Doc. No. :
                                                                                                                                                           Rev. :
Logo                       Name of company                                         Tel :                                                                   Rev date :
                           Address                                                 Tel :                                                                   Page :           1 of 1
                           E-mail                                                  Tel :
                           Web address




ITEM

Client :

Building ref. :

Area served :
Equipment :

Model :

Equipment asset
no. (serial no.) :

Equipment 2 :

Model 2 :

Equipment asset
no. (serial no.) 2 :

Single or dual :



                                                                                                                                                                                 VISIT 1                     VISIT 2                    VISIT 3                     VISIT 4

                                                                                                                                       Safety permit required ?
                                                                                                                                              Job complete ?

                                                                                                                                                   Engineer

                                                                                                                                                  Date of visit
                                                                                                                                  SPEC.                                                                                  RESULTS
        ITEM NO.                                                 TASK                                                                                         UNITS               Visit 1                    Visit 2                Visit 3                         Visit 4
                                                                                                                          Min.              Max.
                                                                                                                                                                            Unit 1       Unit 2         Unit 1     Unit 2    Unit 1         Unit 2             Unit 1       Unit 2

       1 - see note                                                                                                       ok ?                                    -

       2 -see note         Check and record current                                                                                          10               Amps

              3            Check and record pressure                                                                       4                  8                Bar

              4            Check and record second pressure                                                                5                  9                Bar

              5                                                                                                        Condition ?                                -




                                                                                                                                            NOTES

              1            For item 1, the check should include : bearings, casing, seals, flanges

                           For item 2, if the motor is 3 phase, note the average reading of the 3 phases. If
              2            any individual phase is showing an abnormal reading, this should be noted in
                           the comments section.

              A            Compare - filters, bearings, and belts against the spares list


              B            Notify the office if anything on the spares list needs to be updated.



    VISIT 1 -
   comments :




    VISIT 2 -
   comments :




    VISIT 3 -
   comments :




    VISIT 4 -
   comments :



                                    2 - Current - UNIT 1                                                                          3 - Pressure - UNIT 1                                                                 4 - Second pressure - UNIT 1
         12                                                                                            10                                                                                               10
         10                                                                                             8                                                                                                8
          8                                                                                             6                                                                                                6
                                                                                                 BAR




                                                                                                                                                                                                  BAR
 AMPS




          6                                                                                             4                                                                                                4
          4                                                                                             2                                                                                                2
          2                                                                                             0                                                                                                0
                                                                                                       Column G                  Column H                    Column I                Column J           Column L             Column M               Column N               Column O
          0
                                              Row 80                                                                                        Row 80      Row 81                                                                          Row 80    Row 81
         Column B                  Column C              Column D                Column E


                                   2 - Current - UNIT 2                                                                           3 - Pressure - UNIT 2                                                                 4 - Second pressure - UNIT 2
        12                                                                                             10                                                                                               10
        10                                                                                              8                                                                                                8

         8                                                                                              6                                                                                                6
                                                                                                                                                                                                  BAR
                                                                                                 BAR
AMPS




         6                                                                                              4                                                                                                4

                                                                                                        2                                                                                                2
         4
                                                                                                        0                                                                                                0
         2
                                                                                                       Column G                  Column H                   Column I                 Column J           Column L             Column M               Column N               Column O
         0
                                              Row 80                                                                                        Row 80      Row 81                                                                          Row 80    Row 81
        Column B                  Column C              Column D                 Column E


                      10                                                    10              10                    10                                   4                4              4          4                      5                5                5           5
                                                                                                                                                       8                8              8          8                      9                9                9           9

Equipment inspection sheet

  • 1.
    Doc. No. : Rev. : Logo Name of company Tel : Rev date : Address Tel : Page : 1 of 1 E-mail Tel : Web address ITEM Client : Building ref. : Area served : Equipment : Model : Equipment asset no. (serial no.) : Equipment 2 : Model 2 : Equipment asset no. (serial no.) 2 : Single or dual : VISIT 1 VISIT 2 VISIT 3 VISIT 4 Safety permit required ? Job complete ? Engineer Date of visit SPEC. RESULTS ITEM NO. TASK UNITS Visit 1 Visit 2 Visit 3 Visit 4 Min. Max. Unit 1 Unit 2 Unit 1 Unit 2 Unit 1 Unit 2 Unit 1 Unit 2 1 - see note ok ? - 2 -see note Check and record current 10 Amps 3 Check and record pressure 4 8 Bar 4 Check and record second pressure 5 9 Bar 5 Condition ? - NOTES 1 For item 1, the check should include : bearings, casing, seals, flanges For item 2, if the motor is 3 phase, note the average reading of the 3 phases. If 2 any individual phase is showing an abnormal reading, this should be noted in the comments section. A Compare - filters, bearings, and belts against the spares list B Notify the office if anything on the spares list needs to be updated. VISIT 1 - comments : VISIT 2 - comments : VISIT 3 - comments : VISIT 4 - comments : 2 - Current - UNIT 1 3 - Pressure - UNIT 1 4 - Second pressure - UNIT 1 12 10 10 10 8 8 8 6 6 BAR BAR AMPS 6 4 4 4 2 2 2 0 0 Column G Column H Column I Column J Column L Column M Column N Column O 0 Row 80 Row 80 Row 81 Row 80 Row 81 Column B Column C Column D Column E 2 - Current - UNIT 2 3 - Pressure - UNIT 2 4 - Second pressure - UNIT 2 12 10 10 10 8 8 8 6 6 BAR BAR AMPS 6 4 4 2 2 4 0 0 2 Column G Column H Column I Column J Column L Column M Column N Column O 0 Row 80 Row 80 Row 81 Row 80 Row 81 Column B Column C Column D Column E 10 10 10 10 4 4 4 4 5 5 5 5 8 8 8 8 9 9 9 9