Clients Logo

M&E Contractor
Logo

PRE-COMMISSIONING CHECK LIST FOR CHILLER PUMP

(BIN BN KIM TRA TRC KHI VN HNH H BM NC LNH)
Project:
Tn d n:
Contractor:
Nh Thu:
Client :
Ch u t

Ref No.:
S tham chiu:
Contract package:
Gi thu:
Project Management:
T vn QLDA:

QA-F-VN-PCM-PreCommissioning_Checklist_for_Chille
r_Pump-Rev A

ARCHETYPE

Description of item(s):
(M t hng mc)
According to Drawing No.:
(Da theo bng v s):
Owners Inspection Report
(Bin bn kim tra ca Ch u t)

Date:
(Ngy)

Check list (Danh muc cn kim tra)

Time:
(Gi)
Specified
(Ch nh)

Actual
(Thc t)

1. Manufacturer (Thng hiu)

2. Model (M s)
3. Serial No. (S l)
4. Motor output (Cng sut mt)
5. Motor Volt/Ph/Hz (in th/pha/ tn s)
6. Motor starting current (Dong khi ng mt)
7. Motor running current (Dong v
n hanh)
8. Motor speed (RPM) (Tc mt)
9. Pipe pressure test complete (H thng ng th ap)
10. Motor Insulation class (Cach in mt)
11. Guard index (Tr s bao v)
12. Maxi operating temp (Nhit v
n hanh ti a)
13. Support frame fitted? Anti-vibration mounts fitted (Khung bm va
gia chng rung co thich hp?)
14. Flexible connections (ng ni mm)
15. Motor rotate freely (S quay t do cua mt)
16. Wiring complete to Pump (Bm c u dy hoan tt)
17. Electrical tests complete (Kim tra toan b h thng in)
18. Stater type (Kiu khi ng)
19. Over load setting (A) (Tr s bao v qua tai)
20. Cleaning (V sinh)
21. Label (Nhn hiu)

Note (Ghi ch):

QA-F-VN-PCM-Pre-Commissioning_Checklist_for_Chiller_Pump-Rev A

Page 1

Your submission for approval is subject to following conditions: (n trnh ph duyt co kt

qua nh sau):
Approved
(Chp thun)
Not approved as noted
(Khng chp thun vi ghi ch sau)

Approved on condition as noted

(Chp thun vi iu kin ghi ch sau)
Amend and resubmit
(Sa va trnh li)

Note (Ghi ch): Accepting the T & C works in this inspection SHALL not relieve the contractors responsibilities from his
contract agreements. /Vic chp nhn kit qua kim tra vn hanh va th nghim trong bin ban nghim thu nay s
khng lam giam trach nhim cua nha thu theo nhng iu khoan rang buc trong hp ng.

Contractor
(Nh thu):

Project Management
Consultant
(T vn Qun L D n):

Client's Representatives
(i din Ch u t):

Signature (Ch k):

Signature (Ch k):

Signature (Ch k):

Name (Tn):_______________

Name (Tn):_______________

Name (Tn):_______________

Position (Chc vu):__________

Position (Chc vu):__________

Position (Chc vu):__________

Date (Ngay):_______________

Date (Ngay):_______________

Date (Ngay):_______________

QA-F-VN-PCM-Pre-Commissioning_Checklist_for_Chiller_Pump-Rev A

Page 2