Title Page

  • Site

  • Conducted on

  • Prepared by

  • Type Of Refrigerant On Site:

Compressors

1.0 Compressors

Age / Year Of Install

  • SPOF

  • BER

  • Abnormal Noise / Vibration

  • Operational

1.1 Motors

Age / Year Of Install

  • SPOF

  • BER

  • Any oil leaks <br>

  • Corrosion

1.2 Oil Separator

Age / Year Of Install

  • SPOF

  • BER

  • Any oil leaks <br>

  • Corrosion<br><br>

1.3 Oil cooler

Age / Year Of Install

  • SPOF

  • BER

  • Fully Operational<br><br>

  • Obsolete parts<br><br><br>

1.4 Valves

Age / Year Of Install

  • SPOF

  • BER

  • Fully Operational<br><br>

  • Obsolete parts<br><br><br>

1.5 Mechanical Controls

Age / Year Of Install

  • SPOF

  • BER

  • Fully Operational<br><br>

  • Obsolete parts<br><br><br>

1.6 Electrical Controls

Age / Year Of Install

  • SPOF

  • BER

  • Fully Operational<br><br>

  • Obsolete parts<br><br><br>

Condenser

2.0 Condensers

Age / Year Of Install

  • SPOF

  • BER

  • Abnormal noise/vibration<br>

  • Operational<br>

  • Any leakage<br>

  • Obsolete parts<br>

2.1 Motor

Age / Year Of Install

  • SPOF

  • BER

  • Operational<br>

2.2 Water Pump

Age / Year Of Install

  • SPOF

  • BER

2.3 Coil

Age / Year Of Install

  • SPOF

  • BER

  • Operational<br>

  • Scaling of tubes<br>

  • Corrosion<br>

2.4 Spray Nozzles

Age / Year Of Install

  • SPOF

  • BER

  • Need replacements<br>

  • Damaged<br>

2.5 Drift Eliminators

Age / Year Of Install

  • SPOF

  • BER

  • Fully Operational <br>

2.6 Water Dosing equipment

Age / Year Of Install

  • SPOF

  • BER

2.6 Water Dosing equipment

Age / Year Of Install

  • SPOF

  • BER

Liquid Receiver

3.0 Liquid Receiver

Age / Year Of Install

  • SPOF

  • BER

  • Fully Operational <br>

3.1 Valves

Age / Year Of Install

  • SPOF

  • BER

  • PRV's in Date<br>

  • Relief line to atmosphere secure

3.1.1 Dual port of single

3.2 PRVs

Age / Year Of Install

  • SPOF

  • BER

3.0 Liquid Receiver

Age / Year Of Install

  • SPOF

  • BER

Surge Drum

4.0 Surge Drum

Age / Year Of Install

  • SPOF

  • BER

  • Fully Operational <br>

  • Obsolete parts<br>

4.1 Mechanical Controls

Age / Year Of Install

  • SPOF

  • BER

  • Fully Operational <br>

  • Obsolete parts<br>

4.2 Electrical Controls

Age / Year Of Install

  • SPOF

  • BER

  • Any leakage<br><br>

  • Obsolete parts<br>

4.3 Pumps

Age / Year Of Install

  • SPOF

  • BER

  • Fully Operational <br>

  • Any leakage<br><br>

  • Any corrosion<br><br>

4.4 Heat Exchangers

Age / Year Of Install

  • SPOF

  • BER

  • Fully Operational <br>

  • Any leakage<br><br>

4.5 Glycol System

Age / Year Of Install

  • SPOF

  • BER

  • Vapor seal breached<br> <br>

  • Good condition<br><br>

  • Identity banding fitted<br><br><br>

4.6 Vessel Insulation

Age / Year Of Install

  • SPOF

  • BER

  • Vapor seal breached<br> <br>

  • Good condition<br><br>

  • Identity banding fitted<br><br><br>

  • Any corrosion<br><br> <br>

4.7 Pipework Insulation

Age / Year Of Install

  • SPOF

  • BER

Coolers

5.0 Coolers

Age / Year Of Install

  • SPOF

  • BER

  • Abnormal noise/vibration <br>

  • Operational<br>

5.1 Cooler Fans

Age / Year Of Install

  • SPOF

  • BER

  • Fully Operational <br><br>

  • Obsolete parts<br><br>

5.2 Controls

Age / Year Of Install

  • SPOF

  • BER

  • Good access<br><br><br>

  • Filters fitted correctly<br><br><br>

  • Filter doors/seals in good condition<br><br><br><br>

5.3 Filters

Age / Year Of Install

  • SPOF

  • BER

  • Any leakage<br><br><br>

  • Clean<br><br><br>

5.4 Trays

Age / Year Of Install

  • SPOF

  • BER

  • Any leakage<br><br><br>

  • Securely fastened<br><br><br><br>

  • Cleaning access points fitted<br><br><br><br><br>

5.5 Drains

Age / Year Of Install

  • SPOF

  • BER

  • Good access<br><br><br><br><br><br>

  • Equipment required for access<br><br><br><br><br><br>

5.6 Access for Maintaining

Age / Year Of Install

  • SPOF

  • BER

Air Handling Units

6.0 Air Handling Units

Age / Year Of Install

  • SPOF

  • BER

  • Abnormal noise/vibration <br>

  • Operational<br>

6.1 Fans

Age / Year Of Install

  • SPOF

  • BER

  • Abnormal noise/vibration <br>

  • Operational<br>

6.2 Motors

Age / Year Of Install

  • SPOF

  • BER

Fin condition

6.3 Coil

Age / Year Of Install

  • SPOF

  • BER

  • Fully Operational <br><br>

  • Obsolete parts<br><br>

6.4 Mechanical Controls

Age / Year Of Install

  • SPOF

  • BER

  • Fully Operational <br><br>

  • Obsolete parts<br><br>

6.5 Electrical Controls

Age / Year Of Install

  • SPOF

  • BER

  • Fully Operational <br><br>

  • Obsolete parts<br><br>

6.6 Insulation

Age / Year Of Install

  • SPOF

  • BER

  • Vapor seal breached<br><br><br>

  • Identity banding fitted<br><br><br>

  • good condition<br><br><br>

Switch Room

7.0 Switch Room

Age / Year Of Install

  • BER

  • SPOF

  • Fully Operational <br>

  • Obsolete parts<br>

  • Dial in/out facility available<br>

7.1 SCADA

Age / Year Of Install

  • BER

  • SPOF

  • Fully Operational <br>

  • Obsolete parts<br>

  • Rubber floor mats fitted<br><br>

7.2 Electrical Control Panels

Age / Year Of Install

  • BER

  • SPOF

  • Fully Operational <br>

  • Obsolete parts<br>

7.3 Electrical Controls

Age / Year Of Install

  • BER

  • SPOF

  • Fully Operational <br>

  • Obsolete parts<br>

Date last serviced

7.4 Gas detection Equipment

Age / Year Of Install

  • SPOF

  • BER

  • Fully Operational <br>

7.5 Air Conditioning Equipment

Age / Year Of Install

  • SPOF

  • BER

Pipework

8.0 Pipework

Age / Year Of Install

  • SPOF

  • BER

  • Vapor seal breached<br>

  • Good condition<br>

  • Identity banding fitted<br>

  • Any corrosion<br>

8.1 External

Age / Year Of Install

  • SPOF

  • BER

  • Vapor seal breached<br>

  • Good condition<br>

  • Identity banding fitted<br>

  • Any corrosion<br>

8.2 Internal

Age / Year Of Install

  • SPOF

  • BER

  • Vapor seal breached<br>

  • Good condition<br>

  • Identity banding fitted<br>

  • Any corrosion<br>

8.3 Plant room

Age / Year Of Install

  • SPOF

  • BER

  • Vapor seal breached<br>

  • Good condition<br>

  • Identity banding fitted<br>

  • Any corrosion<br>

8.4 Insulation

Age / Year Of Install

  • SPOF

  • BER

Glycol Chiller

9.0 Glycol Chiller

Age / Year Of Install

  • SPOF

  • BER

  • Abnormal noise/vibration <br>

  • Operational<br>

9.1 Compressors

Age / Year Of Install

  • SPOF

  • BER

Fin condition

  • Any corrosion<br><br>

  • Coil fins clean<br><br>

9.2 Condensers

Age / Year Of Install

  • SPOF

  • BER

  • Fully Operational <br><br><br>

  • Obsolete parts<br><br><br>

9.3 Mechanical Controls

Age / Year Of Install

  • SPOF

  • BER

  • Fully Operational <br><br><br>

  • Obsolete parts<br><br><br>

9.4 Electrical Controls

Age / Year Of Install

  • SPOF

  • BER

  • Fully Operational <br><br><br>

  • Obsolete parts<br><br><br>

9.5 Insulation

Age / Year Of Install

  • SPOF

  • BER

Condensing Units

10.0 Condensing Units

Age / Year Of Install

  • SPOF

  • BER

  • Abnormal noise/vibration <br>

  • Operational<br>

  • Refrigerant type<br>

10.1 Compressors

Age / Year Of Install

  • SPOF

  • BER

Fin condition

  • Any corrosion<br><br>

  • Coil fins clean<br><br>

10.2 Condensers

Age / Year Of Install

  • SPOF

  • BER

  • Fully Operational <br><br><br>

  • Obsolete parts<br><br><br>

10.3 Mechanical Controls

Age / Year Of Install

  • SPOF

  • BER

  • Fully Operational <br><br><br>

  • Obsolete parts<br><br><br>

10.4 Electrical Controls

Age / Year Of Install

  • SPOF

  • BER

  • Fully Operational <br><br><br>

  • Obsolete parts<br><br><br>

10.5 Insulation

Age / Year Of Install

  • SPOF

  • BER

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.