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PRE-COMMISSIONING CHECK LIST FOR COOLING TOWER

(BIN BN KIM TRA TRC KHI VN HNH THP GII NHIT)
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_Cooli
ng_Tower-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 Volt/Ph/Hz (in th pha tn s)
5.
6.
7.
8.

Motor speed (RPM) (Tc mt )

Stater type (Kiu khi ng)
Motor starting current (Dong khi ng mt (A))
Motor running current (Dong v
n hanh (A))

9. Motor and fan freely rotate (Quay t do cua motor va quat)

10. Wiring complete to motor (Motor c u dy hoan tt)
11. Water flow rate (Lu lng nc (l/min))
12. Cooling tower casing intact undamaged (Vo thap giai nhit con nguyn tt)
13. All pipes come to cooling tower are completed (Tt ca ng ng ni vi
thap giai nhit hoan chnh)
14. All pipes properly supported (Tt ca ng ng c chng ung)
15. All pipes and accessories are fitted (Tt ca ng ng va phu kin thich
hp)
16. Pipe pressure test to cooling tower completed (Kim tra ap lc toan b ng
n thap giai nhit)
17. Electrical tests to cooling tower completed (Kim tra toan b h thng in
n thap giai nhit)
18. Support frame fitted? Anti-vibration mounts fitted (Khung o bm va gia
chng rung co thich hp?)
19. Label (Nhn hiu)
Owners Supervisor comment ( kin ai din Chu u t):

Note (Ghi chu):

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

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

sau):
Approved
(Chp thun)
Not approved as noted
(Khng chp thun vi ghi chu sau)

Approved on condition as noted

(Chp thun vi iu kin ghi chu sau)
Amend and resubmit
(Sa va trnh lai)

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_Cooling_Tower-Rev A

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