Information
Site Equipment Audit
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Job No:
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Date of Survey
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Customer Name
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Customer Address
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Site Contact Name
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Contact Tel No:
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Email Address
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Engineer Name
A. General Site Information
General Site Information
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How many Plant Rooms on Site
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This Plan Room Name/Building No
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3. Does Motivair currently maintain the equipment - (if No - add detail)<br>
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4. Who currenly maintains the compressed air
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5. Does the Customer have other sites - if "Yes" add detail below<br><br>
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5.a. List Other Site Locations
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6. Is the customer interested in saving money on Energy and Service Costs
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7. Does the customer have a Written Scheme of Examination
B. Compressor 1 - Information
Compressor 1 Information
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Compressor Type
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Take a picture of the compressor
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Location: Building No/Building Name
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Manufacturer
- Compair
- Atlas
- I/Rand
- HPC
- Boge
- Opus
- FINI
- Hiross
- Hankinsom
- Parker/DH
- Denco
- Other: State which
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Take a picture of the data plate
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Model No
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Serial No
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Kw Rating
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Pressure Rating
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If High Pressure State Operating Pressure
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Capcity (CFM etc)
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Year of Manufacture
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Running Hours
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Next Service due
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Are there any Faults with this compressor
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What Oil is Used in this Compressor
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Is there anything more Specific to this Compressor
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List the Specific Detail here:
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Take Picture of Compressor
C. Compressor 2 - Information
Compressor 2 Information
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Compressor Type
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Take a picture of the compressor
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Location: Building No/Building Name
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Manufacturer:
- Compair
- Atlas
- I/Rand
- HPC
- Boge
- Opus
- FINI
- Hiross
- Hankinsom
- Parker/DH
- Denco
- Other: State which
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Take a picture of the data plate
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Model No
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Serial No
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Kw Rating
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Pressure Rating
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Capacity (CFM)
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Year of Manufacture
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Running Hours
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Next Service Due
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Are there any Faults with this Compressor
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What Oil is used in this Compressor
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Is there anything more Specific to this Compressor
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List the Specific Detail here:
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Take Picture of Compressor
D. Compressor 3 - Information
Compressor 3 Information
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Compressor Type
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Take a picture of the compressor
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Location: Building No/Building Name
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Manufacturer
- Compair
- Atlas
- I/Rand
- HPC
- Boge
- Opus
- FINI
- Hiross
- Hankinsom
- Parker/DH
- Denco
- Other: State which
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Take a picture of the data plate
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Model
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Serial No
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Kw Rating
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Pressure Rating
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Capacity (CFM)
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Year of Manufacturer
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Running Hours
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Next Service Due
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Are there any FAULTS with this compressor
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What Oil is used in this Compressor
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Is there anything more specific to this Compressor
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Add Specific Detail Here:
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Take Picture of Compressor
E. Dryer 1 - Information
Dryer 1 Information
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Dryer Type
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Which compressor is this Dryer connected to
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Manufacturer
- Compair
- Atlas
- I/Rand
- HPC
- Boge
- Opus
- FINI
- Hiross
- Hankinsom
- Parker/DH
- Denco
- Other: State which
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Other Manufacturer
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Model No
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Serial No
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Kw Rating
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Capacity (CFM etc)
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Which Type of Refrigerant
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Quantiy of Refrigerant
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Port Size (inches)
F. Dryer 2 - Information
Dryer 2 - Information
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Dryer Type
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Which Compressor is the Dryer connected to
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Manufacturer
- Compair
- Atlas
- I/Rand
- HPC
- Boge
- Opus
- FINI
- Hiross
- Hankinsom
- Parker/DH
- Denco
- Other: State which
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Other Manufacturer
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Model No
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Serial No
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Kw Rating
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Capacity (CFM etc)
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Which type of Refrigerant
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Quantity of Refrigerant
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Port Size (inches)
G. Receivers
Receivers
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How many receivers ar fitted
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1.0 Receiver
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1.1 Manufacturer
- Compair
- Atlas
- I/Rand
- HPC
- Boge
- Opus
- FINI
- Hiross
- Hankinsom
- Parker/DH
- Denco
- Other: State which
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1.11 Other Manufacturer
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1.2 Volume (Lt)
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1.3 Serial No
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1.4 Safe Working Pressure
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1.5 Wet or Dry Receiver
H. Filtration
Filtration
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1.0 MANUFACTURER
- Compair
- Atlas
- I/Rand
- HPC
- Boge
- Opus
- FINI
- Hiross
- Hankinsom
- Parker/DH
- Denco
- Other: State which
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1.1 Model No
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1.11 Element No
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1.12 Port Size (inches)
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1.13 Automatic Drain Fitted
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1.13.1 Autodrain Detail
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2.0 MANUFACTURER
- Compair
- Atlas
- I/Rand
- HPC
- Boge
- Opus
- FINI
- Hiross
- Hankinsom
- Parker/DH
- Denco
- Other: State which
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2.1 Model No
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2.11 Element No
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2.12 Port Size (inches)
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2.13 Automatic Drain Fitted
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2.13.1 Autodrain Detail
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3.0 MANUFACTURER
- Compair
- Atlas
- I/Rand
- HPC
- Boge
- Opus
- FINI
- Hiross
- Hankinsom
- Parker/DH
- Denco
- Other: State which
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3.1 Model No
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3.11 Element No
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3.12 Port Size (inches)
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3.13 Automatice Drain Fitted
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3.13.1 Autodrain Detail
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4.0 MANUFACTURER
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4.1 Model No
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4.11 Element No
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4.12 Port Size (inches)
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4.13 Automatic Drain Fitted
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4.13.1 Autodrain Detail
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5.0 MANUFACTURER
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5.1 Model No
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5.11 Element No
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5.12 Port Size (inches)
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5.13 Automatic Drain Fitted
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5.13.1 Autodrain Detail
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6.0 MANUFACTURER
- Compair
- Atlas
- I/Rand
- HPC
- Boge
- Opus
- FINI
- Hiross
- Hankinsom
- Parker/DH
- Denco
- Other: State which
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6.1 Model No
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6.11 Element No
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6.12 Pot Size (inches)
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6.13 Automatic Drain Fitted
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6.13.1 Autodrain Detail
I. Condensate Management
Condensate Management
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Is there a Condensate Management System Fitted
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1.0 Oil Water Separator
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1.1 Manufacturer
- Compair
- Atlas
- I/Rand
- HPC
- Boge
- Opus
- FINI
- Hiross
- Hankinsom
- Parker/DH
- Denco
- Other: State which
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1.2 Model No
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1.3 Serial No
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Take Picture of OWS
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2.0 Oil Water Separator
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2.1 Manufacturer
- Compair
- Atlas
- I/Rand
- HPC
- Boge
- Opus
- FINI
- Hiross
- Hankinsom
- Parker/DH
- Denco
- Other: State which
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2.2 Model No
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2.3 Serial No
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Take Picture of OWS
J. Additional Technical Information
Additional Technical Information
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Add Free Text
K. Additional Site Information
Additional Site Information
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Add Free Text
L. Verification and Sgnature
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Name
