WINTERIZATION CHECKLIST
Contractor Name:___________________________ Date:___________
Property Address:___________________________________________
Lockbox:___________ Client:____________________________
Complete Winterization: YES OR NO
Partial Winterization: YES OR NO
If partial winterization, reason why only a partial winterization was done:
_____________________________________________________________
_____________________________________________________________
Identify type of heat system: Wet ______ Dry________
# of Bottles of Anti freeze used: Wet heat system _______ Dry heat System________
Was this a Cold Winterization (No heat or utilities left on): YES OR NO
Utilities Available: City Water [ ] Well Water [ ] Electric [ ] Gas [ ] Oil [ ] Propane [ ]
Water is off at curb: YES OR NO
[ ] Shut off water at meter shut off valve outside house – if applicable
[ ] Shut off main water shut off valve inside house.
[ ] Installed nylon cable tie to tie off main water valve, and supplied photo.
[ ] Installed padlock on main water valve, and supplied photo
[ ] Disconnected water meter, capped pipes and supplied photo (if lines cannot be capped, DO NOT disconnect meter)
[ ] Taped the removed water meter to water main
If water meter was not disconnected,
[ ] Disconnected supply line (as close to meter as possible), capped pipes and supplied photo.
[ ] If any alternate water supply setup, disconnected water supply, capped pipes and supplied photo
[ ] Drained all internal/external water supply lines
[ ] Drained hot water heater
[ ] Drained wet heat system
[ ] Drained well holding tank
[ ] Drained all toilet tanks and bowls
[ ] Shut off power to water heater
[ ] Shut off power to heating system
[ ] Pressure tested system. Pressurized system to 40 - 100 PSI (as appropriate), disconnected compressor and tested lines to hold pressure for 15 minutes.
System held pressure: YES OR NO
[ ] Opened all faucets, intermediate valves, including outside hose bibs to the shutdown point.
Put Anti freeze in:
[ ] Toilet tanks and bowls [ ] Dishwasher drain, cycled washer to insure antifreeze entered pump
[ ] All sink drains [ ] Sauna floor drains
[ ] All bathtub/shower drains [ ] Laundry floor drains
[ ] Basement floor drains
Other:
[ ] Taped across all sinks and taped all toilet bowls shut
[ ] Posted Signs: Posted “Winterized, Do Not Use” signs at main water valve, on all fixtures and at every point where anti- freeze was installed. Posted “Winterized, Do Not Turn on Without Refilling” signs on water heater and boiler and water heater breaker, if electric. Attached a notice on the exterior of dishwasher if water supply line was disconnected.
[ ] Installed winterization warning sign in a front window
[ ] Opened any sprinkler systems to drain (not including Pressure Purging System)
[ ] Closed all fireplace dampers and closed fire vents
Other items present: Pool [ ] Sprinkler System [ ] Water Softener [ ] Well system [ ] Ice Maker [ ] Swamp Cooler [ ]
Sump pump present: Yes [ ] No [ ], Sump Pump Functional: Yes [ ] No [ ],
Breaker to sump pump left on: Yes [ ] No [ ]
Plumbing or heating damage exists (If system did not hold pressure then yes): YES OR NO
Please describe any damages to system: _________________________________________________________________
