Title Page

  • Site conducted

  • Operator Name

  • Which Ipad Are You Using?

  • Date & Time

  • Shift

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

    Capture.PNG
  • Need safety gear? ask your supervisor!

    I4434.png

Boiler

Boiler #1 Aerco

  • Alarms

  • Time of Alarm

  • Alarm Type

  • Supply Temperature Before Resetting Alarm Return Temperature Before Resetting Alarm
  • Was Unit Able To Return Back To Normal

  • Did You Contact Mechanic / Controls

  • Status

  • Discharge Temperature
  • Pressure

Boiler #2 Aerco

  • Alarms

  • Time of Alarm

  • Alarm Type

  • Supply Temperature Before Resetting Alarm Return Temperature Before Resetting Alarm
  • Was Unit Able To Return Back To Normal

  • Did You Contact Mechanic / Controls

  • Status

  • Discharge Temperature
  • Pressure

Domestic Water Heater #1 A.O. Smith

  • Status

  • Discharge Temperature

Domestic Water Heater #2 A.O. Smith

  • Status

  • Discharge Temperature

Hot Water Pump #1

  • Status

  • VFD

Hot Water Pump #2

  • Status

  • VFD

Chiller

Chiller #1 McQuay

  • Alarms

  • What Was The Alarm Type

  • Was The Chiller Able To Be Returned Back To Operation

  • Was Alarm Cleared / Reset

  • Did Another Chiller Turn On

  • Can You Start Another Unit

  • Did You follow The After Hours Incident Chart

  • Status

Custom Report

  • Position

  • Compressor Status

  • Suction Temperature Discharge Temp
  • % RLA - Maximum AMPs Drawn

  • Maximum RPM

  • Actual RPM

  • EVAP Suction Press

  • Condenser Discharge Press

  • Evaporator Temperature Out

  • Evaporator Temperature In

  • Condenser Water Temperature In

  • Condenser Water Temperature Out

  • Active Low Water Set point

  • Lift Press

  • Expansion Valve Position

  • Liquid Line Temperature

Compressor #1

  • Status

  • Starts

  • Run Time Hours

Compressor #2

  • Status

  • Starts

  • Run Time Hours

Chiller #2 TRANE

Alarms

  • Alarms

  • What Was The Alarm Type

  • Was The Chiller Able To Be Returned To Normal Operation

  • Was Alarm Cleared / Reset

  • Did Another Chiller Turn On

  • Can You Start Another Unit

  • Did You follow The After Hours Incident Chart

Operation Status

  • Status

  • Outside Air Temperature

Compressor

  • Compressor Run Time

  • Compressor Starts

  • Oil Tank Temperature
  • Oil Pump Discharge Pressure

  • Oil Tank Pressure

  • Contact Foreman

Evaporator Page

    Active Chilled Water Setpoint Evaporator Leaving Water Temperature Evaporator Entering Water Temperature
  • Evap Rfgt Pressure

  • Contact Foreman

  • Evaporator approach temperature

Condenser Page

    Condenser Entering Water Temperature Condenser Leaving Water Temperature
  • Condenser Refrigerant Pressure

  • Contact Foreman

  • Condenser approach temp

Motor Page

  • Active Current Limit Set Point

  • Contact Foreman

  • Average Motor Current Percent % RLA

Purge Page

  • Purge - Pump Out Life

Physical Gauge on Pipe

  • Chilled water Supply Pressure

  • Chilled water Return Pressure

  • Condenser Supply Pressure

  • Condenser Return Pressure

Side of Chiller Near Oil Filter

  • Oil Level

Primary Chilled Water Pump

Primary Chilled Water Pump McQuay #1

  • Status

  • Controls

Primary Chilled Water Pump TRANE #2?

  • Status

  • Controls

Secondary Chilled Water Pump

Secondary Chilled Water Pump #1

  • Status

  • VFD

  • Was VFD able to be returned to auto?

  • Notify Foreman or Controls

Secondary Chilled Water Pump #2

  • Status

  • VFD

  • Was VFD able to be returned to auto?

  • Notify Foreman or Controls

Secondary Chilled Water Pump #3

  • Status

  • VFD

  • Was VFD able to be returned to auto?

  • Notify Foreman or Controls

AHU

Penthouse Main Floor

AHU #1

  • Status

  • Water Temperature In/Supply Water Temperature Out/Return
  • Pressure In

  • Pressure Out

  • VFD - AHU

  • Was VFD Able to Be Returned To Auto

  • Notify Controls

  • VFD - Return Fan

  • Was VFD Able to Be Returned To Auto

  • Notify Controls

AHU #3

  • Status

  • Water Temperature In Water Temperature Out
  • Pressure In

  • Pressure Out

  • VFD - AHU

  • Was VFD Able to Be Returned To Auto

  • Notify Controls

  • VFD - Return Fan

  • Was VFD Able to Be Returned To Auto

  • Notify Controls

Rooftop #2 Penthouse

AHU #2

  • Status

  • Water Temperature In Water Temperature Out
  • Pressure In

  • Pressure Out

  • VFD - AHU

  • Was VFD Able to Be Returned To Auto

  • Notify Controls

  • VFD - Return Fan

  • Was VFD Able to Be Returned To Auto

  • Notify Controls

AHU #4

  • Status

  • Water Temperature In Water Temperature Out
  • Pressure In

  • Pressure Out

  • VFD - AHU

  • Was VFD Able to Be Returned To Auto

  • Notify Controls

  • VFD - Return Fan

  • Was VFD Able to Be Returned To Auto

  • Notify Controls

Rooftop Exhaust Fans

Exhaust Fan 1

  • Status

Exhaust Fan 2

  • Status

Exhaust Fan 4

  • Status

Exhaust Fan 5

  • Status

Exhaust Fan 7

  • Status

Cooling Tower

Cooling Towers

  • Visual Inspection

Cooling Tower

  • Fan #1

  • Fan #2

  • Fan #3

  • Fan #4

Condenser Water Pump

Condenser Water Pump # 1-4

  • Visual Inspection

  • Pump #1

  • Pump #2

  • Pump #3

  • Pump #4

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.