IM 962-4 • AIR-COOLED SPLIT SYSTEM CONDENSERS
34
www.DaikinApplied.com
Quality Assurance Survey Form
Quality Assurance Survey Form
Quality Assurance Survey Report
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:
_____________________________________________________________________
Daikin Applied S.O. No.
_______________
Installation address:
____________________________________________________________________________________________________
City:
___________________________________________________________________________ State: _______________________________
Purchasing contractor:
__________________________________________________________________________________________________
City:
___________________________________________________________________________ State: _______________________________
Name of person doing start-up (print):
___________________________________________________________________________________
Company name:
______________________________________________________________________________________
Address: ____________________________________________________________________________________________
City/State/Zip:
_______________________________________________________________________________________
Unit model number:
____________________________________________________
Unit serial number:
__________________________
1 .
Is there any shipping damage visible?
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes No
N/A
Location on unit
____________________________________________________________________________________
2 .
How would you rate the overall appearance of the product; i.e., paint, fi n damage, etc.?
Excellent
Good Fair
Poor
3 .
Did all sections of the unit fi t together properly? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . .
Yes No
N/A
4 .
Did the cabinet have any air leakage? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . .
Yes No
N/A
Location on unit
___________________________________________________________________________________
5 .
Were there any refrigerant leaks? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . .
Yes No
N/A
From where did it occur? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Shipping Workmanship Design
6 .
Does the refrigerant piping have excessive vibration? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . .
Yes No
N/A
Location on unit
___________________________________________________________________________________
7 .
Did all of the electrical controls function at start-up? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . .
Yes No
N/A
Comments _______________________________________________________________________________________
8 .
Did the labeling and schematics provide adequate information? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . .
Yes No
N/A
9 .
How would you rate the serviceability of the product?
Excellent
Good Fair
Poor
10 .
How would you rate the overall quality of the product?
Excellent
Good Fair
Poor
11 .
How does the quality of Daikin Applied products rank in relation to competitive products?
Excellent
Good Fair
Poor
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)
©2016 Daikin Applied • (800) 432-1342 • www.DaikinApplied.com
Summary of Contents for RCS Series
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