Title Page

  • Client / Site

  • Conducted on:

  • Personnel attended
  • Name and Designation

Inspection Checklist

  • Date and Time of Inspection:

  • Premises:

Handing or Taking Over of Premise

  • Handing or Take Over of Premises?

  • Name:

  • NRIC:

  • Company:

  • I, representing and authorised by the above company, hereby acknowledge that I hereby deliver up possession of the above-mentioned premises.

  • Engagement of Licensed Electrical Worker ("LEW")

  • 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.

  • Any other comments

  • 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:
  • Installation at JPPL Premises

  • 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

  • Door No:

  • M1.1 Motor

  • M1.2 Door Panel/ Shutter Slat

  • M1.3 Shutter Slat Alignment

  • M1.4 Motorised Operation

  • M1.5 Manual Operation

M2. Air Conditioning

  • Air Con No:

  • M2.1 Indoor/ Fan Coil Unit

  • M2.2 Outdoor/ Condensing Unit

  • M2.3 Cooling

E1. Electrical Supply

  • KWh Meter S/N:

  • KWh Meter Unit:

  • E1.1 Main MCCB/ RCCB/ ELCB

  • E1.2 MCB

  • E1.3 Light Fitting & Switch

  • E1.4 Floodlight

  • E1.5 Socket Outlet

  • E1.6 Isolator

E2. Electrical Appliances/ Electrical Equipment

  • E2.1 Exit/ Emergency Light

  • E2.2 Ceiling/ Wall Mounted/ Mobile Industrial Fan

  • E2.3 Exhaust/ Blower Fan

  • E2.4 Electrical Heater Unit

  • E2.5 Refrigerator

  • E2.6 Mobile Generator Set

  • E2.7 Mobile Container Office

  • E2.8 Electrical Forklift Charging Station

  • E2.9 Electrical Powered Air Compressor Unit

  • E2.10 Overhead Hoist Crane

B1. Building & Infrastructure Items

  • B1. Roof

  • B2. Wall

  • B3. Structural Steel

  • B4. Column Encasement

  • B5. Doors

  • B6. Floor

  • B7. Drain

  • B8. Housekeeping

  • Name:

  • NRIC:

  • Company:

  • I, representing and authorised by the above company, hereby acknowledge that I hereby take up possession of the above-mentioned premises.

  • Engagement of Licensed Electrical Worker ("LEW")

  • 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).

  • Any other comments

  • 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

  • Door No:

  • M1.1 Motor

  • M1.2 Door Panel/ Shutter Slat

  • M1.3 Shutter Slat Alignment

  • M1.4 Motorised Operation

  • M1.5 Manual Operation

M2. Air Conditioning

  • Air Con No:

  • M2.1 Indoor/ Fan Coil Unit

  • M2.2 Outdoor/ Condensing Unit

  • M2.3 Cooling

E1. Electrical Supply

  • KWh Meter S/N:

  • KWh Meter Unit:

  • E1.1 Main MCCB/ RCCB/ ELCB

  • E1.2 MCB

  • E1.3 Light Fitting & Switch

  • E1.4 Floodlight

  • E1.5 Socket Outlet

  • E1.6 Isolator

E2. Electrical Appliances/ Electrical Equipment

  • E2.1 Exit/ Emergency Light

  • E2.2 Ceiling/ Wall Mounted/ Mobile Industrial Fan

  • E2.3 Exhaust/ Blower Fan

  • E2.4 Electrical Heater Unit

  • E2.5 Refrigerator

  • E2.6 Mobile Generator Set

  • E2.7 Mobile Container Office

  • E2.8 Electrical Forklift Charging Station

  • E2.9 Electrical Powered Air Compressor Unit

  • E2.10 Overhead Hoist Crane

B1. Building & Infrastructure Items

  • B1. Roof

  • B2. Wall

  • B3. Structural Steel

  • B4. Column Encasement

  • B5. Doors

  • B6. Floor

  • B7. Drain

  • B8. Housekeeping

Sign-off

    Tenant's Representative(s)
  • Name (designation) and signature:

  • Engagement of LEW

  • EMA Licence No:

  • Name and signature:

  • Jurong Port Pte Ltd's Representative(s)
  • Name (designation) and signature:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.