Liam Dean

GAS RETROFIT AUDIT

Use this Template

Print as PDF

Use this Template

Go digital today!

Convert your paper checklists into digital forms

Scan this QR code to use this paper checklist on your smartphone or tablet or visit https://safetyculture.com/

Title Page

Site
Work Order Number
Date
Prepared by

Plant

Pack ID
- HT1
- HT2
- HT3
- HT4
- HT5
- HT6
- HT7
- HT8
- HT9
- HT10
- HT11
- LT1
- LT2
- LT3
- LT4
- LT5
- LT6
- LT7
- LT8
- LT9
- LT10
- LT11
- DT1
- DT2
- DT3
- DT4
- DT5
- DT6
- DT7
- DT8
- DT9
- DT10
- DT11
Pack Label
Refrigerant Type
Refrigerant Amount KG
Receiver Labelled
Pipe Services Labelled
Unit ID
- CU1
- CU2
- CU3
- CU4
- CU5
- CU6
- CU7
- CU8
- CU9
- CU10
Unit Label
Refrigerant Type
Refrigerant Amount KG
Pipe Services Labelled

Cabinets & Coldrooms

Shop Floor Cabinets

Produce cabinets Labelled
Dairy Cabinets Labelled
Meat Cabinets Labelled
Deli Cabinets Labelled
Frozen FGD Cabinets Labelled
Frozen WHGD Cabinets Labelled

Coldrooms

Coldroom Panels Labelled

Monitoring Panel

Settings

All HT Pack Settings Adjusted Accordingly
All LT Pack Settings Adjusted Accordingly
HT Cabinet Superheat Settings Adjusted Accordingly
LT Cabinet Superheat Settings Adjusted Accordingly

Liam Dean

GAS RETROFIT AUDIT

Use this Template

Print as PDF

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.