Title Page

  • Engineer name

  • Ses store name / Store number

  • WO NO / Task ID

  • Conducted on

  • If any faults/damage is found please provide the following information, asset/make/model/serial number and photos.

Engineer check list

  • Has engineer signed in / out?

  • Is the engineer wearing the correct PPE.

  • Is all refrigeration equipment asset tagged?

Risk assessment and method statement.

  • Are you aware of the risk assessment and method statement? Found in ibooks.

Space - R11 Ice Machine

  • Has the ice machine been cleaned internally/externally? (Please add photos)

  • Has the condenser been cleaned internally and externally?

  • Are all external panel filters front and side been cleaned?

  • Are all drain pipes clean, clear and flowing freely?

  • Has HB-30 been run through the system (every 12 months)

  • Has the filter & scalestick been changed?

Shop Floor fabric issues.

  • Are all door seals free from damage?

  • Are all doors closing correctly?

  • Are All bumper bars positioned correctly and free of damage?

  • Are All honeycombs positioned correctly and free of damage?

  • Are All dividers and risers positioned correctly and free from damage?

  • Are all kick plates positioned correctly and free from damage?


  • Any other outstanding issues?

  • Add signature

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.