Title Page

  • Site conducted

  • Operator Name

  • Which Ipad Are you Using?

  • Date & Time

  • Shift

  • Berne Brown.JPG
  • Need safety gear? ask your supervisor!

    I4434.png
  • Take Photos of Leaks and Make Sure To Add In The Red Book

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Air Handler

AHU #7

  • Status

  • Alarm

  • Time of Alarm

  • Cause of Alarm

  • Was Unit Able to Be Returned to Normal Operation

  • Call Controls or Foreman

  • VFD

  • Was VFD Able to Be Returned To Auto

  • Notify Controls

AHU #8

  • Alarm

  • Time of Alarm

  • Cause of Alarm

  • Was Unit Able to Be Returned to Normal Operation

  • Call Controls or Foreman

  • VFD

  • Was VFD Able to Be Returned To Auto

  • Notify Controls

  • Status

AHU #9

  • Alarm

  • Time of Alarm

  • Cause of Alarm

  • Was Unit Able to Be Returned to Normal Operation

  • Call Controls or Foreman

  • VFD

  • Was VFD Able to Be Returned To Auto

  • Notify Controls

  • Status

AHU #10

  • Alarm

  • Time of Alarm

  • Cause of Alarm

  • Was Unit Able to Be Returned to Normal Operation

  • Call Controls or Foreman

  • VFD

  • Was VFD Able to Be Returned To Auto

  • Notify Controls

  • Status

AHU #11

  • Alarm

  • Time of Alarm

  • Cause of Alarm

  • Was Unit Able to Be Returned to Normal Operation

  • Call Controls or Foreman

  • VFD

  • Was VFD Able to Be Returned To Auto

  • Notify Controls

  • Status

AHU #12

  • Alarm

  • Time of Alarm

  • Cause of Alarm

  • Was Unit Able to Be Returned to Normal Operation

  • Call Controls or Foreman

  • VFD

  • Was VFD Able to Be Returned To Auto

  • Notify Controls

  • Status

Exhaust Fan 1-3 Disconnect Switch Basement

  • Exhaust Fan #1

  • Exhaust Fan #2

  • Exhaust Fan #3

Rooftop - Once a week

Exhaust Fans 1-3

  • Exhaust Fan #1

  • Exhaust Fan #2

  • Exhaust Fan #3

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.