Title Document no. Rev.

Page Of
5 1 2
930 G 0033
Confidential class 2
Project Document state
Inspection Form
Project number
- Issued
PRE-COMMISSIONING TEST SHEET
Customer Supplier

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930 G Engineering English -/- 930G0033 rev.3

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Title Document no. Rev. Page Of

5 2 2
PRE-COMMISSIONING TEST SHEET 930 G 0033
Confidential class 2

FIXTURES in FIELD and LIGHTING DISTRIBUTION in MCC

System: Project:

1 CHECKS IN MCC RESULTS INITIALS

1.1 Cable terminations satisfactory
1.2 Cable identified correctly
1.3 Emergency lighting functional on loss of supply

2 CHECKS AT FITTING RESULTS INITIALS

2.1 Fittings and junction boxes undamaged
2.2 Fittings, junction boxes enclosures and cables suitable for area.
(Ex-class/IP-class/heat resistance)
2.3 All fittings and junction boxes earthed correctly
2.4 Mounting and location of fittings satisfactory
2.5 Connections and lamp security at each fitting
2.6 N of fittings/circuit is correct
2.7 Functional test of lighting

Test performed by Ansaldo Thomassen: Customer:

Signature: Signature:

Date: Date:

Ansaldo Thomassen reserves all rights on this document that can not be reproduced in any part without its written consent.