Information

  • Job No.

  • Job Name

  • Equipment Tag

  • Conducted on

  • Prepared by

  • Location

General Information

Project Background

  • Equipment

  • Equipment Tag

Pump Information

  • Pump Manufacturer

  • Pump Model

  • Pump Serial Number

  • Pump Nameplate (GPM/Head)

  • Pump Nameplate

  • Pump

Motor Information

  • Motor Manufacturer

  • Motor Model

  • Motor Serial Number

  • Motor Nameplate

General Installation

  • Vendor prestart inspection performed

  • Test reports turned in & documented

  • Manufacturers start up requirements reviewed

  • Specification reviewed

  • Contract detail reviewed

  • Physical installation complete

  • Seismic restraint complete<br>

  • Equipment has proper tagging/ identification

  • Electrical clearances verified

  • Mounting checked (shipping bolts removed)

  • Vibration isolators installed<br>

  • Piping & Valves Completed & Tested<br>

  • Pump(s) Rotates Freely<br>

  • Alignment, Lubrication Completed<br>

  • Access to control panel adequate<br>

Pre-Startup Controls Inspection

  • Control system wiring complete<br>

  • Control system is operational <br>

  • Control interlocks and safeties operational<br>

  • Ready to start and run under control<br>

Pre Start-Up Electrical

  • Electrical clearances verified

  • Electrical connections tight and complete<br>

  • Power disconnects installed and labeled.<br>

  • Safeties installed and operational<br>

  • Proper grounding installed as required.<br>

  • Starter overload breakers installed and are of correct size<br>

Start-Up Inspection

  • Pump Rotation Correct (Bump)<br>

  • Electrical Interlocks Verified<br>

  • Vibration & Noise Level Acceptable<br>

  • O&M manual available<br>

  • Motor Amps within Range

  • Rated

  • Actual

  • Motor Volts within Range

  • Rated

  • Actual

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.