Clients Logo

M&E Contractor
Logo

TESTING & COMMISSIONING PUMP & VALVES

(KIM TRA & NGHIM THU BM & VAN)
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_For_Pump&Valves-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)

Description (Din gii)

1.
2.
3.
4.
5.
6.
7.
8.

Make (Ch to)

Manufacturer (Thng hiu)
Model (M s)
Alignment 00 (Kim tra thng hng 00 )
Alignment 900 (Kim tra thng hng 900)
Alignment 1800 (Kim tra thng hng 1800)
Alignment 2700 (Kim tra thng hng 2700)
Isolation valve (Van ca u ht / Suction)

Time:
(Gi)
Specified
Ch nh

Actual
Thc t

9. Suction eccentric reducer (Ni gim lch tm u ht)

10. Suction Strainer (Lc nc ch Y u ht)
11.
12.
13.
14.

Suction Pipe support (Gi ng u ht)

Suction Flexible coupling (Khp ni mm u ht)
Discharge Flexible coupling (Khp ni mm u y)
Discharge Concentric enlarger (Ni gim ng tm u y)

15. Discharge Check valve (Van 1 chiu u y)

16. Discharge Flow meter (Lu lng k u y)
17. Discharge Isolation valve (Van ca u y)
18. Abnormal noise ( n khc thng)
19. Abnormal vibration ( rung khc thng)
20. Others (Cc thit b khc)
21. Electrical characteristics (c tnh in)
22. Motor rated KW (Cng sut m t)
23. RPM (Tc dng quay)
24. Starting current ( Amp ) (Dng in lc khi ng)
25. Running current ( Amp ) (Dng in lc ang chy)
26. Thermal overload setting ( Amp ) (Mc ci t nhit qu ti)
27. Overload range ( Amp ) (Mc dng qu ti)
28. Water flow rate ( LIS ) (Lu lng bm)
29. Suction pressure ( PSI ) (p sut u ht)
30. Discharge pressure ( PSI ) (p sut u y)
31. Impeller size ( mm ) (Kch thc cnh bm)

QA-F-VN-PCM-T&C_ For_Pump&Valves -Rev A

Page 1/2

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_ For_Pump&Valves -Rev A

Page 2/2