Information Prior to Commencement

Customer and System Information

  • Farm Supply Number - (Add photo of gate plate)

  • Client Business Name

  • Customer Name (Farm Owner)

  • Physical Address - Inspection location
  • Telephone Number

  • Farm Manager

  • Farm Manager Email Contact:

  • Farm Managers Telephone Number

  • Date service is Conducted on

Contact Customer to Gain Entry

  • Has the customer been contacted and he is aware that you are on site?

  • Is there a sign in procedure on site

  • If a sign procedure exists has this process been followed.

CoolCARE Dealership and Technician Details

  • CoolCARE dealership carrying out maintenance

  • Name of Service Technician/s

  • Telephone number of senior service technician

  • E-mail of senior service technician

  • Type of service being carried out.

Existing Chilling System details

  • Existing Chilling System - General comments

VariCOOL Chilling System Type

  • Chiller Purpose

  • Photo of the Chilling System Identification Plate.

  • Serial Number of Chilling System

  • Photos of Chilling Condition (Before Commencing Maintenance)

  • What is the Refrigerant used in this unit

  • R454B is an A2L refrigerant, No naked flames should be used while gas is contained in the system !! Read and review the attached (Material Safety Data Sheet).

  • Have you read and do you understand the Health and Safety risks around A2L Refrigerants

  • R410A has a GWP value of 2,088

  • Is there any visible signs of refrigerant leakage?

  • Add photos of the areas indicating leakage

  • What is the general condition of the system upon initial inspection.

Condenser Coil Maintenance

  • Condenser Coil Ambient Temperature Unscrewed

  • Condenser Coil mesh removed and cleaned as per procedure.

  • Take photograghs of the condenser coils when the mesh has been removed.

  • Fit corflute

Hot Water Heat Recovery Maintenance.

  • Hot Water Cylinder - General Comments

  • Hot Water Tanks
  • Hot Water tank size

  • Photo of existing header tank or solenoid level sensors

  • Photo of entire hot water cylinder in relation to the room

  • Photo of base of hot water cylinder to identify hot water feed connection

  • Photo of hot water path ways to Coolsense unit

  • Distance of HWC pipe pathway from new Coolsense unit

General Comments

  • Did you meet the farmer/decision maker/client during this inspection

  • Any other information required by the client

  • Who will be involved in the decision process

  • Area to be transported to

  • Client indication of product required

  • Sketch of birds eye view of dairy plant, Vats, plate heat exchanger and hot water cylinders

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.