Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • What is the unit number?

  • Manufacturers?

  • Model number?

  • Check refrigerant charge:

  • I added refrigerant

  • Clean/brush condenser coil:

  • Check filters

  • Did you replace filters?

  • Filters need replacement

  • Check all belts

  • Did you replace the belt?

  • If not, what is the belt number?

  • Check an clean blower cabinet:

  • Check condensate drain or pump if equipped:

  • Check and test motors (oil if necessary)

  • Check electronic air cleaner/UV air sanitizer:

  • Check thermostat settings:

  • Cycle system and check overall operation:

  • Please explain any issues found or any suggestions:

  • Take clear precise pictures. 1. Unit number 2. Data tag 3. Coils (3-4)

  • Draw a picture if necessary:

  • 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.