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Arcadis Vietnam

PM/OHS/010

"Do Not Operate - This Equipment" Tag

DO NOT OPERATE DO NOT OPERATE


THIS EQUIPMENT THIS EQUIPMENT

UNTILL THE FOLLOWING CONDITIONS HAVE UNTILL ALL CHECKOUTS BELOW ARE COMPLETE

BEEN COMPLIED WITH: AND SIGNED FOR AND FINAL AUTHORITY GIVE
1. ALL CHECKOUTS LISTED ON THE REVERSE BY OPERATOR'S SIGNATURE ON REVERSE SIDE
SIDE OF THIS CARD ARE COMPLETED AND
SIGNED FOR.
EQUIPMENT NO. ……………………………….
2. FINAL AUTHORITY TO START UP OR OPERATE
THIS EQUIPMENT HAS BEEN GIVEN BY ALL MILL WRIGHT ALIGNMENT:………………………
THE SIGNATURES BELOW. ROTATION………………LUBRICATION.……………
SIGNED……………………….APP………………….
DATE……………………………………

CONTRACTOR: ………………………………………

SUPT………………………………………………….. PIPEFITTER FLANGES:….………………………

DATE………………………………………………….. GASKETS…………….. PRESS TEST………………

VALVES : INLET……………… DISCH……………..

FOR LANGDON & SEAH THAILAND SCREEN : IN………………….. OUT………………..

REP……………………………………………………. OTHER………………………………………………….

DATE………………………………………………….. SIGNED……………………….APP………………….

DATE……………………………………

CLIENT:……………………………………………….

INSPECTOR ….…………………………………. ELECTRICAL FINAL CONNECTION………………

OPERATOR……………………………………….. PROTECTIVE RELAYS……………………………….

MEGGER TEST…………. MEGOHMS…..………….

SIGNED……………………….APP………………….

EQUIPMENT NO. ………………………………. INSTRUMENTS: CALIBRATED/CHECKED……………...

OPERATING CHECK………………………………….

CHARTS……………………….INK…………………..

SIGNED……………………….DATE…………………
SEE REVERSE SIDE SEE REVERSE SIDE

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