Form No : __________________

Ref No: _______

ACCEPTANCE CHECKLIST FOR AC REFRIGERANT & CONDENSATE PIPE INSTALLATION

( APARTEMEN )

Location / Storey: Unit : ___________________________

Structural Element: Drawing No:

Date/Time of Notification: Date/Time Inspection Required:

RE/COW Inspection Date: Time: To:

Re-inspection Date: Time: To:

Checked By Approved By
Item Detail Y N NA Engr/Foreman Date RE/COW Date
1 PIPES / FITTINGS ( DRAIN AC )
a Material Brand / Type
b Size / Dimension
c Positioning / Location
d Joints / Connections
e Securely / Fixed / Supported
f Proper Gradient (Visually)
g Insulation at joints
2 PIPA REFRIGERANT
a Material Brand / Type
b Size / Dimension
c Positioning / Location
d Joints / Connections
e Securely / Fixed / Supported
f Proper Gradient (Visually)
g Insulation at joints
3 UNIT AC
a Material Brand / Type
b Positioning / Location
c Hasil Pemasangan
4 OTHERS :

REMARKS:

Checked By: Rectification Checked By: Approved By:

Wijaya Karya Wijaya Karya UE Singapore/Superintendent

Name/Signature/Date Name/Signature/Date Name/Signature/Date