Title Page

  • Site

  • Conducted on

  • Prepared by

Extract fan details

  • Location

  • Unit Reference

  • Unit Make and model if know

  • unit water capacity - Litres

Service Details

  • cover removed and internal inspection carried out

  • Filters Cleaned (if applicable)

  • Unit Securely Mounted

  • blow off pipe installed

  • Wiring and Electrical terminations checked

  • class 1 or class 2 unit

  • measured Zs at boiler

  • suitable isolator fitted

  • unit Operational

  • Unit operates in all modes

Faults

  • Faults Found

  • Details of faults

  • Pictures of faults

Engineer Sign Off

  • Comments

  • Signature

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.