Академический Документы
Профессиональный Документы
Культура Документы
1. Equipment
1.1.1 Specification
Brand : _____________________
HP : _____________________
Voltage : _____________________
RPM : _____________________
Phase : _____________________
GPM : _____________________
Head/Pressure : _____________________
1.1.2 Status
Operational : _____________________
Appearance : _____________________
Missing Parts : _____________________
Noisy : _____________________
Defective Parts : _____________________
Date Tested : _____________________
1.1.4 Others
L1 : _____________________
L2 : _____________________
L3 : _____________________
1.2.1 Specification
HP : _____________________
Voltage : _____________________
RPM : _____________________
GPM : _____________________
TDH : _____________________
1.2.2 Status
Operational : _____________________
Automatic : _____________________
Missing Parts : _____________________
Noisy : _____________________
Defective Parts : _____________________
Date Tested : _____________________
Dusty : _____________________
Corroded : _____________________
1.2.4 Others
L1 : _____________________
L2 : _____________________
L3 : _____________________
1.3.1 Specification
Brand : ____________________
HP : ____________________
GPM : ____________________
TDH : ____________________
1.3.2 Status
Operational : ___________________
Appearance : ___________________
Missing Parts : ___________________
Noise : ___________________
Defective Parts : ___________________
Level Controller : ___________________
1.3.4 Others
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
1.4.1 Specification
HP : _______________________
Brand : _______________________
CFM : _______________________
Phase : _______________________
No. of Belt : _______________________
1.4.2 Status
Noisy : ______________________
Missing Parts: ______________________
Dusty : ______________________
Operational : ______________________
1.4.3 Electrical Parts
Control Panel: _____________________
Dusty : _____________________
Contactor : _____________________
Wiring : _____________________
Noisy : _____________________
Missing Parts: _____________________
1.4.4 Others
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
1.5.1 Specification
Brand : _____________________
KVA / HP : _____________________
Phase : _____________________
Voltage : _____________________
Ampere : _____________________
1.5.2 Status
Operational : _____________________
Dusty : _____________________
Paint : _____________________
Tested When: _____________________
Automatic : _____________________
Manual : _____________________
1.6.1 Specification
KW : ________________________
Brand : ________________________
No. of Wire Rope : ________________________
No. of Floor Served : ________________________
No. of Persons : ________________________
1.6.2 Status
Operational : ______________________
Defective Parts : ______________________
Missing Parts : ______________________
Dusty : ______________________
Noisy : ______________________
1.6.3 Electrical Control
Electronic Type : _____________________
Electromech Type : _____________________
Dusty Control : _____________________
Wiring Status : _____________________
Noisy Control : _____________________
Ventilation Status : _____________________
No. of Units of Exhaust Fan: _____________________
1.6.4 Others
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
1.7.1 Specification
HP : ________________________
Tonnage : ________________________
Brand : ________________________
Window : ________________________
Split Type : ________________________
Water Cooled: ________________________
Air Cooled : ________________________
1.7.2 Status
Operational : ______________________
Dusty : ______________________
Noisy : ______________________
Missing Parts : ______________________
Corroded Housing : ______________________
Cooling (Fire) Station : ______________________
Condenser (Fire) Station : ______________________
1.7.3 Electrical Parts
Control Panel Station : _____________________
Dusty : _____________________
Wiring Station : _____________________
Missing Parts : _____________________
Noisy : _____________________
Automatic : _____________________
Thermostat : _____________________
1.7.4 Others
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
1.8.1 Specification
Brand : _____________________
Tonnage : _____________________
Voltage : _____________________
HP Motor : _____________________
With Cooling Tower : _____________________
Air Cooled : _____________________
Water Cooled : _____________________
1.8.2 Status
Operational : _____________________
Missing Parts : _____________________
Under Repair : _____________________
Dusty : _____________________
Corroded : _____________________
Suction Pressure : _____________________
Discharge Pressure : _____________________
Freon Type : _____________________
1.8.3 Electrical
Control Panel Station : ______________________
Wiring Station : ______________________
Contactors : ______________________
Dusty : ______________________
Noisy : ______________________
L1 : ______________________
L2 : ______________________
L3 : ______________________
1.8.4 Others
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
1.9.1 Specification
Brand : ______________________
HP : ______________________
Voltage : ______________________
Phase : ______________________
1.9.2 Status
Operational : ______________________
Dirty : ______________________
Corroded : ______________________
Noisy : ______________________
Missing Parts : ______________________
1.10.1 Specification
HP of Fan Motor : ______________________
HP of Condenser Motor : ______________________
Brand of Cooling Tower : ______________________
Brand of Condenser Motor : ______________________
Brand of Fan Motor : ______________________
Tonnage of Cooling Tower / each: ______________________
1.10.2 Status
Corroded Piping : ______________________
Corroded Housing : ______________________
Status of Drift Eliminator : ______________________
Status of Plastic Filters : ______________________
Status of Pumps : ______________________
Leaking Portion : ______________________
Incoming Water Temp. : ______________________
Outgoing Water Temp. : ______________________
Noisy Pumps : ______________________
Noisy Blower : ______________________
1.10.4 Others
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
1.10.5 Recommendation / Evaluation
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
1.11.1 Specifications
Brand : _______________________
No. of Motors : _______________________
Tonnage : _______________________
1.11.2 Status
Operational : _______________________
Corroded Housing : _______________________
Leaking Housing Drain : _______________________
Status of Circulation : _______________________
Missing Gauge : _______________________
Noisy Blower : _______________________
Status of Air Filters : _______________________
Status of Cooling Filters : _______________________
Air Supply Temp. : _______________________
Air Return Temp : _______________________
Chilled Water Supply Temp. : _______________________
Chilled Water Return Temp. : _______________________
Chilled Water Return Pressure.: _______________________
Chilled Water Supply Pressure.: _______________________
1.11.3 Evaluation
_____________________________________________________________________
_____________________________________________________________________
1.11.4 Others
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
2.4 Rooftop
With Helipad : _______________________
Status of Wind Cone : _______________________
Status of Helipad Paint : _______________________
Dirty with Garbage : _______________________
Status of Lightings : _______________________
Status of Water Proofing : _______________________
Status of Flooring : _______________________
2.5 Status of Equipment Room
Dirty with Garbage : _______________________
Lighting Fixtures / Decks : _______________________
With Sprinkler Head : _______________________
With Smoke / Heat Detectors : _______________________
Ventilation Status : _______________________
Door Status / Lock : _______________________
3. Fire Safety
3.1.2 Status
Operational : _______________________
Missing Parts : _______________________
Defective Parts : _______________________
3.1.4 Others
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
3.2.1 Specification
Brand : ______________________
Supplier : ______________________
Installer : ______________________
3.2.2 Status
Operational : _______________________
Complete Sprinkler Head : _______________________
Missing Parts : _______________________
With Leak : _______________________
3.3.1 Status
With Hose : _______________________
With Nozzle : _______________________
Panel with Lock : _______________________
Corroded Panel : _______________________
Valve Closed : _______________________
Condition of Hose : _______________________