TESTING COMMISIONING REPORT

DISTRIBUTION BOARD
Project _______________________
FM/IK/ODR/MEP-007-09 Rev: 0 Halaman 1 dari 1

Location : ____________________________ Equipment No.: ____________________________

Level : ____________________________ Service : ____________________________
Test Date : ____________________________ Drawing Ref. : ____________________________
Report Date : ____________________________

Distribution Board Data :

Manufacture : ____________________________________________________________________
Type : ____________________________________________________________________
Rated Current : ____________________________________________________________________
Rated Voltage : ____________________________________________________________________
Cable Feeder Size : _________________________ From : ________________________________
Ip : ____________________________________________________________________

Test Result :
Panel Cleaning : 5. Yes 5. No
Bolt & Nut Tightening : 5. Yes 5. No
Insulation Test : 5. Yes 5. No 5 . Attached

Groupping Check : 5. Yes 5. No

Groupping Code : 5. Yes 5. No
Wiring Diagram : 5. Yes 5. No
Output Voltage : R-S R-N
S-T S-N
T-R T-N
Phase Sequence Test : 5. Yes 5. No

Groupping Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Q9 Q10 Q11 Q12 Q13 Q14 Q15

Rated Current
Actual Current

Groupping Q16 Q17 Q18 Q19 Q20 Q21 Q22 Q23 Q24 Q25 Q26 Q27 Q28 Q29 Q30
Rated Current
Actual Current
Test Result Equipment Test Comments
Approved

Not Approved

Re - Tested
Approved by, Checked by, Tested by,

_________________________ _________________________ _________________________

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