CVSG ME21 - ACR POB - HVAC

HVAC

Location

• Date

  Date

• Facility?

• Precinct

  Select Fisherman Island Port Gate Port West Hamilton Pinkenba Port North Colmslie

  • Fisherman Island
  • Port Gate
  • Port West
  • Hamilton
  • Pinkenba
  • Port North
  • Colmslie

• Building Name?

• Name of tradesperson

  Sign

Asset

Asset Particulars

• Asset ID Number?

• Asset Description?

• Current rating in Amps (whole number only)?

• Fault current rating in kA (whole number only)?

• Discipline?

  Electrical

  Fire

  HVAC / Mechanical

  Hydraulics

• Component?

  Select Lighting Solar Switchboard Generator Fire Systems HVAC

  • Lighting
  • Solar
  • Switchboard
  • Generator
  • Fire Systems
  • HVAC

• Equipment?

  Select Chillers AHUs Chilled Beam Heater Banks Dampers A/C Units FCUs Exhaust Fan Fan

  • Chillers
  • AHUs
  • Chilled Beam
  • Heater Banks
  • Dampers
  • A/C Units
  • FCUs
  • Exhaust Fan
  • Fan

• Sub Equipment

  Select Condenser Coil Evaporator Coil Compressor Motor TX Valve Controls

  • Condenser Coil
  • Evaporator Coil
  • Compressor
  • Motor
  • TX Valve
  • Controls

• Manufacturer?

• Model?

• Serial Number?

• Approximate remaining capacity of equipment/asset?

  Select 0% 10% 20% 40% 30% 50%

  • 0%
  • 10%
  • 20%
  • 40%
  • 30%
  • 50%

• Year asset/equipment was installed (approximate)?

• Condition Rating?

  Select P6 - Excellent (No Priority - monitor >10 years) P5 - Good (Low Priority - monitor >4 years) P4 - Fair (Medium Priority - Consider action 2-4 years) P3 - Poor (High Priority - Consider action 1-2 years) P2 - Very Poor (Urgent - Consider action 0-12 months) P1 - Dangerous (Emergency - Consider action 48hrs/0-6 months)

  • P6 - Excellent (No Priority - monitor >10 years)
  • P5 - Good (Low Priority - monitor >4 years)
  • P4 - Fair (Medium Priority - Consider action 2-4 years)
  • P3 - Poor (High Priority - Consider action 1-2 years)
  • P2 - Very Poor (Urgent - Consider action 0-12 months)
  • P1 - Dangerous (Emergency - Consider action 48hrs/0-6 months)

• Select repair code where applicable

  Select RH01 RH02 RH03 RH04 RM01 RM02 RM03 Not Applicable Other

  • RH01
  • RH02
  • RH03
  • RH04
  • RM01
  • RM02
  • RM03
  • Not Applicable
  • Other

• Description of the defect with equipment/asset?

• Work needed to rectify defect?

• Add the quantity of repair code(s) required

• Rectification due by (year)?

• Estimated budget replacement cost (whole number only - no 'k')?

• Take Photo

  Media