Refrigeration Breakdown / Callout template

Job No.

Short answer

Priority

Choose one

□ Emergency□ Urgent□ Routine

Client

Short answer

Site

Short answer

Address

Short answer

Site contact

Short answer

Fault reported

Notes

Fault found on arrival

Notes

Diagnosis and root cause

Notes

Equipment

Choose one

□ Fridge□ Freezer□ Fridge/Freezer□ Cold room□ Blast chiller□ Ice machine□ Display case□ Condensing unit□ Cellar cooler

Make

Short answer

Model

Short answer

Serial number

Short answer

Location

Short answer

Refrigerant

Choose one

□ R290□ R404A□ R452A□ R448A□ R134a□ R744□ R507

Air temp (°C)

Reading · °C · ≤ 5 °C

Chilled unit should be 5 °C or below after repair — note any follow-up needed

Suction pressure

Short answer

Discharge pressure

Short answer

Superheat

Short answer

Engineer notes

Notes

Photos

Photos · capture stamps

Operating condition

Pass / Fail / N/A · note on Fail

Controls operation

Pass / Fail / N/A · note on Fail

Work carried out

Notes

Parts used

Notes

Parts or works required

Notes

Job status

Choose one

□ Complete□ Return visit required□ Parts on order□ Quote required

Parts & labour

Parts & labour table

Date

Date

Start

Time

Finish

Time

Duration

Visit duration

Engineer name

Short answer

Engineer signature

Signature

Customer name

Short answer

Customer signature

Signature