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FORM NUMBER 3
A - SHEET 1/1
FACILITY NAME/LOCATION:
INSPECTION DATE:
PROJECT:
INSPECT/TESTING CONTRACTOR:
AREA/UNIT:
DRAWING NO.
MODULE:
DECK AREA:
EQUIPMENT/TAG NO.:
OTHER REF.
GENERAL EQUIPMENT DATA
System Voltage
Size/Rating
Area classification
NOTE: Commissioning, bulk ordered material (light fittings, boxes etc.): one Form per type, per area, for
one form per package.
VISUAL & MECHANICAL INSPECTION
PASS FAIL
N/A
DESCRIPTION
1
Name plate / labelling / I.D tags correct as per project specification and equipment records
Compliance with special conditions for safe use in hazardous areas (if applicable)
No unauthorised modifications
No leakage of oil/compound
10
Adequate protection of equipment and cables against corrosion, the weather, vibration
and other adverse factors
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11
Check termination
12
13
14
Earthing/grounding in place
15
16
17
18
19
Check to see if FAT Punchlist came with equipment and was completed.
Deficiencies, shortages, damage or other comments regarding the condition of equipment as received shall be noted and
attached to this checklist. Notify the Project Coordinator and/or shipper immediately.
DISCREPANCY/DEFICIENCY:
COMMENTS:
PUNCH ITEMS:
Supplier's Representative:
Owner's Representative:
Date:
Date:
Sign:
Sign:
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