Information
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TECHNICIAN NAME
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INSTALLING COMPANY
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CONDUCTED ON
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LOCATION
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INSPECTORS NAME
Property Details
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EXTERNAL FINISH
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STATE TYPE OF FINISH
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PROPERTY TYPE
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STATE PROPERTY TYPE
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PROPERTY SUB TYPE
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STATE PROPERTY SUB TYPE
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PHOTO OF ALL ELEVATIONS
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PHOTO OF FRONT ELEVATION
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PHOTO OF LEFT ELEVATION
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PHOTO OF RIGHT ELEVATION
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PHOTO OF REAR ELEVATION
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PHOTO OF FRONT ELEVATION
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PHOTO OF SIDE ELEVATION
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PHOTO OF REAR ELEVATION
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PHOTO OF FRONT ELEVATION
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PHOTO OF REAR ELEVATION
Health & Safety
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PPE AVAILABLE AND USED?
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FIRST AID KIT AVAILABLE?
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FIRE EXTINGUISHER AVAILABLE?
Pre Install
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HAS APPROVAL FORM BEEN SUBMITTED?
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IS CLIMABEAD BATCH NUMBER AVAILABLE?
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BATCH NUMBER
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PRE- INSTALL CHECKS BEEN COMPLETED?
System Set Up
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How many hoses does vehicle have?
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CONDITION OF INJECTION PIPE
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CONDITION OF INJECTION GUN
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FLOW TEST BEAD GRAM/ GLUE ML
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ARE ADHESIVE JETS PRESENT AND IN GOOD CONDITION?
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INJECTION PIPE 1
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CONDITION OF INJECTION PIPE
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CONDITION OF INJECTION GUN
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FLOW TEST BEAD GRAM/ GLUE ML
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INJECTION PIPE 2
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CONDITION OF INJECTION PIPE
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CONDITION OF INJECTION GUN
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FLOW TEST BEAD GRAM/ GLUE ML
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ARE ADHESIVE JETS PRESENT AND IN GOOD CONDITION?
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CONDITION OF SYSTEM BOARD
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CONDITION OF PRESSURE VESSEL
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TECHNICIAN UNDERSTAND SYSTEM?
Test Kit
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IS TEST KIT PRESENT AND IN GOOD CONDITION?
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TEST SACK
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SCALES
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MEASURING JUG
Installation Process
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SELECT TYPE OF WORKS
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IS CAVITY BRUSH REQUIRED
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CAVITY BRUSH FITTED CORRECTLY
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IS DRILL PATTERN CORRECT?
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DRILLING COMPLETE ON ELEVATION BEFORE INSTALL?
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INSTALLATION FILLING PROCESS CORRECT?
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HAVE VENTILATION REQUIREMENT BEEN MET?
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ALL INJECTION HOLES BEEN POINTED CORRECTLY?
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IS CAVITY BRUSH REQUIRED
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CAVITY BRUSH FITTED CORRECTLY
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IS DRILL PATTERN CORRECT?
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DRILLING COMPLETE BEFORE INSTALL?
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INSTALLATION FILLING PROCESS CORRECT?
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HAVE VENTILATION REQUIREMENT BEEN MET?
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ALL INJECTION HOLES BEEN POINTED CORRECTLY?
Equipment
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DRILL CONDITION?
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LADDER CONDITION?
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TRANSFORMER CONDITION?
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EXTENSION LEAD CONDITION?
Access Lance Kit
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ACCESS LANCE PRESENT?
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IS ACCESS LANCE IN GOOD CONDITION?
Post Install
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POST INSTALL CHECKS BEEN COMPLETED?
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HAS SITE BEEN SWEPT DOWN AND CLEANED?
Vehicle
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VEHICLE REGISTRATION?
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IS VEHICLE CLEAN AND PRESENTABLE?
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ARE THEIR ANY DEFECTS ON THE VEHICLE?
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PHOTO OF EACH SIDE OF VEHICLE/ WORK AREA & CAB
Approval Decision
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HAS TECHNICIAN DEMONSTRATED REQUIRED KNOWLEDGE OF ALL PRE AND POST INSTALL CHECKS?
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HAS TECHNICIAN BEEN ABLE TO COMPETENTLY SET UP THE VEHICLE FOR INSTALL INCLUDING CALIBRATION OF EQUIPMENT?
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HAS TECHNICIAN DEMONSTRATED CUSTOMER CARE SKILLS WITH CUSTOMER AWARE OF ALL OPERATIONS?
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IS THE TECHNICIAN COMPETENT TO INSTALL CLIMABEAD AS PER BDA AND OPERATION MANUAL WITHOUT SUPERVISION?
Signatures
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TECHNICIAN NAME AND SIGNATURE
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INSPECTOR NAME AND SIGNATURE
