RESULT OF INSPECTION

ELECTRICAL EQUIPMENT PT. KASNIA INSPEKTINDO

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No. : 001/MCC/ICL/KI/TO/I/2014

Name of Equipment Tag No. !ner Lo%ation "ro)e%t

: : : : :

Motor Control Center 93-LVSB-01 "T.#a$arta Tan$ Terminal &a'ilita' Terminal BBM( Tan)ung "rio$-#a$arta *tara Miga' Certifi%ation an+ ,n'pe%tion

TECHNICAL DATA -e'%ription Manufa%ture .ear of Built Mo+el Voltage 1ating &requen%0 "6a'e Current 1ating &oult Le8el En%lo'ure Cla'' 1ate+ ,n'ulation Le8el -egree of "rote%tion "rote%tion : : : : : : : : : : : : : Motor Control Center "T. &i/ T0pe 320 V 30 45 3 "6a'e 1000 7 90 $7 Metal En%lo'e+ ," 91 &u'e( Moul+e+ Ca'e Cir%uit Brea$er an+ 1ela0

RESULT OF INSPECTION
ELECTRICAL EQUIPMENT PT. KASNIA INSPEKTINDO
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INSPECTION SUMMARY NO DESCRIPTION 1. DOCUMENT REVIEW a. Spe%ifi%ation ;. -ra!ing <'= ne Line -iagram >iring ? '%6emati% +iagram utline +ra!ing 7rea %la''ifi%ation REMARK / COMMENTS : : : N@7 N@7 : N@7 : : N@7 N@7 : Sati'fa%tor0 Sati'fa%tor0 <"6oto= Sati'fa%tor0 <Clean ? no +amage= Sati'fa%tor0 Sati'fa%tor0 Sati'fa%tor0 Sati'fa%tor0 <,'olate+= Sati'fa%tor0 <Conne%te+= : : 90 $7 MCCB Sati'fa%tor0 <,n'talle+= Sati'fa%tor0

%. -ata S6eet +. Material Certifi%ate e. Manufa%turer +ata - Te%6ni%al +ata - Aroun+ing Te't 1eport f. Cali;ration 1eport of in'trument g. S6ort %ir%uit anal0'i' 6. perating ? Maintenan%e Manual VISUAL INSPECTION AND VERIFICATION a. ,n'pe%t all equipment for +amage ;. Name plate %. Cu;i%le En%lo'ure T0pe +. Num;er of part %ompl0 to ;ill of material e. Cu;i%le +oor Moul+e+ Ca'e Cir%uit Brea$er 6an+le alignment f. Cu;i%le 'afet0 ,nterlo%$ g. ,n+i%ator Lig6t Lo%ation an+ %olor 6. Meter are %orre%tl0 lo%ate+ i. Moul+e+ %a'e Cir%uit Brea$er -. Voltage 1ating -. Current 1ating -. Brea$ing Current Capa%it0 -. T0pe ). Aroun+ing Cone%tion $. Bu' ;ar Tig6tene+

2.

RESULT OF INSPECTION
ELECTRICAL EQUIPMENT PT. KASNIA INSPEKTINDO
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NO DESCRIPTION m. n. o. l. -i'tan%e Clearan%e Beet!en Bu' ;ar "anel >iring Termination ? ,+entifi%ation Cla''ifi%ation 7rea >arning 'ign an+ 'afet0 equipment

REMARK / COMMENTS : : Sati'fa%tor0 Sati'fa%tor0

Ba'e+ on in'pe%tion re'ult( relate+ +o%ument re8ie!( 8i'ual in'pe%tion an+ 8erifi%ation( it i' %on'i+ere+ t6at t6e Motor Control Center Tag no. MCC - 01 6a' ;een manufa%ture+( in'talle+( an+ operate+ 'ati'fa%toril0 for it' inten+e+ 'er8i%e. ,n'pe%tor ,n-%6arge :