Quality Assurance Survey Form - Daikin RCS Series Installation And Maintenance Manual

Quality Assurance Survey Form

To whom it may concern:
Please review the items below upon receiving and installing our product. Select N/A on any item that does not apply to the product.
Job Name: _____________________________________________________________________
Installation address: ____________________________________________________________________________________________________
City: ___________________________________________________________________________ State: _______________________________
Purchasing contractor: __________________________________________________________________________________________________
City: ___________________________________________________________________________ State: _______________________________
Name of person doing start-up (print): ___________________________________________________________________________________
Unit model number: ____________________________________________________
1 . Is there any shipping damage visible? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes
Location on unit ____________________________________________________________________________________
2 . How would you rate the overall appearance of the product; i.e., paint, fi n damage, etc.?
3 . Did all sections of the unit fi t together properly? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes
4 . Did the cabinet have any air leakage? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes
Location on unit ___________________________________________________________________________________
5 . Were there any refrigerant leaks? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes
From where did it occur? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 . Does the refrigerant piping have excessive vibration? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes
Location on unit ___________________________________________________________________________________
7 . Did all of the electrical controls function at start-up? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes
Comments _______________________________________________________________________________________
8 . Did the labeling and schematics provide adequate information? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes
9 . How would you rate the serviceability of the product?
10 . How would you rate the overall quality of the product?
11 . How does the quality of Daikin Applied products rank in relation to competitive products?
Comments _______________________________________________________________________________________
Please list any additional comments which could aff ect the operation of this unit; i.e., shipping damage, failed components, adverse installation applications, etc. If additional comment
space is needed, write the comment(s) on a separate sheet, attach the sheet to this completed Quality Assurance Survey Report, and return it to the Warranty Department with the
completed preceding "Equipment Warranty Registration Form".
13F-4160 (02/16)
IM 962-4 • AIR-COOLED SPLIT SYSTEM CONDENSERS
Quality Assurance Survey Report
Company name: ______________________________________________________________________________________
Address: ____________________________________________________________________________________________
City/State/Zip: _______________________________________________________________________________________
Quality Assurance Survey Form
Daikin Applied S.O. No. _______________
Unit serial number: __________________________
Shipping Workmanship Design
©2016 Daikin Applied • (800) 432-1342 • www.DaikinApplied.com
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No N/A
Excellent Good Fair Poor
No N/A
No N/A
No N/A
No N/A
No N/A
No N/A
Excellent Good Fair Poor
Excellent Good Fair Poor
Excellent Good Fair Poor
www.DaikinApplied.com