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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
Site Details
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
Make & 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 Indoor Units?
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
N/A
Leak Test Result Satisfactory
Please select
Yes
No
N/A
Leak Found
Please select
Yes
No
N/A
Leak Repaired
Please select
Yes
No
N/A
Will a follow-up Leak Test be required within 30 days?
Please select
Yes
No
N/A
Leak Test Notes
Engineer's Summary
Photos
Drop files here or click to select
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Engineer's Signature
Date Signed by Engineer
Client's Signature
Date Signed by Client
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