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TESTING & COMMISSIONING CHECK LIST FOR COOLING TOWER PUMPS

(KIM TRA & NGHIM THU H BM NC GII NHIT)
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-PCMT&C_Checklist_For_Cooling_Tower_P
ump-Rev 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)

Check list (Danh muc cn kim tra)

1. Motor output (Cng sut mt)
2. Motor Volt/Ph/Hz (in th/pha/ tn s)

Time:
(Gi)
Result (Kt qua)
KW
....... V/ ....... P/ ....... Hz

3. Motor starting current (Dong khi ng mt)

4. Motor running current (Dong v

n hanh)

5. Motor speed (RPM) (Tc mt)

RPM

6. Discharge pressure (Ap lc y)

Kg/cm

7. Suction pressure (Ap lc hut)

Kg/cm

8. Water flow rate (Lu lng)

m/h

9. Total manometric head-HMT (Ct ap tng)

bar

Owners Supervisor comment ( kin i din Ch u t):

Note (Ghi ch):

QA-F-VN-PCM-T&C_Checklist_For_Cooling_Tower_Pump-Rev A

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

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

Approved on condition as noted

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

Note (Ghi ch): Accepting the T & C works in this inspection SHALL not relieve the contractors responsibilities from his
contract agreements. /Vic chp nhn kit qua kim tra vn hanh va th nghim trong bin ban nghim thu nay s
khng lam giam trach nhim ca nha thu theo nhng iu khoan 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 vu):__________

Position (Chc vu):__________

Position (Chc vu):__________

Date (Ngay):_______________

Date (Ngay):_______________

Date (Ngay):_______________

QA-F-VN-PCM-T&C_Checklist_For_Cooling_Tower_Pump-Rev A

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