Industrial Refrigeration JSEA & Field Service Report

• FSR #

• JOB #

• ORDER #

• CUSTOMER

  Customer X

Industrial JSEA & Field Service Report

• STARTED

  Date

• JOB #

• PURCHASE ORDER #

• CUSTOMER

  Customer X

• JOB TITLE

• Add JSEA

JSEA

• METHOD STATEMENT

• IMAGES

  Media

• STAKEHOLDERS

• HAZARDS

  Select AMMONIA PRESSURE RESPIRATORY DERMAL OCULAR THERMAL HEIGHTS CONFINED SPACE FALLING ITEMS

  • AMMONIA
  • PRESSURE
  • RESPIRATORY
  • DERMAL
  • OCULAR
  • THERMAL
  • HEIGHTS
  • CONFINED SPACE
  • FALLING ITEMS

• CONTROLS

  Select RESPIRATORY PROTECTION HARNESS HARD HAT SAFETY GLASSES GLOVES THERMAL CLOTHING GUARDING ENTRY RESTRICTIONS EARLY WARNING SYSTEM SCBA

  • RESPIRATORY PROTECTION
  • HARNESS
  • HARD HAT
  • SAFETY GLASSES
  • GLOVES
  • THERMAL CLOTHING
  • GUARDING
  • ENTRY RESTRICTIONS
  • EARLY WARNING SYSTEM
  • SCBA

• 

• RISK SCORE

• WNID DIRECTION

• WIND SPEED

• ALARM SYSTEM TESTED

  Yes

  No

  N/A

• EMERGENCY SHOWER TESTED

  Yes

  No

  N/A

• SPILL KIT AVAILABLE

  Yes

  No

  N/A

• SAFE TO PROCEDE

  Safe

  At Risk

  N/A

• Approved by

  Sign

• Add Work detail

Field Service Report

• TYPE

  Select SERVICE ON DEMAND MAINTENANCE QUOTED AFTER HOURS

  • SERVICE ON DEMAND
  • MAINTENANCE
  • QUOTED
  • AFTER HOURS

• Add media

  Media

• Add signature

  Sign

• Add Technician

Technician

Labour

• Technician

  Select PADRAIC MATT WILLY JOCK JOSH RHYS DEVON GLEN MIKE

  • PADRAIC
  • MATT
  • WILLY
  • JOCK
  • JOSH
  • RHYS
  • DEVON
  • GLEN
  • MIKE

• Labour Normal time

  Select 0.5 1 1.5 2 2.5 3 4 4.5 5 5.5 6 6.5 7 8 8.5 9 9.5 10 10.5 11 11.5 12

  • 0.5
  • 1
  • 1.5
  • 2
  • 2.5
  • 3
  • 4
  • 4.5
  • 5
  • 5.5
  • 6
  • 6.5
  • 7
  • 8
  • 8.5
  • 9
  • 9.5
  • 10
  • 10.5
  • 11
  • 11.5
  • 12

• Labour Overtime

  Select 0.5 1 1.5 2 2.5 3 4 4.5 5 5.5 6 6.5 7 8 8.5 9 9.5 10 10.5 11 11.5 12

  • 0.5
  • 1
  • 1.5
  • 2
  • 2.5
  • 3
  • 4
  • 4.5
  • 5
  • 5.5
  • 6
  • 6.5
  • 7
  • 8
  • 8.5
  • 9
  • 9.5
  • 10
  • 10.5
  • 11
  • 11.5
  • 12

• Mileage

• Add Tasks, parts & consumables

Tasks

Materials

• Ammonia Handling

• Leak test

• Pressure test

• Evacuation

• Oil pump

• OTHER

• Job completed

  Yes

  No

  N/A

• COMPLETED

  Date
Electrical Safety Certificate

• This Section is completed to certify that any prescribed electrical works carried out, including the maintenance and replacement of electrical fittings has been tested and complies with the Electrical (Safety) Regulations 2010.

• I certify that the installation, or part of the installation, to which the Electrical Safety Certificate applies is connected to the power supply and is safe to use.

• Part / Component of installation worked on:

• Add signature

  Sign

• Select date

  Date

• Registration / Practicing licence No :

•