Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Evaporator Coil
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Clean the area around the outdoor unit
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Record Air On temp
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Record air off temp
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Temp split
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Straighten fins
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Checked for damage and leaks
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Checked Drain pan and drain
Filters
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All filters were cleaned
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Do filter require changing?
Control panel
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Check function of the controller/ remote
Compressor
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Checked refrigerant charge
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Checked for refrigerant oil and leaks
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Checked crankcase heater operation
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Was refrigerant gas required?
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Type and quantity of refrigerant gas
- R410a - 1kg
- R410a - 1.5kg
- R410a - 2kg
- R410a - 2.5kg
- R410a - 3kg
- R22 - 1kg
- R22 - 1.5kg
- R22 - 2kg
- R22 - 2.5kg
- other
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Enter Amperage draw
Indoor unit
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Checked coil for mould
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Is a major service required?
Customer signature
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Signed:
General notes and required repairs
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Does this unit Require further attention? Do we need to order any parts?