Title Page
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Company Name
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Address
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Inspected by
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Conducted on
Chiller System Repair and Maintenance Check
Industrial Chiller System
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Chiller
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Chiller Name/ID
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Location in Facility
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Chiller Type
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Specify
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Temperature Readings
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Take photos and add notes to describe the issue
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Can I repair this now?
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Take photos and add notes to describe the work done
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Create an action and assign it with the necessary details, priority level, and due date.
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General Condition
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Take photos and add notes to describe the issue
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Can I repair this now?
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Take photos and add notes to describe the work done
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Create an action and assign it with the necessary details, priority level, and due date.
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Excessive Noise or Vibration
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Take photos and add notes to describe the issue
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Can I repair this now?
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Take photos and add notes to describe the work done
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Create an action and assign it with the necessary details, priority level, and due date.
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Condenser and Oil Pressure Readings
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Take photos and add notes to describe the issue
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Can I repair this now?
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Take photos and add notes to describe the work done
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Create an action and assign it with the necessary details, priority level, and due date.
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General Condition
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Take photos and add notes to describe the issue
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Can I repair this now?
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Take photos and add notes to describe the work done
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Create an action and assign it with the necessary details, priority level, and due date.
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Excessive Noise or Vibration
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Take photos and add notes to describe the issue
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Can I repair this now?
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Take photos and add notes to describe the work done
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Create an action and assign it with the necessary details, priority level, and due date.
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Water Leaks
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Take photos and add notes to describe the issue
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Can I repair this now?
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Take photos and add notes to describe the work done
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Create an action and assign it with the necessary details, priority level, and due date.
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Oil Level in Sump
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Take photos and add notes to describe the issue
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Can I repair this now?
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Take photos and add notes to describe the work done
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Create an action and assign it with the necessary details, priority level, and due date.
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Condenser Pressure Readings
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Take photos and add notes to describe the issue
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Can I repair this now?
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Take photos and add notes to describe the work done
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Create an action and assign it with the necessary details, priority level, and due date.
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General Condition
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Take photos and add notes to describe the issue
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Can I repair this now?
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Take photos and add notes to describe the work done
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Create an action and assign it with the necessary details, priority level, and due date.
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Excessive Noise or Vibration
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Take photos and add notes to describe the issue
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Can I repair this now?
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Take photos and add notes to describe the work done
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Create an action and assign it with the necessary details, priority level, and due date.
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Oil Leaks
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Take photos and add notes to describe the issue
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Can I repair this now?
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Take photos and add notes to describe the work done
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Create an action and assign it with the necessary details, priority level, and due date.
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Water Leaks
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Take photos and add notes to describe the issue
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Can I repair this now?
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Take photos and add notes to describe the work done
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Create an action and assign it with the necessary details, priority level, and due date.
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Oil Level
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Take photos and add notes to describe the issue
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Can I repair this now?
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Take photos and add notes to describe the work done
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Create an action and assign it with the necessary details, priority level, and due date.
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Operating Pressures and Temperatures
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Take photos and add notes to describe the issue
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Can I repair this now?
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Take photos and add notes to describe the work done
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Create an action and assign it with the necessary details, priority level, and due date.
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General Condition
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Take photos and add notes to describe the issue
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Can I repair this now?
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Take photos and add notes to describe the work done
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Create an action and assign it with the necessary details, priority level, and due date.
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Excessive Noise or Vibration
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Take photos and add notes to describe the issue
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Can I repair this now?
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Take photos and add notes to describe the work done
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Create an action and assign it with the necessary details, priority level, and due date.
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Crank Case Oil Level
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Take photos and add notes to describe the issue
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Can I repair this now?
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Take photos and add notes to describe the work done
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Create an action and assign it with the necessary details, priority level, and due date.
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Oil Pressure
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Take photos and add notes to describe the issue
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Can I repair this now?
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Take photos and add notes to describe the work done
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Create an action and assign it with the necessary details, priority level, and due date.
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Operating Temperatures
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Take photos and add notes to describe the issue
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Can I repair this now?
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Take photos and add notes to describe the work done
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Create an action and assign it with the necessary details, priority level, and due date.
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Boiler/Steam Pressure
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Take photos and add notes to describe the issue
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Can I repair this now?
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Take photos and add notes to describe the work done
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Create an action and assign it with the necessary details, priority level, and due date.
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General Condition
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Take photos and add notes to describe the issue
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Can I repair this now?
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Take photos and add notes to describe the work done
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Create an action and assign it with the necessary details, priority level, and due date.
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Excessive Noise or Vibration
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Take photos and add notes to describe the issue
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Can I repair this now?
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Take photos and add notes to describe the work done
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Create an action and assign it with the necessary details, priority level, and due date.
Sign Off
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Additional Observation
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Maintenance Technician Name & Signature
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Maintenance Supervisor Name & Signature
