Professional Documents
Culture Documents
Components included:
Associated Checklists:
___ _______________________
1. Submittal / Approvals
Submittal. The above equipment and systems integral to them are complete and ready
for functional testing. The checklist items are complete and have been checked off only
by parties having direct knowledge of the event, as marked below, respective to each
responsible contractor. This prefunctional checklist is submitted for approval, subject to
an attached list of outstanding items yet to be completed. A Statement of Correction will
be submitted upon completion of any outstanding areas. None of the outstanding items
preclude safe and reliable operation of the system. ___ List attached.
_____________________ __________
General Contractor Date
This checklist does not take the place of the manufacturer’s recommended
checkout and startup procedures or report.
Contractors assigned responsibility for sections of the checklist shall be
responsible to see that checklist items by their subcontractors are completed and
checked off.
3. Model Verification
4. Installation Checks
d. General Installation
i. Permanent labels affixed: Yes / No
ii. Cabinets in place, no visible damage: Yes / No
iii. Properly mounted on equipment pad and anchored: Yes / No
iv. Interior clean and dry: Yes / No
v. Units/equipment accessible for maintenance/replacement: Yes /
No
vi. Meter(s) installed per drawings: Yes / No
vii. Disconnects installed and labeled: Yes / No
viii. Disconnects are pad lockable in open position: Yes / No
ix. Circuit breakers installed and labeled: N/A / Yes / No
x. Fuses installed: N/A / Yes / No
xi. Conduits installed and connected: Yes / No
xii. Cable/conduit routing does not obstruct access: Yes / No
xiii. As-built drawings updated: Yes / No
d. Transformers
i. Dry type installed: N/A / Yes / No
d. Final
i. Startup report(s) completed with this checklist attached: Yes / No
ii. Safeties and safe operating ranges for this equipment have been
reviewed and accepted: Yes / No
iii. Rooms ventilated properly: Yes / No
iv. System is ready for functional testing: Yes / No
5. Operational Checks
All test instruments have had a certified calibration within the last 12 months:
Y/N______.