Summary
Pre-Install Verification Form
Purpose:
This checklist verifies that plumbing, drainage, electrical, ventilation, and water conditions are fully prepared before ice machine delivery. Completing this prevents failed inspections, install delays, flooding, electrical rework, and warranty risk.
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Site Information
Facility Name: __________________________________
Address: _________________________________________
Room / Location: _________________________________
Ice Machine Type: ☐ Cube ☐ Nugget ☐ Flake ☐ Dispenser
Estimated Daily Production (lbs/day): ______________
Installation Date Target: _________________________
Drainage Verification (Highest Failure Area)
☐ Gravity drain available at machine location
☐ Drain outlet is lower than ice machine drain port
☐ Drain line has continuous slope (no flat sections)
☐ Drain is within allowable distance for gravity flow
☐ Drain is not tied into grease waste system
☐ Drain is clear of debris and sediment
☐ Drain termination includes visible air gap
☐ If no gravity drain exists → Drain pump approved & specified
If any box above is unchecked, do NOT schedule installation.
Air Gap & Backflow Protection (Code & Healthcare Critical)
☐ Approved air gap provided at drain
☐ Backflow prevention device installed where required
☐ VA / Healthcare Infection Control reviewed location
☐ Local plumbing code compliance verified
Ventilation & Heat Rejection
☐ Required manufacturer clearances met (all sides)
☐ Exhaust air will not recirculate back into intake
☐ Room ambient temperature within operating limits
☐ Mechanical room has active exhaust or make-up air
☐ If space is heat-restricted → ☐ Remote condenser ☐ Water-cooled system selected
Electrical Verification (Do NOT Assume “Standard Power”)
☐ Voltage matches machine nameplate: ______________
☐ Phase verified: ☐ 1-Phase ☐ 3-Phase
☐ Dedicated circuit provided
☐ Breaker size matches manufacturer spec
☐ GFCI provided where required
☐ Disconnect switch installed
☐ Electrical permit pulled if required
Water Supply & Pressure
☐ Cold potable water available at machine location
☐ Incoming pressure measured: ______ PSI
☐ Pressure within manufacturer range (typically 20–80 PSI)
☐ Pressure regulator installed if required
☐ Shutoff valve installed at machine
☐ Supply line flushed prior to connection
Water Quality & Filtration (Warranty Protection)
☐ Water hardness tested: ______ gpg
☐ Water source: ☐ Municipal ☐ Well ☐ Blended
☐ Filtration system selected based on test results
☐ Carbon filtration installed
☐ Scale prevention installed
☐ RO + blending installed (if required)
☐ Filtration sized to machine production capacity
☐ Cartridge change schedule documented
☐ Filtration maintenance responsibility assigned
Floor, Access & Structural Readiness
☐ Floor is level
☐ Floor can support machine + bin full of ice
☐ Doorways allow safe equipment access
☐ No stairs without rigging plan
☐ Casters or legs properly installed
☐ Equipment anchoring verified if required
Sanitation & Cleaning Access
☐ Adequate clearance for cleaning behind machine
☐ Bin fully accessible for inspection & sanitation
☐ Cleaning tools and chemical access available
☐ Sanitation schedule defined (daily, weekly, monthly)
Final Pre-Install Approval
☐ All utilities verified
☐ Filtration installed
☐ Power live
☐ Drain tested with continuous flow
☐ Ventilation operational
☐ Site access scheduled
☐ Installer notified of readiness
Approved By: __________________________________
Title: _________________________________________
Date: _________________________________________
If This Checklist Is Not Complete
Expect:
- Delivery day cancellation
- Emergency plumbing and electrical charges
- Flood damage risk
- Failed inspection
- Restart fees
- Lost ice during critical operations
- Warranty exposure
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