Title Page
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Engineer Name/ number
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Ses store site name/ number
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WO No/ Task ID
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Conducted on
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If any faults/damage is found please provide the following information, asset/make/model/serial number and photos.
Engineer Check List
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Has engineer signed in / out?
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Is the engineer wearing the correct PPE?
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Is all refrigeration equipment asset tegged
Hazards or unsafe conditions
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Is the site free from hazards and unsafe conditions? If NO, if possible please add photos of the hazard or unsafe condition
Space - R11 Ice Machine
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Has the ice machine been cleaned & de-scaled? (Please provide photos before & after)
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Has the condenser been cleaned and is clear?
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Are all drain pipes clean, clear amd flowing freely?
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Has HB-30 been run through the system (* every 12 months)
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Has the cartridge and/or the scalestick been changed?