General Maintenance Inspection Report

• Inspection Date:

  Date

• Client:

• Requested by:

  Kooka's Heating & Air-Conditioning Pty Ltd

  S M Industries P/L

  Client
• Address:
  Address

• 

• Inspection Terms:

  Refer Agreement

  As Per Request

  As Per Discussion

• Inspection Visit

  Select 1 of 2 2 of 2 1 of 4 2 of 4 3 of 4 4 of 4

  • 1 of 2
  • 2 of 2
  • 1 of 4
  • 2 of 4
  • 3 of 4
  • 4 of 4

• Report Prepared by:

  Cemil Uygur

  Ali Uygur

Packaged-Rooftop Units (RTU)/Make-Up Air Units (MUA)/Air Handling Units (AHU)

• Packaged-Rooftop Units (RTU)/Make-Up Air Units (MUA)/Air Handling Units (AHU) equipment(s) inspected on this maintenance visit?

  Yes

  No

  N/A

• Equipment(s) inspected this visit

  Select Packaged-Rooftop Units (RTU) Make-Up Air Units (MUA) Air Handling Units (AHU)

  • Packaged-Rooftop Units (RTU)
  • Make-Up Air Units (MUA)
  • Air Handling Units (AHU)

• Visual inspection of equipment housing/cover for damage

  Good

  Average

  Poor

• Visual inspection of burner section(s) - advise if cleaning is required

  Good

  Issue

  N/A

  not on this inspection

• Inspect gas line(s) and shut off valve(s) to equipment

  Good

  Issue

  N/A

  not on this inspection

• Inspection of heat exchanger(s) - for cracks, soot and rust

  Good

  Issue

  N/A

  not on this inspection

• Visual inspection of condenser coil(s) - comment on damage/if cleaning required

  Good

  Issue

  N/A

  not on this inspection

• Check drain pans and p-traps

  Good

  Issue

  N/A

  not on this inspection

• Check operating refrigerant pressures

  Good

  Issue

  N/A

  not on this inspection

• Check compressor(s) and component(s) - observe operation and check amp draw

  Good

  Issue

  N/A

  not on this inspection

• Check compressor O/H switches

  Good

  Issue

  N/A

  not on this inspection

• Check voltage and amp draw on condenser fan motor(s)

  Good

  Issue

  N/A

  not on this inspection

• Check condenser fan blades and rotation

  Good

  Issue

  N/A

  not on this inspection

• Check winter operation components (i.e. low ambient, fan cycling switch, crank case heater)

  Good

  Issue

  N/A

  not on this inspection

• Check voltage and amperage draws on blower motor(s)

  Good

  Issue

  N/A

  not on this inspection

• Check and adjust equipment belts/pulleys

  Good

  Issue

  N/A

  not on this inspection

• Check blower motor shaft and bearings (lubricate if needed)

  Good

  Issue

  N/A

  not on this inspection

• Check manifold gas pressure(s)

  Good

  Issue

  N/A

  not on this inspection

• Check gas valve operation

  Good

  Issue

  N/A

  not on this inspection

• Check ignition control for proper operation

  Good

  Issue

  N/A

  not on this inspection

• Check and clean ignitor, tubing and flame sensor

  Good

  Issue

  N/A

  not on this inspection

• Check and verify controls/thermostat operation

  Good

  Issue

  N/A

  not on this inspection

• Check evaporator coil (indoor coil) and advise on condition

  Clean

  Dirty

  N/A

  not on this inspection

Split Systems (SS)

• Split System Equipment Inspected on this Visit?

  Yes

  No

• Check electrical disconnect and confirm operation

  Safe

  At Risk

  N/A

• Check compressor amp draw and compressor contactor

  Good

  Issue

  N/A

  not on this inspection

• Visual inspection of condenser coil

  Good

  Average

  Poor

• Check system head pressures

  Good

  Issue

  N/A

  not on this inspection

• Check winter operation components (i.e. low ambient, fan cycling switch, crank case heater)

  Good

  Issue

  N/A

  not on this inspection

• Check evaporator coil (indoor coil) and advise on condition

  Good

  Issue

  N/A

  not on this inspection

• Check indoor section blower motor amp draw

  Good

  Issue

  N/A

  not on this inspection

• Check evaporator coil condensate drain, drain pan and/or condensate pump

  Good

  Issue

  N/A

  not on this inspection

• Check to ensure the control(s)/thermostat(s) are functioning properly

  Good

  Issue

  N/A

  not on this inspection

• Check return air filter(s)

  Good

  Issue

  N/A

  not on this inspection

• Corrective measure(s) taken:

  Rectified

  Replaced

  Cleaned

  Identified - Pending Approval

  Defected - Action Required

Air Cooled Condenser Units (ACC)/Condensing Units (CU)

• Air Cooled Condenser Units Inspected on this Visit?

  Yes

  No

  N/A

• Air Cooled Condenser equipment inspected on this maintenance visit

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Check electrical disconnect/electrical supply

  Safe

  At Risk

  N/A

• Visual inspection of condenser coil (comment on cleanliness/damage)

  Good

  Issue

  N/A

  not on this inspection

• Visual inspection of all piping to and from condenser unit

  Good

  Issue

  N/A

  not on this inspection

• Check condenser fan blades and connection to shaft

  Good

  Issue

  N/A

  not on this inspection

• Check condenser fan operation (check amp draw)

  Good

  Issue

  N/A

  not on this inspection

• Check all electrical wiring and tighten any loose connections

  Good

  Issue

  N/A

  not on this inspection

• Check all contactors to ensure proper operation and contact point for wear

  Good

  Issue

  N/A

  not on this inspection

Heat Pumps (HP)

• Water Source Heat Pumps Inspected on this visit?

  Yes

  No

  N/A

• Heat Pumps inspected on this maintenance visit

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Check electrical disconnect to equipment

  Safe

  At Risk

  N/A

• Check condition of evaporator coil

  Good

  Issue

  N/A

  not on this inspection

• Check operating refrigerant pressures

  Good

  Issue

  N/A

  not on this inspection

• Check amp draw on compressor(s)

  Good

  Issue

  N/A

  not on this inspection

• Inspect/check exhaust fan motors (amperage/voltage)

  Good

  Issue

  N/A

  not on this inspection

• Check compressor safeties

  Good

  Issue

  N/A

  not on this inspection

• Check blower motor amp draw

  Good

  Issue

  N/A

  not on this inspection

• Check blower belt condition and/or adjust tension as required

  Yes

  No

  N/A

• Check electrical connections and wiring for tightness

  Safe

  At Risk

  N/A

• Check drain pan and drain tubing/piping to ensure they are clean

  Clean

  Dirty

  N/A

  not on this inspection

• Check water balancing valve setting (water flow)

  Good

  Issue

  N/A

  not on this inspection

• Replace filter(s) or clean if washable type

  Yes

  No

  N/A

• Check and test thermostat operation

  Good

  Issue

  N/A

  not on this inspection

Cooling Towers (CT)/Evaporative Condensers (EC)

• Cooling Towers Inspected on this Visit?

  Yes

  No

  N/A

• Cooling Tower equipment inspected on this maintenance visit

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Check general condition of unit and for any unusual noise or vibration

  Good

  Issue

  N/A

  not on this inspection

• Check and inspect air inlets and clean as required

  Good

  Issue

  N/A

  not on this inspection

• Check interior of equipment for corrosion or excessive scaling (provide comment)

  Good

  Issue

  N/A

  not on this inspection

• Inspect water distribution system and spray nozzle and clean as required

  Good

  Issue

  N/A

  not on this inspection

• Check drain pan and pan strainer (clean as required)

  Good

  Issue

  N/A

  not on this inspection

• Check bleed off valve operation and rate

  Good

  Issue

  N/A

  not on this inspection

• Check operation of make-up water valve

  Good

  Issue

  N/A

  not on this inspection

• Check fan motor voltage and amperage

  Good

  Issue

  N/A

  not on this inspection

• Check condition of fan blades and direction of rotation

  Good

  Issue

  N/A

  not on this inspection

• Lubricate fan(s) as required

  Yes

  No

  N/A

• Check belts and adjust tension as required

  Yes

  No

  N/A

• Check drive alignments

  Yes

  No

  N/A

Exhaust Fans (EF)

• Exhaust Fan equipment inspected on this visit?

  Yes

  No

  N/A

• Inspect exhaust fan electrical disconnect(s)

  Safe

  At Risk

  N/A

• Visual inspection of exhaust fan housing

  Good

  Issue

  N/A

  not on this inspection

• Check voltage and amp draw on exhaust fan motor(s)

  Good

  Issue

  N/A

  not on this inspection

• Lubricate exhaust fan motors/bearings

  Good

  Issue

  N/A

  not on this inspection

• Inspect/check exhaust fan drive shafts

  Good

  Issue

  N/A

  not on this inspection

• Check and adjust exhaust fan belts/pulleys

  Good

  Issue

  N/A

  not on this inspection

Radiant Heaters (RH)/Unit Heaters (UH)

• Radiant Heaters/Unit Heaters inspected on this maintenance visit?

  Yes

  No

  N/A

• Radiant Heaters inspected on this maintenance visit

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Unit Heater equipment inspected on this maintenance visit

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Visual inspection of radiant/unit heater burner(s)

  Good

  Issue

  N/A

  not on this inspection

• Visual inspection of heat exchanger (comment on condition)

  Good

  Issue

  N/A

  not on this inspection

• Visual inspection of radiant heater tubing/shielding

  Good

  Issue

  N/A

  not on this inspection

• Check and inspect venting and air intakes

  Good

  Issue

  N/A

  not on this inspection

• Visual inspection gas lines/ supports and equipment shut off gas valves

  Good

  Issue

  N/A

  not on this inspection

• Check and test unit/radiant heater thermostat(s)

  Good

  Issue

  N/A

  not on this inspection

Boilers (B)

• Were any boilers inspected on this inspection visit?

  Yes

  No

  N/A

• Boiler units inspected on this maintenance visit

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Visual inspection of exterior of boiler housing

  Good

  Issue

  N/A

  not on this inspection

• Ensure the boiler area is clean and unobstructed

  Good

  Issue

  N/A

  not on this inspection

• Check boiler fresh air intake is clear and unobstructed

  Good

  Issue

  N/A

  not on this inspection

• Visual inspection all piping and valves connected to boiler (including gas line)

  Good

  Issue

  N/A

  not on this inspection

• Inspect burner(s) and provide cleaning

  Good

  Issue

  N/A

  not on this inspection

• Check and inspect boiler heat exchanger (comment on condition and provide cleaning as required)

  Good

  Issue

  N/A

  not on this inspection

• Provide visual inspection of the interior of boiler and inspect refractory panels

  Good

  Issue

  N/A

  not on this inspection

• Inspect ignitor assembly and flame sensor (clean/adjust)

  Good

  Issue

  N/A

  not on this inspection

• Check all wiring connections and terminals

  Good

  Issue

  N/A

  not on this inspection

• Visual inspection of boiler venting for corrosion, rust, soot and/or separation

  Good

  Issue

  N/A

  not on this inspection

• Visual inspection of draft hood and interior of venting

  Good

  Issue

  N/A

  not on this inspection

• Turn boiler on and observe firing cycle (observe flame)

  Good

  Issue

  N/A

  not on this inspection

• Check operation of gas valve and check manifold gas pressure

  Good

  Issue

  N/A

  not on this inspection

• Check to ensure gauges are working and are readable

  Good

  Issue

  N/A

  not on this inspection

• Check and test boiler safety controls

  Good

  Issue

  N/A

  not on this inspection

• Check water pressure to boiler

  Good

  Issue

  N/A

  not on this inspection

• Inspect and test low water cut off

  Good

  Issue

  N/A

  not on this inspection

• Inspect boiler relief valve

  Good

  Issue

  N/A

  not on this inspection

• Check flow switch

  Good

  Issue

  N/A

  not on this inspection

• Check boiler circulator pump (and lubricate as required)

  Good

  Issue

  N/A

  not on this inspection

• Check and test boiler control operation

  Good

  Issue

  N/A

  not on this inspection

• Provide a combustion analysis

  Yes

  No

  N/A

Hot Water Tanks (HWT)

• Are there any hot water tanks inspected on this maintenance inspection?

  Yes

  No

  N/A

• What type of hot water tank(s) we inspected on this visit?

• Electrical

• Electrical HWT unit(s) inspected on this maintenance visit

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Check electrical connection to HWT

  Safe

  At Risk

  N/A

• Inspect and test the HWT relief valve

  Good

  Issue

  N/A

  not on this inspection

• Check drain valve of tank

  Good

  Issue

  N/A

  not on this inspection

• Provide a flushing of the tank

  Yes

  No

  N/A

• Natural Gas

• Natural Gas HWT unit(s) inspected on this maintenance visit

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Is there a service manual ext to unit?

  Yes

  No

• Ensure area around tankless water heater is clear and free of flammable materials

  Good

  Issue

  N/A

  not on this inspection

• Provide of visual inspection of exterior of hot water tank (comment on anything unusal)

  Good

  Issue

  N/A

  not on this inspection

• Inspect all HWT piping, valves and drain

  Good

  Issue

  N/A

  not on this inspection

• Check gas piping and shut off valve to hot water tank

  Good

  Issue

  N/A

  not on this inspection

• Check HWT burner including ignitor (provide cleaning if required)

  Good

  Issue

  N/A

  not on this inspection

• Inspect and test HWT relief valve

  Good

  Issue

  N/A

  not on this inspection

• Check HWT control setting (provide comment if adjusted)

  Good

  Issue

  N/A

  not on this inspection

• Check operation of power vent (clean if necessary)

  Good

  Issue

  N/A

  not on this inspection

• Visual inspection of vent piping (and intake piping if applicable)

  Good

  Issue

  N/A

  not on this inspection

• Turn on HWT tank observe operation

  Good

  Issue

  N/A

  not on this inspection

• Provide tank flushing

  Yes

  No

  N/A

• Tankless

• Tankless unit(s) inspected on this maintenance visit

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Is there a service manual next to unit?

  Yes

  No

• Ensure are around tankless water heater is clear and free of flammable materials

  Good

  Issue

  N/A

  not on this inspection

• Check that unit is properly mounted and support to wall

  Good

  Issue

  N/A

  not on this inspection

• Visually inspect the tankless water heater for any signs of damage

  Good

  Issue

  N/A

  not on this inspection

• Check all related piping and for an signs of corrosion, damage or leaks

  Good

  Issue

  N/A

  not on this inspection

• Check and clean the water filter

  Good

  Issue

  N/A

  not on this inspection

• Check and inspect burner section and clean if required

  Good

  Issue

  N/A

  not on this inspection

• Check the air intake or vent outlet for any blockages and/or damage/separation

  Good

  Issue

  N/A

  not on this inspection

• Inspect and test tankless water heater relief valve

  Good

  Issue

  N/A

  not on this inspection

• Check condensate drain and valve

  Good

  Issue

  N/A

  not on this inspection

• Check units controls and temperature settings

  Good

  Issue

  N/A

  not on this inspection

• Turn tankless heater on and observe operation

  Good

  Issue

  N/A

  not on this inspection

• Provide a flushing of the tankless unit

  Yes

  No

  N/A

Preventative Maintenance Findings

• Are there any equipment/component issues discovered during this audit?

  Yes

  No

• Maintenance Summary: All HVAC equipment inspected on this visit operating normally at this time.

  
Equipment Issue Summary

• Equipment Type:

• Make:

• Model No.#

• Serial No.#

• Model No.# | Serial No.#

  Media

• Fault:

• Cause:

  Identified

  Unknown

• Diagnosis:

Component Issue Summary

• Accessory Type

• Component

• Specifications

• Part No.#

• Add media

  Media

• Issue/Fault

• Cause

  Identified

  Unknown

• Diagnosis

Equipment Replacements/Additions

• Has any of the equipment covered under this maintenance agreement been replaced since the last inspection?

  Yes

  No

  N/A

• New Replacement Equipment (Please Update Files)

New Equipment

• Equipment Type

  Yes

  No

  N/A

• New Equipment Make

• New Equipment Model No.

• New Equipment Serial No.

• Replaces (previous equipment as noted)

• Has any additional HVAC equipment been installed at this facility since the last maintenance inspection?

  Yes

  No

  N/A

• Newly Added HVAC Equipment

New Equipment

• Equipment Type

  Yes

  No

  N/A

• New Equipment Make

• New Equipment Model No.

• New Equipment Serial No.

• Equipment Notes/Details (i.e. filter/belts sizes and quantities)

Maintenance Audit Sign-Off

• This maintenance inspection was completed as per

  Select Refer Agreement As Per Request As Per Discussion

  • Refer Agreement
  • As Per Request
  • As Per Discussion

• Is there an authorised person available for a maintenance sign-off?

  Yes

  No

• Any issues that have been discovered during this maintenance visit have been conveyed or will be conveyed to the appropriate personnel and they have advised or will advise the corrective measures that are to be undertaken. I acknowledged that Fiscom Air Systems Inc. has preformed and completed the regular scheduled maintenance inspection work as outlined herein, as per the Maintenance Agreement.
  

• Authorized Signature

  Sign

• Any issues that have been discovered during this maintenance audit will be conveyed to the appropriate person via email correspondence and if required, they will be advised of any corrective measures that are to be undertaken. No corrective work will be undertaken unless written consent to proceed on any above mentioned recommendations is provided in writing.
  

• Equipment Inspection Requested By:

• Is there an authorised person available for a maintenance sign-off?

  Yes

  No

• Labour Summary

Service Technician

• Service Technician(s):

  Select Cemil Uygur Ali Uygur

  • Cemil Uygur
  • Ali Uygur

• Time spent on-site:

  Select 1 hr (minimum charge) 1.5 hrs 2.0 hrs 2.5 hrs 3.0 hrs 3.5 hrs 4.0 hrs 4.5 hrs 5.0 hrs 5.5 hrs 6.0 hrs 6.5 hrs 7.0 hrs 7.5 hrs 8.0 hrs 8.5 hrs 9.0 hrs 9.5 hrs 10.0 hrs 10.5 hrs 11.0 hrs 11.5 hrs 12.0 hrs 12.5 hrs 13.0 hrs 13.5 hrs 14.0 hrs 14.5 hrs 15.0 hrs 15.5 hrs 16.0 hrs

  • 1 hr (minimum charge)
  • 1.5 hrs
  • 2.0 hrs
  • 2.5 hrs
  • 3.0 hrs
  • 3.5 hrs
  • 4.0 hrs
  • 4.5 hrs
  • 5.0 hrs
  • 5.5 hrs
  • 6.0 hrs
  • 6.5 hrs
  • 7.0 hrs
  • 7.5 hrs
  • 8.0 hrs
  • 8.5 hrs
  • 9.0 hrs
  • 9.5 hrs
  • 10.0 hrs
  • 10.5 hrs
  • 11.0 hrs
  • 11.5 hrs
  • 12.0 hrs
  • 12.5 hrs
  • 13.0 hrs
  • 13.5 hrs
  • 14.0 hrs
  • 14.5 hrs
  • 15.0 hrs
  • 15.5 hrs
  • 16.0 hrs

• Any issues that have been discovered during this maintenance visit have been conveyed or will be conveyed to the appropriate personnel and they have advised or will advise the corrective measures that are to be undertaken. I hereby acknowledge that kelvinaire Climate Control Solutions has preformed and completed the regular scheduled maintenance inspection work as outlined herein, as per the Maintenance Agreement.
  

• Authorized Signature

  Sign

• Labour Summary

Service Technician

• Service Technician(s):

  Select Cemil Uygur Ali Uygur

  • Cemil Uygur
  • Ali Uygur

• Time spent on-site:

  Select 1 hr (minimum charge) 1.5 hrs 2.0 hrs 2.5 hrs 3.0 hrs 3.5 hrs 4.0 hrs 4.5 hrs 5.0 hrs 5.5 hrs 6.0 hrs 6.5 hrs 7.0 hrs 7.5 hrs 8.0 hrs 8.5 hrs 9.0 hrs 9.5 hrs 10.0 hrs 10.5 hrs 11.0 hrs 11.5 hrs 12.0 hrs 12.5 hrs 13.0 hrs 13.5 hrs 14.0 hrs 14.5 hrs 15.0 hrs 15.5 hrs 16.0 hrs

  • 1 hr (minimum charge)
  • 1.5 hrs
  • 2.0 hrs
  • 2.5 hrs
  • 3.0 hrs
  • 3.5 hrs
  • 4.0 hrs
  • 4.5 hrs
  • 5.0 hrs
  • 5.5 hrs
  • 6.0 hrs
  • 6.5 hrs
  • 7.0 hrs
  • 7.5 hrs
  • 8.0 hrs
  • 8.5 hrs
  • 9.0 hrs
  • 9.5 hrs
  • 10.0 hrs
  • 10.5 hrs
  • 11.0 hrs
  • 11.5 hrs
  • 12.0 hrs
  • 12.5 hrs
  • 13.0 hrs
  • 13.5 hrs
  • 14.0 hrs
  • 14.5 hrs
  • 15.0 hrs
  • 15.5 hrs
  • 16.0 hrs

• Any issues that have been discovered during this property's maintenance visit will be conveyed to the appropriate person via email and if required, they will be advised of any corrective measures that are to be undertaken.