Title Page
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Site
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Conducted on
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Prepared by
FCU / A/C 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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Service Type
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Filters 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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Cooling Coil Cleaned
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Drip Tray Cleaned
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Cooling coil and drip tray chemically treated
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Evaporator Coil Cleaned
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Drip Tray Cleaned
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Evaporator coil and drip tray chemically treated
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Condensate Pumps / Drainage Tested
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Air ON temperature - COOLING
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Air OFF 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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Elements resistance checked and consistant with designed power
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Air ON temperature - HEATING
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Air ON 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
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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 Coil and Drip Tray Chemically treated
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Heating Method
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Elements/Coil Cleaned
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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