Title Page
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Site
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Conducted on
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Technician
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Unit Name
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Manufacturer
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Model #
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Serial #
Data
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Unit Picture & Tag
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Equipment Type
- RTU
- Fan
- Fan Coil
- Chiller
- Boiler
- Heat Pump
- Pump
- Cooling Tower
- Split System
- CRAC
Exterior
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Vibrations/ Other Abnormalities?
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Explain Issue(s)
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Check for Loose Panels, Broken Fasteners?
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Explain Issue(s)
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Damage to Tower?
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Explain Issue(s)
Components
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Abnormal Noises/Shaking?
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Checked & Verified Heater Works Properly?
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Verified Float Works Properly?
Sump/ Fill
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Cleaned Strainers?
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Cleared Drain Line?
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Checked Fill Media Integrity?
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Cleaned Fill Media?
Fan(s)
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Checked for Belt Wear & Proper Tension?
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Checked Pulley(s) for Wear?
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Greased Bearings?
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Check Shaft for Wear?
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Amped Motor?
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How Many Motors?
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Motor 1 Amp Readings?
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Motor 2 Amp Readings?
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Motor 3 Amp Readings?
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Motor 1 Amp Readings?
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Motor 2 Amp Readings?
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Amp Readings?
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Changed Belts?
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Abnormal Noises/ Shaking?
Wiring
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Checked Wires & Tightened as Needed?
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No Burns or Heat Stress on Connections?
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Replaced Burnt or Cut Wires?
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Fuse Continuity is Present?
Purge Unit
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Inspect Compressor
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Change Oil
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Inspect & Clean Oil Seperator
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Inspect Sight Glasses
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Leak Test
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Check Operation & Set Points
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Clean Condenser
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Change Sampling Filters
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Clean Float, Chamber & Orifices
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Replace Filters or Driers
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Adjust Relief Valves
Condenser
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Brush Clean
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Chemically Clean
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Eddycurrent Being Performed
Evaporator
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Brush Clean
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Chemically Clean
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Inspect Pressure Relief Device
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Eddycurrent Being Performed
Oil Sump
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Take Oil Sample
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Check Oil Level
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Open, Clean & Inspect
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Megger Test Oil Pump Motor
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Check Oil Sump Heater
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Flush Oil Cooler Circuit
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Change Oil Filter
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Change Oil Reclaimer Filter
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Change Oil
Control Panel
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HP
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LP
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OP
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LRT
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LWT
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WPDS
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HGBP
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Flow Switch
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MT
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Changed Motor Cooling Filter
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Controls Test From Panel
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Check Gauges
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Check Relays
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Check Wiring
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Check & Tighten Terminals
Motor Starter
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Megger Motor From Starter
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Check Contacts
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Check & Tighten Terminals
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Check Wiring
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Check OL & Dashpot Oil
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Change SS Starter Fluid
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Dry Run Controls
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Transfer Timer TD
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Clean SSS Air Filter
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Leaks Repaired?
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Pictures
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Comments
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Technicians Signature
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Add signature