KEMENTERIAN KESIHATAN MALAYSIA Task No.

: M40132
HOSPITAL ENGINEERING PLANNED PREVENTIVE MAINTENANCE
(HEPPM)
Page : 1 of 3

Asset Category Air Conditioning, Split Unit Workgroup Mechanical

Work Request No. Frequency Monthly

CAUTION:
Ensure the stipulated safety procedures are followed while carrying Estimated
out the PM activities PM hours:

Comply
A. General Checks Remark
Yes No
a) Notify user dept that unit will be out of service for preventive maintenance
b) Observe and listen to the unit in normal operation.

Comply
B.
Safety Precautions
Remark
Yes No
a) Carry out lock out/ tag out procedures
b) Use appropriate PPE.

C. Performance (Qualitative) Checklist Comply Remark

Yes No
1.0 General
a) To clean drain pan and drain pipe for any clogging.

2.0 Indoor Unit

a) Clean air filters. Replace if necessary.
b) Clean the sensing bulb.
c) Check Off-coil temperature

3.0 Outdoor Unit

a) Check refrigeration system for low pressure, top-up if required.
b) Check refrigeration system for leak, raise corrective work order if necessary

KKM/FEMS/M0006 Effective Date : 01/01/2009 Version : 2.0

 KEMENTERIAN KESIHATAN MALAYSIA Task No. : M40132
HOSPITAL ENGINEERING PLANNED PREVENTIVE MAINTENANCE
(HEPPM)
Page : 2 of 3

Asset Category Air Conditioning, Split Unit Workgroup Mechanical

Work Request No. Frequency Monthly

D. Performance Checklist: Comply Remark

Yes No
Operational Log - Run system and record data
a) Test thermostat functionality
b) Record running current and Off-coil temperature. Compare with the name plate if available: (Amp)

Parameter Name Plate Running Amp (if Running Amp Off-coil Temperature
: available) (deg. C)
Data:

Remark: If single phase, take 1 reading only

c) Record suction refrigerant pressure (Psig)
d) Record Discharge refrigerant Pressure (Psig). If discharge point available
e) Notify user department that unit is back in service

E. Checklist for Safety Inspection on Completion of PM: Comply Remarks

Yes No
a) Remove lock out and tag out
b) Raise Schedule Corrective Maintenance work order as necessary

F. Consumables used during maintenance: G. Part Replaced:

H. Tools/Equipment used:

1. Tool box
2. Thermometer (digital)
3. Clampmeter/Multimeter
4. Fin comb
5. Manifold Gauges

KKM/FEMS/M0006 Effective Date : 01/01/2009 Version : 2.0

 KEMENTERIAN KESIHATAN MALAYSIA Task No. : M40132
HOSPITAL ENGINEERING PLANNED PREVENTIVE MAINTENANCE
(HEPPM)
Page : 3 of 3

Asset Category Air Conditioning, Split Unit Workgroup Mechanical

Work Request No. Frequency Monthly

PPM has been performed in compliance to the checklist and the plant/equipment functions satisfactory to the
intended purpose.

Remarks: ___________________________________________________________________________________

___________________________________________________________________________________

Performed By :

Signature : _____________________________

Name :

Designation :

Company :

Date :

KKM/FEMS/M0006 Effective Date : 01/01/2009 Version : 2.0