Module Pre-Shipment Checklist QC-105

CONTRACT# CLIENT / PROJECT SYSTEM

JOB# CWP

CLIENT REF:

Mark “N/A” where Not Applicable

NAMEPLATE DATA:
Module Tag Number Module Destination
Module Description Drawing and Rev #

INSPECTIONS:
Inspection To Be Performed Result Comments:
All loose or open parts are contained in waterproof bags
Electrical Tracing
Equipment tag numbers checked
Cables installed, checked and tested
Thermostat’s installed
Capillaries protected
Cable ends protected and secure

Electrical (Power and Lighting)

Conduits complete and unused ends capped
Wiring complete and tested
Fixtures installed and secure
Equipment Tag Numbers checked
Cable tray complete
Grounding complete
Motors installed, checked and tested

Instrumentation
Junction boxes mounted and secure
Conduits complete and unused ends plugged
Wiring complete and checked
Instruments complete and checked
Tag numbers checked

COMMENTS:

TESTED BY CHEMCO CLIENT

NAME: NAME: NAME:
SIGNATURE: SIGNATURE: SIGNATURE:
DATE: DATE: DATE:
Revision 0 March 11, 2004 QC-105 R0 Module Pre-Shipment Checklist Page 1 of 1