Information

Site Equipment Audit

  • Job No:

  • Date of Survey

  • Customer Name

  • Customer Address
  • Site Contact Name

  • Contact Tel No:

  • Email Address

  • Engineer Name

A. General Site Information

General Site Information

  • How many Plant Rooms on Site

  • This Plan Room Name/Building No

C. Compressor 1 - Information

Compressor 1 Information

  • Compressor Type

  • Manufacturer:

  • Model No

  • Serial No

  • Kw Rating

  • Pressure Rating

  • Capacity (CFM)

  • Year of Manufacture

  • Running Hours

  • What Oil is used in this Compressor

  • Next Service Due - (Type)

  • Take Picture of Compressor

D. Compressor 2 - Information

Compressor 2 Information

  • Compressor Type

  • Manufacturer

  • Model

  • Serial No

  • Kw Rating

  • Pressure Rating

  • Capacity (CFM)

  • Year of Manufacturer

  • Running Hours

  • Next Service Due - (Type)

  • Take Picture of Compressor

E. Dryer 1 - Information

Dryer 1 Information

  • Dryer Type

  • Manufacturer

  • Other Manufacturer

  • Model No

  • Serial No

  • Kw Rating

  • Port Size (inches)

F. Dryer 2 - Information

Dryer 2 - Information

  • Dryer Type

  • Manufacturer

  • Other Manufacturer

  • Model No

  • Serial No

  • Kw Rating

  • Port Size (inches)

G. Receivers

Receivers

  • How many receivers ar fitted

  • 1.0 Receiver

  • 1.1 Manufacturer

  • 1.11 Other Manufacturer

  • 1.2 Volume (Lt)

  • 1.3 Serial No

  • 1.5 Wet or Dry Receiver

H. Filtration

Filtration

  • 1.0 MANUFACTURER

  • 1.1 Model No

  • 1.11 Element No

  • 1.12 Port Size (inches)

  • 2.0 MANUFACTURER

  • 2.1 Model No

  • 2.11 Element No

  • 2.12 Port Size (inches)

  • 3.0 MANUFACTURER

  • 3.1 Model No

  • 3.11 Element No

  • 3.12 Port Size (inches)

  • 4.0 MANUFACTURER

  • 4.1 Model No

  • 4.11 Element No

  • 4.12 Port Size (inches)

  • 5.0 MANUFACTURER

  • 5.1 Model No

  • 5.11 Element No

  • 5.12 Port Size (inches)

  • 6.0 MANUFACTURER

  • 6.1 Model No

  • 6.11 Element No

  • 6.12 Pot Size (inches)

I. Condensate Management

Condensate Management

  • 1.0 Oil Water Separator

  • 1.1 Manufacturer

  • 1.2 Model No

  • Take Picture of OWS

j. Automatic Drains

Electronic Drains

  • List Make/Model/Serial No of all Electronic Drains

signature

  • Signature

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.