Preventative Maintenance Task Sheet

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1 Preventative Maintenance Task Sheet Plant/Equipment: Job ID: 8711 Site Address: Asset Name: Location: Existing Building KHCCAHU026 ID EG-004 MECHANICAL ROOM Date of Service: Log Book Location: System Code No.: 12-Jun-2016 AHU G - 6 Operating Hours: Technician Name: Technician Contact No.: Make: Jonathan Layug Model: SerialNo: York YSM40*60 XSM04851 Job Start Date & Time: Equipment End Date & Time: Maintenance Frequency: 12-Jun :00 pm Equipment Start Date & Time: 12-Jun :10 pm Job End Date & Time: HALF YEARLY 12-Jun :50 pm General Instructions 12-Jun :00 pm Air Handling Unit (AHU) - HY Ensure the contractor carry out PPM tasks on time, safe manner, and correctly as per checklist. Select the appropriate frequency of check box to carry out the PPM.

2 Tasklong Range units Bef Value Aft Value Completed NA Follow Up Remarks 1 (M) Inspect Unit Isolator. Ensure electrical connection are tight and not loose nor over-heating. Test and reset emergency switch. 2 (M) check heater condition and operation performance. 3 (M) Inspect blowers, shafts, motors, pulleys, and belts. Inspect and Lubricate bearings. Ensure no vibration/noise. 4 (M) Inspect and adjust tension and alignment of belts drive and replace if necessary. 5 (M) Inspect and clean all Bag and Pre-Filters. Replace if necessary 6 (M) Inspect and clean condensate drain pan, flush drain line, and service drain pump. 7 (M) Inspect and clean water coils with water. Inspect seals and piping for leaks and rectify as necessary. Inspect and Clean unit casing. 8 (M) Perform functional test of all thermostat, safety cut-out & automatic controls and FSR shutdown is operational. 9 (M) Inspect electrical components in the control panel and check indication lamps/switches. 10 (M) Inspect and test actuators, valves, clean, adjust and lubricate the spindle as necessary. Inspect and test motorized dampers and smoke dampers. 11 (M) Check all anti-vibration isolators for deterioration of rubber and spring. Inspect and tighten all bolts and nuts. 12 (M) Inspect the proper function of Variable Frequency Drive (VFD). 13 (M) Check and record operating voltage, phase balance, and amperage. 14 (Q) Check and record motor temperature and insulation value and tighten motor terminal. 15 (Q) Check unit panels for corrosion, air leakage, worn insulation and touch up if necessary. 16 (Q) Clean air supply and return air diffusers. 17 (Q) Check and comb all dented fins of the cooling coils. 18 (HY) test VAV operation. Inspect actuator and damper mechanism. Check transformer condition. Lubricate moving parts.

3 Comments Contractor : Name & Signature : Signature UGS Rep : Client Rep :

4 Preventative Maintenance Task Sheet Plant/Equipment: Job ID: 8918 Site Address: Asset Name: Location: Existing Building KHCCWAC009 Medical Records Date of Service: Log Book Location: System Code No.: 05-Jun-2016 Operating Hours: Technician Name: Medical Records Technician Contact No.: Make: Jonathan Layug Model: SerialNo: Job Start Date & Time: N/A Equipment End Date & Time: N/A Maintenance Frequency: 05-Jun :00 pm Equipment Start Date & Time: 05-Jun :10 pm Job End Date & Time: HALF YEARLY 05-Jun :50 pm General Instructions 05-Jun :00 pm Window Type AC Unit (WAC) - HY Ensure the contractor carry out PPM tasks on time, safe manner, and correctly as per checklist. Select the appropriate frequency of check box to carry out the PPM. Tasklong Range units Bef Value Aft Value Completed NA Follow Up Remarks 1 General Check For Abnormality, Noise & Vibration 2 Check Electrical Connections & Clean Panel 3 Check & Clear Drain Water Flow 4 Clean/Replace Air Filters 5 Clean & Wash Evaporator / Condenser (If Required) 6 Clean Drip Tray And Drain Pan 7 Measure Unit Current & Voltage 8 Narc / Itmc Reference Number/Time 9 General cleaning and housekeeping in the area Comments Contractor : Name & Signature : Signature UGS Rep : Client Rep :

5 Preventative Maintenance Task Sheet Plant/Equipment: Job ID: 9441 Site Address: Asset Name: Location: Existing Building KHCCSTA133x ID EG-123 COMP-ROOM(ADMIN DEPT) Date of Service: Log Book Location: System Code No.: 04-Jun-2016 Operating Hours: Technician Name: KHCCSTA133 Technician Contact No.: Make: Jonathan Layug Model: SerialNo: Job Start Date & Time: H2 DB024S06A Equipment End Date & Time: EANM Maintenance Frequency: Equipment Start Date & Time: Job End Date & Time: HALF YEARLY General Instructions Air Curtain Unit (ACU) - HY Ensure the contractor carry out PPM tasks on time, safe manner, and correctly as per checklist. Select the appropriate frequency of check box to carry out the PPM. Tasklong Range units Bef Value Aft Value Completed NA Follow Up Remarks 1 (Q) Inspect Unit Isolator. Ensure electrical connection are tight and not loose nor over-heating. Test and reset emergency switch. 2 (Q) Visual Inspection, general cleaning 3 (Q) Tyers visual check (must be free from oil,grease,tar and degreaser) 4 (Q) Cracks or slight cuts on the rolling surface are admissible 5 (Q) Check rolling surface for wear & tears 6 (Q) Check tighten torque, wheels fixing screws 7 (Q) Inspect electrical components in the control panel and check indication lamps/switches. 8 (Q) General Check For Abnormality, Noise & Vibration 9 (Q) Check Electrical Connections 10 (Q) Clean Blower & Internal Housing 11 (HY)Tyers visual check (must be free from oil,grease,tar and degreaser 12 (HY)Cracks or slight cuts on the rolling surface are admissible 13 (HY)Check rolling surface for wear & tears 14 (HY)Check Air Flow ( High / Medium / Low)

6 Comments Contractor : Name & Signature : Signature UGS Rep : Client Rep :

7 Preventative Maintenance Task Sheet Plant/Equipment: Job ID: 9444 Site Address: Asset Name: Location: Existing Building KHCCFCU009x ID EB 022 HVAC WORKSHOP Date of Service: Log Book Location: System Code No.: 04-Jun-2016 Operating Hours: Technician Name: KHCCFCU009 Technician Contact No.: Make: Jonathan Layug Model: SerialNo: Job Start Date & Time: N/A Equipment End Date & Time: N/A Maintenance Frequency: Equipment Start Date & Time: Job End Date & Time: HALF YEARLY General Instructions Air Curtain Unit (ACU) - HY Ensure the contractor carry out PPM tasks on time, safe manner, and correctly as per checklist. Select the appropriate frequency of check box to carry out the PPM. Tasklong Range units Bef Value Aft Value Completed NA Follow Up Remarks 1 (Q) Inspect Unit Isolator. Ensure electrical connection are tight and not loose nor over-heating. Test and reset emergency switch. 2 (Q) Visual Inspection, general cleaning 3 (Q) Tyers visual check (must be free from oil,grease,tar and degreaser) 4 (Q) Cracks or slight cuts on the rolling surface are admissible 5 (Q) Check rolling surface for wear & tears 6 (Q) Check tighten torque, wheels fixing screws 7 (Q) Inspect electrical components in the control panel and check indication lamps/switches. 8 (Q) General Check For Abnormality, Noise & Vibration 9 (Q) Check Electrical Connections 10 (Q) Clean Blower & Internal Housing 11 (HY)Tyers visual check (must be free from oil,grease,tar and degreaser 12 (HY)Cracks or slight cuts on the rolling surface are admissible 13 (HY)Check rolling surface for wear & tears 14 (HY)Check Air Flow ( High / Medium / Low)

8 Comments Contractor : Name & Signature : Signature UGS Rep : Client Rep :

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