PUMP INSPECTION RECORD

PROJECT : EPCC Pengembangan Fasilitas Produk Turunan Bioethanol Date :

CLIENT : PT Perkebunan Nusantara X Page :
LOCATION : PT Energi Agro Nusantara, Mojokerto

PUMP Tag No. :

RESULT
No. INSPECTION/TEST ITEM SIGNATURE DATE REMARKS
YES NO N/A

1 Receiving inspection complete

Anchor bolts checked for location, elevation and

2
orientation, prior to setting equipment
Equipment set, checked for location, elevation and
3
orientation

4 Nameplate data verified

5 Base plate alignment completed and documented

6 Jackscrews removed and anchor bolts nuts tightened

7 Base plate grouting completed and documented

Lube oil system flushed and re-lubricated.

8
Lubricant……………………………….

9 Piping installed, cleaning and flushing complete

Final pump alignment set to manufacturer's tolerance

10
and documented

11 Temporary suction screen installed

12 Pump and driver checked for freedom of movement

13 Driver activities completed and documented

14 Motor rotation checked

Belt installed, or coupling lubricated and closed.

15
Lubricant………………………………

16 Belt or coupling guard in place and secured

17 Pump and driver dowled (when specified)

18 Field coating/insulation checked

19 Vendor reports attached to this Inspection Record

20 Final inspection complete

Remarks :

SUB-CONTRACTOR PT BARATA INDONESIA PROSYS PTPN X

Name

Signature
Date