
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.
- Click the ‘Get Form’ button to access the checklist and open it in your preferred editing tool.
- In the first section, fill in the facility name and address correctly. Ensure all details are accurate to avoid any compliance issues.
- Indicate the gas type being used: Liquid Propane or Natural Gas. Select the appropriate option by marking it clearly.
- In the equipment approved section, indicate the relevant certification by marking CSA, UL, or Other as appropriate.
- For combustion and make-up air, assess the flame color and document the CO tester reading. Use the provided space to note the reading.
- For detection of leaks, state whether there are any odors present that could indicate a leak.
- 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.
- Locate the equipment in the designated area and assess clearance from combustibles, marking it as satisfactory or unsatisfactory.
- Fill out the protection section by providing the name, license number, and company details of the licensed contractor servicing the equipment.
- 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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