Georgia Department of Public Health GASFIRED HEATING EQUIPMENT CHECKLIST Please Print Facility Name: 1. Address: GAS TYPE 4. Liquid Propane COMBUSTION AND MAKEUP AIR Sufficient Natural Gas 2. A. Flame.

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How to fill out the GA DPH Gas-Fired Heating Equipment Checklist online

Filling out the GA DPH Gas-Fired Heating Equipment Checklist online is an essential step in ensuring compliance with safety standards for gas-fired heating equipment. This guide provides clear instructions to help users navigate the process with confidence.

Follow the steps to complete your checklist efficiently.

  1. Click the ‘Get Form’ button to access the checklist and open it in your preferred editing tool.
  2. In the first section, fill in the facility name and address correctly. Ensure all details are accurate to avoid any compliance issues.
  3. Indicate the gas type being used: Liquid Propane or Natural Gas. Select the appropriate option by marking it clearly.
  4. In the equipment approved section, indicate the relevant certification by marking CSA, UL, or Other as appropriate.
  5. For combustion and make-up air, assess the flame color and document the CO tester reading. Use the provided space to note the reading.
  6. For detection of leaks, state whether there are any odors present that could indicate a leak.
  7. Complete the venting section thoroughly by evaluating and marking each item as Yes (Y) or No (N). Ensure to check proper pitch, support, clearance, and more.
  8. Locate the equipment in the designated area and assess clearance from combustibles, marking it as satisfactory or unsatisfactory.
  9. Fill out the protection section by providing the name, license number, and company details of the licensed contractor servicing the equipment.
  10. Finally, make sure to complete the date section and ensure all information is accurate before submitting or sharing the filled-out checklist.

Complete your GA DPH Gas-Fired Heating Equipment Checklist online today for a safe and compliant facility.

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