Title Page
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Site
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Conducted on
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Prepared by
Condenser Details
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Unit Type
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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
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) (R407A = 2017 GWP, R410A = 2088 GWP)
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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
Service Details
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Supply Voltage
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Fan Motor Running Amps
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Fans Operational
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Electrical Terminals Tightened
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Inverters Checked & Tested
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Filters Cleaned
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Coil Cleaned
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Condensate Pumps / Drainage Tested
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Drip Tray Cleaned
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Fan Scroll Cleaned
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Unit Fascia Cleaned
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Belts & Pulley Condition
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Compressor Running Amps
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Air OFF Coil Temperature
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Air ON Coil Temperature
Faults
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Faults found
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The unit is
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Details of faults
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Pictures of faults
Engineer Sign Off
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Additional Comments
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Signature