APOLLO PROTON THERAPY & CANCER CARE DOC NO: BSL/AHEL/ECL/CHWP&I-001

HOSPITAL FORMAT No:

CHECK SHEET FOR INSTALLATION OF CHILLED WATER PIPE WORKS.
Building Reference: Location:

Reference Drawing: AHL-BSL-STD-H-NL-0001 Rev.:00

S.NO. INSTALLATION CHECKS Approved Approved Ref

Remarks/Comments
make documents
01 Obtain for area clearance.
All Materials (MS Pipes, Valves & Fittings etc,) are as per approved Jindal/
02 -
submittals. Advance
Location / Levels / Dimensions / Pipe / Valves sizes are as per approved AHL-BSL-STD-H-
03 -
shop drawings. NL-0001
AHL-BSL-STD-H-
04 Routing of the pipes is as per approved shop drawings. -
NL-0001
05 Approved fittings are used and Installed. Jindal -
AHL-BSL-STD-H-
06 Valves position and orientation / sizes are checked -
NL-0001
Emerald/
07 All Valves and strainers are accessible & Operable. -
Sant
Approved hangers and support with proper span are provided as per
08 Hilti/Hi-tech TDS
approved material submittals.
09 Hanger rod diameter is as per approved material submittals. Hi-tech TDS
BSL/AHEL/ECL/H
10 Check for pressure testing of pipe work. -
PT-005
Asian/
11 All exposed pipes are painted with primer and paint. TDS
Berger
- AHL-BSL-STD-H-
12 Check for Installation of labeling , Identification and direction of flow.
NL-0001
REMARK:

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 APOLLO PROTON THERAPY & CANCER CARE DOC NO: BSL/AHEL/ECL/D&I-002
HOSPITAL FORMAT REV. No. R00
CHECK SHEET FOR INSTALLATION OF SHEET METAL WORKS (DUCTING).
Building Reference: Location:
Reference Drawing: Rev.:
S.NO. INSTALLATION CHECKS Approved Approved Ref
Remarks/Com
make documents
01 Obtain for area clearance.
02 All Materials (GI sheet,Duct,Spill air plenum, diffusers,Flexible duct etc..) are
as per approved submittals
Rolastar
03 Location / Levels / Dimensions / Pipe /Duct sizes are as per approved shop
-
drawings.
04 Routing of Ducts are as per shop drawings. -
05 Approved hangers & supports are with proper spacing & painting and are as
per approved material submittals. -

06 Hanger rod diameters are as per approved submittals. Hilti / Hi-

tech
07 All Ducts corners should be filled with sealant. OBO/Mccoy
08 All the ducts shall be made air tight are as approved material submittals. -
09 All Duct – joint area are properly fixed with Gasket & Cleats as per approved
Champion
material submittals.
10 All materials like VCD,MFD&FFD are accessible. Cosmic
11 Insulation (thermal & accoustic) has been done as per approved drawing Armaflex/
Lloyd
12 Overall workmanship on completed works is found o.k. -
REMARK:

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APOLLO PROTON THERAPY & CANCER CARE DOC NO: BSL/AHEL/ECL/PM&A-003

 HOSPITAL FORMAT REV. No. R00

CHECK SHEET FOR INSTALLATION OF PUMPS, MOTORS AND ACCESSORIES

Building Reference: Location:

Reference Drawing: Rev.:

S.NO. Description Approved Approved Ref

Remarks/Comments
make documents
01 Obtain for area clearance.
02 All Materials (Pumps, Motors and accessories) are as per approved
Grundfos
submittals.
03 Location / Dimensions / are as per approved shop drawings. -
04 Enough space around the pumps are available for maintenance works. -
05 Control valves (Gate valve Check valve etc) are installed as per approved Advance /
shop drawing and material submittals. Danfoss
06 Routing of the Interconnecting piping works are as per approved shop
-
drawings.
07 Pumps & Motor is installed and aligned as per manufacturer’s Manufacturer
recommendations. specification
08 Approved fittings are used Installed. Jindal
09 Valve position, orientation and sizes are checked. -
10 All valves are accessible & Operable. -
11. Approved hangers and support with proper spacing are provided to the Hilti / Hi-
piping. tech
12. All connections (Inlet, outlet & drain) are made properly Anergy
13. Tightness of foundation bolts are checked. -
14. The rotor is free to rotate and check for direction of rotation. -
15. Overall Workmanship on completed works is found o.k. -
REMARK:

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 DOC NO: BSL/AHEL/ECL/E&A-001
APOLLO PROTON THERAPY & CANCER CARE
HOSPITAL FORMAT REV. No. R00
CHECK SHEET FOR INSTALLATION OF EQUIPMENT & ACCESSORIES
Building Reference: Location:

Reference Drawing: Rev.:

S.NO. INSTALLATION CHECKS Approved Approved Ref

Remarks/Comments
make documents
01 Obtain for area clearance.
02 All Materials (AHU, Ventilation Fan, Motors and accessories) are as per Edgetech/
approved submittals. Zeco
03 Location/Levels / Dimensions / Routing and Pipe sizes are as per approved
Jindal
shop drawings.
04 All equipments are Installed as per drawings. -
05 Alignment of Fan and motor with belts. Kruger/
Nicotra
06 Routing of the Interconnecting piping works Ducts are as per approved shop
-
drawings.
07 Approved fittings are used Installed. TDS
08 Approved hangers and supports with proper spacing and painting, are as per Hilti / Hi-
approved material submittals. tech
09 All connections (Inlet, Outlet and drain) are accessible & Operable. Anergy
10. Check for Pressure testing of pipe works. Anergy
11. Valves position and orientation / sizes are o.k. Advance /
Sant /
Emerald
12. All Valves are accessible. -
13. Overall Workmanship on completed works is found o.k. -
14. Check for Installation of labeling. -
REMARK:

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DOC NO: BSL/AHEL/ECL/HPT-005

APOLLO PROTON THERAPY & CANCER
CARE HOSPITAL FORMAT REV. No. R00

CHECK SHEET FOR WITNESSING OF PRESSURE TESTING OF CHILLED WATER PIPING

Building Reference: Location:

Reference Drawing: Rev.:

`
PRESSURE AND INTEGRITY LEAK TEST
TEST PRESSURE:( 1.5% WORKING PRESSURE)

ACTIVITY DATE TIME REMARKS

Water Filling and venting Started

Water Filling Completed

Vents Closed

Isolation of Pressurized pump

Test Completed

Water Drained

DURATION OF TEST

PRESSURE GAUGE NOS: DATE OF CALIBRATION:

START TIME OF TEST: FINISH TIME OF TEST :

PRESSURE GUAGE READING

RECORDING TIME

Remarks:

RESULT ASSESSMENT: PRESSURE TEST CONDUCTED IS (FOUND SATISFACTORY / NOT SATISFACTORY)

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DOC NO: BSL/AHEL/ECL/HPTP-006

APOLLO PROTON THERAPY & CANCER CARE
HOSPITAL FORMAT REV. No. R00

CHECK SHEET FOR WITNESSING OF PRESSURE TESTING OF DRAIN PIPE / SEWAGE PIPE LINE
Building Reference: Location:

Reference Drawing: Rev.:

`
PRESSURE AND INTEGRITY LEAK TEST
TEST PRESSURE:
ACTIVITY DATE TIME REMARKS
Water Filling and venting Started
Water Filling Completed
Vents Closed
Isolation of Pressurized pump
Test Completed
Water Drained
DURATION OF TEST
PRESSURE GAUGE NOS: DATE OF CALIBRATION:
START TIME OF TEST: FINISH TIME OF TEST :
PRESSURE GUAGE READING
RECORDING TIME
Remarks:

RESULT ASSESSMENT: PRESSURE TEST CONDUCTED IS (FOUND SATISFACTORY / NOT SATISFACTORY)

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DOC NO: BSL/AHEL/ECL/HPT-007

APOLLO PROTON THERAPY & CANCER CARE
HOSPITAL FORMAT REV. No. R00

CHECK SHEET FOR WITNESSING OF PRESSURE TESTING OF FPS PIPELINE

Building Reference: Location:

Reference Drawing: Rev.:

`
PRESSURE AND INTEGRITY LEAK TEST
TEST PRESSURE:
ACTIVITY DATE TIME REMARKS
Water Filling and venting Started
Water Filling Completed
Vents Closed
Isolation of Pressurized pump
Test Completed
Water Drained
DURATION OF TEST
PRESSURE GAUGE NOS: DATE OF CALIBRATION:
START TIME OF TEST: FINISH TIME OF TEST :
PRESSURE GUAGE READING
RECORDING TIME
Remarks:

RESULT ASSESSMENT: PRESSURE TEST CONDUCTED IS (FOUND SATISFACTORY / NOT SATISFACTORY)

Prepared BSL QA/QC (BSL) MEP (L&T) QA/QC (L&T) AHEL

NAME
DATE
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