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Wayne Clark LTD - Service Log
Step
1
of
6
Engineer's First Name
*
Engineer's Last Name
*
Engineer's Email
*
Date
*
Job No.
*
F-GAS/REFCOM No.
*
Client's Company Name
*
Client's First Name
*
Client's Last Name
*
Client's Email
*
Client's Phone Number
*
Client's Address
*
Service Log Type
*
Breakdown
Service
Additional
Additional Notes
Unit Type
*
Please select
Split
Multi Split
VRF
Refrigeration Type
*
Charge kg
*
Any Outdoor Units?
*
Please select
Yes
No
OUTDOOR UNIT
Model
Serial No.
Location
Mode
Please select
Cooling
Heating
Cond Air On °C
Cond Air Off °C
Supply Voltage L1-L2-L3
Cable Terminations
Condensor Fans
Brush Condensor Coils
Condition of Unit
Any FCUs?
*
Please select
Yes
No
FCU
Model
Serial No.
Location
Mode
Please select
Cooling
Heating
Evap Air On °C
Evap Air Off °C
Clean Filters
Condenstate Pump
Condenstate Drain
Set Point °C
Conditioned Space °C
Check Fault History
Leak Test
*
Please select
Direct
Indirect
Leak Test Result Satisfactory
*
Please select
Yes
No
Leak Found
*
Please select
Yes
No
Leak Repaired
*
Please select
Yes
No
Will a follow-up Leak Test be required within 30 days?
*
Please select
Yes
No
Leak Test Notes
Engineer's Summary
Engineer's Signature
*
Date Signed by Engineer
*
Client's Signature
*
Date Signed by Client
*
Submit