Information

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Site Contact, Name, Email, Phone number

Scope and Services

  • Provide a description of the equipment and the project scope:

  • Please indicate the services that are requested

DC Power Services

  • Indicate the Services that Vertiv will provide

  • Indicate the battery manufacturer

  • Enter the battery model number

  • Enter the battery type

  • Indicate the battery system voltage

  • Enter the number of batteries in a string

  • Enter the number of strings in the battery system

  • What is the accessibility of the battery?

  • Where are the batteries located?

  • Indicate the desired manufacturer for the new system

  • Indicate the desired battery type for the new system

  • Is there presently spill containment?

  • Does the client want to reuse the spill containment system?

  • Enter the type of rack (e.g. 2-step, 3-tier, etc.)

  • Enter the rack dimensions (Width, Height, Depth)

  • Is a Temporary battery required for replacement of the existing battery system?

  • Include photos of battery system

  • What does the customer require for the frequency of the Battery PM?

  • What is the customer wanting us to perform on the UPS, Inverter, Charger or Static Switch?

  • Enter the existing UPS, Inverter, Charger or Static Switch manufacturer

  • Enter the existing UPS, Inverter, Charger or Static Switch model number

  • Enter the number of UPS, Inverter, Charger or Static Switch

  • What is the accessibility of the UPS, Inverter, Charger or Static Switch?

  • Where is the UPS, Inverter, Charger or Static Switch located?

  • Take or attach photo of existing UPS, Inverter, Charger or Static Switch nameplates

  • Enter the existing UPS, Inverter, Charger or Static Switch manufacturer

  • Enter the existing UPS, Inverter, Charger or Static Switch model number

  • Enter the number of UPS, Inverter, Charger or Static Switch

  • Indicate the desired manufacturer, model number, and/or product family for the system. Enter Vertiv to specify if the client does not have a preference.

  • What is the accessibility of the UPS, Inverter, Charger or Static Switch?

  • Where is the UPS, Inverter, Charger or Static Switch located?

  • Is a Temporary system required for replacement of the existing system? This option may not always be possible to provide.

  • Take or attach photo of existing UPS, Inverter, Charger or Static Switch nameplates

Other Services

  • Indicate the requested services:

Additional information and notes

  • When is the outage window or when is service requested? (Date)

  • If an outage, how long is the outage duration (in Hours, Days or Weeks)?

  • Notes

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.