CNG TY TNHH MTV THNG MI

QUNG NAM NNG

CNG HA X HI CH NGHA VIT NAM

c lp - T do - Hnh phc
Nng, ngy

thng

nm 2015

BIN BN S: 08/ NTVTDV

NGHIM THU VT LIU, THIT B,

SN PHM CH TO SN TRC KHI S DNG
Cng trnh: Xy Dng Khch Sn Tourane.
Hng mc: Cung cp v lp t h thng in ngun h th v chiu sng trong,
ngoi nh ca ton d n.
a im xy dng: S 04 ng Trng Sa ( S mi 252 V Nguyn Gip )
Phng Phc M - Qun Sn Tr Thnh Ph Nng.
i tng nghim thu: Nghim thu Cng tc, cm, MCB, RCCB, Contactor,
chung in, nt nhn chung.
1. Thnh phn trc tip tham gia nghim thu:
a) i din Ban Qun L D n:
ng (B) : L Thu H
Chc v: Ph Trng Ban QLDA
ng (B) : L Vn Dng
Chc v: U Vin Ban QLDA
ng (B) : Nguyn c t
Chc v: Chuyn vin k thut
b) i din T vn gim st: Vin Khoa Hc Cng Ngh Xy Dng.
ng (B) : Ng Hong Tri Nht
Chc v: Ph on TVGS
ng (B) : L Hng V
Chc v: Gim St Vin MEP
c) i din nh thu thi cng: Cng ty C Phn K Thut Phc Khang Hng
Thnh vin lin danh.
ng (B) : Nguyn Mnh Thnh
Chc v: Ph trch thi cng
ng (B) : ng Vn Trung
Chc v: Gim St Thi Cng
2. Thi gian tin hnh nghim thu:
Bt u : ............ ngy . thng . nm 2015
Kt thc : ............ ngy . thng . nm 2015
Ti
: Cng trnh xy dng khch sn Tourane.
3. nh gi cng vic thc hin:
a) V h s, ti liu lm cn c nghim thu:
Phiu yu cu nghim thu s: 08/ NTVTDV.
H s thit k bn v thi cng hng mc in do Cng ty lin doanh SUNJIN Vit
Nam thit k, c Cng Ty TNHH MTV Thng Mi Qung Nam Nng ph duyt
v ban hnh ngy 27/7/2014.
Ch dn k thut.
H s thu v hp ng xy dng s: 08/HXL k ngy 25/7/2014 gia Cng Ty
TNHH MTV Thng Mi Qung Nam Nng v Cng Ty C Phn K Thut Phc
Khang Hng.

 H s trnh s: DTVT/003, DTVT/005 c duyt bi BQLDA v TVGS ngy

12/9/2014 v 13/9/2014.
Chng ch xut x, chng nhn cht lng.
Tiu chun, quy phm xy dng c p dng: TCVN 7447-4-41/42/43-2004.
Bin bn ly mu th nghim:..
Kt qu th nghim:.
Nht k thi cng, nht k gim st ca ch u t v cc vn bn khc c lin quan
n i tng nghim thu.
Bin bn nghim thu ni b i tng nghim thu s: 08/ NTNB/ VTDV.
b) V cht lng khi lng, vt liu, thit b, sn phm ch to sn:
Kim tra ti ch i tng nghim thu.
Kim tra chng ch k thut xut xng, l lch ca cc thit b, cc vn bn bo
him, bo hnh thit b (nu c), cc ti liu hng dn k thut, tiu chun k thut vn
hnh thit b my mc ca nh sn xut (nu c).
Kim tra cc ti liu th nghim.
Khi lng i tng nghim thu v kt qu nh gi:
TT

i tng nghim thu

n v
tnh

S
lng

M hng

Nhn hiu/
Xut x

01

Cng tc n 1 chiu, 10A,

hin th LED

270

AC161

ABB/CHINA

02

Cng tc n 1 chiu, 2P 20,

hin th LED, dng cho my
nc nng.

186

AC171WH

ABB/CHINA

03

B iu chnh sng (26600W)

372

AC412

ABB/CHINA

04

Cng tc i 1 chiu, 10A,

hin th LED

381

AC162

ABB/CHINA

05

Cng tc i 2 chiu, 10A,

hin th LED. C in hnh Do
Not disturb) v Please
Clean Room)

186

AC165 &
Special
printing

ABB/CHINA

06

Cng tc n 2 chiu, 10A,

hin th LED

372

AC164

ABB/CHINA

07

Cng tc i 2 chiu, 20A,

hin th LED

30

AC174

ABB/CHINA

186

2196EUC-84500+AC503+
AC5101+
waterproof
IP55

ABB/CHINA
+ UTEN

2074

2196EUC-84500+AC503+
AC5101

ABB/CHINA

cm n 3 chu 16A chng

thm
08

09

cm n 3 chu 16A, a
dng

10

Nt nhn chung 10A, c

hin th Do Not disturb) v
Please Clean Room)

186

AC403-002

ABB/CHINA

11

Chung in NDMLT2

186

NDMLT2

ABB/CHINA

12

cm cha kha 20A

186

AC402

ABB/CHINA

nh gi cht lng
t

Khng t

Ghi
ch

13

MCB 2P 40A, 6KA, SH202C40

186

2CDS212001R
0404

ABB/CHINA

14

MCB 2P 25A, 6KA, SH202C25

16

2CDS212001R
0254

ABB/CHINA

15

MCB 1P 16A,
SH201L C16

4.5KA

402

2CDS241001R
0164

ABB/CHINA

16

MCB 1P 10A
SH201L-C10

4.5KA

232

2CDS241001R
0104

ABB/CHINA

17

RCBO 1P+N 20A, 4.5KA

30mA, DS201L C20 AC30

186

2CSR245040R
1204

ABB/ITALY

18

Contactor 40A (3NO + 1NC)

ESB 40-31

186

GHE3491602
R0006

ABB/GERMANY

c) Cc kin khc (nu c): ......

........

4. Kt lun:
Chp nhn hay khng chp nhn nghim thu a vo s dng cho cng trnh i
tng nghim thu: ......
L do khng chp thun nghim thu: ....
Ghi r tn v s lng cc i tng khng chp nhn nghim thu. Thi gian nh
thu thi cng phi a cc i tng khng chp nhn nghim thu ra khi cng trng:
....
....

BAN QUN L D N
(K, ghi r h tn)

T VN GIM ST
(K, ghi r h tn)

NH THU THI CNG

(K, ghi r h tn)

Ng Hong Tri Nht

Nguyn Mnh Thnh

H s nghim thu bao gm:

Bin bn nghim thu vt liu, thit b, sn phm ch to sn trc khi s dng.

Cc ti liu lm cn c nghim thu.