Information

  • Job Number

  • Site

  • Add location
  • Conducted on

Report Summary

  • Maintenance of Refrigeration and Air Conditioning

Authorisation

  • Service Technician

  • Site Manager

Equipment Record

  • All Units Operational

  • Ambient Temperature

  • Store Temperature

  • Coolroom Temperature

  • Freezer Temperature

  • Anti-Sweat Point

  • Anti-Sweat Point present?

  • System Status

  • Physical Check of Doors for Sweat

  • Coments

Plant

Air Conditioner 1

  • Location

  • Condition

  • Inlet Temperature

  • Outlet Temperature

  • Repairs Required

Air Conditioner 2

  • Location

  • Condition

  • Inlet Temperature

  • Outlet Temperature

  • Repairs Required

Air Conditioner 3

  • Location

  • Condition

  • Inlet Temperature

  • Outlet Temperature

  • Repairs Required

Cool Room

  • Location

  • Condition

  • Inlet Temperature

  • Outlet Temperature

  • Repairs Required

Freezer Room

  • Location

  • Condition

  • Inlet Temperature

  • Outlet Temperature

  • Repairs Required

Dairy Case

  • Location

  • Condition

  • Inlet Temperature

  • Outlet Temperature

  • Repairs Required

Stand Alone 1

  • Location

  • Condition

  • Inlet Temperature

  • Outlet Temperature

  • Repairs Required

Stand Alone 2

  • Location

  • Condition

  • Inlet Temperature

  • Outlet Temperature

  • Repairs Required

Additional

  • Equipment Name

  • Location

  • Condition

  • Inlet Temperature

  • Outlet Temperature

  • Repairs Required

Additional 2

  • Equipment Name

  • Location

  • Condition

  • Inlet Temperature

  • Outlet Temperature

  • During inspection of ducted AC systems, the refrigeration plant is to be inspected at a sensory level and any issues of concern are to be noted. Pass:

  • Comments

Refrigeration Condensing Units

  • Prove function of pressure controls and calibrate as required

  • Pass

  • Fixed

  • Comments

  • Advise of untoward bearing issues, vibrations or deterioration

  • Comments

  • Pass

  • Fixed

  • Pressure clean condensor coils

  • Pass

  • Fixed

  • Comments

  • Inspect and confirm integrity of pipework

  • Pass

  • Fixed

  • Comments

Cool Rooms & Freezer Rooms

  • Log and advise of any poor storage practices that impede performance

  • Pass

  • Fixed

  • Comments

  • Log Space Temperature

  • Pass

  • Fixed

  • Comments

  • Log Temperature across evaporator coil

  • Pass

  • Fixed

  • Comments

  • Pressure clean evaporator coil

  • Pass

  • Fixed

  • Comments

  • Ensure doors close properly and all penetrations are sealed

  • Pass

  • Fixed

  • Comments

  • Ensure internal door opening devices and alarms operate faultlessly

  • Pass

  • Fixed

  • Comments

  • Check operation of control and set point calibration

  • Pass

  • Fixed

  • Comments

  • Ensure integrity of evaporator assembly (fans, motors, pipework)

  • Pass

  • Fixed

  • Comments

Stand Alone Cabinets

  • Ensure evaporators are clean and free of ice build up

  • Pass

  • Fixed

  • Comments

  • Clean face of air cooled condensor

  • Pass

  • Fixed

  • Comments

  • Clean curtain diffusers to maintain proper air seal

  • Pass

  • Fixed

  • Comments

  • Check drains are clear and advise operator of need to clean spilled product

  • Pass

  • Fixed

  • Comments

  • Advise on issues of poor location or obstruction, or over stocking that may impede correct operation

  • Pass

  • Fixed

  • Comments

Package & Split Ducted Units

  • Perform sensory inspection in standard operating mode

  • Pass

  • Fixed

  • Comments

  • Inspect return air filters. Advise if cleaning was required

  • Comments

  • Pass

  • Fixed

  • Inspect condensate trays and drains. Advise if cleaning was required

  • Pass

  • Fixed

  • Comments

  • Check indoor and outdoor fan assemblies and confirm they are fit for purpose

  • Pass

  • Fixed

  • Comments

  • Grease bearings and tension belts as required to both SAF and condensor fans

  • Pass

  • Fixed

  • Comments

  • Confirm access panels are secured and designed

  • Pass

  • Fixed

  • Comments

  • Ensure insulation is secured to panels and cabinet

  • Pass

  • Fixed

  • Comments

  • Inspect and advise on condition of both indoor and outdoor coils

  • Pass

  • Fixed

  • Comments

  • Inspect condition of flexible conditions and return air intake offs and confirm they are fit for purpose

  • Pass

  • Fixed

  • Comments

  • Verify pipework and associated components are fit for purpose

  • Pass

  • Fixed

  • Comments

  • Examine units for corrosion. Advise of need to treat

  • Pass

  • Fixed

  • Comments

  • Report on general condition of equipment and advise of further work required

  • Pass

  • Fixed

  • Comments

  • Make note of equipment misuse such as extreme adjustment of controls or restriction of airflow

  • Pass

  • Fixed

  • Comments

High Wall Splits & Cassettes

  • Observe operation in appropriate mode

  • Pass

  • Fixed

  • Comments

  • Inspect condensate trays and drains. Clean as required

  • Pass

  • Fixed

  • Comments

  • Check indoor and outdoor fan assemblies and confirm they are fit for purpose

  • Pass

  • Fixed

  • Comments

  • Inspect return air filter and advise if cleaning was required

  • Pass

  • Fixed

  • Comments

  • Check pipework for vibration and that all insulation and cover ducts are intact

  • Comments

  • Pass

  • Fixed

Room Air Conditioners

  • Operate unit through heating and cooling modes

  • Fixed

  • Comments

  • Pass

  • Check "Air On" temperature against "Air Off" on both modes

  • Heat "Air On"

  • Pass

  • Fixed

  • Comments

  • Heat "Air Off"

  • Pass

  • Fixed

  • Comments

  • Cooling "Air On"

  • Pass

  • Fixed

  • Comments

  • Cooling "Air Off"

  • Pass

  • Fixed

  • Comments

Toilet Exhaust Fans

  • Ensure correct operation and sufficient extraction

  • Pass

  • Fixed

  • Comments

  • Ensure all covers and fittings are in place and contact with moving parts is not possible to customers or staff

  • Pass

  • Fixed

  • Comments

  • Report on need for further work

  • Pass

  • Fixed

  • Comments

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.