Customer : PM Date :

PREMENTIVE MAINTENANCE
Location : Teknisi :
Unit : Brand : :
Type :
Sesuai Number:
:
:
HVAC
:
CHECK LIST
No From 001-PROS-MFP-SNK-020 REV.000
COMPONEN CHECK LIST
CONDITION
OBJECTIVE ACTION FOLLOW UP TINDAKAN REOMENDATION REMARKS CONDITION AFTER PM
E G F P
□ Compresor
□ Suction________PSI
□ Head_________PSI
□ Volts_________Amps □ Inspect □ Clean □ Inspect □ Clean □ Replace □ Adjusted □ Good □ Attention
□ Electrical Connection
□ Contacts Tight & Clean
□ Oilm Level Condition
□ Condensor □ Inspect □ Clean □ Inspect □ Clean □ Replace □ Adjusted □ Good □ Attention
□ Inspect_______psi □ Good □ Attention
□ Refrigerant □ Inspect □ Clean □ Replace □ Adjusted
Type___________ □ After Inspect_______psi
□ Fan & Motor
□ Volts_________Amps
□ Electrical Connection
□ Inspect □ Clean □ Inspect □ Clean □ Replace □ Adjusted □ Good □ Attention
□ Contacts Tight & Clean
□ Fan Pulleys(adjust Bely)
□ Chk, Lub Bearings & Motor
□ Evaporator □ Inspect □ Clean □ Inspect □ Clean □ Replace □ Adjusted □ Good □ Attention
□ Condensate Areas
□ Inspect & Clean Drain Fan □ Inspect □ Clean □ Inspect □ Clean □ Replace □ Adjusted □ Good □ Attention
□ Inspect & Clean Drain
□ Air Filters □ Inspect □ Clean □ Inspect □ Clean □ Replace □ Adjusted □ Good □ Attention
□ Heating Assembly
□ Burner & Heat Exhanger
□ Fuel Supply & Pressure
□ Pilot Assembly
□ Flame Adjustment
□ Primary Relay & Fuel □ Inspect □ Clean □ Inspect □ Clean □ Replace □ Adjusted □ Good □ Attention
□ Fan & Limit Switch Oper
□ Blower Assembly
□ RV Valve
□ Strip Heat
□ Defrost Cycle
□ Electrical Compts □ Inspect □ Clean □ Inspect □ Clean □ Replace □ Adjusted □ Good □ Attention
□ Thermostat □ Inspect □ Clean □ Inspect □ Clean □ Replace □ Adjusted □ Good □ Attention
Environmental Checklist Materials & Services Labour
Condensing Qty Type/Disposition Qty Item Include P.M Exclude P.M Qty Item Include PM Exclude P.M
□ Recovered
□ Recycled
□ Reclamed
□ Returned
□ Disposal
□ Dismantled
□ Changed Out/ Replaced
Recommendation Pelaksana PT.Semesta Nusantara Kontruksi : Warranty : All materials, part and equipment are warranted by the
manufacturers or suppliers written warranty olny, All labour performed
by the above named company is warranty for 30 days or as otherwise
indicated in writing. The above named company makes no other
warranties, express, or impled, and its agent ot technical are not
Teknisi : authorized to make any such warranties on behalf of above named
company
Jabatan :
Pemberi Kerja QnB :

□ REGULER □ WARRANTY
Penanggung Jawab :
Jabatan : Thank You
Prima Orchard No. C.7 Jl. Prima Harapan, Bekasi Utara www.semestakontruksi.co.id *E : Exceelent, G : Good, F : Fair, P : Poor