FIRE and GAS SYSTEM GENERAL INSPECTION AND TEST REPORT

LOCATION: GE QSC WORKSHOP DATE: APPROVED BY CLIENT:

LOOP/ZONE: FACP LOOP 1 INSPECTED BY: (CLIENT STAMP/SIGNATURE HERE)

INSPECTED TESTED
NO. POINT FUNCTION REMARKS
GOOD NG YES NO PASSED FAILED

1 101 GE O&G SECURITY ROOM SD 0101

2 102 GE O&G SECURITY ROOM EX MAC 0102

3 103 GE O&G SECURITY OFF SD 0103

4 104 GE O&G SECURITY OFF EX MAC 0104

5 105 GE O&G SECURITY IF0105

6 106 GE O&G SECURITY IF 0106