Title Page
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Conducted on
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Conducted By
- Anton Harding
- Craig Cork
- Arron Toomey
- Mark Durant
- Steve Robinson
- Alessandro Babato
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Site name
- Costco Birmingham
- Costco Croydon
- Costco Cardiff
- Costco Bristol
- Costco Hayes
- Costco Leicester
- Costco Southampton
- Costco Sunbury
- Costco Chingford
- Costco Coventry
- Costco Farnborough
- Costco Milton Keynes
- Costco Reading
- Costco Stevenage
- Costco Thurrock
- Costco Watford
- Costco Wembley
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Integral job number
Health & Safety Questions
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Has the relevant risk assessment been carried out?
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Does the work involve working at height?
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Have you made the store aware and completed the relevant store processes?
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Detail any other Health & Safety issues
Costco Packs
- Please complete one section per pack
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Detail the pack identification e.g. HT1
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Detail the refrigerant used in this pack
- R448A
- R404AR
- R407F
- CO2
- R134A
- R449A
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Is the refrigerant level visible in the sigh glass?
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Is the pack oil level satisfactory?
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Are there any alarms on the main controller or backup controller relating to this pack?
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Are all compressors operational and free of undue vibration
- Yes
- No
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Are all compressor crank case heaters operation?
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Do the compressor oil regulators have a good oil level and are they operational?
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Is the pack free from oil?<br>
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Is there any evidence of floodback?
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Are there any electrical burn marks within electrical panel?
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Is the isolator in good condition and fully functional?
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Does the pack have a main HP switch fitted?
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Speak to the office to check if HP Switch has been tested within the last 12 months
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Detail the main pack controller HP safety settings
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Are all extract fans operational and lights working?
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Are all condenser / gas cooler fans operation?
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Are the condensers clear of debris after standard brush down?
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Generate an alarm and ensure a signal is raised on the panel. Has the signal been received?
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Confirm the pack is tidy and clear of rubbish
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Oil filter checks - Select relevant statement
- Oil filter replaced within last 12 months and labelled with date
- Oil filter replaced within the last 12 months but not labelled
- Oil filter needs replacing
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Drier filter checks - Select relevant statement
- Drier filter replaced within the last 12 months and labelled
- Drier filter replaced within the last 12 months - not labelled
- Drier filter to be replaced
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Confirm leak testing has been completed on accessible areas
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Has a leak been detected?
Costco Coldrooms
- Please complete one section per coldroom
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Detail the coldroom type
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Are all evaporators clear of ice/debris
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Are all evaporator fans working?
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Are all drains clear?
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Are probes/thermosimples in the correct position and working?
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Is the coldroom control panel in good order with no burnt cable connections?
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Are there any coldroom fabrication issues?
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Confirm leak testing has been completed on accessible areas
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Has a leak been detected?
Costco shopfloor
Shop Floor Checks
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Confirm leak testing has been done on accessible areas
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Have any leaks been identified
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Are all thermosimple displays working?
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Are all case lights working?
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Is there a good airflow on the caes?
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Are kickplates fitting as they should be?
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Are there any visible water leaks?
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Are all cases in good condition?
Costco Leak Detection & Alarm panel
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Are there any current alarms on the alarm panel?
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Are there any recent repeat alarms in the alarm panel history?
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Complete a dial out test to ensure alarm is received by monitoring company and detail the time this was carried out
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Confirm the dial out test worked successfully
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Is there a leak detection panel on this site?
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Detail the manufacturer
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Are there any alarms on the leak detection panel?
Costco general site checks
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Are there any empty cylinders on site?
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Detail any other comments