Title Page

  • Client Name

  • Store Name

  • Store No.

  • Conducted on

  • Prepared by

  • Location

Current incumbent service Provider

  • Name of current incumbent service Provider

Plant

  • Are any compressors valved or switched off?

  • Add images of the above.

  • Number of packs at store?<br>

  • Add images of the above.

  • Any compressors electrically disconnected in panels?

  • Add images of the above.

  • Are electrical panel doors shut on plant?<br>

  • Add images of the above.

  • Oil levels healthy?

  • Add images of the above.

  • Any visible signs of oil leakage?<br>

  • Add images of the above.

  • Are all high and low transducers reading correctly?

  • Add images of the above.

  • Are any alarm relays pulled?

  • Add images of the above.

  • Does any plant have free heat ?<br>

  • Add images of the above.

  • Is free heat operational? <br>

  • Add images of the above.

  • Are PRV's tagged correctly, and in date?

  • Add images of the above.

  • Any Dates or evidence present showing - 1. Driers changed 2. Strainers clean or replaced 3. Oil test sample kits available for inspection <br><br>

  • Add images of the above.

  • Are refrigerant levels good?

  • Add images of the above.

  • Any visible signs of refrigerant leakage?<br>

  • Add images of the above.

  • Is drawing present and up to date?<br>

  • Add images of the above.

  • Additional information or comments

Condensers

  • Any fans switched off or removed?

  • Add images of the above.

  • Any fans electrically disconnected in panels?

  • Add images of the above.

  • Additional information or comments

Refrigerant

  • Real zero valve caps used

  • Entrained volume information present?

  • Are up to date F-Gas sheets present?<br>

  • Additional comments

  • Photo's

Cold Storage

  • Any evaporators iced up?

  • Add images of the above.

  • Any evidence of drain leaks?

  • Add images of the above.

  • Any evaporator fan motors faulty?

  • Add images of the above.

  • Do any evaporators need cleaning?

  • Add images of the above.

  • Are all entrapment alarms operational

  • Add images of the above.

  • All coldstore lighting operational?

  • Add images of the above.

  • is the PRV fitted and operational

  • Add images of the above.

  • Additional information

Pipe Services

  • Any signs of lagging failure <br>

  • Any pipe work damaged in back of house areas?

  • Additional comments

  • Photo's

Salesfloor Area

  • Any equipment not operational on visit?

  • Add images of the above.

  • Any kick-plates missing ? <br>

  • Add images of the above.

  • Any lighting not operational?

  • Add images of the above.

  • Are there any empty cylinders on site which require removing?<br>A

  • Add images of the above.

  • Is there any evidence of drain leaks ?

  • Add images of the above.

  • Additional information

Control And Alarm System

  • Alarm system manufacturer ?

  • Add an image of the front end.

  • is the alarm log available ?

  • Add image of alarm log.

  • Are there any current alarms ?

  • What alarms are they ?

  • Are any fixtures inhibited ?

Miscellaneous

  • Additional items

  • Photo's

Sign Off

  • A1 Engineering Solutions Engineer

  • Current service provider

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.