Heat Transfer Fluid Performance Evaluation Form
Please complete this form to evaluate the performance of your heat transfer fluid in industrial applications. All questions pertain to technical and operational observations only.
Plant or Facility Name
*
Heat Transfer Fluid Name or Type
*
Date of Evaluation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Operating Temperature Range (°C)
System Description (briefly describe the equipment or process where the fluid is used)
Please rate the following performance characteristics of the heat transfer fluid:
*
Rows
Excellent
Good
Average
Poor
Thermal Stability
1
2
3
4
Viscosity Performance
5
6
7
8
Fouling Tendency
9
10
11
12
Corrosion Inhibition
13
14
15
16
Oxidation Resistance
17
18
19
20
Observed Issues (select all that apply)
Unusual odor
Color change
Increased viscosity
Foaming
Other
Overall Performance Rating
*
1
2
3
4
5
Additional Comments or Recommendations
Submit Evaluation
Should be Empty: