Chiller Equipment Form

A technical log for capturing identification data, specifications, and maintenance details of a facility's chiller equipment.

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FACILITY NAME

Date

FORM FILLER'S EMAIL

ASSET NUMBERS

TAGS

MANUF. #'s

MODEL #'s

SERIAL #'s

SIZES

YEARS INSTALLED

YEARS OF MAJOR OVERHAULS (put N/A where needed)

SUBMITTALS

ACAD/REVIT links

O&M links

CONTROL SEQUENCE links

MAINT. CONTRACT INFO LINKS

Alternative Document Link Submission

Max 10 MB per file

CHWS

CHWR

∆ T (temperature differential)

VALVE SETBACK RANGE

OA SETBACK RANGE

COOLING TOWER(S)

PRIMARY PUMP(S) FOR EACH CHILLER

SECONDARY PUMP(S) FOR EACH CHILLER

COND. WATER PUMP(S)

AHU LIST FOR EACH CHILLER

GLYCOL %'s

CHW PLANT SYSTEM TYPES

ON BAS

DDC OR PNEUMATIC

SPECIAL NOTES

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