Menajaya Oil Fats Sdn Bhd Doc.Ref.

: PTAG/113/MJOFSB/TC
Page 1 of 1

Testing and Commissioning Form for Suction/Booster Pumpset

Project : Menajaya Oil & Fats Sdn Bhd Date of Inspection :

Project Ref. No. : Level :
Block/Zone : Location/Gridline :
Drawing Ref. No. : Services :

Manufacturer Serial No.

Type Model
Pump

Size
Design Test % Design
Flow Rate Units
Speed RPM
Manufacturer Output kW
Type Frame No.
Motor

Serial No. Full Load Current

Voltage Running Current
Design Test
Speed RPM RPM
Manufacturer O/Load Range Amps
Type Timer Setting Secs
Starter

Serial No. Amps Furse Rating Amps

Three Phase Single Phase
Incomming Voltage
RY YB BR RN YN BN
(volts)
Operating current R Y B
(Amp)
Overall Testing & Commissioning Status : PASS / FAIL
Comments:

(1) Non-Conformance: (3) Re-Inspection:

(2) Disposition: (4) Comment:

Prepared By Checked by Verified by

(Southern Corner Sdn Bhd) (Pump Supplier/Installer) (Consultant/Client's Rep)

Signature Signature Signature

Name : Name : Name :
Date: Date: Date:

Inspection Checklist