Title Page

  • Customer Name

  • Contract #

  • Address

  • Conducted on

  • Prepared by

  • Equipment #

  • Equipment Type

  • Manufacturer

  • Model #

  • Serial #

  • Voltage

  • Phase

  • Hertz

  • Refrigerant

  • Location of Unit

  • Area Served

  • Condenser Fan(s)?

  • QTY/HP Condenser Fan(s)

  • Supply Fan(s)?

  • QTY/HPSupply Fan(s)

  • Belt(s)?

  • QTY/Size Belts

  • Filter(s)?

  • QTY/Size/Type Filter(s)

  • Type of Heat/Capacity

  • Is This a New Startup?

Blower

  • Amp Draw

Compressor

  • Amp Draw

Refrigerant

  • Suction

  • Discharge

Air

  • Supply

  • Return

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.