Chlorofluorocarbon Audit Checklist yes no n/a 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? Comfort cooling Other Refrigeration Industrial Process Refrigeration Commercial Refrigeration Small appliances < 5 pounds Trucks, buses, trains or planes with R-22 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? Industrial Process Refrigeration, Comfort Cooling,Commercial and Other Refrigeration 1 Are all recovery equipment units left unaltered? 2 Have you submitted to EPA a recovery equipment certification form? 3 Do all your service technicians 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 4 For each service technician do you have a record of his/her name, certification level, certification number, testing agency and the type of equipment he or she services (e.g. small, high pressure, low pressure)? 5 Does your facility send used refrigerant to an EPA-approved reclamation facility? 6 Have you converted any of your equipment to a new refrigerant? 7 Are the new refrigerant(s) approved under EPA’s Significant New Alternatives Policy (SNAP) Program? 8 Was a new refrigerant label installed on the equipment? 9 Do any of the refrigerant equipment types checked in question 1 contain more than 50 pounds of refrigerant? USC EHS Office of Environmental Management EHS-F-176 Page 1 of 5 Destroy Previous Revisions Issue Date: 6/18/07 Reviewed: ______ 10 11 12 Has each of the following been recorded for each unit containing more than 50 pounds of refrigerant: the location company designation manufacturer model # serial # from name plate refrigerant type refrigerant charge method used to determine full charge. Does your facility keep service records on all 50+ pound units that document the date and type of service as well as the quantity of refrigerant added? Does that facility calculate the leak rate on all 50+ pound units? Note: The leak rate that triggers mandatory repairs is 15%Comfort & Other and 35% for Industrial Process & Commercial in a 12 month period. 13 Are leaks above the allowable leak rate repaired within 30 days, Or 120 days if an industrial process shut down is required? 14 If no repairs were conducted or repairs failed, was a retrofit or retirement plan prepared and available for review? FOR INDUSTRIAL PROCESS ONLY: If leak repairs have been conducted, was an initial verification test conducted? 15 A follow-up verification test conducted within 30 days of the successful initial verification test? Motor Vehicles 1 Does your facility service, maintain, or repair motor vehicle air conditioners (MVAC)? 2 List all refrigerant that the facility uses. – (e.g. H-134A) 3 Are the refrigerants other than CFC-12 listed above approved under EPA’s Significant New Alternatives Policy (SNAP) Program? 4 Does the facility have a refrigerant identifier? USC EHS Office of Environmental Management EHS-F-176 Page 2 of 5 Destroy Previous Revisions Issue Date: 6/18/07 Reviewed: ______ 5 6 7 8 9 10 11 12 13 14 Have the following been recorded for each piece of recovery equipment: the manufacturer's name the model number type of machine (e.g. recover-only) rated refrigerants whether the equipment has been certified by Underwriters Laboratory (UL) or ETL Testing Laboratories, Inc.(ETL) to meet EPA requirements. For recovery-only equipment, is refrigerant recycled on-site, or reclaimed off-site by an approved reclaimer? Have you submitted to EPA a recovery equipment certification form? Are your service technicians trained and certified by an accredited program? For each service technician do you have a record of his/her name, certification number, and training program. Does the facility have in stock the following for refrigerant listed other than CFC-12? Unique Service Fittings Permanent Labels Barrier Hoses (required only for blends that contain R-22) Compressor Shutoff Switch (required only for A/C systems that include a high-pressure cutoff switch) Has any of your recovery/recycling equipment been converted to alternative (non-CFC-12) refrigerant service? Have unique fittings been permanently attached to converted equipment? Do you take the final step in the disposal process of motor vehicle air conditioners (MVACs)? Estimate your weekly volume of MVACs received? 0 – 10 20 – 30 40 - 50 10 – 20 30 – 40 50+ USC EHS Office of Environmental Management EHS-F-176 Page 3 of 5 Destroy Previous Revisions Issue Date: 6/18/07 Reviewed: ______ 15 Do you accept MVACs with the refrigerant charge intact? 16 Who recovers the refrigerant from the MVAC at your facility? owner, operator, employee of the disposal facility contractor to the disposal facility technicians who service MVACs 17 18 Does the facility own recovery equipment? For each piece of recovery equipment have the following been recorded: the manufacturer’s name the year manufactured the model number serial number the rated refrigerants? Have you submitted to EPA a recovery equipment certification form? When you recover refrigerant from MVACs, do you reduce the system pressure to or below 102 mm of mercury vacuum? Does your facility send recovered refrigerant to either: an EPA-approved reclamation facility a facility that services MVACs. Is your recovery equipment certified under Section 609 of the Clean Air Act? Are you selling the refrigerant to technicians who are trained and certified under Section 609 of the Clean Air Act? Do you retain invoices that indicate the name of the purchaser, the date of sale, and the quantity of the refrigerant purchased? Do you allow MVAC service technicians to recover (i.e., remove refrigerant in any condition from an appliance and store it in a container without testing or processing) refrigerant at your facility? Are the technicians trained and certified under Section 609 of the Clean Air Act? Are the technicians using recovery equipment certified under Section 609 of the Clean Air Act? Do you accept MVACs where the refrigerant has been evacuated from the appliance previously? Is it verified that the refrigerant has been 19 20 21 22 23 24 25 26 27 28 29 USC EHS Office of Environmental Management EHS-F-176 Page 4 of 5 Destroy Previous Revisions Issue Date: 6/18/07 Reviewed: ______ 30 31 evacuated from the appliance previously by either: accepting a signed statement from the person delivering the appliance that all refrigerant that had not leaked previously has been properly recovered from the appliance (This statement must include the name and address of the person who recovered the refrigerant and the date the refrigerant was recovered) establishing a contract with suppliers that refrigerant will be removed prior to delivery. Have you notified the suppliers of your appliances that refrigerant must be properly removed before the delivery of the items to the facility (e.g warning signs, letters to suppliers)? Do you keep your verification statements and/or contracts with suppliers at the facility for three years? USC EHS Office of Environmental Management EHS-F-176 Page 5 of 5 Destroy Previous Revisions Issue Date: 6/18/07 Reviewed: ______