Title Page
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Client / Site
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Conducted on:
Personnel attended
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Name and Designation
Inspection Checklist
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Date and Time of Inspection:
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Premises:
Handing or Taking Over of Premise
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Handing or Take Over of Premises?
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Name:
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NRIC:
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Company:
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I, representing and authorised by the above company, hereby acknowledge that I hereby deliver up possession of the above-mentioned premises.
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Engagement of Licensed Electrical Worker ("LEW")
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I hereby declare that I had engaged an appointed Licensed Electrical Worker ("LEW") to maintain all electrical installation/ equipment and ensured that all of them are in good operational condition at all times in the above-mentioned premises. I had informed JPPL and submitted Form JPPL ELECT 1A for all electrical modification work carried out during my possession of the above-mentioned premises.
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Any other comments
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I further acknowledge that I have delivered up possession of the premises in good condition except for the following which needs to be rectified by JPPL / reinstated by us.
Except for the following:
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Installation at JPPL Premises
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I, representing and authorised by the above company, hereby acknowledge that I deliver up possession of the building and infrastructure, mechanical and electrical installation in the above premise in good and working condition which details and status are stated below. I further acknowledge, apart from my responsibilities for minor repairs stated in the offer of tenancy, I have reinstated back all items to its good and working condition.
M1. Roller Shutter Doors
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Door No:
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M1.1 Motor
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M1.2 Door Panel/ Shutter Slat
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M1.3 Shutter Slat Alignment
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M1.4 Motorised Operation
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M1.5 Manual Operation
M2. Air Conditioning
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Air Con No:
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M2.1 Indoor/ Fan Coil Unit
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M2.2 Outdoor/ Condensing Unit
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M2.3 Cooling
E1. Electrical Supply
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KWh Meter S/N:
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KWh Meter Unit:
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E1.1 Main MCCB/ RCCB/ ELCB
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E1.2 MCB
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E1.3 Light Fitting & Switch
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E1.4 Floodlight
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E1.5 Socket Outlet
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E1.6 Isolator
E2. Electrical Appliances/ Electrical Equipment
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E2.1 Exit/ Emergency Light
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E2.2 Ceiling/ Wall Mounted/ Mobile Industrial Fan
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E2.3 Exhaust/ Blower Fan
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E2.4 Electrical Heater Unit
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E2.5 Refrigerator
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E2.6 Mobile Generator Set
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E2.7 Mobile Container Office
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E2.8 Electrical Forklift Charging Station
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E2.9 Electrical Powered Air Compressor Unit
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E2.10 Overhead Hoist Crane
B1. Building & Infrastructure Items
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B1. Roof
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B2. Wall
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B3. Structural Steel
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B4. Column Encasement
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B5. Doors
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B6. Floor
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B7. Drain
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B8. Housekeeping
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Name:
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NRIC:
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Company:
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I, representing and authorised by the above company, hereby acknowledge that I hereby take up possession of the above-mentioned premises.
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Engagement of Licensed Electrical Worker ("LEW")
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I hereby declare that I have engaged an appointed Licensed Electrical Worker ("LEW") to undertake all electrical installation/ equipment and ensure that all of them are in good operational condition at all times in the above-mentioned premises. I will inform JPPL and submit Form JPPL ELECT 1A for any electrical modification work to be carried out during my possession of the above-mentioned premises (to inform 14 days in advance to arrange for a power shutdown).
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Any other comments
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I further acknowledge that I have taken up possession of the premises in good condition except for the following which needs to be rectified by JPPL / reinstated by us.
Except for the following:
-
-
Installation at JPPL Premises
-
I, representing and authorised by the above company, hereby acknowledge that I take up possession of the building and infrastructure, mechanical and electrical installation in the above premise in good and working condition which details and status are stated below. I further acknowledge, apart from my responsibilities for minor repairs stated in the offer of tenancy, I have to reinstate back all items to its good and working condition once I hand over to JPPL.
M1. Roller Shutter Doors
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Door No:
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M1.1 Motor
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M1.2 Door Panel/ Shutter Slat
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M1.3 Shutter Slat Alignment
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M1.4 Motorised Operation
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M1.5 Manual Operation
M2. Air Conditioning
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Air Con No:
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M2.1 Indoor/ Fan Coil Unit
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M2.2 Outdoor/ Condensing Unit
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M2.3 Cooling
E1. Electrical Supply
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KWh Meter S/N:
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KWh Meter Unit:
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E1.1 Main MCCB/ RCCB/ ELCB
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E1.2 MCB
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E1.3 Light Fitting & Switch
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E1.4 Floodlight
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E1.5 Socket Outlet
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E1.6 Isolator
E2. Electrical Appliances/ Electrical Equipment
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E2.1 Exit/ Emergency Light
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E2.2 Ceiling/ Wall Mounted/ Mobile Industrial Fan
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E2.3 Exhaust/ Blower Fan
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E2.4 Electrical Heater Unit
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E2.5 Refrigerator
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E2.6 Mobile Generator Set
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E2.7 Mobile Container Office
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E2.8 Electrical Forklift Charging Station
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E2.9 Electrical Powered Air Compressor Unit
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E2.10 Overhead Hoist Crane
B1. Building & Infrastructure Items
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B1. Roof
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B2. Wall
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B3. Structural Steel
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B4. Column Encasement
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B5. Doors
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B6. Floor
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B7. Drain
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B8. Housekeeping
Sign-off
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Tenant's Representative(s)
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Name (designation) and signature:
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Engagement of LEW
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EMA Licence No:
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Name and signature:
Jurong Port Pte Ltd's Representative(s)
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Name (designation) and signature: