FORM E

Construction Productivity & Quality Group CONQUAS Line: 6730 4400

Quality and Certification Department Ms Serena Chua Tel: 6730 4477
Mr Joeson Teo Tel: 6730 4518
200 Braddell Road S(579700) Mr Goh Thiam Lai Tel: 6730 4497

Note: Items a, b and c are to be filled in where applicable. The assessment shall be based on
M&E Testing & Commissioning conducted together with the Consultant and the results
based on the percentage of tests passing at first-attempt.

M&E WORK Performance Assessment (Testing & Commissioning)

Project Name :______________________________________________ Project ID No:_________
No. of items No. of items pass Percentage of passing
inspected at first attempt at first attempt
Part 1 : ACMV (a) (b) (c = b/a x 100%)
Ductwork Air Tightness Test
Pipework Pressure Test
Cooling Tower Test
Chiller Test
AHU Test
Reliability Test

Part 2 : Plumbing & Sanitary

Water Sample Test
Water Pressure Test

Part 3 : Electrical Works

Insulation Resistance Test
RCCB Trip Test
Polarity & Continuity Test
Earthing Test

Part 4 : Fire Protection

Fire Alarm System Test
Hydrostatic Test
Dry Riser Test
Wet Riser Test
Hose Reel Test

I hereby certify that the above test results are correct.

Name and Signature of M&E Qualified Person___________________________________________

QPs Stamp/ Company/Agency Name/Contact No:_______________________________________

Rev: APR 2016
Page 1 of 2
FORM E
Construction Productivity & Quality Group CONQUAS Line: 6730 4400
Quality and Certification Department Ms Serena Chua Tel: 6730 4477
Mr Joeson Teo Tel: 6730 4518
200 Braddell Road S( 579700) Mr Goh Thiam Lai Tel: 6730 4497

Details of M&E Performance Test Records (Summary of inspection by Blk / Level / Riser / Grid line)
Project Name:______________________________________________ Project ID No:_________
Services: ACMV / Plumbing & Sanitary / Electrical / Fire Protection*
Type of test conducted_________________________________________
S/N Location Date of first No. of items No. of items pass
inspection inspected (a) at first attempt (b)

Total

PE / RE / RTO*: ________________________________ Date ________________

(Name & Signature)
* Please delete accordingly
Page 2 of 2
Rev: APR 2016