Information
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Canopy
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How many canopies are there?
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What type of filters are fitted
- Baffle
- Mesh
- Baffle & Mesh
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Pre clean pictures
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Post clean Pictures
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Are there any sections of the canopy that cannot be cleaned?
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Describe the areas not cleaned and reason
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Pictures of uncleaned areas
Horizontal ductwork
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Is there any horizontal ductwork?
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What type of ductwork is installed?
- Rectangular
- Spiral
- Flat oval
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Is any of the horizontal ductwork fire rated?
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Pictures of fire rated ductwork
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Pre clean pictures
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Post clean pictures
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Are there any uncleaned or inaccessible sections of horizontal ductwork?
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Description of uncleaned or inaccessible areas
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Pictures of uncleaned or inaccessible areas
Riser ductwork
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Is there any horizontal ductwork?
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What type of ductwork is the riser?
- Rectangular
- Spiral
- Flat oval
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Pre clean pictures of the riser
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Post clean pictures of the riser
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Are there any sections that are inaccessible or not cleaned to TR19 standards
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Describe the inaccessible or uncleaned areas?
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Pictures of inaccessible or uncleaned areas
Fan
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What type of fan is fitted?
- Axial
- Centrifugal
- Bifurcated
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Where is the fan located?
- Roof
- Plantroom
- Ceiling void
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Is the fan accessible for cleaning?
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Describe why fan is inaccessible and if any access equipment is required.
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Pictures of inaccessible fan
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Pre clean pictures of fan
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Post clean pictures of fan
Other faults
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Are there any other faults, inaccessible sections or uncleaned areas not previously mentioned?
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Describe the fault
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Supporting pictures
Drawing
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Add drawing
