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Run: EPA Section 608 Leak Inspection and Repair Verification Record

Document refrigerant leak inspections, repairs, and verification retests for appliances that exceeded the applicable leak rate. Use it to capture the evidenc...

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Inspection Record Details

Inspection date and time recorded critical (required)

Record the date and time the leak inspection was performed.

Inspector name and qualification documented critical (required)

Enter the inspector's name and indicate qualification to perform refrigerant leak inspections.

Facility, building, or asset identifier documented critical (required)

Identify the site, building, room, or asset being inspected.

Inspection reason documented as leak rate exceedance follow-up critical (required)

Select the inspection context for this record.

Note (optional)

Appliance and Refrigerant Identification

Appliance type identified critical (required)

Identify the appliance category subject to leak repair requirements.

Note (optional)

Appliance serial number or asset tag documented critical (required)

Record the appliance serial number, asset tag, or unique equipment identifier.

Refrigerant type documented critical (required)

Record the refrigerant in use, such as R-410A, R-134a, or other applicable refrigerant.

Full charge amount documented critical (required)

Record the appliance full charge used to determine leak rate applicability.

Note (optional)

Leak Rate Exceedance and Repair Tracking

Applicable leak rate threshold documented critical (required)

Document the applicable leak rate threshold for this appliance category.

Leak rate exceedance confirmed critical (required)

Confirm whether the appliance exceeded the applicable leak rate.

Yes No N/A

Initial leak inspection date recorded critical (required)

Record when the initial leak inspection was completed.

Leak locations or suspected leak points documented critical (required)

Describe observed leak locations, suspected leak points, or components requiring repair.

Repair actions completed and documented critical (required)

Describe the repairs completed, including parts replaced, tightened, sealed, or otherwise corrected.

Verification Retest and Results

Verification retest date recorded critical (required)

Record the date and time of the follow-up verification test after repair.

Verification test method documented critical (required)

Identify the method used to verify the repair.

Note (optional)

Verification test result passed critical (required)

Confirm whether the verification test showed no detectable leaks or otherwise met acceptance criteria.

Yes No N/A

Verification findings documented critical (required)

Record the verification findings, including any remaining leak indications or confirmation of successful repair.

Follow-up action required if verification failed

Document any additional corrective action, retest plan, or escalation if the verification test did not pass.

Final Compliance and Sign-Off

Appliance returned to compliant condition or next action scheduled critical (required)

Confirm the appliance is compliant after repair verification or that a documented next step is scheduled.

Yes No N/A

Inspector signature critical (required)

Inspector sign-off confirming the accuracy of the record.

Supervisor or responsible party acknowledgment

Optional acknowledgment by the responsible party or supervisor.

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