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PT SURVEYOR INDONESIA

(SURABAYA)
INSPECTION FIELD REPORT

Date of Inspection : Report No :

GENERAL DATA
Owner : Location of Installation :
Item Number : Year of Installation :
TECHNICAL DATA
ENGINE Manufacturer : Power / Daya : HP
Type / Model : Speed : RPM
Serial No. Buatan / Tahun :

GENERATOR Manufacturer : Frequency : Hz


Type / Model : Power Factor Cos φ
Serial No. : Voltage : V
Power : KW / KVA Nominal Current : A
Speed : RPM Buatan /Tahun :

PERFORMANCE TEST
UNIT PARAMETER JAM
Time
Daya (KW)
Daya (KVA)
GENER Cos Phi
ATOR Arus (A)
Tegangan(Volt)
Frekuensi (Hz)
Tegangan Batrai (Vdc)
Tekanan Oli (Bar/Kpa)
Temp. Oli (OC)
ENGINE Kecepatan (Rpm)
Temp. Radiator (OC)
Temp Exhaust ( OC)
Temp. Altenator (OC
NOTE : Maximum Power...............................................................................KW, Warming Up Time............................................................

EARTH Resistance TEST

RESULT
Body
GenSet.................................Ω..,
Panel...........................................

Comment A
c
c
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N
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A
c
c
PT SURVEYOR INDONESIA
(SURABAYA)
INSPECTION FIELD REPORT

Date of Inspection : Report No :


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AUXILLARY TEST
Type of Inspection Equipment
Type : ...........CO2......................., Pressure : ....-......................, Validation :.......................
Fire Protection equipment
Type : ..............Powder...................., Pressure : ................................., Validation :.......................
Emergency Stop test Accepted / Not Accepted Note :
Sound Level Test Area power plant/Open :..............DB
Area power plant/Closed :..............DB
kWH awal:...................., kWH akhir : ........................ Consumption of fuel tank :.............................Liter
Operator Room :..............DB
Area Boundryline :.......................DB
Voltage test Batrai (Vdc)
Titik Koordinat S: E:

Sketch Fuel Tank


PT SURVEYOR INDONESIA
(SURABAYA)
INSPECTION FIELD REPORT

Date of Inspection : Report No :

Finding Memo :

Inspector Inspector Client

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