Manufacturer reserves the right to discontinue, or change at any time, specifications or designs without notice and without incurring obligations.Catalog No. 04-53190042-01 Printed in U.S.A. Form 19XRV-CLT-5SI Pg CL-1 12-16 Replaces: 19XRV-CLT-4SIINSTALLATION START-UP REQUEST CHECKLISTMachine Model Number: 19XRV Serial Number:The following information provides the status of the chiller installation.YES/NO DATE TO BE(N/A) COMPLETED1. The machine is level.2. The machine components are installed and connected inaccordance with the installation instructions.3. The isolation package and grouting (if necessary)are installed.4. The relief valves are piped to the atmosphere.5. All piping is installed and supported. Direction of flowis indicated in accordance with the installation instructionsand job prints.a. Chilled water pipingb. Condenser water pipingc. Waterbox drain pipingd. Pumpout unit condenser piping (if installed)e. Other6. Gages are installed as called for on the job prints requiredto establish design flow for the cooler and condenser.a. Water pressure gages IN and OUTb. Water temperature gages IN and OUT7. The machine’s VFD wiring is complete. The wiring isinstalled per installation instructions and certified prints.a. Power wiring to VFD circuit breaker. (If chiller wasdisassembled during installation, motor leads mustnot be taped until the Carrier technician megger teststhe motor.)b. Oil pump wiringc. Oil heater/control wiringd. Carrier controls can independently energize water pumpsand tower fane. Line side voltage is within ±10% of chiller nameplate voltagef. OtherNOTE: To avoid injury to personnel and damage to equipment orproperty when completing the procedures listed in this start-upchecklist, use good judgment, follow safe practices and adhere tothe safety considerations/information as outlined in preceding sec-tions of this Installation Instructions document.To:Attn:DateProject NameCarrier Job Number