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Motor Specification
1 2 3 Average
Motor Manufacturer:………………………………………….
Motor KW / Brake
KW
Phase
Voltage (V)
Amperage (A)
Remarks:
STATUS OF INSPECTION
I / We have carried out all necessary inspections and verify that the above items/activities conform to the contract
specifications/document
Conducted By Sub- Checked By Witness & Verified By Acknowledged By
Contractor Main-Contractor Client's Consultant ER/ERA
Signature
Name
Company Pembinaan Mitrajaya Sdn Bhd
Date
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