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Site Id Site Name Date of Acceptance:: Mechanical & Electrical Works
Site Id Site Name Date of Acceptance:: Mechanical & Electrical Works
SITE ID
SUM-WSM-0030-X-B
SITE NAME DATE OF ACCEPTANCE :
Koto Tuo Lima Puluh Kota
ACCEPTANCE TEST BY (name, sign, company)
1. ,
2. ,
3. ,
Digital Multimeter
a. c c c Standard
= _____________________________
Digital Clamp Meter
b. c c c Standard
= _____________________________
Earth Resistance Meter
c. c c c Standard
= _____________________________
IV. GROUNDING
1. Visual Inspection
Piping and drain hose are tidy & no c c c
a. Standard
leakage
Circuit Breakers (CB) are of the right size
b. and at 2 different phases c c c Standard
2. Fans
a. DC Fans are running well c c c Standard tested with DC Power
DC Fans operation had interlocked with c c c
b. Standard
Fire Alarm
3. AVR (Automatic Voltage Regulator)
a. Input voltage:
1. R - S as per AVR specification c c c Standard
2. R - T as per AVR specification c c c Standard
3. S - T as per AVR specification c c c Standard
4. R - N as per AVR specification c c c Standard
5. S - N as per AVR specification c c c Standard
6. T - N as per AVR specification c c c Standard
b. Output voltage:
1. R - S as per AVR specification c c c Standard
2. R - T as per AVR specification c c c Standard
3. S - T as per AVR specification c c c Standard
4. R - N as per AVR specification c c c Standard
5. S - N as per AVR specification c c c Standard
6. T - N as per AVR specification c c c Standard
Output Frequency as per AVR
c. c c c Standard
specification
4. External Alarm
a. The external alarm working properly:
A. HOUSE KEEPING ALARM/DDF # 1
PENDING ITEMS
Please list down all the pending items and timeline to complete it
PERSON IN
No. ITEMS DATE OF COMPLETION CONTACT NO.
CHARGE
ADDITIONAL NOTES
Suggested to give photo's documentation before and after for pending item to be approved