LENNOX CENTRAL HEAT PUMP START-UP REPORT

Equipment-Only Sale — Professional Installation Confirmation

For Lennox MLB036S4S-2P Outdoor Unit / MMA036SM4-1P Indoor Air Handler

Purpose: This form is to be completed and signed by the licensed/qualified HVAC installer at start-up. It confirms the equipment was professionally installed and commissioned. Keep a copy with the homeowner records, installation invoice, and Lennox warranty registration documents.

1. Customer / Site Information

Customer Name(Required)

Installation Address(Required)

City / Province

Postal Code

Phone

Date Installed

Date Started Up

Area Served by Ductwork

Existing Heat Source

2. Equipment Information

Outdoor Model

Outdoor Serial #

Indoor Model

Indoor Serial #

Electric Heat Kit

Heat Kit Serial / Part #

Thermostat / Controller

Thermostat Model

Refrigerant

Line Set Size - Liquid

Line Set Size - Suction

Line Set Length

Elevation Difference

3. Installing Contractor / Professional Installer

Company Name

Installer Name

HVAC Licence / Certification #

Electrical Licence # if applicable

Company Phone

Company Email

Company Address

Province

Installation Invoice #

Permit # if applicable

4. Pre-Start Installation Checklist

Outdoor unit installed level with required clearances and service access - Status

Yes

N/A

Outdoor unit installed level with required clearances and service access - Comments / Readings

Indoor air handler properly mounted in approved orientation - Status

Yes

N/A

Indoor air handler properly mounted in approved orientation - Comments / Readings

Unit application suitable for connected ducted heating/cooling space - Status

Yes

N/A

Unit application suitable for connected ducted heating/cooling space - Comments / Readings

Ductwork connected, sealed where accessible, and airflow path verified - Status

Yes

N/A

Ductwork connected, sealed where accessible, and airflow path verified - Comments / Readings

Filter installed and correct size noted - Status

Yes

N/A

Filter installed and correct size noted - Comments / Readings

Condensate drain installed, trapped/terminated as required, and tested - Status

Yes

N/A

Condensate drain installed, trapped/terminated as required, and tested - Comments / Readings

Refrigerant piping insulated, supported, protected, and leak-checked - Status

Yes

N/A

Refrigerant piping insulated, supported, protected, and leak-checked - Comments / Readings

Line set length/elevation within manufacturer guidelines or adjusted as required - Status

Yes

N/A

Line set length/elevation within manufacturer guidelines or adjusted as required - Comments / Readings

Electrical disconnect, breakers, conductors, grounding, and polarity verified - Status

Yes

N/A

Electrical disconnect, breakers, conductors, grounding, and polarity verified - Comments / Readings

10 kW electric backup heat package installed and wiring verified - Status

Yes

N/A

10 kW electric backup heat package installed and wiring verified - Comments / Readings

Thermostat/controller installed, wired, configured, and communicating - Status

Yes

N/A

Thermostat/controller installed, wired, configured, and communicating - Comments / Readings

All panels/covers installed and installation area left safe - Status

Yes

N/A

All panels/covers installed and installation area left safe - Comments / Readings

5. Start-Up / Commissioning Readings

Outdoor Ambient Temp

Indoor Return Air Temp

Indoor Supply Air Temp - Heat Pump

Temperature Rise - Heat Pump

Indoor Supply Air Temp - Electric Heat

Temperature Rise - Electric Heat

Outdoor Voltage L1-L2

Indoor Voltage L1-L2

Outdoor Running Amps

Indoor Blower Amps

Compressor Amps

Electric Heat Amps

Low Side Pressure

High Side Pressure

Suction Line Temp

Liquid Line Temp

Superheat

Subcooling

Static Pressure Return

Static Pressure Supply

Total External Static Pressure

Measured / Estimated Airflow

Defrost / Heat Pump Operation Verified

Yes

Electric Backup Operation Verified

Yes

Cooling Operation Verified if weather permits

Yes

N/A

System Error Codes Present

Yes

System Error Codes, if present

6. Installer Confirmation

Professional Installation Confirmed

I confirm this Lennox central heat pump system was installed and started by a qualified/licensed HVAC installer in accordance with applicable codes, manufacturer instructions, and accepted trade practice.

Homeowner Instructed On

Thermostat/controller use

Filter maintenance

Breakers/disconnect

Drain awareness

Warranty registration

Warranty Documents Provided

Lennox warranty registration instructions provided to homeowner / purchaser

Deficiencies / Follow-Up Required

Installer Signature

Date

7. Homeowner / Purchaser Acknowledgement

Acknowledgement

I acknowledge that this equipment was purchased as equipment only and that professional installation/start-up has been completed by the installer identified above.

Homeowner / Purchaser Name

Signature

Date

8. Notes / Additional Comments

Notes / Additional Comments

Important: This start-up report is not a substitute for the manufacturer installation manual, applicable codes, permits, Lennox warranty registration, or required service documentation. Warranty coverage is subject to Lennox terms, product registration, proper installation, application, and eligibility requirements.