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TESTING & COMMISSIONING AIR CONDITIONING SYSTEM

(KIM TRA & NGHIM THU H THNG IU HO KHNG KH)
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-PCMT&C_Checklist_For_Air_Conditionin
g_System-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)

1. Make (Ch to)

Time:
(Gi)
Specified
Ch nh

Actual
Thc t

2. Manufacturer (Thng hiu)

3. Model (M s)
4. AC type (Loi)
5. Capacity KW (Sensible/Latent) (Cng Sut Lnh - Nhit hin/Nhit n)
6. Filter Condition (iu kin lc gi)
7. Condensate Line Condition (iu kin ng nc ngng)
8. Suction pressure (p sut ht)
9. Discharge pressure (p sut y)
10. Gas pipe & Liquid pipe size (Kch thc ng hi v ng lng)
11. Power supply (Ngun in)
12. Starting current (Amp) (Dng khi ng)
13. Running current (Amp) (Dng hot ng)
14. Supply air conditions (High/Medium/Low speed)
iu kin gi cp (Tc cao/trung bnh/ thp)
a) Air quantity (CMH) (Lu lng gi)
b) DB/ WB temp. (deg. C) (Nhit bu kh v bu t)
c) RH ( % ) ( m tng i)
15. Fresh air quantity (CMH) (Lu lng gi ti)
16. Fresh air temp. (deg. C) (Nhit gi ti ( C))
17. Return air quantity (CMH) (Lu lng gi hi)
18. Return air temp. DB/ WB (deg. C)
Nhit gi hi (bu kh v bu t) ( C)

QA-F-VN-PCM-T&C_Checklist_For_Air_Conditioning_System-Rev A

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Note (Ghi ch):

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 ch sau)

Approved on condition as noted

(Chp thun vi iu kin ghi ch sau)
Amend and resubmit
(Sa v 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 qu kim tra vn hnh v th nghim trong bin bn nghim thu ny s
khng lm gim trch nhim ca nh thu theo nhng iu khon rng 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 v):__________

Position (Chc v):__________

Position (Chc v):__________

Date (Ngy):_______________

Date (Ngy):_______________

Date (Ngy):_______________

QA-F-VN-PCM-T&C_Checklist_For_Air_Conditioning_System-Rev A

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