Title Page
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Site
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Conducted on
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Prepared by
Extract fan 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 Details
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Filters Cleaned (if applicable)
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Fan Scrolls Cleaned
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Unit fascia, vents and its surrounding areas cleaned
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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
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