Prefabricated Chimney Serving an Appliance - Short Form - PDF
Prefabricated Chimney Serving an Appliance (PCSA) Level 1 and Level 2 checklist was created using NFPA 211 Chapter 15 and the Annex. Its purpose is to help a sweep do a complete Level 1 and 2 with additional questions to help you gather as much information as possible.
The short form is a shortened version of our long forms. You still gather all the necessary information about the chimney but without the 'extra detail' questions. These forms are just as effective as the long for training new sweeps or downloading your head on the job.
They also have an invoice on the bottom with a place for the
customer to sign.
This form is 2pgs long, so it's formatted to Legal sized paper so you can print it if needed, but you can also use it on a mobile device or iPad.
When you buy this form, you will be able to download it 4 times. The PDF can be copied onto other computers once downloaded.
IF you would like to edit this PDF, we suggest getting an Adobe DC account.
If you use a Service software like Smart Service/iFleet, Service Titan, or ServicePal, you will need to buy the forms that say 'for Smart service, etc.' This is due to the particular formatting that is required.