SITE SURVEY FORM FOR SMARTCOOL INSTALLATION

Client : _________________________________ Date: ______________________

Address : _______________________________________________________________

_______________________________________________________________

Contact Person : _________________________________ Telephone: _________________

This form should be filled by a responsible person and it is essential that all the information is furnished accurately as the energy
saving proposal will be based on the below information and the savings estimated depend on this information.

 Please use separate sheet for each chiller to avoid confusion of the data.

SNO DETAILS REQUIRED FROM SITE

1 Make of Chiller Plant
2 Model Number
3 Unit Serial Number
4 Type of Compressor: Screw / Scroll / Reciprocating / Centrifugal
5 Compressor Make
6 No. of Compressors in this Chiller
7 KW rating of the chiller (sum total of the kW rating of all the Compressors)
8 No. of Stages per compressor or whether continuous slide valve operation
9 Running Load in Amps at full load (RLA or FLA from chiller name plate)
10 Present Compressor running Current in Amps and % load at the same time ______A at _____% Load
11 What is the Name/Make of the chiller controller
12 If there are multiple chillers, do they feed a Common leaving water pipe or
Separate piping taken to different Areas (if so attach piping diag.)
13 Is the system air cooled or liquid cooled
14 No. of Days this chiller runs in a year
15 Indicate System Loading % in the months March – May (Hot Days) (60%,
70%, 80%, 90%, 100%)
15A Indicate No. of Hrs it runs per day in these Months
16 Indicate System Loading % in the months June – October (Rainy Days) (60%,
70%, 80%, 90% or 100%)
16A Indicate No. of Hrs it runs per day in these months.
17 Indicate System Loading % in the months November – February (Cool Days)
(60%, 70%, 80%, 90%, 100%)
17A Indicate No. of Hrs it runs per day in these Months
18 Does this chiller load & unload or switch on and off on reaching set point
19 Is a Third Party Interface Port available in the system for remote Reset Of
Leaving Water Set point by external Analog Signals
20 Does the system have a BMS or digital controller (PLC ,PID etc)
21 Does the BMS permit the reset of set point?
22 What is the normal set point at which the system works
23 Does the chiller achieve set point at all times
23A If not, explain in detail when and how often it achieves set point
24 Does the chiller have a dedicated energy meter
25 Approx. Per Hour Consumption of the chiller (kW)
26 General Plant condition. Is it running normally ?
27 Who handles the AMC at this site
28 Cost of Power (in Rs per kWh )

Images of Control Panel + Model Number if available:

Please attach a wiring diagram of the chiller controlle and leaving water piping to this site survey form. Attach additional sheets if
required.

The Above information has been provided by:

Name: ___________________________________________
Designation: ______________________________________
Telephone/Mobile: ________________________________ _____________________
Email: ___________________________________________ Sign