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Service Portal

Capture and report on-site equipment readings and make technician recommendations for servicing and replacement.

9

Safety is Job #1

“Everyone Home Safe” is not just our motto, it’s our corporate culture.

Service Report Form

Work Order # *

LEM # *

Service Date *

Site Selection *

Please select the site you are inspecting.

Site / Customer

Asset Description

Enter the equipment you are reporting.

Asset Location

Enter the equipment location.

Make / Model Number

Enter the equipment Make / Model #

Serial Number

Enter the equipment Serial Number

Assets - Albian Sands *

Select the equipment you are reporting.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Assets - Horizon *

Select the equipment you are reporting.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Assets - YMM Airport *

Select the equipment you are reporting.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Make / Model Number / Serial Number

Ensure the correct model number is reported.

Thermostat Location

Describe location.

Begin Inspection?

Yes

[ HVAC SERVICE CHECKLIST ]

Exterior

Good
Service Required **

**SERVICE REQUIRED - Exterior

Please describe the service required.

Doors Tight

Good
Service Required **

**SERVICE REQUIRED - Doors

Please describe the service required.

Battery

Good
N/A
Service Required **

**SERVICE REQUIRED - Battery

Please describe the service required.

Humidifier

Yes
N/A
Service Required **

**SERVICE REQUIRED - Humidifier

Please describe the service required.

[ BURNERS SECTION ]

Inlet Pressure Rating

Inlet Pressure: Unit Off - Actual

Inlet Pressure: High Fire - Actual

Manifold High Fire Rating

Manifold Pressure: High Fire - Actual

Manifold Low Fire Rating

Manifold Pressure: Low Fire - Actual

Burners Condition

Good
Service Required**

**SERVICE REQUIRED - Burners Condition

Service Required

Burner Cleaned

Yes
Not Required

Flame Characteristics

Burners Section Notes:

[ IGNITION SYSTEM SECTION ]

Igniter Type

HSI
Pilot
ISI
Other

Select the igniter type

Other Igniter Type

Igniter Cleaned

Yes
Not Required

Flame Sensor Type

Combination
Infrared
Ultraviolet
Rectification
Thermocouple
Thermopile

Select the sensor type

Sensor Cleaned

Yes
Not Required

Flame Sense Rating

Sensor Rating

Flame Sense Reading

Actual Sensor Reading

Ignition System Section Notes:

[ VENTING SECTION ]

Venting Condition

Good
Service Required**

**SERVICE REQUIRED - Venting Condition

Service Required

Venting Size

Venting Section Notes:

[ FILTER SECTION ]

Filter Type / MERV Rating

Filter Size

Filter Replaced?

Yes
Not Required

**SERVICE REQUIRED - Filter

Date filter service will be required.

Filter Section Notes:

[ DUCTING SECTION ]

Ducting Tightness?

Good
Service Required**

**SERVICE REQUIRED - Ducting Tightness

Service Required

Temperature Rise Rating

Temperature Rise Actual

Ducting Condition

Good
Service Required**

**SERVICE REQUIRED - Ducting Condition

Service Required

Ducting Section Notes:

[ BLOWER MOTORS SECTION ]

Inducer

Good
Service Required **

**SERVICE REQUIRED - Inducer

Service Required

Inducer Amps - Rating

Inducer Amps - Actual

Main Blower Condition

Good
Service Required **

**SERVICE REQUIRED - Main Blower

Service Required

Main Blower - Rating

Main Blower - Actual

Additional Blower?

Yes
No

Additional Blower Condition

Good
Service Required **

**SERVICE REQUIRED - Additional Blower

Service Required

Additional Blower - Rating

Additional Blower - Actual

Fan Belt Condition

Good
Service Required **

**SERVICE REQUIRED - Fan Belt

Service Required

Fan Belt Size

Additional Fan Belt?

Yes
No

Additional Fan Belt Condition

Good
Service Required **

**SERVICE REQUIRED - Additional Fan Belt

Service Required

Additional Fan Belt Size

Inspect Pulleys

Good
Service Required **

**SERVICE REQUIRED - Pulleys

Service Required

Blower Motors Section Notes:

[ HEAT EXCHANGER SECTION ]

Is a Heat Exchanger present?

Yes
No

Heat Exchanger Condition

Good
Hot Spots
Cracked
Service Required **

**SERVICE REQUIRED - Heat Exchanger

Service Required

Heat Exchanger Section Notes:

[ SAFETY TESTING SECTION ]

Limits

Good
Service Required **

**SERVICE REQUIRED - Limits

Service Required

Roll Out Switches

Good
Service Required **

**SERVICE REQUIRED - Roll Out Switches

Service Required

Pressure Switch(es) - Rated

Pressure Switch(es) - Actual

Blowout Tubes

Good
Service Required **

**SERVICE REQUIRED - Blowout Tubes

Service Required

Gas High Pressure Switch

Good
Service Required **

**SERVICE REQUIRED - Gas High Pressure Switch

Service Required

Gas Low Pressure Switch

Good
Service Required **

**SERVICE REQUIRED - Gas Low Pressure Switch

Service Required

Duct Sensors

Good
Service Required **

**SERVICE REQUIRED - Duct Sensor

Service Required

Duct Sensor Calibrated

Yes
Service Required **

**SERVICE REQUIRED - Duct Sensor Calibration

Service Required

Safety Section Section Notes:

[ ACCESSORIES SECTION ]

Accessories?

Yes
None

Accessory #1 - Type

Accessory #1 - Make / Model

Accessory #1 Condition

Good
Service Required **

**SERVICE REQUIRED - Accessory #1

Service Required

Accessory #1 Notes:

Additional Accessories?

Yes
None

Accessory #2 - Type

Accessory #2 - Make / Model

Accessory #2 Condition

Good
Service Required **

**SERVICE REQUIRED - Accessory #2

Service Required

Accessory #2 Notes:

Additional Accessories ?

Yes
None

Accessory #3 - Type

Accessory #3 - Make / Model

Accessory #3 Condition

Good
Service Required **

**SERVICE REQUIRED - Accessory #3

Service Required

Accessory #3 Notes:

[ TECHNICIAN SECTION ]

Technician Name *

First

Last

Recommended Date for Follow-up Service

Notes

Comments

Westward Electric Site Services - 877-893-3090

Years Established

LTI's This Year

Home
Safety
Electrical Services
Site Services
HVAC
Modular Installs
Heat Trace
Fibre, Telecom
Partnerships
Service Portal