AGFAB Engineering GENERAL DB CIRCUT INSPECTION CHECKSHEET (Rev 0)

• Conducted on

  Date

DETAILS

• Client / Site: Barwon Water - Black Rock WRP Inlet Works Upgrade 400 Black Rock Connewarre

• Inspection Area:

• Reference: BW Technical Specification Rev 0 Clause:

• Document No. CA-CS-0????????????? ITP No:

VISUAL CHECKLIST

• Correct type of GPO's/equipment installed as per design

  Compliant

  Non-Compliant

  N/A

• Equipment complies with specifications

  Compliant

  Non-Compliant

  N/A

• Circuits are clearly identified

  Compliant

  Non-Compliant

  N/A

• All stopping plugs and bolts are in position

  Compliant

  Non-Compliant

  N/A

• The is no damage to the GPO/ equipment or cabling

  Compliant

  Non-Compliant

  N/A

• Location does not impede access to walkways or other items of plant

  Compliant

  Non-Compliant

  N/A

• All GPO's /equipment mounted at suitable location/ height for access

  Compliant

  Non-Compliant

  N/A

• Cable glands and shrouds installed correctly and fit for purpose

  Compliant

  Non-Compliant

  N/A

• Weather protection if required

  Compliant

  Non-Compliant

  N/A

• All seal are satisfactory

  Compliant

  Non-Compliant

  N/A

• Electrical connection are tight

  Compliant

  Non-Compliant

  N/A

• Visual inspection

  Compliant

  Non-Compliant

  N/A

• No corrosion

  Compliant

  Non-Compliant

  N/A

• Correct IP ratings

  Compliant

  Non-Compliant

  N/A

• RCD test successful

  Compliant

  Non-Compliant

  N/A

• Asset and cable labels installed and correct as per drawing

  Compliant

  Non-Compliant

  N/A

• Notes/Comments

APPROVALS

• General DB Circuit Inspection is

  Approved for Use

  NOT Approved for Use

• Actions to be taken:

• Entered on Punch List

  Yes

  No

  N/A

• Punch list Reference Number:

  Yes

  No

  N/A

• Item No:

• Person Completing the Checklist

  Select Greg Grima John Toner Shane Dando David Howard

  • Greg Grima
  • John Toner
  • Shane Dando
  • David Howard

• Signature:

  Sign

• Agfab Approval By:

  Select Greg Grima John Toner Shane Dando David Howard

  • Greg Grima
  • John Toner
  • Shane Dando
  • David Howard

• Signature:

  Sign