Preliminary Mechanical Acceptance Report No.

: –––––

Report for Instrumentation

Client: ––––– Subcontractor: –––––
Project No.: ––––– Subcontract P.O. No.: –––––
Project Name: –––––
Additional Information:

Reference Document:

Tag No. Installed Proc. Pneum. Cable Calibration Loop test Remarks
Piping

Note: in column 2 to 7 indicate ‘A’ for accept, ‘R’ for reject.

Accepted for Subcontractor Accepted for Company Accepted for Client

Name: ––––– Name: ––––– Name: –––––
Signature: Signature: Signature:

Date: ––––– Date: ––––– Date: –––––

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