Safeguard Winterization Checklist Form PDF Details

When the cold months of winter arrive, it’s important to make sure that any business property is properly prepared and protected in order to prevent unexpected downtime, mechanical failure, and breakdown due to cold weather conditions. Safeguarding your commercial space from the elements involves an extensive checklist which should be completed before or during the start of winter. To help you with your preparations, we’ve created a comprehensive Winterization Checklist Form designed for owners and operators of commercial properties so you can easily review what needs maintenance ahead of time!

QuestionAnswer
Form NameSafeguard Winterization Checklist Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesSafeguard Properties Winterization Checklist Form, Safeguard Properties Winterization Checklist and documentation

Form Preview Example

Safeguard Properties

Winterization Checklist and Documentation

Contractor Code:

 

 

 

Utilities (Meter Reading)

 

 

Property Address:

 

 

 

Water: on/off (

)

 

 

 

 

 

 

 

 

 

 

 

 

 

Date:

 

 

 

 

 

Electric: on/off (

)

 

 

 

 

 

 

 

 

 

 

 

 

Employee's Name

 

 

 

Gas: on/off (

)

 

 

 

 

 

 

 

 

 

 

 

 

Crew ID/# that performed the winterization: __

_ Water: Well / City

 

 

Was Broker Contacted: yes/no

 

 

 

 

 

 

 

 

 

Is Broker Maintaining Utilities: yes/no

How many units?

 

 

 

 

 

 

 

 

 

 

 

Type of system? (Dry, Steam, Radiant)

 

 

 

 

 

 

 

 

 

Was property frozen on arrival: yes/no

 

 

 

 

 

 

 

 

 

If yes, provide a detailed description:

 

 

***Document any pre-existing plumbing system and/or water damages to the property:

***Attention Contractors*** It is important for each contractor to provide photo documentation which supports each step during the winterization process. Please remember to provide and illustrate in-depth photos which highlight each step on the Winterization checklist. The contractor is required to upload this checklist identical to the way the maid service checklist is uploaded. This will be required for all initial service orders and all winterization orders in order to receive payment. If you have any questions, please reference the online training material information within vendor web or your work order, which provides direction on the Winterization process.

Disconnecting Water Supply

Shut water off at the curb

Install Zip tie on main shut off valve

Was water meter disconnected?

Was Main water line pluged?

Photo documentation of all the above?

Draining the System

Shut off gas or electric to Water Heater Drain Water Heater (outside or floor drain) Drain Well/Holding tanks if applicable Disconnect electric to well pump if applicable Drain all toilet tanks and bowls

Photo documentation of all the above?

Blowing the lines

Close all faucets and valves

Attach compressor (5 gallon or 3.8 CFM) Build pressure to 35 PSI

Open 1 faucet valve at a time (hot then cold). Did air/water come out of every faucet/valve? Is all water out of the system?

Photo documentation of all the above?

***Provide a detailed reason why the system doesn't hold pressure

Pressure Test System

Make sure all water is drained from system. Close all faucet/valves.

Build pressure to 35 PSI

Did pressure hold for 30 mins? Document why it didn't hold pressure. Photo documentation of all the above?

Adding Anti-Freeze

Add anti-freeze to all toilets (bowls and tanks) Add anti-freeze to all sinks P-traps.

Add anti-freeze to all Shower/Tub P-traps. Add anti-freeze to all floor drains.

Add anti-freeze to dish washer drain. Photo documentation of all the above?

Stickers

Wint sticker on toilets.

Wint sticker on Tubs/Showers Wint sticker on water heater. Wint sticker on water meter.

Wint sticker on dish washer. Wint sticker on sinks.

NO wint sticker on door. Toilet wrap installed on toilets.

Photo documentation of all the above?

REVISED 4/20/12

Notify Safeguard (Call from site)

If Radiant or Steam Heating System

If there is a Fire Suppression System. If there is a lawn sprinkler system.

If there are unusual circumstances. Photo documentation of all the above?

"In addition to all the above" Drain boiler.

Loosen bleeder pins to allow draining. Drain expansion tank.

Blow heating loops. Pressure test heating system. Wint sticker boiler.

Photo documentation of all the above?

By signing and dating the below, I take full responsibility for the accuracy and workmanship for completing and documenting a proper winterization. As a qualified individual to perform a proper winterization, I have photo documented the entire winterization process to support all items are completed per Safeguard Properties guidelines and all supporting documentation for damages and estimates/bids are accurate. I understand that any missed, false and/or inaccurate information will result in total ownership of the plumbing system and all repairs to the system will be at my cost to achieve a sound certified working plumbing system.

Signature:

Date:

REVISED 4/20/12

How to Edit Safeguard Winterization Checklist Form Online for Free

Using PDF files online is certainly a piece of cake using our PDF tool. Anyone can fill in Safeguard Properties Winterization Checklist and documentation here in a matter of minutes. Our development team is continuously endeavoring to enhance the editor and help it become much faster for people with its cutting-edge functions. Take your experience to another level with constantly growing and fantastic possibilities available today! If you are looking to begin, here's what it will take:

Step 1: First of all, access the pdf editor by clicking the "Get Form Button" in the top section of this webpage.

Step 2: The editor helps you change your PDF document in many different ways. Improve it with personalized text, adjust what is already in the PDF, and place in a signature - all at your fingertips!

This PDF form will need particular information to be entered, therefore you must take some time to type in what's asked:

1. For starters, when filling out the Safeguard Properties Winterization Checklist and documentation, start with the form section that contains the subsequent fields:

Safeguard Winterization Checklist Form writing process outlined (stage 1)

Step 3: Just after taking one more look at your entries, press "Done" and you're all set! Sign up with us now and easily use Safeguard Properties Winterization Checklist and documentation, all set for downloading. Every single edit you make is handily kept , which means you can change the file at a later point if required. We don't share the information that you type in whenever filling out documents at FormsPal.

Safeguard Winterization Checklist Form isn’t the one you’re looking for?

Related Documents