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PRE-COMMISSIONING CHECK LIST FOR FAN


(BIN BN KIM TRA TRC KHI VN HNH QUT GI)
Project:
Tn d n:
Contractor:
Nh Thu:
Client :
Ch u t

Ref No.:
S tham chiu:
Contract package:
Gi thu:
Project Management:
T vn QLDA:

QA-F-VN-PCM-PreCommissioning_Checklist_for_FanRev A

ARCHETYPE

Description of item(s):
(M t hng mc)
According to Drawing No.:
(Da theo bng v s):
Owners Inspection Report
(Bin bn kim tra ca Ch u t)

Date:
(Ngy)

Item (Hng mc):


Location (V tr lp t):
Check list (Danh mc cn kim tra)

Time:
(Gi)
Drawing Ref. (S bn v):
Result (Kt qu)

1. Manufacturer (Thng hiu)


2. Model (M s)
3. Serial No. (S l)
4. Motor manufacture (Nha sn xut motor)
5. Motor volt-Ph-Hz (in th-pha-tn s)
6. Motor serial No. (S seri motor)
7. Motor Speed. (Tc ng c: (RPM))
8. Motor starting-full load current (Dong khi ng-y ti motor: (A))
9. Over load setting (t chi s qua ti)
10. Starter type (Kiu khi ng)
11. Fan duty (Cng sut qut: (KW))
12. Fan type (Kiu qut)
13. Fan & motor rotate freely (S quay t do cua motor & qut)
14. Driven type (Kiu truyn ng)
15. Bearing clear & Lubricated ( trc tt va bi trn)
16. Safety drive guards fitted (Che chn an toan b ph
n dn ng)
17. Fan support frame fitted? & Anti vibration mounts fitted (Khung qut
va gia chng rung co thch hp?)
18. Flexible connection (u ni ng mm)
19. All pipe/ducts properly supported (Tt c cac ng phi c chng
ung n)
20. All pipe/ducts accessories are fitted (Tt c cac ng va cac ph kin phi
thch hp)
21. Wiring complete to fan (Qut c u dy hoan tt)
Owners Supervisor comment ( kin i din Chu u t):

QA-F-VN-PCM-Pre-Commissioning_Checklist_for_Fan-Rev A

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Note (Ghi ch):

Your submission for approval is subject to following conditions: (n trnh ph duyt co kt


qu nh sau):
Approved
(Chp thun)
Not approved as noted
(Khng chp thun vi ghi ch sau)

Approved on condition as noted


(Chp thun vi iu kin ghi ch sau)
Amend and resubmit
(Sa va trnh li)

Note (Ghi chu): Accepting the T & C works in this inspection SHALL not relieve the contractors responsibilities from his
contract agreements. /Vic chp nhn kit qu kim tra vn hanh va th nghim trong bin bn nghim thu nay s
khng lam gim trach nhim cua nha thu theo nhng iu khon rang buc trong hp ng.

Contractor
(Nh thu):

Project Management
Consultant
(T vn Qun L D n):

Client's Representatives
(i din Ch u t):

Signature (Ch k):

Signature (Ch k):

Signature (Ch k):

Name (Tn):_______________

Name (Tn):_______________

Name (Tn):_______________

Position (Chc v):__________

Position (Chc v):__________

Position (Chc v):__________

Date (Ngay):_______________

Date (Ngay):_______________

Date (Ngay):_______________

QA-F-VN-PCM-Pre-Commissioning_Checklist_for_Fan-Rev A

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