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

Home Address:	City:	State:	

Inspection Guidelines	Must Correct	Verifier Approved	N/A

1.  Review of HVAC Quality Installation Contractor Checklist

1.1.   Checklist completed in its entirety	(	(	(

1.2    Compliance with Manual J, S, D, and T or equivalents indicated	(
(	(

1.3    Required outdoor/indoor temperature and infiltration rate    

         assumptions used to complete Manual J calculations	(	(	(

1.4    ARI Certificate attached 	(	(	(

1.5    Reported equipment capacity field values within 5% of design
values	(	(	(

1.6    Reported air flow field values within 5% of design values	(	(	(

1.7    Reported duct static pressure field values within 5% of design
values	(	(	(

1.8    Reported design fan motor type the same as the field fan motor
type	(	(	(

1.9    Reported fan speed field values within 5% of design values	(	(	(

1.10  Reported refrigerant charge and metering device field types the 

         same as design types	(	(	(

1.11  For Non-Lennox TXV devices, reported sub-cooling temperature 

         deviation within +/- 3 degrees F of goal	(	(	(

1.12  For Lennox TXV devices, reported approach temperature deviation 

         +/- 1 degrees F of goal	(	(	(

1.13  For Fixed Orifice devices, reported superheat temperature
deviation 

        +/- 5 degrees F of goal	(	(	(

2. Duct Quality Installation 

2.1   Connections and routing of ductwork completed without kinks or 

        bends > 90°  1	(	(	(

2.2   No excess coiled or looped flexible ductwork 1	(	(	(

2.3   No compression of flexible ductwork 1	(	(	(

2.4   Flexible ducts supported at intervals as recommended by 

        manufacturer but at a distance not > 5 ft. and with maximum sag
of 

        0.5 in. per ft. of spacing between supports 1	(	(	(

2.5   All connections to trunk ducts in unconditioned space insulated	(
(	(

2.6   Building cavities not used as return ducts	(	(	(

2.7   Bedrooms pressure-balanced such that 1 sq. in. of opening is 

       provided per 1 CFM of supply air. Dedicated return ducts,
transfer 

       grills, and/or jump ducts may be used to meet this requirement.	(
(	(

Verifier Name: 	 Inspection of Checklist Date: 	

Verifier Signature:	 Verifier Company Name:	



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

OMB Control No. xxxx-xxxx

ENERGY STAR Qualified Homes 

HVAC Quality Installation Verifier Checklist 

EPA Form 5900-174

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

