Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Location
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Personnel
Customer Information
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Customer Name
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Site Location
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Department
Working hours
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Departure from home / hotel
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Arrival on site
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Departure from site
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Arrival home / hotel
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Any expenses(hotel,parking,tolls,congestion charge)
Equipment Information
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Machine Make and model
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Machine Serial Number
Visit Detail
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Commercial detail
Description of Work to be Done
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Type of visit
- 1st Quarterly
- 2nd Quarterly
- 3rd Quarterly
- Annual
- Bi-Annual
- Insurance Inspection
Tick if applicable
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Check Pipe connections for leaks
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Check Solenoid valves
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Check Electrical connection
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Check All filters
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Pumps
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Check gauges are functioning
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Check all strainers
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Check conductivity
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Check displays
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Is machines functioning to customers expectations?
Parts
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Any parts fitted
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Are any parts required following your visit?
Visit Summary
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Summary and any recommendations
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Any photos to support findings or recommendations
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Any drawings or sketches to support findings or recommendations
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Is a return visit required?
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Is a quotation required for additional items/work?
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Sychem Engineer
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Customer Authorised Person
Office Use Only
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Parts Total
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Total Travel Time (Hours)
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Total Labour (Hours)
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Call Out Fee
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First Hour Charge
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Subsequent Hour Charge
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Over Night Expenses
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Misc