Job Details
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Conducted on
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Location
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Prepared by
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Company
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Company Name
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Job Number
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Calorifier being maintained
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Has Calorifier been drained
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Inspection cover been removed
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Annular been removed and cleaned
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Annular replaced
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Calorifier re-filled and DS-3 cleaner added for the required time
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Calorifier emptied, neutraliser added and flushed out
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Inspection hatch replaced
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Thermal disinfection at at 70°c for 1 hour
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Calorifier sample taken
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Is any follow on required
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Job Description
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Time Required
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Priority
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Persons needed to complete the job
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Will there be any disruption to services/Comms to be sent out
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Are Non-Stock materials required
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List all materials required, including any photos, data badges, pipe sizes etc.
Engineer Details
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Name and signature
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Any other colleagues?
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Name and signature