TESTING COMMISSIONING REPORT

BAS
Project _________________________
FM/IK/ODR/MEP-013-02 Rev: 0 Halaman 1 dari 1

Location : _______________________________ Equipment No. : _____________________________

Level : _______________________________ Service : _____________________________
Test Date : _______________________________ Drawing Ref. : _____________________________
Report Date : _______________________________

Test Result
No Unit Code Location Motorize Keterangan
S /S Alarm R. Temp.
valve

Test Result Equipment Test Comments

Approved

Not Approved

Re - Tested

Approved by, Checked by, Tested by,

_________________________ _________________________ _________________________

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