Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
----Outlight ----
Outdoor Light 1 - front gate
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Lightpole installed?
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Mechanical o.k.?
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Light correct angle (area)?
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Lightpole cable installed?
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Lightpole cable connected?
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Cable gland o.k.?
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Cable TAG o.k?
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Lightpole TAG o.k?
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Earthing o.k.?
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Photo of installation:
Outdoor Light 2 - backside
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Lightpole installed?
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Mechanical o.k.?
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Light correct angle (area)?
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Lightpole cable installed?
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Lightpole cable connected?
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Cable gland o.k.?
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Cable TAG o.k?
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Lightpole TAG o.k?
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Earthing o.k.?
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Photo of installation:
HVAC
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Equipment installed?
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Mechanical o.k.?
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Instrument o.k.?
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Cable o.k.?
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Cable gland o.k.?
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Earthing o.k.?
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TAG o.k?
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Photo of installation:
---- Earthing ----
---- Earthing Drain Tank ----
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Earthingband through tank?
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Potbar installed?
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Earthing draintank connected?
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TAG o.k?
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Photo of installation:
Earthing Skid
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Earthingband inside SKID?
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Earthingwires potbar outside to potbar inside skid?
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Earthing from potbar skid to SKID?
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Earthingband outside SKID?
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earthing on pipe manifold?
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earthing on trays?
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earthing on pipe oĆ¼tlet pump cont?
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Earthingband connection completed at SKID?
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TAG o.k.?
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Photo of installation:
Earthing Fence
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additional Earthingunit available?
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additional Earthingunit connected to earthband?
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additional Earthingunit connected to fence?
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Earthingband connection to fence?
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TAG o.k?
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Photo of installation:
Light
Light inside Skid
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Light skid - cableway / pipes?
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Light skid - cable pulled?
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Light SKid - itself mounted?
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Light SKid - connected?
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Light skid - functionality normal light?
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Light skid - testing unit build into panels?
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Light skid - functionality safety light?
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Earthing o.k.?
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TAG o.k?
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Photo of installation:
Emergency plates skid
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Emergency plates reflec SKID 3x?
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Photo of installation:
Emergency light E&I
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Emergency light cable E&I?
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Emergency light mounted E&I?
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Emergency light connected E&I?
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Emergency light functionality E&I?
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Cable gland o.k.?
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Earthing o.k.?
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TAG o.k?
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Photo of installation:
Industrial air
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Industrial air compressor available?
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Industrial air compressor installed?
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Industrial air compressor drying unit + filter installed?
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Industrial air tubing / piping?
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Industrial air system mechanical completed to equipments?
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Industrial air system spare pipes closed with blind or filter?
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Earthing o.k.?
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TAG o.k?
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Photo of installation:
Exhaust Fan Skid
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whole for Exhaust fan ?
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whole for Inlet air ?
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cover for Inlet air ?
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Fan Skid cable installed ?
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Fan Skid itself mounted ?
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Fan Skid cable connected ?
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Cover outside Fan Skid mounted ?
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switch for fan Skid mounted ?
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switch for fan Skid connected ?
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Earthing o.k.?
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TAG o.k?
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Photo of installation:
Ligthning
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ligthning protection ?
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short extension on skid for ligthning ?
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long extension on skid for ligthning ?
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ligthning rods Skid available ?
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ligthning rods Skid installed ?
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ligthning rods E&I available ?
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ligthning rods E&I installed ?
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connection to earthing grid SKID ?
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connection to earthing grid E&I ?
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TAG o.k?
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Photo of installation:
Strobolight
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Strobolight outside E&I mounted complete ?
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cable pulled ?
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cable connected ?
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Earthing o.k.?
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TAG o.k?
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Photo of installation:
Big motors
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cable motor 2x pulled ?
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glands mounted motor ?
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cable motor 2x connected ?
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Cable right curve to diameter 22kW ?
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ptc cable motor 2x pulled ?
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ptc cable motor 2x connected ?
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glands fixed motor ?
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earthing on motors ?
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motorconnection proper done (wire itself) ?
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bridge in panel PTC ?
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Earthing o.k.?
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TAG o.k?
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Photo of installation:
small motor
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cable motor pulled ?
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glands motor mounted ?
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cable for motor 7,5 connected ?
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glands right for motor 7,5 ?
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glands fixed motor ?
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earthing on motors ?
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Cable right curve to diameter ?
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motorconnection proper done (wire itself) ?
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blind glands mounted motor & right type ?
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Earthing o.k.?
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TAG o.k?
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Photo of installation:
Junction boxes
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cables pulled ?
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cables connected ?
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glands right colour JB ?
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glands fixed JB ?
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glands not used right stopper JB / blindgland ?
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Earthing o.k.?
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TAG o.k?
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Photo of installation:
F&G system
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seperate pipes (Fire & Gas) ?
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H60.cable (Fire & Gas) ?
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Smokedetector mounted ?
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Smokedetector cable pulled ?
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Smokedetector cable connected 2x ?
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Gassensor mounted ?
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Gassensor cable pulled ?
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Gassensor cable connected 2x ?
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Firesensor mounted ?
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Firesensor cable pulled ?
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Firesensor cable connected 2x ?
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F&G-unit mounted ?
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cables to F&G-unit connected ?
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Earthing o.k.?
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TAG o.k?
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Photo of installation:
Heaters tanks
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cables heater pulled ?
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cables heater connected ?
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temperature cable for elmes.heaters 2xquestion , pulled ?
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cables temperature switch connected ?
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heateconnection proper done (wire itself) ?
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Cable right curve to diameter ?
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Earthing o.k.?
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TAG o.k?
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Photo of installation:
Instrumentation (partial)
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SDV103 installed ?
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SDV103 cable pulled ?
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SDV103 cable connected ?
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SDV103 air pipe mounted ?
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SDV103 air pipe connected ?
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earthing band Water Cut ?
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Coriolis 2700 ?
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Coriolis 3500 + NOC ?
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Coriolis installed ?
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Coriolis cable pulled ?
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Coriolis cable connected ?
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Coriolis earthing ?
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Earthing o.k.?
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TAG o.k?
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Photo of installation:
ESD-buttons
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ESD-button installed ?
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ESD-button piping ?
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ESD-button cable installed ?
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ESD-button connected ?
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ESD-button function? ?
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Earthing o.k.?
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TAG o.k?
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Photo of installation:
E&I-Container
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PLC-cabinets wired and completed for startup ?
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right colour at cable cover in automation panel ?
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PLC-cabinets software installed ?
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fan in panel on right position ?
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all cables connected in panel ?
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E&I Container door correct installation (emergency opening) ?
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frame cable inlet installed ?
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frame cable inlet proper closed ?
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frame cable inlet cover outside ?
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panel E&I labels (nameplate, switch,ā¦.) ?
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switch light E&I nameplate ?
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switch socket E&I nameplate ?
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circuit breaker air compressor right size ?
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C-profile in powerpanel ?
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circuit breaker HVAC right size ?
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watercut/Coriolis unit installed ?
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earthingpoints at E&I ?
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Earthing o.k.?
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TAG o.k?
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Photo of installation:
transformer
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OHL cable pulled ?
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transformer itself mounted ?
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OHL cable connected to tranasformer ?
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OHL - transformer cable installed ?
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Transformer - E&I cable pulled ?
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Transformer - E&I cable connected ?
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Main power supply / ON ?
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cables proof protocol ?
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completion certificate ?
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preliminary docu ?
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Earthing o.k.?
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TAG o.k?
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Photo of installation:
generall units
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edgeprotection ?
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glands fixed lightbox ?
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Potentialbar all installed ?
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Potentialbar named ?
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Potentialbar wires named ?
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Potentialbar points reserve ?
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cable clamp on vertical trays ?
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cable nameplate ?
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instrument nameplate ?
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light nameplate ?
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emergency light nameplate ?
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earthingpoints at skid all ?
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temporary cover at cable entrance SKID to avoid animals coming in at ?
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SKID frame cable inlet installed ?
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SKID frame cable inlet proper closed ?
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Skid frame cable inlet cover outside ?
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all earthing labels mounted ?
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manifold pipes outside long enough for proper installation pressure gauges ?
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anti panik locking system doors Skid installed ?
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safety instruction - protectia muncii / per locaton ?
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Earthing o.k.?
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TAG o.k?
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Photo of installation:
Documentation / protocols handed over:
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MTO lists ( ?
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earthing protocol ?
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cables proof protocol ?
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Insemex ?
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Lux protocol ?
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switch board / cabinets / protocols, certs ?
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completion certificate ?
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preliminary docu ?
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Photo of installation:
Well line integration
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pressure switches / mechanical installation into pipes ?
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pressure switches / mechanical installation ?
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pressure switches / cable pulled ?
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pressure switches / cable connected ?
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pump / cable pulled ?
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pump / cable connected ?
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cables proof protocol ?
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completion certificate ?
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preliminary docu ?
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Earthing o.k.?
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TAG o.k?
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Photo of installation:
Others
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Earthing o.k.?
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TAG o.k?
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Photo of installation: