General Information
Address & Contact Details:
Plant name: Model / Serial:
Location of plant: Cooling loads served:
Refrigerant Type: GWP: Refrigerant quantity (Kg): Co2 Equivalent:
Plant manufacturer: Year of installation:
Refrigerant additions (charged)
Date Engineer Cert No Amount added (Kg) Reason for addition. What was done with the recovered refrigerant?
Refrigerant removals
Date Engineer Cert No Amount removed (Kg) Reason for addition. What was done with the recovered refrigerant?
Leak tests (with ref / insert/ vacuum rise
Date Engineer Cert No Test result Follow up actions required
Follow up actions
Date Engineer Cert No Related to test on Actions taken
Testing of automatic leak detection system (if fitted)
Date Engineer Cert No Related to test on Actions taken