capacitor
Compressor Contactor
Defrost Board
Pressure Switches
Wire Junction Box or Disconnect Assembly
Heat Kit Assembly
Blower Wheel Assembly
Electronic Air Cleaner
Drain Line
Condensate Areas
Duct Insulation (Tape or Mastic Needed)
Thermostat
Filter Drier
Reversing Valve
Suction Line Accumulator
Condenser Fan Blade
Thermostat Wire 18/8
Thermostat Zone Panel and/or Zone Damper(s)
Air Filter

REPAIRS AND SAFETY ITEMS
Overall System Evaluation*

1 [Need To Replace] 2-4 [Unsatisfactory] 5 [Excellent]
System Safe To Operate*

1 [Do Not Operate] 2-4 [Needs Repairs] 5 [100% Safe]
Are there any repairs or system safety upgrades we need to quote separately in [HCP or ON CALL AIR] for immediate action?*

YesNo
List any items not mentioned above or that need quote.

Truck Stock Replenishment
Parts Used
prevnext( X )
Dual CapacitorAmrad Brand
$ Free QuantityType



Contactor24V coil
$ Free QuantityType



ThermostatDigital NP or P type
$ Free QuantityStyle



Blower MotorUniversal Aftermarket Only
$ Free QuantityType



Condenser Fan MotorUniversal Aftermarket Only
$ Free QuantityType



RefrigerantCharged Per Pound
$ Free Pounds Weighed InType



Hard Start KitUniversal Aftermarket Only
$ Free QuantityType



Float Switch
$ Free QuantityType
Technician*

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