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PUMP PREFUNCTIONAL CHECKLIST

PC-________
Prefunctional Checklist
Building Name ____________________________________
PC-______PUMP #’s____________________________
Included components: F!’s___________________________________
Associated checklists: C"ille#$ C%%ling T%&e#$ B%ile#$ O'"e# ___________________________
1. Submittal Appro!als
Submittal. The above equipment and systems integral to them are complete and ready for functional testing. The
checklist items are complete and have been checked off only by parties having direct knowledge of the event, as
marked below, respective to each responsible contractor. This prefunctional checklist is submitted for approval,
subject to an attached list of outstanding items yet to be completed. A Statement of Correction will be submitted
upon completion of any outstanding areas. one of the outstanding items preclude safe and reliable functional tests
being performed. !!! "ist attached.
!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!
#echanical Contractor $ate Controls Contractor $ate
!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!
%lectrical Contractor $ate Sheet #etal Contractor $ate
!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!
TA& Contractor $ate 'eneral Contractor $ate
(refunctional checklist items are to be completed as part of startup ) initial checkout, preparatory to functional testing.
• This checklist does not take the place of the manufacturer*s recommended checkout and startup procedures or report.
• +tems that do not apply shall be noted with the reasons on this form ,-A . not applicable, &/ . by others0.
• +f this form is not used for documenting, one of similar rigor shall be used.
• Contractors assigned responsibility for sections of the checklist shall be responsible to see that checklist items by their
subcontractors are completed and checked off.
• 1Contr.2 column or abbreviations in brackets to the right of an item refer to the contractor responsible to verify
completion of this item. A-% . architect-engineer, All . all contractors, CA . commissioning agent, CC . controls
contractor, %C . electrical contractor, 'C . general contractor, #C . mechanical contractor, SC . sheet metal
contractor, TA& . test and balance contractor, !!!! . !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!.
Approvals. This filled3out checklist has been reviewed. +ts completion is approved with the e4ceptions noted below.
!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!
Commissioning Agent $ate /wner*s 5epresentative $ate
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Building Name
PUMP PREFUNCTIONAL CHECKLIST
PC-________
". #e$uested documentation submitted %this section to be completed b& CA'
C"e/3 i4 O3a5. En'e# /%mmen' %# n%'e num6e# i4 de4i/ien'.
Check ($uip )a*-+
E7ui8men' manu4a/'u#e#’s su6mi''als$ in/. 8e#4%#man/e da'a$
8um8 /u#9es$ dimensi%nal da'a$ e'/.
Ins'alla'i%n and s'a#'u8 manual
S'a#'u8 d%/umen'a'i%n :in/. F! 8#%g#amming i4 a88li/a6le;
Tes' and Balan/e #e8%#'
Se7uen/es and /%n'#%l s'#a'egies
O<M manuals
• Documentation complete as per contract documents.................................___ YES ___ NO
,. Model !erification %this section to be completed b& CA'
+ = as s8e/i4ied$ ) = as su6mi''ed$ > = as ins'alled. En'e# #e7ues'ed da'a. C"e/3 i4 O3a5. En'e# n%'e num6e# i4 de4i/ien'.
E7ui8 Tag??@
Se#9i/e :HA$
se/.CHA$e'/.;
+
Manu4. )
>
+
M%del )
>
Se#ial # >
+
%l's1P"1A )
>
+
BPM )
>
+
Head )
>
+
M%'%# H8 )
>
+
RPM )
>
+
M%'%# E44i/ )
>
F! M4/'#< + 1 1 1 1 1
M%del # ) 1 1 1 1 1
i4 a88li/a6le > 1 1 1 1 1
• The equipment installed matches the specifications for given trade.........___ YES ___ NO
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Building Name
PUMP PREFUNCTIONAL CHECKLIST
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-. Installation Checks %)his section to be completed b& CA or Installer. as noted. Initial in final
column: CA. CC/Control Contractor. MC/Mechanical Contractor. (C/(lectrical Contractor.
)A0/)est 1 0alance Contractor. as appropriate.'
En'e# da'a as #e7ues'ed. C"e/3 i4 O3a5. En'e# /%mmen' %# n%'e num6e# i4 de4i/ien'.
Check ($uip )a*-+ Contr.
2eneral Installation
E7ui8men' 'ag < name8la'e 8e#manen'l5 a44iCed
Pum8s in 8la/e and 8#%8e#l5 g#%u'ed
Ins'alla'i%n %4 6alan/ing de9i/es all%& 6alan/ing '% 6e /%m8le'ed
4%ll%&ing NEBB %# AABC 8#%/edu#es < /%n'#a/' d%/umen's
Tes' and 6alan/e #e8%#' #e9ie&ed 4%# 8um8 4l%&s$ "ead$ ele/.
Pum8 en9i#%nmen' /lean
Ade7ua'e a//ess 4%# main'enan/e
i6#a'i%n is%la'i%n de9i/es ins'alled and 4un/'i%nal
Fa/'%#5 alignmen' /%##e/' :/"e/3ed 65 ins'alle#;
Field alignmen'$ i4 #e7ui#ed$ /%m8le'ed :/"e/3ed 65 ins'alle#;
Seismi/ an/"%#ing ins'alled 8e# s8e/
Tem8.$ 8#essu#e < 4l%& gages and sens%#s ins'alled 8e# s8e/.
Re7ui#ed 9al9es ins'alled < in #ig"' di#e/'i%n
N% 9isi6le lea3s
Pum8 lu6#i/a'ed :/"e/3ed 65 ins'alle#;
Pipin* :in 9i/ini'5 %4 8um8;
Pi8e 4i''ings /%m8le'e and 8i8es 8#%8e#l5 su88%#'ed
Ai# 9en's$ eC8ansi%n 'an3s$ ai# se8a#a'%#s ins'alled 8e# s8e/.
Pi8ing '58e and 4l%& di#e/'i%n 8#%8e#l5 la6eled
Pi8es 8#%8e#l5 insula'ed 8e# s8e/.
S'#aine#s in 8la/e and /lean :/"e/3ed 65 ins'alle#;
Pi8ing s5s'em 8#%8e#l5 4lus"ed :/"e/3ed 65 ins'alle#;
al9es 8#%8e#l5 'agged
Au'%ma'i/ 9al9es s'#%3e 4ull5 < /l%se 'ig"'l5 :see se/'i%n D
8#%/edu#esE /%il 9al9es /%9e#ed &1 AHUs;
(lectrical and Controls
P%&e# dis/%nne/'s in 8la/e and la6eled
All ele/'#i/al /%nne/'i%ns 'ig"'
M%'%# sa4e'ies in 8la/e and %8e#a6le :/"e/3ed 65 ins'alle#;
C%n'#%l s5s'em in'e#l%/3s "%%3ed u8 and 4un/'i%nal :/"e/3ed 65
ins'alle#;
All /%n'#%l de9i/es$ 8neuma'i/ 'u6ing and &i#ing /%m8le'e
:/"e/3ed 65 ins'alle#;
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Building Name
PUMP PREFUNCTIONAL CHECKLIST
PC-________
En'e# da'a as #e7ues'ed. C"e/3 i4 O3a5. En'e# /%mmen' %# n%'e num6e# i4 de4i/ien'.
Check ($uip )a*-+ Contr.
345 :See N%'e +;
S'a#'u8 d%/umen'a'i%n in/ludes all 8a#ame'e# se''ings
Pa#ame'e# se''ings #e9ie&ed 4%# #eas%na6leness
F! 8%&e#ed :&i#ed '% /%n'#%lled e7ui8men';
F! in'e#l%/3ed '% /%n'#%l s5s'em :/"e/3ed 65 ins'alle#;
P#essu#e %# %'"e# /%n'#%lling sens%# 8#%8e#l5 l%/a'ed < /ali6#a'ed
All 9al9es in 8um8’s dis'#i6u'i%n s5s'em a#e )?&a5
!#i9e l%/a'i%n n%' su6Fe/' '% eC/essi9e 'em8e#a'u#e :"ig"1l%&;$
m%is'u#e$ %# di#'
!#i9e siGe ma'/"es m%'%# siGe
M%'%# is #a'ed 4%# use &i'" F!s
In'e#nal se''ing designa'ing '"e m%del is /%##e/'
In8u' %4 m%'%# FLA #e8#esen's +HHI '% +H,I %4 m%'%# FLA #a'ing
A88#%8#ia'e %l's 9s HG /u#9e is 6eing used :'58i/all5 J9a#ia6le
'%#7ueK$ Js7ua#edK$ %# 8e# manu4a/'u#e#’s #e/%mmenda'i%n;
A//ele#a'i%n and de/ele#a'i%n 'imes a#e a#%und +H?,H se/.$ eC/e8'
4%# s8e/ial a88li/a'i%ns. A/'ual de/ele#a'i%n se'8%in' = ______
A/'ual a//ele#a'i%n se'8%in' = _____
U88e# 4#e7uen/5 limi' se' a' +HHI$ unless eC8lained %'"e#&ise
Minimum s8eed se''ing. A//e8'an/e( L,HI %# >H HG. :See n%'e +;
M%'%# 4ull l%ad s8eed se''ing. A//e8'an/e( E7ual '% m%'%# #a'ing.
M%'%# 4#e7uen/5 se''ing. A//e8'an/e( same as #a'ed m%'%# 4#e7.
M%'%# line 9%l'age se''ing. A//e8'an/e( same as #a'ed m%'%#
9%l'age$ usuall5 *DH 9%l's.
N% dis/%nne/'s ins'alled 6e'&een F! < m%'%# &i'"%u' s"u'd%&n
in'e#l%/3 '% F!
S"u'd%&n in'e#l%/3s 6e'&een F! < m%'%# 9e#i4ied '% 6e
%8e#a'i%nal
Se8a#a'e /%ndui' 4%# F! in/%ming 8%&e# < %u'g%ing m%'%# leads
• The checklist items of Part are all successfull! completed for given trade.___ YES ___ NO
N%'e +( F%# F! ele/'#i/al measu#emen's$ /%nsul' '"e F! manu4a/'u#e#’s manuals 4%# di#e/'i%n %n #e7ui#ed
ins'#umen'a'i%n$ me'"%ds$ e'/. A '#ue RMS mul'ime'e# is #e7ui#ed 4%# a//u#a'e measu#emen' %n s%me F!s$ &"e#eas i' ma5
6e &ildl5 ina//u#a'e %n %'"e#s. In addi'i%n$ 9a#i%us manu4a/'u#e#s ma5 "a9e di44e#en' #e7ui#emen's 4%# l%/a'i%n and me'"%d
%4 measu#emen'.
N%'e )( O8e#a'i%n %4 '"e m%'%# a' less '"an a6%u' ), '% >HI %4 '"e 4ull l%ad s8eed #a'ing ma5 /ause m%'%# %9e#"ea'ing due
'% inade7ua'e m%'%# 9en'ila'i%n. Als%$ i4 '"e m%'%# is d#i9en a' less '"an ,HI %4 '"e 4ull l%ad s8eed #a'ing$ '"e '"e#mal %9e#?
l%ad 8#%'e/'i%n ma5 n%' 8#%8e#l5 8#%'e/' '"e m%'%#. A '"e#mall5 #es8%nsi9e %9e#l%ad 8#%'e/'i%n de9i/e '"a' senses a/'ual
m%'%# &inding 'em8e#a'u#e ma5 6e #e7ui#ed. T"e m%'%# s"%uld n%' 6e d#i9en 6el%& ,HI %4 i's 4ull l%ad s8eed #a'ing &i'"%u'
/%nsul'ing '"e m%'%# manu4a/'u#e#’s #e8#esen'a'i9e.
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Building Name
PUMP PREFUNCTIONAL CHECKLIST
PC-________
6. 7perational Checks %)his section to be completed b& CA or Installer. as noted. Initial in final
column. per section - instructions.
:T"ese augmen' manu4a/'u#e#’s lis'. T"is is n%' '"e 4un/'i%nal 8e#4%#man/e 'es'ing.;
En'e# da'a as #e7ues'ed. C"e/3 i4 O3a5. En'e# /%mmen' %# n%'e num6e# i4 de4i/ien'.
Check ($uip )a*-+ Contr.
T"e HOA s&i'/" 8#%8e#l5 a/'i9a'es and dea/'i9a'es '"e uni'
Pum8 #%'a'i%n 9e#i4ied /%##e/' unde# n%#mal %8e#a'i%n
I4 F!?e7ui88ed$ 8um8 #%'a'i%n 9e#i4ied /%##e/' in 658ass m%de
N% unusual n%ise %# 9i6#a'i%n
N% lea3ing a88a#en' a#%und 4i''ings
Measu#e < #e/%#d line '% line 9%l'age$ all 8"ases. %l'ages &i'"in
m%'%# #a'ing ±+HIM :I4 F!?e7ui88ed$ measu#e u8s'#eam %4 F!.
Als%$ see N%'e #+ in 8#e9i%us se/'i%n.;
Cal/ula'e line '% line 9%l'age im6alan/e 4%# ea/" 8um8 m%'%#.
:I Im6alan/e = +HH C :a9g. ? 4u#'"es' 4#%m a9g.; 1 a9g.;
Re/%#d im6alan/e %4 ea/" m%'%#. Im6alan/e less '"an )IM
Re/%#d 4ull l%ad #unning am8s 4%# ea/" 8um8. _____#a'ed FL
am8s C ______s#9/ 4a/'%# = _______ :MaC am8s;. Running less
'"an maCM :I4 F!?e7ui88ed$ measu#e d%&ns'#eam %4 F!. Als%$
see N%'e #+ in 8#e9i%us se/'i%n;
S8e/i4ied se7uen/es %4 %8e#a'i%n < %8e#a'ing s/"edules "a9e 6een
im8lemen'ed &i'" all 9a#ia'i%ns d%/umen'ed :/"e/3ed 65 ins'alle#;
S8e/i4ied 8%in'?'%?8%in' /"e/3s "a9e 6een /%m8le'ed <
d%/umen'a'i%n su6mi''ed 4%# '"is s5s'em :/"e/3ed 65 ins'alle#;
• The checklist items of Part " are all successfull! completed for given trade.___ YES ___ NO
8. Misc. Procedures :as #e4e#en/ed a6%9e;
8.1 Automatic 3al!e 9eak Check. ,-:a& !al!es . C%mmand 9al9e '% /l%se. :Tes' &i'" 6%'" '"e NO < NC legs /l%sed$ %ne
a' a 'ime.; Ai'" 8um8 #unning$ a4'e# , minu'es %6se#9e &a'e# del'a T a/#%ss /%il. I4 i' is g#ea'e# '"an )NF$ lea3age is
8#%6a6l5 %//u##ing. Rese' 9al9e s'#%3e '% /l%se 'ig"'e#. Re8ea' 'es' un'il /%m8lian/e. :N%'e( 9e#i45 4i#s' '"a' '"e l%ss %4 4l%&
4#%m '"is 'es' &ill n%' damage an5 e7ui8men'.;
8." Automatic 3al!e Stroke Check
F%# all 9al9e and a/'ua'%# 8%si'i%ns /"e/3ed$ 9e#i45 '"e a/'ual 8%si'i%n agains' '"e BAS #ead%u'. Se' 8um8s '% n%#mal
%8e#a'ing m%de. C%mmand 9al9e /l%sed$ 9e#i45 '"a' 9al9e is /l%sed and adFus' %u'8u' Ge#% signal as #e7ui#ed. C%mmand
9al9e %8en$ 9e#i45 8%si'i%n is 4ull %8en and adFus' %u'8u' signal as #e7ui#ed. C%mmand 9al9e '% a 4e& in'e#media'e 8%si'i%ns.
I4 a/'ual 9al9e 8%si'i%n d%esn’' #eas%na6l5 /%##es8%nd$ #e8la/e a/'ua'%# %# add 8il%' 8%si'i%ne# :4%# 8neuma'i/s;.
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Building Name