Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Mechanical Contractor

  • Is piping installed and tested?

  • Is sump pit clean?

  • Is pump Anchored to base?

  • Are flex connectors installed on piping, as per spec?

  • Are isolation/check valves installed per details?

  • Is area around pump clean and clear of debris?

  • Has pump coupling been aligned, if required?

  • Has pump been lubricated?

  • Is access for service provided?

  • Has drain line valve been installed?

  • Are pressure gauges installed per detail?

  • Has pressure differential switch been installed as detailed and required?

  • Add signature

Electrical Contractor

  • Has proper voltage to disconnect/starter/VFD been verified?

  • Is access to electrical clear and per NEC?

  • Is power from disconnect/starter/VFD to motor completed?

  • Have power requirements for controls been completed and verified?

  • Add signature

Control Contractor

  • Has access to control devices been provided?

  • Has control contractor completed point to point check?

  • Are control panel terminations complete and is the panel clean?

  • Add signature

QMS

  • What is the submitted model number?

  • What is the submitted voltage?

  • Has a system check been performed?

  • Add signature

Commissioning Authority

  • Is system ready for start-up?

  • All must be signed-off prior to start-up.

  • Add signature

General Conditions, Photos, and Misc Notes

  • Add media

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