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DASWIN PROJECT

PROJECT: DASWIN PROJECT LOCATION: JALAN RASUNA SAID, JAKARTA INDONESIA

MEP 2ND FIX INSPECTION CHECKLIST


Date : Drwg Ref : Report No. :
:
Location : OFFICE TOWER 5th-18th FLOOR Services :

Quantity as per approved shop Location as per


No. Equipment/Installation Name Type/Code Quantity installed REMARK
drawing RCP/Shop Drawing
1 Service Sink SK322E 1 Pcs 1 Pcs Okay/Not Okay
2 Lever Handle Sink Tap w/Swifel T30ARQ13N 1 Pcs 1 Pcs Okay/Not Okay
3 Drain Fitting For Drain Pipe T37SE 1 Pcs 1 Pcs Okay/Not Okay
4 "Avante" Wall Hung Toilet W/I CW822NJW/S 3 Set 3 Set Okay/Not Okay
5 Eco Washer For Flush Valve Ins TCW07SV2 3 Pcs 3 Pcs Okay/Not Okay
6 Stop Valve w/o Fleksible Hose TX277SV1 3 Pcs 3 Pcs Okay/Not Okay
7 Sigma 01 115.770.46.5 3 Pcs 3 Pcs Okay/Not Okay
8 Double Paper Holder w/Shelf TX720MMBV1 3 Pcs 3 Pcs Okay/Not Okay
9 Urinal Body Moslem UW447HJNMW/F 3 Set 3 Set Okay/Not Okay
10 Sensor Operated F.V For Urinal ECO URO1S 3 Pcs 3 Pcs Okay/Not Okay
11 Square Under Counter Lavatory LW540JW/F 3 Set 3 Set Okay/Not Okay
12 P-Trap For Lavatory L=306 mm THX1A-5N 3 Pcs 3 Pcs Okay/Not Okay
13 Auto Faucet TEN40ANV900 3 Pcs 3 Pcs Okay/Not Okay
14 Waste & Plug w/ Overflow Hole T6JV6 3 Pcs 3 Pcs Okay/Not Okay
15 Controller (AC TYPE) TN78-9V911 3 Pcs 3 Pcs Okay/Not Okay

CHECKLIST :-
Acceptability Acceptability
1) Check if 1st fix installation completed Yes / No / NA 3) Check mounting height are according to approved drawing. Yes / No / NA
2) Check if pretest completed Yes / No / NA 4) Check if support installed accordingly. Yes / No / NA

REMARK/NON-COMFORANCE

SUB CONTRACTOR SHIMIZU - TOTAL J.O. PT. TRIMATRA JASA PRAKASA :

Tested by : Inspected by : Reviewed by : Approved/Witnessed by:

1) Name : Rahmat Hidayat 1) Name : 2) Name : Name :


Position : Quality Control Position : ME Engineer Position : QA / QC
Date : Date : Date : Position :
Reviewed by :
2) Name : Abdon. S 3) Name : Date :
Position : Project Manager Position : Site ME Manager
Date : Date :
FORM NO.: F-SHIMS-QCME-PO5-E.07 REV.2 ISSUED DATE: 09/15/2021
DASWIN PROJECT
PROJECT: DASWIN PROJECT LOCATION: JALAN RASUNA SAID, JAKARTA INDONESIA

MEP 2ND FIX INSPECTION CHECKLIST


Date : Drwg Ref : Report No. :
:
Location : OFFICE TOWER 5th-18th FLOOR Services :

Quantity as per approved shop Location as per


No. Equipment/Installation Name Type/Code Quantity installed REMARK
drawing RCP/Shop Drawing
16 Ego Deck Type Liquid Soap TX728AEZ 3 Pcs 3 Pcs Okay/Not Okay
17 Metal Handle Sink Tap T23B13-4L 1 Pcs 1 Pcs Okay/Not Okay
18 Hand Dryer TYC322W 1 Pcs 1 Pcs Okay/Not Okay
19 Floor Drain w/Square Flange TX1DBV1 5 Pcs 5 Pcs Okay/Not Okay
20 Floor Clean Out - 2 Pcs 2 Pcs Okay/Not Okay

CHECKLIST :-
Acceptability Acceptability
1) Check if 1st fix installation completed Yes / No / NA 3) Check mounting height are according to approved drawing. Yes / No / NA
2) Check if pretest completed Yes / No / NA 4) Check if support installed accordingly. Yes / No / NA

REMARK/NON-COMFORANCE

SUB CONTRACTOR SHIMIZU - TOTAL J.O. PT. TRIMATRA JASA PRAKASA :

Tested by : Inspected by : Reviewed by : Approved/Witnessed by:

1) Name : Rahmat Hidayat 1) Name : 2) Name : Name :


Position : Quality Control Position : ME Engineer Position : QA / QC
Date : Date : Date : Position :
Reviewed by :
2) Name : Abdon. S 3) Name : Date :
Position : Project Manager Position : Site ME Manager
Date : Date :
FORM NO.: F-SHIMS-QCME-PO5-E.07 REV.2 ISSUED DATE: 09/15/2021
DASWIN PROJECT
PROJECT: DASWIN PROJECT LOCATION: JALAN RASUNA SAID, JAKARTA INDONESIA

MEP 2ND FIX INSPECTION CHECKLIST


Date : Drwg Ref : Report No. :
:
Location : OFFICE TOWER 5th-18th FLOOR Services :

Quantity as per approved shop Location as per


No. Equipment/Installation Name Type/Code Quantity installed REMARK
drawing RCP/Shop Drawing
1 "Avante" Wall Hung Toilet CW822NJW/F 1 Set 1 Set Okay/Not Okay
2 Washlet TCF6631A 1 Pcs 1 Pcs Okay/Not Okay
3 Stop Valve w/o Fleksible Hose TX277SV1 1 Pcs 1 Pcs Okay/Not Okay
4 Sensor Operated Flush Valve FO ECO WC01S 1 Pcs 1 Pcs Okay/Not Okay
5 Under Counter Lavatory Complete LW931JW/F 1 Set 1 Set Okay/Not Okay
6 Auto Faucet TEN40ANV900 1 Pcs 1 Pcs Okay/Not Okay
7 Ego Deck Type Liquid Soap TX728AEZ 1 Pcs 1 Pcs Okay/Not Okay
8 Rei R Double Hook TX704ARR 1 Pcs 1 Pcs Okay/Not Okay
9 Rei R Towel Bar TX701ARR 1 Pcs 1 Pcs Okay/Not Okay
10 Ego Thermostat Bath & Shower TX449SEN-6L 1 Pcs 1 Pcs Okay/Not Okay
11 Hand Dryer TYC322W 1 Pcs 1 Pcs Okay/Not Okay
12 Double Paper Holder w/Shelf TX720MMBV1 1 Pcs 1 Pcs Okay/Not Okay
13 Floor Drain w/Square Flange TX1DBV1 2 Pcs 2 Pcs Okay/Not Okay
14 Floor Clean Out - 2 Pcs 2 Pcs Okay/Not Okay

CHECKLIST :-
Acceptability Acceptability
1) Check if 1st fix installation completed Yes / No / NA 3) Check mounting height are according to approved drawing. Yes / No / NA
2) Check if pretest completed Yes / No / NA 4) Check if support installed accordingly. Yes / No / NA

REMARK/NON-COMFORANCE

SUB CONTRACTOR SHIMIZU - TOTAL J.O. PT. TRIMATRA JASA PRAKASA :

Tested by : Inspected by : Reviewed by : Approved/Witnessed by:

1) Name : Rahmat Hidayat 1) Name : 2) Name : Name :


Position : Quality Control Position : ME Engineer Position : QA / QC
Date : Date : Date : Position :
Reviewed by :
2) Name : Abdon. S 3) Name : Date :
Position : Project Manager Position : Site ME Manager
Date : Date :
FORM NO.: F-SHIMS-QCME-PO5-E.07 REV.2 ISSUED DATE: 09/15/2021
DASWIN PROJECT
PROJECT: DASWIN PROJECT LOCATION: JALAN RASUNA SAID, JAKARTA INDONESIA

MEP 2ND FIX INSPECTION CHECKLIST


Date : Drwg Ref : Report No. :
:
Location : OFFICE TOWER 5th-18th FLOOR Services :

Quantity as per approved shop Location as per


No. Equipment/Installation Name Type/Code Quantity installed REMARK
drawing RCP/Shop Drawing
1 "Avante" Wall Hung Toilet W/I CW822NJW/S 4 Set 4 Set Okay/Not Okay
2 Eco Washer For Flush Valve Ins TCW07SV2 4 Pcs 4 Pcs Okay/Not Okay
3 Stop Valve w/o Fleksible Hose TX277SV1 4 Pcs 4 Pcs Okay/Not Okay
4 Sigma 01 115.770.46.5 4 Pcs 4 Pcs Okay/Not Okay
5 Double Paper Holder w/Shelf TX720MMBV1 4 Pcs 4 Pcs Okay/Not Okay
6 Square Under Counter Lavatory LW540JW/F 4 Set 4 Set Okay/Not Okay
7 P-Trap For Lavatory L=306 mm THX1A-5N 4 Pcs 4 Pcs Okay/Not Okay
8 Auto Faucet TEN40ANV900 4 Pcs 4 Pcs Okay/Not Okay
9 Waste & Plug w/ Overflow Hole T6JV6 4 Pcs 4 Pcs Okay/Not Okay
10 Controller (AC TYPE) TN78-9V911 4 Pcs 4 Pcs Okay/Not Okay
11 Ego Deck Type Liquid Soap TX728AEZ 4 Pcs 4 Pcs Okay/Not Okay
12 Metal Handle Sink Tap T23B13-4L 1 Pcs 1 Pcs Okay/Not Okay
13 Hand Dryer TYC322W 1 Pcs 1 Pcs Okay/Not Okay
14 Floor Drain w/Square Flange TX1DBV1 3 Pcs 3 Pcs Okay/Not Okay
15 Floor Clean Out - 2 Pcs 2 Pcs Okay/Not Okay

CHECKLIST :-
Acceptability Acceptability
1) Check if 1st fix installation completed Yes / No / NA 3) Check mounting height are according to approved drawing. Yes / No / NA
2) Check if pretest completed Yes / No / NA 4) Check if support installed accordingly. Yes / No / NA

REMARK/NON-COMFORANCE

SUB CONTRACTOR SHIMIZU - TOTAL J.O. PT. TRIMATRA JASA PRAKASA :

Tested by : Inspected by : Reviewed by : Approved/Witnessed by:

1) Name : Rahmat Hidayat 1) Name : 2) Name : Name :


Position : Quality Control Position : ME Engineer Position : QA / QC
Date : Date : Date : Position :
Reviewed by :
2) Name : Abdon. S 3) Name : Date :
Position : Project Manager Position : Site ME Manager
Date : Date :
FORM NO.: F-SHIMS-QCME-PO5-E.07 REV.2 ISSUED DATE: 09/15/2021

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