Revision :
Date :
12-122012
Name :
1
2
3
Plan
4
5
6
Operation
Standby
7
8
9
1
0
1
1
1
2
1
3
No. req.
Instalation Dimension
Drawings
Pump
weight
Customer
Assembly pump
Assembly shaft seal
Piping
Auxiliary
system
Shaft seal
Test
Material
Hydrostatic
Service:
Specification Class:
Kind of driver
Supplier
Inspection
Performance
NPSH
Item No.
Pump content
Enquiry No.
Order No.
Proposal No.
Date
Date
Date
Contact No.
Date
Final
Inspection
Approved documents
Reference
Witnessed
by
1
4
1
5
1
6
1
7
1
8
1
9
2
0
2
1
2
2
2
3
Liquid
2
4
2
5
2
6
2
7
2
8
2
9
3
0
3
1
3
2
3
3
3
4
3
5
3
6
3
7
3
8
3
9
4
0
4
1
Solids
Operating Condition
Rated
Type
Flow
% of Mass
NPSH at
Rated Flow
Max.
Min.
Plant-NPSHA
Pump-NPSH3
Corrosion By
Operating Temperature
at top
pH-Value at top
Inlet Gauge
Pressure
Rated
Max.
Pp. Power
Input Max.
Density at top
At Rated Impeller
Diameter
At Max. Impeller
Diameter
Electric Driver Power Output Rated
Shut-Off Head
Design
Construction Features
Max. Allowable Work Press.
Number of Stages
Test Pressure
Self Priming
PN / Facing
PN / Facing
Seal Chamber
DN / Position
DN / Position
Max.
Impeller
Diameter
mm
Cooling Water
Condition
Cooling (C),
Series (S)
Heating (H),
Parallel (P)
Bearing
Inlet
Flange
Rated
Min.
Outlet
Flange
Vent Connection
Drain Connection
Flush
Latern Ring
Type, Size
Mechanical Seal
Impeller Type
Casing Support
Material Code
Type
Total
Clearence
Impeller
Axial Bearing
Size
Bal. Drum
Gland / Seal
Plate
Manufactur
er
Type, Size.
Coupli
ng
Diameter
Max.
Spacer
Length
Baseplate
Shaft
Bushes
Wear Plate
Lubrication
Driver
Liquid
Supplied By
Quantity
Quantity
4
2
Lubrication Device
Mounted By
Material
4
Casing
3
4
Discharge Casing
4
4
Suction Casing
5
4
Stage Casing
6
4
Suction Impeller
7
4
Impeller
8
4
Diffuser
9
5
Wear Ring Casing
0
5
Wear Ring Impeller
1
5
Wear Plate/Lining
2
5
Case Bush
3
5
Casing Gasket
4
5
Shaft
5
Remarks:
Customer:
Prepared: (Date/ Dep./ Signature)
Bearing Bush
Balance Disc-Drum
Rotary Ring
Mecha
n.
Seal
Barrel
Bearing Bracket
Motor Stool
Coupling
Coupling Guard
Spring or Bellow
Seal Metal Parts
Magnet Material
Column Pipe
Static Ring
Gland Plate
Stuffin
g
Box
Shaft
Sleeve
Throat
Bush
Paint
Base Plate
Supplier:
Checked: (Date/ Dep./ Signature)