Title Page
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Store Name
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Store No.
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Conducted on
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Prepared by
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Location
Plant Room
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Was plant room locked on entering?
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COSH sheet on or by door?
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Any evidence of of old refrigeration spares or rubbish?
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Will plant room floor require painting?
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Are store using plant room for storage?
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Number of packs at store?
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Is there more than one plant room?
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Any visible signs of oil leakage?
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Any visible signs of refrigerant leakage?
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Additional Comments
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Photo's
Plant
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Are electrical panel doors shut on plant?
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Are any compressors valved or switched off?
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Oil levels good on plant?
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Does any plant have heat harvester connected?
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Is harvester operational?
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Does any plant require replacing?
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Additional Comments
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Photo's
Pipe Services
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Any signs of lagging failure
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Any pipe work damaged in back of house areas?
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Additional comments
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Photo's
Condenser Area
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Area clean and tidy
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Humidity sensor operational
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Any access issues?
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Additional comments
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Photo's
Condenser
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Any fans switched off or removed?
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Are condensers clean?
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Do any condensers need replacing?
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Additional comments
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Photo's
Refrigerant
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What refrigerants are being used at store
- R422D
- R404a
- R407a
- R407f
- Co2
- other
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What Leak Detection is fitted?
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Leak detection operating
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Real zero valve caps used
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Are 2016 F-Gas sheets present
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Entrained volume information present
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Additional comments
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Photo's
Cold Storage
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Any evaporators iced up?
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Any evidence of drain leaks?
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Additional information
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Photo's
Miscellaneous
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Additional items
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Photo's
Refrigeration service provider - (This section to be completed by store)
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Do they meet there SLA in normal hours?
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Do they meet SLA outside of normal ours?
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Score Refrigeration contractor - (1=poor 5=excellent)
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Additional comments
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Store representative