32 IM 962-2Quality Assurance Survey FormQuality Assurance Survey FormQuality Assurance Survey ReportTo whom it may concern:Please review the items below upon receiving and installing our product. Mark N/A on any item that does not apply to the product.Job Name: _____________________________________________________________________ Daikin G.O. No. ____________________Installation address:____________________________________________________________________________________________________City: ___________________________________________________________________________ State: _______________________________Purchasing contractor:__________________________________________________________________________________________________City: ___________________________________________________________________________ State: _______________________________Name of person doing start-up (print): ___________________________________________________________________________________Company name: ______________________________________________________________________________________Address: ____________________________________________________________________________________________City/State/Zip: _______________________________________________________________________________________1. Is there any shipping damage visible? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No N/ALocation on unit ____________________________________________________________________________________2. How would you rate the overall appearance of the product; i.e., paint, fin damage, etc.?Excellent Good Fair Poor3. Did all sections of the unit fit together properly? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No N/A4. Did the cabinet have any air leakage? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No N/ALocation on unit ___________________________________________________________________________________5. Were there any refrigerant leaks? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No N/AFrom where did it occur? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Shipping Workmanship Design6. Does the refrigerant piping have excessive vibration? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No N/ALocation on unit ___________________________________________________________________________________7. Did all of the electrical controls function at start-up? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No N/AComments _______________________________________________________________________________________8. Did the labeling and schematics provide adequate information? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No N/AExcellent Good Fair PoorExcellent Good Fair Poor9. How would you rate the serviceability of the product?10. How would you rate the overall quality of the product?11. How does the quality of Daikin products rank in relation to competitive products?Excellent Good Fair PoorComments _______________________________________________________________________________________Please list any additional comments which could affect the operation of this unit; i.e., shipping damage, failed components, adverse installationapplications, etc. If additional comment space is needed, write the comment(s) on a separate sheet, attach the sheet to this completed QualityAssurance Survey Report, and return it to the Warranty Department with the completed preceding “Equipment Warranty Registration Form”.