Title Page
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Site conducted
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Conducted on
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Prepared by
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Customer
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Nature of Work
Appliance
- Appliance
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Appliance Make and Model:
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Appliance Serial Number:
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Oil / Gas Pressure checked
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Standing Pressure
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Working Pressure
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Soundness Test
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Ventilation Satisfactory
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Visual Condition of Flue
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Flue Spillage
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Appliance Safe For Use
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Warning Notice Issued
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Earth Bonding Satisfactory
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Combustible Materials in Plantroom
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Filters Clean / Needed Replaced
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Condensor Coil CLear
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Controller Function OK
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Evap Coil Clean
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Condensate Type
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Drain / Pump OK
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Damage To Internal Cassette
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Damage to External Condensor
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Condition Of Pipework
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Estimated Age Of Unit
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Overall Condition
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Fit For Purpose
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Sizing Of Unit To Space / Requierments
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Electrical Supply
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Refrigerant Type & Charge
Sign off Sheet
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Engineer Comments
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Parts Used
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Engineer Signiture
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Total Hours On Site
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Customer Signiture
