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Refrigeration

Ice Machine Service & Chemical Clean template

Record the machine details and a full hygiene checklist during a chemical clean and service. UK refrigeration engineers can document products, checks and sign-off while following the machine manufacturer’s cleaning procedure.

Blank printable PDF: Classic style with the JobForms badge. No sign-up needed.

What's on this sheet

JobForms

Ice Machine Service & Chemical Clean

Blank sheet
Job ref: __________

Job details

Job No.

Short answer

Job type

Choose one

□ Service & Chemical Clean□ Deep clean□ PPM service□ Callout

Client

Short answer

Site details

Site

Short answer

Address

Short answer

Post code

Short answer

Ice machines· repeat per Ice machine

Equipment

Choose one

□ Ice machine (cubed)□ Ice machine (flaked)□ Ice machine (nugget)□ Ice dispenser□ Ice crusher□ Ice storage bin

Make

Short answer

Model

Short answer

Serial number

Short answer

Refrigerant

Choose one

□ R290□ R744□ R404A□ R134a□ R448A□ R449A

Location

Short answer

Asset ID

Short answer

Maintenance checklist

Yes / No / N/A · notes on No

Isolate machine□ Yes　□ No　□ N/A
Remove and clean all removable parts□ Yes　□ No　□ N/A
Run clean cycle with chemical clean□ Yes　□ No　□ N/A
Flush and clean water sump / reservoir□ Yes　□ No　□ N/A
Clean and inspect water inlet valve and filter screen□ Yes　□ No　□ N/A
Check and clean condenser coil□ Yes　□ No　□ N/A
Check condenser fan motor and blade□ Yes　□ No　□ N/A
Inspect and clean drain lines and drain pump (if fitted)□ Yes　□ No　□ N/A
Check compressor operation and current draw□ Yes　□ No　□ N/A
Check system operating pressures (suction & discharge)□ Yes　□ No　□ N/A
Check refrigerant for leaks□ Yes　□ No　□ N/A
Check harvest cycle operation and timing□ Yes　□ No　□ N/A
Check water supply pressure and flow rate□ Yes　□ No　□ N/A
Check electrical connections and wiring condition□ Yes　□ No　□ N/A
Check door gaskets / seals and hinges□ Yes　□ No　□ N/A
Final flush with clean water after chemical treatment□ Yes　□ No　□ N/A
Return machine to service and verify first batch of ice□ Yes　□ No　□ N/A

System operation

Choose one

□ Good□ Poor□ Faulty

Engineer notes

Notes

Photos

Photos · capture stamps

Photos

Time tracking

Date

Date

Start

Time

Finish

Time

Duration

Visit duration

Sign off

Engineer name

Short answer

Engineer signature

Signature

Engineer signature

Customer name

Short answer

Customer signature

Signature

Customer signature

Classic printable sheet · Powered by JobForms

Who uses it

Refrigeration teams and UK businesses keeping a clear visit or check record. Deep chemical clean and service record for ice machines with a repeatable unit block and full hygiene checklist.

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Common questions

Is this refrigeration sheet a certificate?

Use it alongside manufacturer procedures and any required refrigerant or safety records. Check current GB or Northern Ireland rules where relevant.

Can I print it or fill it on my phone?

Download the blank Classic PDF without signing up, or fill a copy in guest mode on your phone. Photos and signatures are available when filling digitally.

What is included on the Free plan?

Free includes Classic PDFs with the JobForms badge, up to 3 custom templates, 20 jobs per calendar month and 1 shared form. Other PDF styles and custom PDF branding are paid features.

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