Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Client

  • Assessment Number

  • Location
  • Address
  • Brand of cold room equipment

  • Size/dimension of cold room (in ft).

  • Room insulation condition

  • Piping condition

  • Compressor condition

  • Crankcase heater functionality

  • Condenser / Extraction fan condition

  • Evaporator / Blower fan condition

  • Thermostat / control circuitry condition

  • Expansion valve condition

  • Condensate drain line

  • Support components (drier, accumulator, etc.) condition

  • Electrical components (sensors, circuit breakers, fuses, relays, etc.) condition

  • Technical documentation (installation manual, parts list manual) for unit available?

  • Overall recommendations

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.