Contractor : Client :

TESTING & COMMISSIONING SMOKESPILL FAN

Project Title :
Ref. Drawing No. : Ref No. :
Location:
Date :
Subcontractor :
Equipment / Ref.: Manufacturer: Model: Serial No.

Area Served : …………………………………………………………………………….

Type of fan : …………………………………………………………………………….
Reading
Fan Specification
1 2 3 Average
Total cfm Main

Reading
Motor Specification
1 2 3 Average

Motor Manufacturer:………………………………………….

Motor KW / Brake
KW
Phase
Voltage (V)
Amperage (A)

No Visible Damage : Yes No

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
Date

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