GEW Technologies Aircon Inspection

• Please complete this inspection on a monthly base for every unit located on the premises and send report via e-mail to the Facilities Manager
  
  Rating: 1 = Legally and Company Compliant
  2 = Light Risk (1 Month Action)
  3 = Medium Risk. (1 Week Action)
  4 = High Risk. (24 Hour Action)
  5 = Critical Risk. (Immediate Action)
  
  Scoring: If score is higher than 2 please indicate action, supplier/person reported to and expected time of completion

• Document No.

• Unit nr

• Make

• Model Number

• Serial Number

• Location Indoor

• Location Outdoor

• Conducted on

  Date

• Prepared by

Description

• Is unit identified

  Yes

  No

  N/A

• Is asset/identification number legible

  Yes

  No

  N/A

• Is unit listed on register

  Yes

  No

  N/A

• Is unit listed on maintenance program

  Yes

  No

  N/A

• Covers not missing

  Yes

  No

  N/A

• Covers not broken

  Yes

  No

  N/A

• No missing screws or bolts

  Yes

  No

  N/A

• Thermostat is functioning

  Yes

  No

  N/A

• No gas leaks

  Yes

  No

  N/A

• Wiring not damaged

  Yes

  No

  N/A

• No bad joints in electrical cable

  Yes

  No

  N/A

• Filters clean

  Yes

  No

  N/A

• Date filter were cleaned

  Date

• Plug is not damaged

  Yes

  No

  N/A

• Date of last repair

  Date

• Outlets in office clean

  Yes

  No

  N/A

• Airflow in office adequate

  Yes

  No

  N/A

• Controller/Remote Working

  Yes

  No

  N/A

• Building Maintenance Representitive

  Sign

• Facilities Manager

  Sign