PMCM Form-026 / Rev.

0 / 20 May 2015

PMQS CONSTRUCTION SOLUTIONS, INC.

TESTING & COMMISSIONING

FANS/BLOWERS & ROOF VENTILATORS

PROJECT NAME :
LOCATION :
CLIENT :

CONTRACTOR : INSTRUMENT USED :

EQUIPMENT TYPE : LOCATION OF EQUIPMENT :
DATE OF TESTING : TESTING TYPE :
INITIAL FINAL

PARTICULARS DESIGN REQT. REMARKS

1. Model number / brand

2. Serial number
3. Capacity (LPS)
4. TSP (m h20)
5. Motor drive
5.1 Power (kw)
5.2 Volts
L1-L2
L2-L3
L3-L1
5.3 Ampere (running)
L1
L2
L3
5.4 Phase
5.5 Cycle
5.6 RPM
5.7 Enclosure
5.8 Brand
6. Fan RPM
7. Wheel diameter (mm)
8. Type
9. Number of belt/size
10. Type of bearing
11. Sheave size/make
12. Sheave bore size
13. Sheave keyway size
14. Others, please specify

CONTRACTOR'S REPRESENTATIVE PMQS REPRESENTATIVE DESIGNER'S REPRESENTATIVE OWNER'S REPRESENTATIVE