Title Page
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Date & Time
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Location Of Service
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Tenant Name
Heat Pump Checks
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Type
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Make
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Model
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Serial Number
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Accessibility
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Adequate Airflow
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Damage to the unit
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Integrity of insulation
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Signs of Refrigerant Leak
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Signs of electrical Burns
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Glycol Level
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Condensate pipe routed correctly
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Primary pump working correctly
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Y Strainer cleaned
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Ground loop pressure
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Ground loop PRV working
DHW Cylinder & Heating
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Make
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Model
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Serial Number
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Hot water expansion vessel
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Heating expansion vessel
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Hot water zone valve working
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Heating zone valve 1 working
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Heating zone valve 2 working
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Secondary pump(s) Working Correctly
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T&P Relief valve tested
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Pressure relief Valve tested
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Magnetic filter cleaned
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All sensors securely in place
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Thermostat working/batteries replaced
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Programmer working correctly
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Bleed radiators
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Pressure reducing valve setting
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Heating system pressure
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Hot water temperature
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Heat curve setting
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Flow meter reading
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Heating times
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Hot water times
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Legionalla details
Alarms
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Smoke alarms
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Heat alarms
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Control switch working
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Intercom Working
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Kitchen alarm data badge
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Hall alarm data badge
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Landing alarm data badge
Name & Signature
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Tenant Signature
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Engineer Name
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Engineer Signature
