Title Page
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Site
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Conducted on
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Prepared by
AHU Details
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Location
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Unit Reference
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Unit Make
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Model Number
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Serial Number
Service Type
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Service Type
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Filters Cleaned or Replaced
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Fan Scrolls Cleaned
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Unit Fascia Cleaned
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Cooling Method
F-GAS Leak Test requirements
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Refrigerant type and quantity details present
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Refrigerant Type
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Refrigerant Quantity
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Calculated Equivalent tonnes of CO2 - (Equivalent tonnes of CO2 = Weight of refrigerant x Global Warming Potential / 1000)
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F-GAS leak check frequency (up to 5 tonnes - Not required, 5 to 50 tonnes - 12 monthly, 50 to 500 tonnes - 6 monthly, more than 500 tonnes - 3 monthly)
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Type of leak test carried out
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Leak test passed
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Details of failure
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Evaporator Coil cleaned
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Condenser coil cleaned
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Cooling coil cleaned
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Cooling valve operation checked
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Drip Tray Cleaned
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Condensate Pumps / Drainage Tested
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Evaporator/Cooling coil and drip tray chemically treated
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Air ON Coil Temperature - COOLING
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Air OFF Coil Temperature - COOLING
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Heating Method
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Heating Coil cleaned
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Heating valve operation checked
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Elements Cleaned
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Element resistances checked and consistant with designed power rating
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Gas burner details to be taken so service requirements can be costed for
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Pircures of burner so service requirements can be costed for
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Air ON Coil Temperature - HEATING
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Air OFF Coil Temperature - HEATING
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Unit Securely Mounted
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Controls Checked
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Wiring and Electrical terminations Checked
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Fans Operational
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Unit Operates In All Modes
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Belts & Pulley Condition
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Unit Set Point
Service Details
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Filter Cleaned
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Fan Scroll Cleaned
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Unit Fascia Cleaned
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Cooling Method
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Evaporator/Cooling Coil Cleaned
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Condensate Pumps / Drainage Tested
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Evaporator/Cooling Coil and Drip Tray Chemically treated
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Unit Operates In All Modes
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Heating Method
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Elements/Coil cleaned
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Belts & Pulley Condition
Faults
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Faults Found
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Details of faults
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Pictures of faults
Engineer Sign Off
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Comments
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Signature
