Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Work Order Number
Untitled Page
(T)ools, (S)afety Equipment and (M)aterials
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Electrician's tool set
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Cleaning equipment and materials
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Painting materials
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Replacement zinc anodes
Safety Guidelines
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Schedule work with operating personnel
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Check with operating personnel for deficiencies
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Follow the site safety rules and your supervisor’s instructions
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Obtain and review manufacturer's instructions
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Report any problems you find
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Record the results in the equipment history log
Maintenance Procedures
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Clean and inspect the water heater
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Clean away dirt, dust, and other contaminants
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Inspect for corrosionchipping, and repaint as necessary
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Check the condition of the insulation on the heat exchanger and holding tank. Repair, replace and paint as necessary
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Inspect plumbing connections for evidence of leaks
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Inspect coils for damage/security
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Exercise valves two full cycles
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Inspect and clean control panel
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Check and tighten electrical connections
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Manually operate the safety relief valve. Check for ease of operation. Verify pressure is relieved
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Bleed air where equipped
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Inspect anode and replace if center wire is visible
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Operational test of the water heater
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Remove tags/locks and put water heater on line
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Test the water heater under operational conditions, and observe for unusual noise and signs of leaks
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Check operation and setting of thermostat
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Return the unit to service
Maintenance Hours
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Estimated time spent on this work order?