
START-UP  REPORT
POWER VT® WATER HEATERS OR BOILERS
Warning: Startup must be performed by a qualified service installer, service agency or the gas supplier.
| Model Number: | 
 | Serial Number: | 
Job Name:
Address:
GENERAL INFORMATION
| Restart? | Yes | No | 
 | Installation is: | 
 | New | 
 | Replacement/Renovation | 
 | Indoor | 
 | Outdoor | |||||||||||||||||||||
| Primary operating voltage supply: | 
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 | VAC Voltage from neutral to earth ground: | 
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| Thermostat Setting: | 
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 | °F | 
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 | Thermostat Setting: | 
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 | °F | 
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 | °F | 
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| Is the T & P Relief Valve plumbed to a suitable drain? | 
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 | Yes | 
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 | No | 
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 | BOILER INSTALLATIONS (Closed Loop Heating System) | 
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| Boiler water supply and return piping size | 
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 | Is there a Primary (boiler bypass) loop? | Yes | No | |||||||||||||||||||||||||||
| Primary (boiler bypass) loop contains: | 
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 | Modulating  | Manual valve | 
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 | No valve | 
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| What is the horsepower of the primary (boiler loop) circulator pump? | 
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 | VFD? | 
 | Yes | No | 
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| What is the location of the primary circulator pump? | 
 | Downstream from boiler | Upstream from boiler | 
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| Is there a balancing valve (circuit setter) in the primary loop? | Yes | 
 | No | 
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| Supply water temperature: | 
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 | °F Return water temperature: | 
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 | °F | 
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| What is the horsepower of the secondary (main heating loop) circulator pump? | 
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 | VFD? | Yes | No | |||||||||||||||||||||||
| What is the location of the secondary circulator pump? | 
 | Downstream from boiler | 
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 | Upstream from boiler | 
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| Is there a balancing valve (circuit setter) in the secondary loop? | 
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 | Yes | 
 | No | 
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 | WATER HEATER INSTALLATIONS | 
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| Type of piping connected to heater: | 
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 | Copper | 
 | Brass | 
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 | Galvanized | 
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| Is there a check valve in the supply water piping? | 
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 | Yes | 
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 | No | 
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| Is there a water softener on the cold water supply? | 
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 | Yes | 
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 | No | Operational? | 
 | Yes | 
 | No | 
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| Is there a mixing valve on the hot water supply? | 
 | If yes; temperature setting: | 
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 | °F | 
 | No | 
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| Is there expansion relief in the cold water supply? | If yes, what type: | tank | valve | 
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 | No | 
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| Is there a recirculation loop? | Yes | Circulating pump horsepower: | 
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 | No | 
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| Is there a floor drain in the room? | 
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 | Yes | No | 
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| PV 413 8/05 | Page 1 of 2 |