Information

  • Store Name and Number

  • File name

  • Location
  • Conducted on

  • Prepared by

Quote

UNIT INFORMATION

  • Manufacturer of unit

  • Model number of unit

  • Serial number of unit

  • Select Type of Equipment

  • Age of unit

  • TONNAGE, BTU, or KW

  • Estimated Years of Life Expectancy Push slide for number of years.

THE PROBLEM

  • Was this problem found on a Service call or PM. Select one

  • Description, What is the problem, what was the cause of the problem, what do you need to do to fix the problem.

  • How many units at this location

  • How many units are down

  • What part of store is affected by this unit?

  • What is the temperature in the affected area

  • What is the outdoor temperature?

PARTS

  • If Quoting a Motor, What is the Horse Power

  • Part. - DESCRIPTION - LEAD TIME - COST

  • Part. - DESCRIPTION - LEAD TIME - COST

  • Part. - DESCRIPTION - LEAD TIME - COST

  • Part. - DESCRIPTION - LEAD TIME - COST

  • Part. - DESCRIPTION - LEAD TIME - COST

  • Part. - DESCRIPTION - LEAD TIME - COST

  • Part. - DESCRIPTION - LEAD TIME - COST

  • Part. - DESCRIPTION - LEAD TIME - COST

  • Part. - DESCRIPTION - LEAD TIME - COST

  • Part. - DESCRIPTION - LEAD TIME - COST

ADDITIONAL ITEM

  • Check this box for Crane, freon, torch, reclaim, permit,disposal,freight,vacuum pump, or rental.

  • Crane

  • Disposal

  • Torch

  • Freon, type and how many lbs

  • Permit

  • Reclaim

  • Freight

  • Vacuum pump

  • Rental

  • Other

LABOR

  • Estimated travel needed

  • How many techs are required to complete this job

  • How many hours per tech are needed

  • Total number of hours needed to complete this job.

Pictures

  • Add Picture of defects and Data Plate

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.