Title Page
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Site conducted
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Job/PO# Number
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Client
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Location
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Conducted on
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Job Type
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Purpose of visit
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Prepared by
Work order
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Has there been a Work Order number issued
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Work Order #
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Name the person who issued the Work Order
AC system details
- AC system detail
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Brand of system
- Daikin
- Hitachi
- Temperzone
- Mitsubishi Electric
- Mitsubishi Heavy industries
- Fujistu
- Actron Air
- LG
- Carrier
- Panasonic
- Other
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What is the Brand
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Type of Air conditioning system
- Ducted system
- Split system
- Multi split system
- VRV/VRF
- Ceiling Cassette
- Floor mounted
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List the types of indoor units
- Split Head
- Ducted
- Bulkhead
- Ceiling cassette
- Floor mount
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Indoor unit Badge
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Outdoor unit badge
Works undertaken
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List works undertaken
Maintenance works
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Was there any maintenance works conducted
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AC system (if there are multiple maintenance works conducted on more than 1 AC system)
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Clean or replaced filters
- Cleaned
- Replaced
- Requires replacing
- Airclean filter requested
- N/A
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Flush out the AC condensation drain line
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Why was this not complete?
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Inspect indoor fan coil
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Why was this not complete?
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Wipe down the the wall mounted split system if applicable
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Inspect Outdoor unit
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Check refrigeration pressures
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Suction line operating pressure
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Discharge line operating pressure
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Why was this not complete?
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Inspect the electrical terminals
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Voltage
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Amperage
Compressor / Fan motor resistance readings
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Fan motor readings
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Compressor readings
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Why was this not complete?
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Inspect zone motor barrel operation
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Why was this not complete?
Issues of concern
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List any issues of concern (Attached photos if possible)
Resolved issues
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Are any issues of concern able to be resolved whilst onsite
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Please note and take photo of resolved issue
Follow up details
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Brief on overall inspection outcome
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Is a quote required for additional works
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What is required to be quoted
Sign off
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On-site client name
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Signature
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Technician
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Signature
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Finish - Date and time
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Onsite hours
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Re attendance required