Chlorofluorocarbon Appliance Audit Checklist
Campus:
Audit Date:
Auditor:
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no
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comments
Program Qualification
1
Does your facility own or operate any of the
following appliances and refrigerant equipment
types, using a CFC or HCFC refrigerant with a full
charge greater than 50 pounds of refrigerant:
 Comfort cooling
 Commercial Refrigeration
 Industrial Process Refrigeration?
2
Does your facility use company employees to
service, maintain or repair appliances and
equipment involving refrigerant?
3
Do you own or lease EPA-certified refrigerant
recovery equipment?
4
Are all recovery equipment units left unaltered?
5
Have you submitted to EPA a recovery equipment
certification form certifying that equipment has
remained unaltered?
6
Does your facility send used refrigerant to an EPAapproved reclamation facility?
Technician Certification
1
Do all your service technicians who service
appliances with greater than 50 pounds of
refrigerant have the appropriate certification under
Section 608 of the Clean Air Act:
 Type I for small appliances
 Type II for high or very high pressure
appliances, Type III for low pressure
appliances
 Universal for all types of equipment
2
Is a record of certificate kept at the worksite for
each certified technician?
3
Are some appliances with greater than 50 pounds
of refrigerant repaired by licensed contractors?
Required Practices for Appliances with Greater Than 50 Pounds Refrigerant
1
Do you calculate leak rates immediately after a
leak repair?
2
Are comfort cooling appliances with a leak rate of
10% of full charge (EPA trigger) repaired within
30 days?
If not, is the reason sufficiently documented?
3
Are commercial refrigeration and industrial process
refrigeration appliances with a leak rate of 20% of
full charge (EPA trigger) repaired within 30 days?
If not, is the reason sufficiently documented?
USC EHS Office of Environmental Management
EHS-F-176
Page 1 of 3
Destroy Previous Revisions
Issue Date: 6/1/11
Reviewed: ______
4
Is an initial verification test conducted as soon as
practical after a leak is repaired?
5
Is a follow-up verification test that validates the
effectiveness of repair within 30 days of the
appliance’s return to normal conditions but no
sooner than 24 hours after leak repair conducted?
6A If the initial or follow-up test is NOT successful
and leaks remain, is an additional repair attempt
made within 30 days?
6B If so, are additional initial and follow-up
verification tests completed as required?
7A Have any appliances experienced 3 failed
verification tests within a 6-month period?
7B If so, were these retired or retrofitted with a lowerozone-depleting coolant?
8A If not able to repair equipment with 50 pounds or
more coolant with EPA trigger leak within 30 days,
was a retrofit or retirement plan completed?
8B If so, is the retrofit or retirement plan kept at
physical location of equipment?
8C Was retrofit or retirement plan required more than
6 months to complete? If so, is delay due to more
than 12 week delivery?
Reporting and Recordkeeping Requirements
1
Have persons servicing appliances with greater
than 50 pounds of charge provided following
information to owner:
 Quantity and type of refrigerant added,
 Identity and location of appliance,
 Date and service performed,
 Physical location of any leaks,
 Amount and type of any refrigerant
recovered,
 Date, method, and results of initial and
follow-up verification tests?
2
Does owner of appliances with more than 50
pounds of refrigerant keep following records:
 Quantity and type refrigerant added,
 Identity and location of appliance,
 Date and type of service performed,
 Physical location of any leaks,
 Full charge of equipment,
 Calculated leak rate,
 Types and quantities of refrigerant
recovered from appliances, address of
facility accepting used refrigerant, and date
refrigerant transferred;
 Date, method, and results of initial and
follow-up verification tests?
USC EHS Office of Environmental Management
EHS-F-176
Page 2 of 3
Destroy Previous Revisions
Issue Date: 6/1/11
Reviewed: ______
3
If the facility has a written and dated retrofit or
retirement plan that establishes 6 month schedule is
following information available:
 Identification and location of appliance,
 Type and full charge of refrigerant used by
leaking appliance,
 Location of all leaks and efforts taken to
repair,
 Type and full charge of substitute if
appliance is to be converted,
 If retrofitted, itemize procedure for retrofit,
including procedure for flushing old
refrigerant, lubricant, changes in filters,
gaskets, etc.
 Plan for disposition of recovered
refrigerant,
 Plan for disposition of appliance, if retired,
 Six-month schedule for retrofit or
retirement?
Retrofit Requirements
1
Have you converted any of your equipment to a
new refrigerant?
2
Was a new refrigerant label installed on the
equipment?
3
Are the new refrigerant(s) approved under EPA’s
Significant New Alternatives Policy (SNAP)
Program?
USC EHS Office of Environmental Management
EHS-F-176
Page 3 of 3
Destroy Previous Revisions
Issue Date: 6/1/11
Reviewed: ______