Authority to Proceed (ATP) Certificate

Discipline: Contractor/
Supplier:
ATP No: Location:
ATP 1 – FAT/Factory Documentation
Equipment/System:
Drawings
Referenced:
CxMS Reference:
Contractor Engineer Name:
Signature:
Date:
Contractor QA/QC: Name:
Signature:
Date:
The Contractor declares the details of the Equipment/System are correct and complete and all
activities described in the CxMS have been thoroughly executed and all documentation available
and included here.
Description of Works:

Factory Witness Testing The factory acceptance testing is intended to test the Equipment and
confirm that it complies with the requirements of this Contract and is performing to the
requirements of the end users and industry standards. Factory acceptance testing shall include,
but not limited to, the following:
Item: Yes No
Issuance of factory test checklists
Approved CxMS Available
Factory Certification
Name of Tester and Qualifications
Issuance of Snag list, if applicable
Schedule and timing of Testing activities
Contractor/Tester Comments:

Name: Date: Sign:

PMC Comments:

Name: Date: Sign:

CxA Comments

 A – Approved  B – Approved as Noted  C - Rejected

Name: Date: Sign:

ATP 1 Form 23-Apr-24