Attachment 1 SOW.pdf

1. Summary of Work/Process

The Corporal Michael J. Crescenz VA Medical Center (CMCVAMC) has numerous pieces of commercial kitchen equipment and kitchen exhaust hoods located in the VA Canteen Kitchen Building 1, 1st Floor, Nutrition and Food Service Kitchen Building 2, Ground floor, Nutrition and Food Service Kitchen in the Community Living Center (CLC) Building 30, 1st Floor, and at The Snyder House 1st Floor (exhaust hoods only). See Section 6: Equipment Schedule for a detailed list of all equipment and services needed. These kitchens operate daily, and they provide meals for patients, staff, and visitors. The hospital requires preventative maintenance (PM) and repair services on all equipment within these areas. In addition, the CMCVAMC has a total of eight (8) exhaust hoods that will need to be checked for proper operation and maintained. Building 1 Canteen Kitchen has two (2) hoods, Building 2 kitchen ground level has two (2) hoods, the CLC kitchen has two (2), and the Snyder House has two (2) hoods.

Repair services and emergency repair services are also a part of this contract.

1.1 Point of Contact (POC) and Location of Services

POCs: Rob Martin, Assistant Chief Engineer and Jordan Small, Engineering Technician

Addresses:

• Main Hospital Buildings 1 and 2: 3900 Woodland Ave, Philadelphia, PA 19104

• Community Living Center (CLC) Building 30: 3461 Civic Center Blvd, Philadelphia, PA 19104

• Snyder House 1425 Snyder Ave, Philadelphia, PA 19145

Task Order

• The Contract will be a Single Award Indefinite Delivery/Indefinite Quantity (IDIQ) Contract with fixed price task orders to provide the services required. The IDIQ will be established for a five-year period. Annually, the Government shall issue a Task Order for recurring services under CLINS X001, X002, X003, X004, and X005 (with each x 1, 2, 3, or 4 respectively for the year in question). CLIN X005 is the repair CLIN for that particular year and will be included as an unfunded line item. The awardee shall not perform work under CLIN X005 without a fully executed Task Order modification which shall contain a SOW and fund the needed repairs.

• Specific to the repair CLIN, the awardee shall be required to provide a line-item breakdown proposal for each individual task order in support of each project per the established rates of the Indefinite Delivery Indefinite Quantity (IDIQ) Contract. Task orders will consist of the scope of the work identified in the Statement of Work.

• Price shall be determined by submitted rates for line-item tasks as submitted to the VA Contracting Officer as basis of award. This order system will use the MS Excel format. Each task order shall use this line-item schedule and the quantities to be completed for the project as the basis for the task order.

Task Order Process Steps and Timeline

• The process for creating a task order is:

o The CO will create and issue the task order to the Contractor.

o If the work in question is related to the preventative maintenance services contemplated herein, the awardee and COR shall work together to develop a mutually agreeable timeline for the various different inspections and PM schedules (monthly, quarterly, semi-annually, and annual).

o If the repair task order modification is not an emergency, the site visit is expected to take place within 24 hours of notification and the abatement work is expected to commerce 48 hours after the site visit.

o If the task order is an emergency, work is expected to commence within 24 hours of notification. A burst pipe could constitute an emergency request. Three (3) to six (6) emergency requests should be expected each year.

2. Base Services

2.1 Preventative Maintenance and Repair Services

The contractor shall furnish all supervision, labor, equipment, tools, and materials required to perform the preventative maintenance and periodic repairs on all the kitchen equipment within Building 1 1st Floor (Canteen Kitchen), Building 2 ground floor (Main Kitchen), CLC 1st Floor (CLC Kitchen), and the Snyder House 1st Floor.

Contractor shall have rapid and reliable access to manufacturer’s original parts and materials to repair existing systems in accordance with this contract. The Contractor shall be responsible for the replacement of any parts required to maintain the equipment in a fully operational and safe condition in accordance with the manufacturer’s standards. The contractor shall provide a minimum of two (2) qualified staff assigned to this facility during the length of the contract to assure familiarity and continuity of systems. The contractor shall annotate any deficiencies noted during preventive maintenance inspections and provide that list the Contracting Officer (CO) and the PROGRAM POC. Service technicians are to be equipped with all tools and test equipment necessary for preventative maintenance services and repairs. After the work is completed, the contractor shall notify the PROGRAM POC for equipment re-enabling. The contractor shall provide the status of the equipment and when applicable, the time of repair to the PROGRAM POC prior to departing the CMCVAMC. Contractor is responsible for maintaining a clean and orderly work site and to remove all debris, trash, equipment, and tools.

Contractor may not use VA waste receptacles or dumpsters.

2.1.1 Equipment

Preventative Maintenance on equipment shall include, but is not limited to, visual inspection, cleaning, removal of waste, replacement of filters, maintaining fluid levels, repairing leaks, checking structural integrity, calibrating sensors, maintaining burner integrity, cleaning coils, checking exhaust hoods for belt wear, replacing / cleaning air filters, performing manufacturer’s recommended repairs and maintenance, and completing PM according to the Monthly/Quarterly/Semi-Annually/Annual PM List as indicated in Section 6: Equipment Schedule.

2.1.2 Hoods

The contractor shall provide labor, materials, equipment, and supervision necessary for performing maintenance on the kitchen hoods located in Building 1 1st Floor (Canteen Kitchen), Building 2 ground floor (Main Kitchen), CLC 1st Floor (CLC Kitchen), and The Snyder House (Kitchen) on a semi-annually base (every 6 months). This grease hood maintenance is required as part of VA/VISN and Joint Commission reporting showing unit efficiency. The contractor is to submit a coordination plan to the PROGRAM POC having plan of action to maintain the grease hoods in proper working order.

All work shall be in accordance with NADCA Standards regarding grease hood maintenance. A report of all testing and repairs will be given to Contracting Officer Representative or other designated representative within the HVAC shop for the Medical Center records. Safety Data Sheets (SDS) shall be available during all onsite work. All settings of equipment shall be recorded, marked prior to shutdown of each system. Reset all controls, dampers, etc., at original setting before placing system back in service.

Water and electrical power will be provided by VA at no cost to the contractor. All connections to this water and/or electrical power must be approved by the PROGRAM POC prior to any connections being made. It is the responsibility of the contractor to bring the appropriate equipment; and/or supplies necessary to complete the work as required within. Contractors must supply at a minimum the following:

• Backflow preventers for all water connections.

• GFCI connections for all electrical connections.

2.2 Emergency Repair Services

The contractor shall provide the CO and PROGRAM POC with emergency points of contact who are available to respond to repair requests within 72 hours.

2.3 Other Repair Services

Repairs:

2.3.1 Deficiencies found during inspections and PM services. Prior to commencement of repairs, contractor must provide proposal to COR and CO review and approval. A separate- line item in this contract will be defined for these services.

2.3.2 Repairs are defined as unscheduled work to repair or modify the kitchen equipment described herein and ancillary equipment, or to correct recurring system and/or equipment malfunction(s). Testing after repairs shall be performed according to manufacturers guidelines. The COR’s or designee will witness repair re-testing validation.

Contractor shall provide written certification after repairs are complete. This documentation will be provided to COR within 5 days of repair.

2.3.3 The contractor shall furnish a written estimate of the cost to make necessary alterations. The CO reserves the right to solicit the services of other contractors to correct the issue. The contractor shall be responsible for establishing an effective system for accomplishing scheduled and unscheduled maintenance, including backlog listing of work to be accomplished. The scheduling system and backlog system shall be available for inspection by the CORs at any time.

2.3.4 Repairs during regular working hours as defined herein.

2.3.4.1 The Contractor shall provide other repair services on an “as needed” basis, for deficiencies found during inspections which will be determined and requested by the VAMC with a Services Call Order.

2.3.4.2 The contractor shall be required to provide the Contracting Officer (CO) and Contracting Officer Representative (COR) a detailed cost proposal and/or quote including an itemized breakdown for all labor, parts and materials, as well as a schedule with critical milestones for completing the Services Call Order. The Government reserves the right to obtain these services from a different vendor.

2.3.4.3 The contractor will not commence work until they are provided a written approval from the CO via email.

2.3.4.4 A separate line item in this contract will be defined for these services.

2.3.4.5 These coverages shall include emergency services between inspections and work shall occur outside regular working hours as defined herein.

2.3.4.5.1 Emergency services is defined as any corrective maintenance performed to restore equipment to full functional operation. Emergency services to include any work performed outside of normally scheduled maintenance and repair activities and the normal work schedule outlined herein.

2.3.4.5.2 For emergencies: Prior to engaging in service or repair under this paragraph, the contractor shall obtain written approval from the CO. Email is an acceptable form of written approval. Any work performed without CO POC approval shall not be approved for payment and considered and Unauthorized Commitment. The Government reserves the right to obtain these services from a different vendor.

2.4 Documentation

The contractor shall document each time a piece of equipment is visited by a technician for service (inspection, preventive maintenance, repair, and service calls). The inspection sheets under Appendix A shall be utilized as an example template for all inspections. The contractor shall also maintain a separate maintenance record for each building. The format of the report will be agreed upon by the Contractor and the PROGRAM POC. The contractor shall provide a summary report in PDF file format to the CO and PROGRAM POC for each time a service was provided detailing the repair service (time, location, issue, services provided, parts repaired or replaced, itemized cost for parts and labor (if billable), etc.). The report shall be delivered to the CO and PROGRAM POC not more than 72 business hours from the time of repair completion. The contractor shall keep a log in Excel file format of all repair services performed under this contract with the aforementioned information. If maintenance or repair occurs over multiple days, the contractor shall update the PROGRAM POC daily in writing.

3. Period of Performance

The anticipated service contract will be for a total of five (5) years. Each year will require a separate task order to be issued and which will contain a unique PO that will be used for billing for that year.

4. Key Contractor Personnel Roles and Responsibilities

4.1 Personnel Roster

Resumes and certifications for the contractor’s key personnel shall be provided to the CO and PROGRAM POC fifteen (15) days prior to the start of the contract and shall be updated whenever applicable. Key personnel include all personnel bearing responsibility for the management and execution of the contract. Examples of key personnel include operations managers, project managers, crew supervisors, technicians, and laborers.

The contractor shall, without additional expense to the CMCVAMC, be responsible for obtaining all necessary licenses, permits, or similar documentation to perform services under this contract.

4.2 Safety and Security

Contractor personnel that will be performing work at the CMCVAMC will be required to obtain a PIV badge.

Contractor will coordinate issuance of PIV badges with the PROGRAM POC and CMCVAMC Police. The PIV badge will be clearly displayed by contractor personnel while at the facility.

The contractor shall adhere to all OSHA, EPA, NFPA Life Safety Codes, and all other regulatory requirements. In performance of this contract, the contractor shall follow CMCVAMC safety policies and standards for safe work practices and take such safety precautions as the Safety Officer or designee may determine to be reasonably necessary to protect the lives and health of occupants of the building. Contractor is responsible for the supervision of all the employees while on government property. The contractor is responsible to identify, provide and maintain all personal protective equipment required to perform the duties outlined in the contract. In addition, the contractor is responsible for identifying and providing all applicable safety programs (i.e., lockout/tag out, confined space entry, universal precautions, etc.) required performing the work. The contractor is responsible for providing its employees appropriate training on safety programs and the proper use of Personal Protective Equipment (PPE). Documentation shall be maintained by the contractor. Cleaning products and lubricants must be approved in advance to ensure they are USDA compliant. SDS must also be provided before use of product.

The contractor shall coordinate with the PROGRAM POC for access to all work areas with the CMCVAMC and the Snyder House. The contractor shall not interfere with patients or employees without prior notification to and approval from the CMCVAMC. The contractor shall ensure that, under no circumstances, any of its employees shall enter an area not authorized for access by the CMCVAMC.

The contactor shall immediately notify the PROGRAM POC if any system is inoperable or hazardous via telephone and email.

The contractor shall notify department supervisor immediately of any incident involving injury. The contractor shall notify the PROGRAM POC and submit a written report to the CMCVAMC within three (3) days of any major malfunction, accident or injury involving a contract employee or CMCVAMC. The report shall state the cause of event and what repairs are required to correct the cause of the incident. The contractor shall go to the emergency room for treatment if injury is severe.

4.3 Contractor Parking and Storage

Contractor storage is very limited and the CMCVAMC may not be able to accommodate the storage of parts or materials. Parking at the CMCVAMC is unavailable.

4.4 Equipment Shutdowns and Impact to CMCVAMC Operations

The contractor shall coordinate all work with the CMCVAMC facilities management and safety. Work will be phased to best accommodate CMCVAMC operations. Planned preventative maintenance equipment shutdowns will require a formal notice at least two (2) weeks in advance. Shutdowns for emergency repairs may be expedited due to the nature of the work. Shutdown timeframes for other repairs will be established on a case-by-case basis by the CMCVAMC.

The contractor shall determine alternate paths of ingress and egress if contract work impacts pedestrian/staff walkways and access. Contractor shall create and post signage to route pedestrians to avoid potential hazards.

Worksites shall be barricaded to deny access while work is being performed and when the contractor is not at the worksite. Contractor shall be in control of access to worksite area and will actively coordinate any access to the worksite area until work has been completed and the worksite has been returned to an acceptable cleanliness standard. All hot work operations including cutting, welding, thermal welding, brazing, soldering, grinding, thermal spraying, thawing pipes or any other similar activity, will require a Hot Work Permit to be obtained by the Contractor from the Safety Officer. Coordinate with the PROGRAM POC to obtain hot work permits. The Contractor will be responsible for conforming to all Medical Center regulations, policies and procedures concerning Hot Work Permits including, but not limited to, the following:

• Prior to the performance of hot work, a request for a Hot Work Permit will be made to the Safety Department at least 24 hours in advance of the work via the PROGRAM POC.

• The PROGRAM POC and a representative from the Safety Office will inspect the area and ensure that the requirements of NFPA 241 and OSHA standards have been satisfied. The Hot Work Permit will be granted and will be posted in the immediate area of the work.

• The Hot Work Permit will apply only to the location identified on the permit. If additional areas involve hot work, additional permits must be requested.

• Upon completion of all hot work, the PROGRAM POC will be notified by the responsible individual to perform a re-inspection of the area. Do not use any of the extinguishers in the medical center for standby purpose while conducting hot work. Contractors are required to supply their own Class ABC extinguishers. Medical center extinguishers are only to be used in the event of a fire.

4.5 Infection Control Risk Assessment (ICRA) and Worksite Cleanliness

The contractor shall follow all ICRA guidelines established by the CMCVAMC. Contractor shall obtain an ICRA permit when applicable. The contractor shall coordinate all ICRA considerations with the PROGRAM POC and CMCVAMC Infection Preventionist. Any personnel working on site must meet with a CMCVAMC staff member to review ICRA importance and requirements.

The contractor is responsible for worksite cleanliness from initiation of work until completion of work. The contractor shall not leave any tools, ladders, parts and/or supplies unattended in the public area at any time. After work is complete, the worksite must be thoroughly cleaned and returned to an acceptable level of cleanliness, as determined by the CMCVAMC.

4.6 Quality Control Program

All work performed under this contract shall be of the highest quality, consistent with best industry practices to assure timely and adequate provisions of maintenance and repair services. The contractor shall submit to the

PROGRAM POC 15 days prior to the start of the contract a complete Quality Control Program to assure the requirements of the contract are provided as specified. The contractor shall implement the approved plan and pursue it diligently for the duration of the contract.

The Quality Control Plan shall include but not be limited to:

• The methods the contractor will use for identifying, correcting, and preventing defects in the quality of service performed before the level of performance becomes unacceptable to the CMCVAMC.

• A description of the records which the contractor intends to generate and file, indicating the inspections conducted by the contractor and necessary corrective action taken (as appropriate).

4.7 Response Times, Arrival, and Departure

Response time is defined as the time the contractor receives the call from the CMCVAMC to the time the contractor arrives at the CMCVAMC and checks in with a CMCVAMC employee or representative.

The contractor shall be available to respond to equipment outages, service requests, and emergencies as necessary at the CMCVAMC within 72 business hours.

The contractor personnel shall check-in and checkout with the PROGRAM POC or his designated representative immediately upon arrival at the CMCVAMC and prior to the end of each site visit respectively. Furthermore, at arrival the contractor shall inform the PROGRAM POC of its work plan for each visit, and at checkout the contractor shall inform the PROGRAM POC of the actual work performed and any other information concerning the safe operations of the kitchen equipment.

5. Deliverables

The contractor shall be required to provide the following deliverables:

Deliverable Deadline

Personnel Roster 15 Days Prior to Contract Start Date

Quality Control Program 15 Days Prior to Contract Start Date

Safety Plan 15 Days Prior to Contract Start Date

Security Badge Requests 15 Days Prior to Contract Start Date

Repair and Service Reports As Required

Update to Personnel Roster, Badge Requests As Required

Work Performed Log Entire Duration of Contract

At a minimum, service reports shall include the following:

• Name and EE# of serviced equipment

• Description of service provided to each equipment.

• Date of service

• Location of equipment

• Recommendations and/or notable observations

• Contractor shall submit individual equipment checklists in accordance with this SOW with the summary service report.

Note: that sample checklists are provided in Appendix A to illustrate the minimum information required.

5.1 Pricing

Contractor solicitation proposals will provide a price for preventative maintenance of the provided equipment schedule for the period of performance and service frequency. Contractor solicitation proposals will provide hourly labor rates for normal hour (M-F 7am-5pm) for repair services and hourly labor rates for emergency callback repair services (within twenty-four (24) hours).

5.2 Qualifications of Contractor

All offers must include documentation and proof of certifications and qualifications for each employee who will provide services under this contract.

Contractor shall provide documentation of their qualification by one or more of the following:

• Registration, licensing, or certification by a state or local authority.

• Manufacturer’s certification for the specific type and brand of system provided.

6. Equipment Schedule

Building 1, 1st Floor, VA Canteen Kitchen (Corporal Michael J. Crescenz Medical Center 3900 Woodland Avenue Philadelphia PA 19104)

Kitchen Exhaust Hoods (quantity 2, 15 feet, 1 exhaust fan) Semi-Annually Replace all Exhaust and Make-Up Air Fan belts.

Clean air intake filters.

Clean motors for optimal cooling.

Check motors for vibration or excessive noise.

Lubricate bearings on all fan shafts.

Check that the grease catch pan is draining properly.

Inspect fan mounting curb for cracks.

Verify the fan hinge kit is operational.

Remove any debris from surrounding the fans on the roof.

Examine the flashing that seals the roof to the mounting curb.

Inspect electrical conduit to Exhaust and Supply fans.

Verify fan switches for proper on/off function from roof.

Operate fans and any additional control gear from roof.

Check the hardware and cabling is intact and waterproof.

Vulcan Hart Corporation Countertop Char broiler (Model: VCCB36; Serial#: 650203967; EE#: 121313) Quarterly Inspect unit for damage or wear.

Check burners for clear blue flame and calibrate as required.

Check knobs, switches, and wires for wear or damage.

Check gas pressure and regulator for proper pressure.

Examine and clean vent system.

Vulcan Hart Corporation Electric Griddle (Model: HEG36E; Serial# 650204136; EE#: 121312)

Inspect unit for damage or wear.

Check unit temperature using surface thermometer and calibrate.

Test voltage supply Check knobs, switches, and wires for signs of damage replace as needed.

Check thermostat, replace as needed.

Check heating element, thermostat, and wires for signs of damage.

Nor Lake Reach-In Refrigerator (Model: NLMC08SS; Serial#: R20110088; EE#:123088)

Monthly Visually inspect condenser, fans, evaporator coils.

Clean condenser fins, fans, and evaporator coils.

Check system oil levels.

Check system electrical connections for corrosion and overheating.

Check micro-processor operation.

Quarterly Check unit for refrigerant leaks.

Check oil level in the compressor.

Lubricate fan bearings.

Calibrate probe and digital display to read within +/- 2° F utilizing certified calibrated equipment and note on inspection form.

Inspect contactors for pitting, corrosion, increased amperage draw or any other signs of wear.

Building 2, Ground Floor, Nutrition and Food Service Kitchen (Corporal Michael J. Crescenz Medical Center 3900 Woodland Avenue Philadelphia PA 19104)

Kitchen Exhaust Hoods (quantity 2, 20 feet, 1 exhaust fan) Quarterly Replace all Exhaust and Make-Up Air Fan belts.

Clean air intake filters.

Clean motors for optimal cooling.

Check motors for vibration or excessive noise.

Lubricate bearings on all fan shafts.

Check that the grease catch pan is draining properly.

Inspect fan mounting curb for cracks.

Verify the fan hinge kit is operational.

Remove any debris from surrounding the fans on the roof.

Examine the flashing that seals the roof to the mounting curb.

Inspect electrical conduit to Exhaust and Supply fans.

Verify fan switches for proper on/off function from roof.

Rational Combi Oven (Model: LM100GE [Quantity 2]; Serial#: E22SJ21012867482; EE#: 121443; Serial#:

E22SJ21032880161; EE#: 121456)

Monthly

Inspect unit for any worn or damaged parts.

Clean Drain with USDA approved drain cleaner.

Quarterly

Replace water filters.

Semi-Annually Descale Generators.

Clean oven.

Inspect the flue, vents, and vacuum reliefs for worn parts.

Hobart Pot and Pan Washing Machine (Model: CL44EN; Serial#: 851105957; EE#: 121442)

Check knobs, switches, and wires for signs of wear or damage replace as needed.

Check Dish Machine Curtains for wear.

Check wires and connectors to be sure all are in good repair and tightly fastened.

Semi-Annually

Replace Curtain.

Check vent to clear obstructions.

Hobart Dishwasher with AeroWeks Knuckle Belt Conveyor (Dishwasher Model: CLPS86EN; Serial#:

851101801; EE#: 125782; AeroWeks Conveyor Model#: KBC200; Serial#: J182986; EE#: N/A)

Quarterly

Check knobs, switches, and wires for signs of wear or damage replace as needed.

Check Dish Machine Curtains for wear.

Check wires and connectors to be sure all are in good repair and tightly fastened.

Grease conveyor flange bearings.

Check conveyor Belt to be sure in good repair and tightly fastened adjust tension.

Semi-Annually

Replace Curtain.

Vulcan Hart Corporation Electric Steamer (Model: C24ET10; Serial#: 463038625; EE#:124843)

Inspect drain screen and drain line for blockage.

Clean drain with a USDA approved drain cleaner, flush drain.

De-scale steam generator according to manufacturer’s recommendations. Rinse steam generator after de-lime.

Inspect door seals for cuts, tears, or leaks and replace as needed.

Check Filter System Pressure, 20Psi Minimum/60PSI Max while filling.

Change cartridge if pressure is low or they are due for replacement.

Change Carbon block every 6 months.

Inspect the flue, vents, and vacuum reliefs for signs of blockage or malfunction.

Check hinges, latches, and handles for signs of wear or damage.

Vulcan Hart Corporation Gas Range (Model: 36S-6BN; Serial#: 482013737; EE#: 124758)

Inspect unit for damage or wear.

Check burners for clean blue flame and calibrate as required.

Check wires and connectors for connectivity and tightness.

Check burners, grates, and deflectors for signs of wear.

Check pilot light and adjust as required.

Quarterly

Check knobs, switches, and wires for signs of wear or damage; replace as needed.

Check gas pressure and regulator for proper pressure.

Semi-Annually

Check gas pressure, pilot, burners, grates and deflectors and wires for signs of wear or damage and recommend replacement as needed.

Avantco Undercounter Freezer (Model: 178SSUC60FHC [Quantity 2]; Serial#:7328250920120602; EE#:

121515; Serial#: 7329250920122107; EE#: 121441)

Monthly

Visually inspect condenser, fans, and evaporator coils.

Visually check refrigerant piping for oil and refrigerant leaks.

Check system oil levels.

Check system electrical connections for corrosion and overheating.

Clean condenser, fans, and evaporator coils.

Quarterly Check entire unit thoroughly for refrigerant leaks.

Check oil level in compressor (where applicable).

Lubricate fan bearings.

Calibrate probe and digital display to read within +/- 2° F utilizing certified calibrated equipment and note on inspection form.

Bally Walk-in Freezer (Model: 48822W [Quantity 2]; Serial#: DX87350402; EE#: 24450; Serial #:

DX87350401; EE#: 24449)

Monthly Visually inspect condenser, fans, evaporator coils, and drains.

Visually check refrigerant piping for oil and refrigerant leaks.

Check system oil levels.

Check system electrical connections for corrosion and overheating.

Check micro-processor operation.

Clean condenser, fans, and coils.

Calibrate probe and digital display to read within +/- 2° F utilizing certified calibrated equipment and note on inspection form.

Inspect contactors for pitting, corrosion, increased amperage draw or any other signs of wear.

Quarterly

Check unit thoroughly for refrigerant leaks.

Check and calibrate unit safety controls.

Check starter and check contacts for wear and pitting.

Check oil level in compressor (where applicable).

Tighten motor and control panel terminals.

Lubricate fan bearings.

Check micro-processor control point settings and alarms.

Semi-Annually

Change refrigerant oil filters.

Clean condenser fins with high pressure hose and non-chloride based cleaner.

Shut down refrigeration system for a minimum of 1 hour to check for leaks (around switches, hoses, etc) and to wipe down any hoses, valves etc., to ensure leaks can easily be detected if one occurs.

Annually

Check the integrity of box envelopes.

Traulsen High Rack Roll-in Blast Chiller (Model: TBC1H-24; Serial#: T13657120; EE#: 120535)

Visually inspect condenser, fans, and evaporator coils.

Visually check refrigerant piping for oil and refrigerant leaks.

Check system electrical connections for corrosion and overheating.

Check for defrosting.

Clean condenser, fans, and evaporator.

Check fan cycling components.

Check for loose fasteners and worn components.

Inspect contacts for pitting, corrosion, increased amperage draw or any other signs of wear

Semi-Annually Clean Sangin as per manual.

Perform acid test.

Check for proper voltage and amp draws.

Check discharge and suction pressure.

Check liquid, suction, and crank case temperatures.

Check compressor oil.

Check superheat.

Aladdin TempRite Single Door Reach-in Refrigerator (Model: ADL-21; Serial#: 95022M; EE#: 41908)

Visually inspect condenser, fans, and evaporator coils.

Visually check refrigerant piping for oil and refrigerant leaks.

Check system electrical connections for corrosion and overheating.

Check micro-processor operation.

Clean condenser, fans, and evaporator.

Quarterly Check entire unit thoroughly for refrigerant leaks.

Check oil level in compressor (where applicable).

Lubricate fan bearings.

Calibrate probe and digital display to read within +/- 2° F utilizing certified calibrated equipment and note on inspection form.

Bally Walk-in Refrigerator (Model: 48822W [Quantity 2]; Serial#: DX87350402; EE#: 24447; Serial#:

DX87350403; EE#: 24448)

Monthly Visually inspect condenser, fans, evaporator coils, and drains.

Visually check refrigerant piping for oil and refrigerant leaks.

Check system oil levels.

Check system electrical connections for corrosion and overheating.

Check micro-processor operation.

Clean condenser, fans, and coils.

Calibrate probe and digital display to read within +/- 2° F utilizing certified calibrated equipment and note on inspection form.

Inspect contactors for pitting, corrosion, increased amperage draw or any other signs of

Check unit thoroughly for refrigerant leaks.

Check and calibrate unit safety controls.

Check starter and check contacts for wear and pitting.

Check oil level in compressor (where applicable).

Tighten motor and control panel terminals.

Lubricate fan bearings.

Check micro-processor control point settings and alarms.

Semi-Annually

Change refrigerant oil filters.

Clean condenser fins with high pressure hose and non-chloride based cleaner.

Shut down refrigeration system for a minimum of 1 hour to check for leaks (around switches, hoses, etc) and to wipe down any hoses, valves etc., to ensure leaks can easily be detected if one occurs.

Bally Walk-in Dairy Cooler (Model: 48822M; Serial#: DX87330403; EE#: 24335)

Visually inspect condenser, fans, evaporator coils, and drains.

Visually check refrigerant piping for oil and refrigerant leaks.

Check system oil levels.

Check system electrical connections for corrosion and overheating.

Check micro-processor operation.

Clean condenser, fans, and coils.

Calibrate probe and digital display to read within +/- 2° F utilizing certified calibrated equipment and note on inspection form.

Inspect contactors for pitting, corrosion, increased amperage draw or any other signs of wear.

Check starter and check contacts for wear and pitting.

Check oil level in compressor (where applicable).

Tighten motor and control panel terminals.

Lubricate fan bearings.

Check micro-processor control point settings and alarms.

Semi-Annually

Change refrigerant oil filters.

Clean condenser fins with high pressure hose and non-chloride based cleaner.

Hoshizaki Inc. Refrigerator 2 section Reach-in (Model: HOSR2AFS; Serial#: L56220K; EE#: 122584)

Visually inspect condenser, fans, and evaporator coils.

Visually check refrigerant piping for oil and refrigerant leaks.

Check system oil levels.

Check system electrical connections for corrosion and overheating.

Clean condenser, fans, and evaporator coils.

Quarterly Check entire unit thoroughly for refrigerant leaks.

Check oil level in compressor (where applicable).

Lubricate fan bearings.

Calibrate probe and digital display to read within +/- 2° F utilizing certified calibrated equipment and note on inspection form.

Clean condensate drain boot.

Hoshizaki Inc. Refrigerated Prep Table (Model: CR85A; Serial#: L50179A; EE#: 121314)

Visually inspect condenser, fans, and evaporator coils.

Visually check refrigerant piping for oil and refrigerant leaks.

Check system oil levels.

Check system electrical connections for corrosion and overheating.

Clean condenser, fans, and evaporator coils.

Quarterly Check entire unit thoroughly for refrigerant leaks.

Check oil level in compressor (where applicable).

Lubricate fan bearings.

Calibrate probe and digital display to read within +/- 2° F utilizing certified calibrated equipment and note on inspection form.

Thermo-Kool Refrigerator (Model: TK-4278WF-L; Serial#: 41803ALDN; EE#: 41481)

Visually inspect condenser, fans, evaporator coils, and drains.

Visually check refrigerant piping for oil and refrigerant leaks.

Check system oil levels.

Check system electrical connections for corrosion and overheating.

Check micro-processor operation.

Clean condenser, fans, and coils.

Calibrate probe and digital display to read within +/- 2° F utilizing certified calibrated equipment and note on inspection form.

Inspect contactors for pitting, corrosion, increased amperage draw or any other signs of wear.

Quarterly Check unit thoroughly for refrigerant leaks.

Check and calibrate unit safety controls.

Check starter and check contacts for wear and pitting.

Check oil level in compressor (where applicable).

Tighten motor and control panel terminals.

Lubricate fan bearings.

Check micro-processor control point settings and alarms.

Semi-Annually Change refrigerant oil filters.

Clean condenser fins with high pressure hose and non-chloride based cleaner.

Shut down refrigeration system for a minimum of 1 hour to check for leaks (around switches, hoses, etc) and to wipe down any hoses, valves etc., to ensure leaks can easily be detected if one occurs.

Building 30 CLC, Nutrition and Food Service Kitchen, 1st Floor (3461 Civic Center Blvd.

Philadelphia, PA 19104)

Kitchen Exhaust Hoods (quantity 2, 15 feet, 1 exhaust fan) Quarterly Replace all Exhaust and Make-Up Air Fan belts.

Clean air intake filters.

Clean motors for optimal cooling.

Check motors for vibration or excessive noise.

Lubricate bearings on all fan shafts.

Check that the grease catch pan is draining properly.

Inspect fan mounting curb for cracks.

Verify the fan hinge kit is operational.

Remove any debris from surrounding the fans on the roof.

Examine the flashing that seals the roof to the mounting curb.

Inspect electrical conduit to Exhaust and Supply fans.

Verify fan switches for proper on/off function from roof.

Rational Combi Oven (Model: LM100EE; Serial#: E12SJ21032879395; EE#: 121738)

Inspect unit for any worn or damaged parts.

Clean Drain with USDA approved drain cleaner.

Replace water filters.

Semi-Annually

Descale Generators.

Clean oven Inspect the flue, vents, and vacuum reliefs for worn parts.

Hobart Buildup Dishwasher (Model: CL64CN; Serial#: 851101898; EE#: 109276)

Check knobs, switches, and wires for signs of wear or damage replace as needed.

Check Dish Machine Curtains for wear.

Check wires and connectors to be sure all are in good repair and tightly fastened.

Grease conveyor flange bearings.

Check conveyor Belt to be sure in good repair and tightly fastened adjust tension.

Semi-Annually Replace Curtain.

Replace wash arms.

Vulcan Hart Corporation Electric Griddle (Model: HEG36E; Serial#: 650213594; EE#: 124613)

Inspect unit for damage or wear.

Check unit temperature using surface thermometer and calibrate.

Test voltage supply Check knobs, switches, and wires for signs of damage replace as needed.

Check thermostat, replace as needed.

Semi-Annually Check heating element, thermostat, and wires for signs of damage.

Vulcan Hart Corporation Electric Steamer (Model: C24ET10; Serial#: 46-3038667; EE#: 124842) Monthly Inspect drain screen and drain line for blockage.

Clean drain with a USDA approved drain cleaner, flush drain.

De-scale steam generator according to manufacturer’s recommendations. Rinse steam generator after de-lime.

Inspect door seals for cuts, tears, or leaks and replace as needed.

Check Filter System Pressure, 20Psi Minimum/60PSI Max while filling.

Change cartridge if pressure is low or they are due for replacement.

Semi-Annually Change Carbon block every 6 months.

Inspect the flue, vents, and vacuum reliefs for signs of blockage or malfunction.

Check hinges, latches, and handles for signs of wear or damage.

Traulsen Reach-in Two Door Freezer (Model: G22010; Serial#: 22K03290; EE#: 128023)

Visually inspect condenser, fans, and evaporator coils.

Check system oil levels.

Check system electrical connections for corrosion and overheating.

Check micro-processor operation.

Clean condenser, fans, and evaporator coils.

Quarterly Check entire unit thoroughly for refrigerant leaks.

Check oil level in compressor (where applicable) Lubricate fan bearings.

Calibrate probe and digital display to read within +/- 2° F utilizing certified calibrated equipment and note on inspection form.

Continental Brand Refrigerator (Model: IR; Serial#: 144A6435; EE#: 41529)

Visually inspect condenser, fans, and evaporator coils.

Visually check refrigerant piping for oil and refrigerant leaks.

Check system oil levels.

Check system electrical connections for corrosion and overheating.

Check micro-processor operation.

Clean condenser, fans, and evaporator coils.

Quarterly Check entire unit thoroughly for refrigerant leaks.

Check oil level in compressor (where applicable) Lubricate fan bearings.

Calibrate probe and digital display to read within +/- 2° F utilizing certified calibrated equipment and note on inspection form.

Inspect contactors for pitting, corrosion, increased amperage draw or wear.

Elliot Williams Walk-in Refrigerator (Model: M32SCF24; Serial#: 1202-2967; EE#: 64608)

Visually inspect condenser, fans, evaporator coils, and drains.

Visually check refrigerant piping for oil and refrigerant leaks.

Check system oil levels.

Check system electrical connections for corrosion and overheating.

Check micro-processor operation.

Clean condenser, fans, and coils.

Calibrate probe and digital display to read within +/- 2° F utilizing certified calibrated equipment and note on inspection form.

Check starter and check contacts for wear and pitting.

Check oil level in compressor (where applicable).

Tighten motor and control panel terminals.

Lubricate fan bearings.

Check micro-processor control point settings and alarms.

Semi-Annually Change refrigerant oil filters.

Clean condenser fins with high pressure hose and non-chloride based cleaner.

Shut down refrigeration system for a minimum of 1 hour to check for leaks (around switches, hoses, etc) and to wipe down any hoses, valves etc., to ensure leaks can easily be detected if one occurs.

Airscreen Mobile Refrigerator (Model: RAS-10; Serial#: 175350102; EE#: 99395)

Visually inspect condenser, fans, and evaporator coils.

Visually check refrigerant piping for oil and refrigerant leaks.

Check system oil levels.

Check system electrical connections for corrosion and overheating.

Clean condenser, fans, and evaporator coils.

Check entire unit thoroughly for refrigerant leaks.

Check oil level in compressor (where applicable) Lubricate fan bearings.

Calibrate probe and digital display to read within +/- 2° F utilizing certified calibrated equipment and note on inspection form.

Nor Lake Refrigerator (Model: NLMC08SS; Serial#: R20110054; EE#: 123089)

Visually inspect condenser, fans, and evaporator coils.

Visually check refrigerant piping for oil and refrigerant leaks.

Check system oil levels.

Check system electrical connections for corrosion and overheating.

Check micro-processor operation.

Check oil level in compressor (where applicable) Lubricate fan bearings.

Calibrate probe and digital display to read within +/- 2° F utilizing certified calibrated equipment and note on inspection form.

Thermo-Kool Refrigerator (Model: TK4-4278FL; Serial#: 41804ALDN; EE#: 41530)

Visually inspect condenser, fans, evaporator coils, and drains.

Visually check refrigerant piping for oil and refrigerant leaks.

Check system oil levels.

Check system electrical connections for corrosion and overheating.

Check micro-processor operation.

Clean condenser, fans, and coils.

Calibrate probe and digital display to read within +/- 2° F utilizing certified calibrated equipment and note on inspection form.

Inspect contactors for pitting, corrosion, increased amperage draw or any other signs of wear.

Quarterly Check unit thoroughly for refrigerant leaks.

Check and calibrate unit safety controls.

Check starter and check contacts for wear and pitting.

Check oil level in compressor (where applicable).

Tighten motor and control panel terminals.

Lubricate fan bearings.

Check micro-processor control point settings and alarms.

Semi-Annually Change refrigerant oil filters.

Clean condenser fins with high pressure hose and non-chloride based cleaner.

Shut down refrigeration system for a minimum of 1 hour to check for leaks (around switches, hoses, etc.) and to wipe down any hoses, valves etc., to ensure leaks can easily be detected if one occurs.

True Reach-in Refrigerator (Model: STG1R1SHC; Serial#: 9659980; EE#: 107753)

Visually inspect condenser, fans, and evaporator coils.

Check system oil levels.

Check system electrical connections for corrosion and overheating.

Check oil level in compressor (where applicable) Lubricate fan bearings.

Calibrate probe and digital display to read within +/- 2° F utilizing certified calibrated equipment and note on inspection form.

Victory Inc. Two Door Refrigerator (Model: R52D57Q; Serial#: H0386497; EE#: 38963)

Visually inspect condenser, fans, and evaporator coils.

Visually check refrigerant piping for oil and refrigerant leaks.

Check system oil levels.

Check system electrical connections for corrosion and overheating.

Check oil level in compressor (where applicable) Lubricate fan bearings.

Calibrate probe and digital display to read within +/- 2° F utilizing certified calibrated equipment and note on inspection form.

Inspect contactors for pitting, corrosion, increased amperage draws or any other signs of wear.

Snyder House, Kitchen, 1st Floor (1425 Snyder Ave, Philadelphia, PA 19145)

Kitchen Exhaust Hoods (quantity 2, 15 feet, 1 exhaust fan) Semi-Annually

Replace all Exhaust and Make-Up Air Fan belts.

Clean air intake filters.

Clean motors for optimal cooling.

Check motors for vibration or excessive noise.

Lubricate bearings on all fan shafts.

Check that the grease catch pan is draining properly.

Inspect fan mounting curb for cracks.

Verify the fan hinge kit is operational.

Remove any debris from surrounding the fans on the roof.

Examine the flashing that seals the roof to the mounting curb.

Inspect electrical conduit to Exhaust and Supply fans.

Verify fan switches for proper on/off function from roof.

Operate fans and any additional control gear from roof.

Check the hardware and cabling is intact and waterproof.

Turbo Air Deluxe Freezer (Model: TSF-49SD; Serial# DF49708004)

Quarterly

• Clean Condenser coil

Turbo Air Deluxe Freezer (Model: TUF-28SD)

• Clean Condenser coil

Turbo Air Deluxe Refrigerator (Model: TSR-49SD; Serial# DR49710034)

Turbo Air Deluxe Refrigerator (Model: TSR23SD; Serial #DR23710041)

Turbo Air Deluxe Refrigerator (Model: TST-48SD-085-N; EE: 125694)

Market Forge Industries Inc. Tilt Skillet (Model#: 30P-STGL; Serial#: 238419)

Semi-Annual

• Clean and adjust the tilting braising pan for maximum performance.

Blodgett Stove with oven

Annual

• Check vent system for problems.

Blodgett stacked ovens (Top Serial#: 110612ZG037B; Bottom Serial #: 110612ZG036T)

• Clean fans, intakes

Waring Commercial Panini Press (Serial #: 3623)

Quarterly

• Adjust hinges.

• Inspect plates for cracks and cleanliness.

• Check wires.

Duke Therma Duke Warm Wells

Quarterly

• Descale unit.

• Check Wires

• Check heating elements for proper operation.

Dishwasher (Model: CMA-180; Serial#: 209288)

Quarterly

• Check that micro switches are working.

• Check booster (if installed) is operating.

• Check wiring for breaks/open wires.

• Check that motor is operating properly.

• Check temperature on heating element.

Globe Slicer (Model#: 3850N; Serial#: 3850N00232)

• Check seals, gaskets for tears.

• Check sharpness of slicer blade.

Hamilton Beach Commercial Blender (EE#: 78869)

Quarterly

Check wires for fraying.

Check fuses (if equipped).

Avantco Mixer (Model#: 177MIX8GY)

• Check seals for oil leaks.

• Check slideway for rust.

• Check wiring for frayed wires.

3 Microwaves

Semi-Annual

• Check door operation, make sure it locks and shuts properly. Make sure door is not loose.

• Check buttons for wear.

Amana Oven (EE#: 75769)

Semi-Annual

• Check control operation.

• Check oven door for proper open and closing.

2 Whirlpool Fridge/Freezers (EE#: 78151, 78152)

• Check door seals for rips or tears.

• Check for unit leveling.

• Change water filter (if applicable).

• Clean condenser coils.

• Check and set proper temperatures.

• Check that de-frost mode works.

Appendix A:

INSPECTION SHEETS:

Name: Walk-In Refrigeration System

Includes:

• Meat Walk-In EE#24448 Bally Walk-In Box with 2 Bohn Intelligen Condensers*

• Vegetable Walk-In EE#24447 Walk-In Box with 2 Bohn Intelligen Condensers*

• Dairy Walk-In EE#24335 Walk-In Box with 2 Bohn Intelligen Condensers*

• ReTherm Walk-In EE#41481 K-Thermo-Kool Walk-In Box with 2 Bohn Condensers*

• Meat Freezer EE#24450 Walk-In Freezer with 3 Bohn Intelligen Condensers*

• Vegetable Freezer EE#24449 Walk-In Freezer with 2 Bohn Intelligen Condensers*

• Cooks Box Walk-In EE#64608 Elliot Williams Walk-In, Model M32SCF24, Serial 1202-2967

• ReTherm Walk-In EE#41530 K-Therom-Kool Walk-In Model TK4-4278FL, Serial 41804ALDN

*Bohn Intelligen Condensors Model BEL0116A86AMAB0200, (series varies) Replaced May 2023

NOTE: If inspection item does not pertain to equipment note N/A.

Initials indicate ‘meets factory standards.

Monthly Date: ___________ Meat Veg Dairy ReTherm

Initials Initials Initials Initials

Visually inspect condenser, fans, and evaporator coils. _____ _____ _____

Visually check refrigerant piping for oil and refrigerant leaks. _____ _____ _____ _____

Check system oil levels. _____ _____ _____ _____

Check system electrical connections for corrosion and overheating. _____ _____ _____ _____

Check Micro- processor operation. _____ _____ _____ _____

Clean condenser, fans, and evaporator coils monthly. _____ _____ _____ _____

Calibrate probe and digital display to read within +/- 2o F utilizing certified calibrated equipment and note on inspection form. ____°F ____°F ____°F ____°F

Inspect contactors for pitting, corrosion, increased amperage draw or any other signs of wear. _____ _____ _____ _____

Quarterly Date: ___________

Meat Veg Dairy ReTherm

Check entire unit thoroughly for refrigerant leaks. _____ _____ _____ _____

Check and calibrate unit safety controls. _____ _____ _____ _____

Check starter and check contacts for wear and pitting. _____ _____ _____ _____

Check oil level in compressor (where applicable). _____ _____ _____ _____

Tighten motor terminals and control panel terminals. _____ _____ _____ _____

Lubricate fan bearings. _____ _____ _____ _____

Check microprocessor control point’s settings and alarms. _____ _____ _____ _____

Semi-Annually Date: ___________

Change refrigerant oil filters. _____ _____ _____ _____

Clean condenser fins with high pressure hose and a non-chloride based cleaner. _____ _____ _____ _____

Shut down refrigeration system for a minimum of 1 hour to check for leaks (around switches, hoses, etc) and to wipe down any hoses, valves etc., to ensure leaks can easily be detected if one occurs. _____ _____ _____ _____

Annually Date:_____________

Check integrity of refrigeration and freezer box envelopes _____ _____ _____ _____

Name: REACH-In Refrigeration System

Includes:

• Avantco 60” Undercounter Freezer Model 178SSUC60FHC, Serial 7328250920120602, EE99395

• Avantco 60” Undercounter Freezer Model 178SSUC60FHC, Serial 7328250920122170, EE121515

• Dukers 2 Door Reach-In Freezer Model D55F, Serial 1098000DUK200901201101192, EE121931

• Beverage Air Reach-In Refrigerator Model ER34-1AS, Serial7700762, EE46244

• Hoshizaki Refrigerated Prep Table Model CR85A, Serial L50179A, EE121314

• Aladin TempRite Single Door Reach-In Refrigerator Model ADL-21, Serial 95022M, EE#41908

• Hoshizaki 2 Door Reach-In Model R2A-FS, Serial L56220K, EE#122584

• Burlodge1 Pass Thru Air Curtain…