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FORM NO.

: F-QM-EET-001
PROJECT :

ATTENUATORS TEST FORM

CONTROL NO. :

LOCATION :
DATE PREPARED :

TESTING DATE / TIME :

Functional Description :
Location Drawing No. :
Schematic Drawing No. :

Attenuator
Reference

Manufacturer

Type

TEST CARRIED OUT BY (Sub-contractor) :

(Name/Signature)

Non-Shedding Type, (YES/NO)

Installed Correctly, (YES/NO)

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

TEST WITNESSED BY :

(Date)

(Client Representative)

(MDCBP - MEFPS Field QC Engineer)

INSTALLATION INSPECTED AND DETAILS RECORDED BY :

(Sub-Contractor PIC / QAQC)

Size

INSTALLATION COMPLIES W/ DESIGN :

MDCBP - MEFPS Field QC Engineer

(Client Representative)

COMMENTS :

Note : Note:Refer to Room Performance Sheets


DECLARATION :
Data recorded above has been reviewed and found to be
satisfactory.
DISTRIBUTION :

Subcon

_____________________________

___________________________

(Client Representative)

(Date)

MDCBP Document Controller


Revision No. 002 (May 2014)

FORM NO. : F-QM-EET-002


PROJECT :

ILLUMINATION LEVEL TEST


FORM

CONTROL NO. :

LOCATION :
DATE PREPARED :

TESTING DATE / TIME :

Functional Description :
Location Drawing No. :
Schematic Drawing No. :

Location

Design
Lighting
Level

Distance
Measured
from floor

Average Lighting Level in LUX


No of Locations
Average
Emergency Lighting
Level

INSTALLATION INSPECTED AND DETAILS RECORDED BY :


(Sub-Contractor PIC / QAQC)

Tested
By

Date

INSTALLATION COMPLIES W/ DESIGN :

(MDCBP - MEFPS Field QC Engineer)

(Client Representative)

TEST CARRIED OUT BY :

TEST WITNSSED & RESULTS ACCEPTED BY :

(Sub-Contractor/Approved Testing Agency)

(MDCBP MEPFS Field QC Engr.)

COMMENTS :

DECLARATION :
Data recorded above has been reviewed and found to be
satisfactory.
DISTRIBUTION :

Subcon

_____________________________

Date :

______________________

(Client Representative)
MDCBP Document Controller
Revision No. 002 (May 2014)

FORM NO. : F-QM-EET-003


PROJECT :

CONDUCTIVITY CELL AND


TRANSMITTER TEST FORM

CONTROL NO. :

LOCATION :
TESTING DATE/TIME:

DATE PREPARED :

Functional Description :
Location :
Schematic :

1. Cell Details
a. Manufacturer
b. Connection
c. Signal Output*
d. Temperature Sensing, MA/MV*
e. Correct tag no.attached, YES/NO*
f. Removable for calibration, YES/NO*

g. Type
h. Material
i. Serial No.
j. Range, M
k. Calibration Certificate No.
l. Correction Factor

2. Transmitter Details
a. Manufacturer
b. Item of plant controlled
c. Range, M
d. Electrical Supply, V
e. Tag Label attached YES/NO *
f. Temp Compensation AUTO/MANUAL * INDICATING/RECORDING *
g. Type and form of Output 1 MA/MV * INDICATED/RECORDED *
h. Type and form of Output 2 MA/MV * INDICATED/RECORDED *
i. Combined Unit calibrated to SOP/Method Statement reference.
j. Results available in RAW DATA/SITE SYSTEM *

k. Type
l. Serial No.
m. Alarm relays
n. Sensor type
o. No. of Outputs:

Calibrated by:
__________________________________________________

______________________________
(Date)

(Name/Signature)
Test Instrument :
Serial No. :
INSTALLATION INSPECTED AND DETAILS RECORDED BY :

(Sub-Contractor PIC / QAQC)

INSTALLATION COMPLIES W/ DESIGN :

(MDCBP - MEFPS Field QC Engineer)

(Client Representative)

COMMENTS :

DECLARATION :

Data recorded above has been reviewed and found to be


satisfactory.
DISTRIBUTION :

Subcon

_____________________________
(Client Representative)

______________________________________
(Date)

MDCBP Document Controller


Revision No. 002 (May 2014)

FORM NO. : F-QM-EET-004

CONTINUITY OF RING METAL


CIRCUIT CONDUCTORS TEST
FORM

PROJECT :

CONTROL NO. :

LOCATION :
TESTING DATE/TIME:

DATE PREPARED :

Functional Description :
Location Drawing No. :
Schematic Drawing No. :

Type:

Distribution Board Reference No.:


A = Between Ends Of P (N) (C.P.C.) at Distribution Board
B = Test Lead
C = Closed Ends At Distribution Board & Mid Point Ring

Legend :

Circuit
No.

Resistance Phase (W)


A
B
C

Verification
B

Circuit
No.

Resistance C.P.C. (W)


A
B
C

Verification
B

Verification
A

Tested

INSTALLATION INSPECTED AND DETAILS RECORDED BY :


(Sub-Contractor PIC / QAQC)

Resistance Neutral (W)


A
B
C

By

Date

INSTALLATION COMPLIES W/ DESIGN :

(MDCBP - MEFPS Field QC Engr.)

(Client Representative)

COMMENTS :

DECLARATION :
Data recorded above has been reviewed and found to be
satisfactory.
DISTRIBUTION :

Subcon

_____________________________

___________________________

(Client Representative)

(Date)

MDCBP Document Controller


Revision No. 002 (May 2014)

FORM NO. : F-QM-EET-005


CONTROL NO. :

PROJECT :

CONTINUITY OF PROTECTIVE
CONDUCTOR TEST FORM

LOCATION :
TESTING DATE/TIME:

DATE PREPARED :

Functional Description :
Location Drawing No. :
Schematic Drawing No. :

1. Distribution Board Reference No:


2. Type:
3. Test Results :

Circuit No.

Design
R1 + R2
( W)

Test
R1 + R2
( W)

Verify
Zs
( )

Tested
By

INSTALLATION INSPECTED AND DETAILS RECORDED BY :

(Sub-Contractor PIC / QAQC)

Date

INSTALLATION COMPLIES W/ DESIGN :

(MDCBP - MEFPS Field QC Engineer)

(Client Representative)

COMMENTS :

DECLARATION :
Data recorded above has been reviewed and found to be
satisfactory.
DISTRIBUTION :

Subcon

_____________________________

Date :

______________________

(Client Representative)
MDCBP Document Controller
Revision No. 002 (May 2014)

FORM NO. : F-QM-EET-006


CONTROL NO. :

PROJECT :

MOTOR CONTROL
CENTERS TEST FORM

LOCATION :
TESTING DATE/TIME:

DATE PREPARED :

Functional Description :
Location :
Schematic :
I. Motor Control Centres
1. Manufacturer:
2. Type:
3. Serial No:.

4. Heater Size (W) :


5. Main Fuse Size (A) :
6. Control Fuse Size (A) :

II. Incomer Details


1. Fed From:
2. Voltage Rating:
3. Fault Rating:
4. Type No:
5. Earth Connection Type:

6. Ampere Rating:
7. Frame:
8. Thermal:
9. Cable Size:

III. Control Bus Section


Transformer

KVA

Volts Ratio Primary/Secondary

Fuse Size Primary/Secondary

/
/

No. 1
No. 2
IV. Instrument Details
Voltmeter Range:
Protection Detail Incl. CT Ratio:

/
/

Ammeter Range:
CT Ratio:

V. Check List ( if satisfactory )


Holding Bolts
Insulators in Place
Labels To Drawing Detail

Busbar Chamber
Locking Mechanism
Shutters Operate

Busbar Joints
Mechanical Check OK
Heater Operation OK

VI. Test Data


Insulation Resistance (M W )
R-E
S-E
T-E
R-S
S-T
T-R
* Phase Rotation Correct :
Yes
No
Earthloop (Zs), W:
Main Fuse Size, A :
Control Fuse Size, W :
INSTALLATION INSPECTED AND DETAILS RECORDED BY :

(Sub-Contractor PIC / QAQC)

INSTALLATION COMPLIES W/ DESIGN :

(MDCBP - MEFPS Field QC Engineer)

(Client Representative)

COMMENTS :

DECLARATION :
Data recorded above has been reviewed and found to
be satisfactory.
DISTRIBUTION :

Subcon

_____________________________

Date :

______________________

(Client Representative)
MDCBP Document Controller
Revision No. 002 (May 2014)

FORM NO. : F-QM-EET-007


PROJECT :

POWER TRANSFORMERS CAST RESIN TEST FORM


(PLANT INSPECTION)

CONTROL NO. :

LOCATION :
TESTING DATE/TIME:

DATE PREPARED :

Functional Description :
Location :
Schematic :
POWER TRANSFORMERS - CAST RESIN

Manufacturer:
Equipment No:
Serial No:
Type:
Weight:

App. Std:
Impedence:
Set points C:
Enclosure Type:
Vector Group:

Rating:
Voltage Ratio:
Amps HV:
LV:
Temp Class:

Temperature Monitoring:

Alarm Set Point C

Cooling Forced? Yes/No:


Yes
(Normal Tapping)

No

Frequency:

Trip Set Point C

Cable HT Reference:

Cable LV Reference:

SUPPLIERS/MANUFACTURER'S TEST DATA

Test Report Reference No. (Available in raw data/site

Impedance Voltage - Measured


Position
(Normal)

Uk(%)

No-Load
Losses(w)

Current
(%)

Ur(%)

Ux(%)

J(oC)

Short Circuit Losses Voltage


(W)
(%)

Rated
Measured
Check List ( if satisfactory) :

Resistance of winding at ______________C


R-S
S-T
T-R
H.V. Position
mW
L.V.
mW

system *)

Ur(%)

Uk(%)

J(oC)

Phase

Inception Voltage (...x Urated)


PD at 1,5 Usystem, 30 sec (pC)
PD at 1,1 Usystem, 3 min (pC)
Extinction Voltage (...x Urated)
Induced Voltage Test
L.V. Winding (Volt)
Excited by (Hz)
Frequency
Test Time (sec)

Applied Voltage Test


H.V.-L.V./Core (KV)
L.V.-Core (KV)
L.V. -Screen (KV)
Test Time (sec)

Sign :
Enclosure Interlocked with HV
Temperature Monitored

Phase

Date :

Tap Change Operation


Tap Change Lock-in - Pos

Phase Marking
Transformer Label

Sign :

Bonding

Date :

INSTALLATION INSPECTED AND DETAILS RECORDED BY :


(Sub-Contractor PIC / QAQC)

Phase

Partial Discharge

INSTALLATION COMPLIES W/ DESIGN :

(MDCBP - MEFPS Field QC Engineer)

The following were tested and found to be satisfactory:


Noise level at full load (dBA) :
Fans On (C) :
Fans Off (C) :

(Client Representative)

* Temperature trip:
* Temperature alarm:
* Cooling fans :

Yes
Yes
Yes

No
No
No

N/A

COMMENTS :

DECLARATION :
Data recorded above has been reviewed and found to
be satisfactory.
DISTRIBUTION :

Subcon

_____________________________

Date :

______________________

(Client Representative)
MDCBP Document Controller
Revision No. 002 (May 2014)

FORM NO. : F-QM-EET-008


PROJECT :

MOTOR DRIVE CIRCUITS


TEST FORM

CONTROL NO. :

LOCATION :
TESTING DATE/TIME:

DATE PREPARED :

Functional Description :
Location :
Schematic :
Motor Drive Circuits :
MCC Item Ref. No:
Drive Serving:
Type Of Starter: Star-Delta/Autotransformer/DOL/Soft/VSD/Other (specify)
Motor Details :
Manufacturer:
Model:
Voltage:
Serial No:
Frequency:
Enclosure:
Frame Size:

FLC:
KW:
RPM:
IP Rating:

For Certified Equipment Only :


Approving Body :

Certificate No :

Class :

Cable Details :
Motor Cable No:
Type:
Cores:
Size / Length:
* Cable No: Insulation Resistance. (Incl. Motor) Checked?
Yes

No

Check List :
* Direction Of rotation (Whilst Looking At Non Drive End):
Clockwise
Anticlockwise
* Checked Labelling @ MCC:
Yes
No
Terminations Check
Earthing Details
Motor
State Method and Earth Wire:
Control Interfaces
Earth Fault Loop Impedance (Zs):
Indication
* If serving a variable speed drive, separate certificate has been completed:
Emergency Stop
Yes
No
N/A
INSTALLATION INSPECTED AND DETAILS RECORDED BY :

(Sub-Contractor PIC / QAQC)

Test Data :
* Local Alarms Indication OK:
Running Current (Amps) :

INSTALLATION COMPLIES W/ DESIGN :

(MDCBP - MEFPS Field QC Engineer)

Yes

No

Test carried out by:

(Client Representative)

* Emergency Stop Operation OK:


* General Indication OK:

Yes
Yes

No
No

Test witnessed and results acccepted by :

____________________________________________________________
(Sub-Contractor / Approved Testing Agency)

_________________________________________________________________
(MDCBP MEPFS Field QC Engr.)

COMMENTS :

NOTE : * Delete as applicable.


DECLARATION :
Data recorded above has been reviewed and found to be
satisfactory.
DISTRIBUTION :

Subcon

_____________________________

Date :

______________________

(Client Representative)
MDCBP Document Controller
Revision No. 002 (May 2014)

FORM NO. : F-QM-EET-009


REPORT NO. :

PROJECT :
LOCATION :

LOAD TEST FORM

TESTING DATE/TIME:

DATE PREPARED :

Functional Description :
Location Drawing No. :
Schematic Drawing No.:
System No.
%RH

1. Room Design Conditions :

PQ

2. External Design Conditions :


a. summer
%RH
o

C
%RH

b. winter

3. Room Loads :
a. Solar load, kW
b. Fabric load, kW
c. Corrective load, kW

d. Equipment load
- latent
- Sensible

e. Total Room load


- latent
- Sensible

f. Occupancy load
- latent
- Sensible

Entrance
1) Heater positions to be agreed with Glaxo prior to testing, and shown on plan thus +
2) Chart recorder positions to be agreed with Glaxo prior to testing, units to be installed 1m above FFL,
Show positions on plan thus o.

4. Test Format
The test should last for a minimum of 48 hours to an agreed method statement including:
a. No load conditions
b. Progressive increase to simulated peak summer load conditions (i.e. part load).
c. 8 hour period at simulated peak summer load conditions.
d. Period at reduced conditions (i.e.part load).
e. Period at no load conditions.
f. Period at no load conditions.
The result should be bound into Raw Data, with each chart marked to show; location and room reference, start and completion time and
date, Protocol No., equipment type and serial numbers and latent and sensible loads applied.
5. Test Instrument :

Serial No.:

Note: Lights to be left on during testing


Test carried out by : Subcontractor
______________________
Subcontractor PIC / QAQC

Test witnessed and results accepted by : MDCBP Field QC Engineer


________________
(Date)

______________________

_________________

(Name/Signature)

(Date)

COMMENTS :
NOTE : * Delete as applicable.
DECLARATION :
Data recorded above has been reviewed and found to
be satisfactory.
DISTRIBUTION :

Subcon

_____________________________

Date :

______________________

(Client Representative)
MDCBP Document Controller
Revision No. 002 (May 2014)

FORM NO. : F-QM-EET-0010


PROJECT :

PROTECTION RELAYS
TEST FORM

CONTROL NO.

LOCATION :
DATE/TIME TESTING:

DATE PREPARED :

Functional Description :
Location :
Schematic :
PROTECTION RELAYS :

Manufacturer:
Model No:
Serial No:

current transformer
details

Unit Type:
Frequency:
Ass. Switchboard/Mcc Ref:

Systems Voltage:
Settings Range:
serial numbers
R

Neutral

ratio

manufacturer

accuracy

INSTALLATION INSPECTED AND DETAILS RECORDED BY :

(Subcontractor)

(MDCBP-MEFPS Field QC Engineer)

INSTALLATION COMPLIES WITH THE DESIGN :


___________________________
(MDCBP-MEFPS Supervisor)

Date :

SECONDARY INJECTION TESTS :

Phase
Element

Relay

R
Over-Current

S
T

Earth/Ground
Instantaneous O/C Relay

Relay Setting
%

Pick-Up
Current

Operating Time @ Time Setting


2
5
10

Time Multiplier
Setting
1
0.5
1
0.5
1
0.5
1
0.5

100
100
100
100
100
100
25 or 50
25 or 50
Relay Setting
R Phase

Tripping Current

S Phase
T Phase

TEST CARRIED OUT BY :

TEST WITNESSED AND RESULTS ACCEPTED BY :

________________________________________

(Sub-Contractor / Approved Testing Agency)

__________________________________________
(MDCBP-MEPFS Field QC Engineer)

COMMENTS :

DECLARATION :
Data recorded above has been reviewed and found to
be satisfactory.
DISTRIBUTION :

Subcon

___________________________
(Client Representative)

Date :
MDCBP Document Controller
Revision No. 002 (May 2014)

FORM NO. : F-QM-EET-011


PROJECT :

CIRCUIT BREAKER TEST


FORM

CONTROL NO. :

LOCATION :
DATE/TIME TESTING:

DATE PREPARED :

Functional Description :
Location Drawing No. :
Schematic Drawing No. :

1. Data
Manufacturer:
Type:
Switchboard Ref:
Rating:
No. Poles:
Frequency:
V.T. Ratio: / V Rated Breaking Capacity: kA for secs.
Description Of Open/Close/Trip Mechanisms & Operations:
2. Check List ( if satisfactory)
General Labelling
Status Indication
Ammeter
Voltmeter
Kwhr Meter
Other Instruments:

Serial No.
Voltage:

General Operation
Intertripping
Key Interlocks
Shuttering
Protective Relay (See Below)
Pad Locking Facilities

3. Current Transformers
Function

4. Protective Relays Tests


Ratio

Note : For Detailed Results See Separate forms


Titled "Protection Relays". (IOTC/E/011, Item Ref.
No. _______________ ) This is confirmation only.

E/L

Type Of Relay :
Primary Injection
Secondary Injection

Instantaneous.
Overcurrent

Earth Fault

YES/NO*
YES/NO*

YES/NO*
YES/NO*

5. Protective Devices
Function

Manufacturer

Type

Setting
Range

INSTALLATION INSPECTED AND DETAILS RECORDED BY :

Subcontractor PIC / QAQC

No

Connected ()
R

E/F

INSTALLATION COMPLIES W/ DESIGN :

(MDCBP - MEFPS Field QC Engineer)

(Client Representative)

COMMENTS :

Note : * Delete as applicable


DECLARATION :
Data recorded above has been reviewed and found to be
satisfactory.
DISTRIBUTION :

Subcon

_____________________________

___________________________

(Client Representative)

(Date)

MDCBP Document Controller


Revision No. 002 (May 2014)

FORM NO. : F-QM-EET-012


PROJECT :

DISTRIBUTION BOARD
TEST FORM

CONTROL NO. :

LOCATION :
TESTING DATE/TIME:

DATE PREPARED :

Functional Description :
Location Drawing No. :
Schematic Drawing No. :

Manufacturer :

Type:

Supplied From:
Back-Up Fuse Rating

Size Of Supply Cable :

Test Results Verification:


a. Circuit Description List Provided*
b. Blanks Fitted On Outgoing Ways*
c. Adequate Warning & Identification Labelling Fitted*

Circuit No.

Circuit No.

Protective Device
Type

Size (A)

Ring Continuity

Yes
Yes
Yes

No
No
No
Load Current (A)
kA

Verification Of Tests Carried Out ()


CPC Conti-nuity
IR

INSTALLATION INSPECTED AND DETAILS RECORDED BY :


(Sub-Contractor PIC / QAQC)

Cable Size (mm2)

Polarity

Zs

RCD

Earth Cable Size


(mm2)

Inspected
By

Date

INSTALLATION COMPLIES W/ DESIGN :

(MDCBP - MEFPS Field QC Engineer)

(Client Representative)

COMMENTS :

Note : * Delete as applicable


DECLARATION :
Data recorded above has been reviewed and found to be
satisfactory.
DISTRIBUTION :

Subcon

_____________________________

___________________________

(Client Representative)

(Date)

MDCBP Document Controller


Revision No. 002 (May 2014)

FORM NO. : F-QM-EET-013


PROJECT :

INSULATION RESISTANCE
TEST FORM

CONTROL NO:

LOCATION :
TESTING DATE/TIME:

DATE PREPARED :

Functional Description :
Location Drawing No. :
Schematic Drawing No. :

Distribution Board Reference No :


Type :

Insulation Resistance
Circuit No.

No. of
Points

R+S+T+N To Earth

P/N

R/STN

S/RTN

INSTALLATION INSPECTED AND DETAILS RECORDED BY :

(Sub-Contractor PIC / QAQC)

Tested

Between Poles
T/RSN

N/RST

By

Date

INSTALLATION COMPLIES W/ DESIGN :

(MDCBP - MEFPS Field QC Engineer)

(Client Representative)

COMMENTS :

DECLARATION :
Data recorded above has been reviewed and found to be
satisfactory.
DISTRIBUTION :

Subcon

_____________________________
(Client Representative)

Date :

______________________

MDCBP Document Controller


Revision No. 002 (May 2014)

FORM NO. : F-QM-EET-014


PROJECT :

CABLES AND CONDUCTORS


TEST FORM

CONTROL NO. :

LOCATION :
TESTING DATE/TIME:

DATE PREPARED :

Functional Description :
Location Drawing No. :
Schematic Drawing No. :

Cable Details
Circuit
Cable No.

From

Cable No.

Cores
To

Used

Size
(mm2)

Spare

Grade
Conductor,
Cu/Al

Type (see Key


Below)

Volts

Tested

Insulation Resistance Test (M)


Core-Core
To Earth

By

Date

Key to Cable Type


1 = PVC/PVC

4 = XLPE/SWA/PVC

7 = XLPE/AWA/LSF

10 = * *

2 = PVC/SWA/PVC

5 = XLPE/AWA/PVC

8 = MICC

11 = * *

3 = PVC/AWA/PVC

6 = XLPE/SWA/LSF

9= **

INSTALLATION INSPECTED AND DETAILS RECORDED BY :

(Sub-Contractor PIC / QAQC)

INSTALLATION COMPLIES W/ DESIGN :

(MDCBP - MEFPS Field QC Engineer)

(Client Representative)

COMMENTS :

DECLARATION :
Data recorded above has been reviewed and found to be
satisfactory.
DISTRIBUTION :

Subcon

_____________________________

___________________________

(Client Representative)

(Date)

MDCBP Document Controller


Revision No. 002 (May 2014)

FORM NO. : F-QM-EET-015


CONTROL NO. :

PROJECT :

EARTH FAULT LOOP


IMPEDANCE TEST FORM

LOCATION :
TESTING DATE/TIME:

DATE/TIME PREPARED:

Functional Description :
Location Drawing No. :
Schematic Drawing No. :

1. Distribution Board Reference No.:

Type:

2. Earth Loop Impedance (Ze) at Distribution Board, W :


3. Type of Earthing System : TN-C/TN-S/TN-c-S/IT/TT*

Circuit
No.

Design
Zs ()

Test Zs ()

Tested
By

Date

Circuit No.

INSTALLATION INSPECTED AND DETAILS RECORDED BY :


( Sub-Contractor / QAQC )
COMMENTS :

DECLARATION :

(MDCBP - MEFPS Field QC Engineer)

Design Zs
(W)

Test Zs
(W)

Tested
By

INSTALLATION COMPLIES W/ DESIGN :


(Client Representative)

Date

Data recorded above has been reviewed and found to be


satisfactory.
DISTRIBUTION :

Subcon

_____________________________

Date :

______________________

(Client Representative)
MDCBP Document Controller
Revision No. 002 (May 2014)

FORM NO. : F-QM-EET-016


PROJECT :

VARIABLE SPEED DRIVE


TEST FORM

REPORT NO. :

LOCATION :
DATE PREPARED:

INSPECTION DATE/TIME:

Functional Description :
Location Drawing No. :
Schematic Drawing No. :
1. VARIABLE SPEED DRIVE

a. Manufacturer :
b. Type:
c. Serial No.:
d. Drive Ref::
e. MCC Ref:
f. Method of Operation : PWM/VVC/Other (Please Specify) :

g. Frequency, Hz :
h.Continuous Rated Output Power, kVA :
i. Mains Supply - Voltage:
j. Continuous Rated Output Current, A :

2. CHECK LIST ( if satisfactory or N/A if not applicable) :

a. Overall Operation
b. Security Measure
c. Labelling
d. EMC Compatability
e. Terminations

YES
YES
YES
YES
YES

NO
NO
NO
NO
NO

N/A
N/A
N/A
N/A
N/A

3. SETTINGS :

Description

Range

Set
Point

Description

Range

Set
Point

Description

Jogging Frequency

Lower Frequency Limit, (Hz)

PI Feedback Scaling

Output Frequency

PI Integrate Time

PI Band Width

Motor Voltage

Reset After Trip

Rated Motor Current

Analogue Reference

PI Prop. Amplification

SW. Freq. Range

Motor Current

No Load Monitoring (a)

SW. Freq. Range

Start/Stop Mode

PI Feedback Type

Res. Bypass 1

U/F Characteristic

Thermal Motor Protection

Res. Bypass 2

Relay Function

Current Limit (a)

Res. Bypass 3

Local/Remote Operation

Ramp-Down Time

Res. Bypass 4

Digital Input Function

Rated Motor Output (kW)

Switching Frequency

Local Reference (Hz)

Read-Out Factor

Ramp-Up Time

Analogue Output

Upper Frequency Limit, (Hz)

Rated Motor Voltage (v)

INSTALLATION INSPECTED AND DETAILS RECORDED BY :


(Sub-Contractor PIC / QAQC)

(MDCBP - MEFPS Field QC Engineer)

Range

Set
Point

INSTALLATION COMPLIES W/ DESIGN :


(Client Representative)

COMMENTS :

DECLARATION :
Data recorded above has been reviewed and found to be satisfactory.
DISTRIBUTION :

Subcon

_____________________________ ___________________________
(Client Representative)
(Date)
MDCBP Document Controller
Revision No. 002 (May 2014)

FORM NO. : F-QM-EET-017


CONTROL NO. :

PROJECT :

THERMOSTAT TEST FORM

LOCATION :
DATE / TIME TESTING:

DATE / TIME PREPARED:

Functional Description :
Location Drawing No. :
Schematic Drawing No. :

THERMOSTAT

a. Manufacturer :
b. Type :
c. Serial No. :
d. Range, ( o C) :
e. Constant rating, A :
f. Length, mm :
g. Voltage, AC/DC * :
h. Body material :
i. Spring Design :
j. Positioned correctly, YES/NO * :
k. Item of plant being controlled :
l. Tag label attached, YES/NO * :
m. Calibrated to Sop/Method Statement * reference
Calibrated by:

Results in Raw Data/Site System *


Signature :

Date :

Functional test satisfactory, YES/NO * :


Set point :

Test Instrument :
Serial No :

TEST CARRIED OUT BY (Subcontractor) :


______________________
(Name/Signature)

TEST WITNESSED & RESULTS ACCEPTED BY : MDCBP-Field QC Engr.


________________
(Date)

INSTALLATION INSPECTED AND DETAILS RECORDED BY :


(Sub-Contractor PIC / QAQC)

______________________

_________________

(Name/Signature)

(Date)

INSTALLATION COMPLIES W/ DESIGN :

(MDCBP - MEFPS Field QC Engineer)

(Client Representative)

COMMENTS :

Note : * Delete as applicable


DECLARATION :
Data recorded above has been reviewed and found to be
satisfactory.
DISTRIBUTION :

Subcon

_____________________________

___________________________

(Client Representative)

(Date)

MDCBP Document Controller


Revision No. 002 (May 2014)

FORM NO. : F-QM-EET-018


CONTROL NO. :

PROJECT :

PRESSURE SWITCH TEST


FORM

LOCATION :
DATE / TIME TESTING :

DATE PREPARED:

Functional Description :
Location Drawing No. :
Schematic Drawing No. :

PRESSURE SWITCH

a. Manufacturer :
b. Type :
c. Differential :
d. Action DA/RA * :
e. Electrical Supply V,AC/DC * :
f. Location to Design, YES/NO * :
g. Tag label attached YES/NO * :
h. Results in Raw Data/Site System * :
i. Calibrated to Sop/Method Statement * :

Reference :

Functional test satisfactory YES/NO * :


Set Point :

Test Instrument :

Serial No :
TEST CARRIED OUT BY: Subcontractor
______________________
(Name/Signature)

TEST WITNESSED & RESULTS ACCEPTED BY : MDCBP-Field Engr.


________________
(Date)

______________________

_________________

(Name/Signature)

(Date)

INSTALLATION INSPECTED AND DETAILS RECORDED BY :

INSTALLATION COMPLIES W/ DESIGN :

_______________________
(Sub-Contractor PIC / QAQC)

(MDCBP - MEFPS Field QC Engineer)

(Client Representative)

COMMENTS :

Note : * Delete as applicable


DECLARATION :
Data recorded above has been reviewed and found to be
satisfactory.
DISTRIBUTION :

Subcon

_____________________________

___________________________

(Client Representative)

(Date)

MDCBP Document Controller


Revision No. 002 (May 2014)

FORM NO. : F-QM-EET-019


PROJECT

LOCATION :

MANDRELLING
TEST

Structural

Sanitary/Plumbing

Architectural

FDAS/BAS

Elec'l/Auxiliaries

FIRE PRO

Mechanical

Others

Site Location :

Brand

Equipment No. :

Model/Serial No. :

Type/ Rating

Asset No.
LINE

ITEM
NO.

FROM

PREPARED BY:
(Subcon PIC / QAQC)
DISTRIBUTION :

INSPECTED BY:
(MDCBP Field QC Engineer)
Subcon

Control No. :

:
:

MANDRELLING TEST
Primary
Secondary
Ductline
Ductline
No. of Length, No. of Length,
Runs
Runs
m
m

TO

Date Conducted :

PIPES

Material

Diameter, mm

REMARKS

APPROVED BY:
(MDCBP Supervisor / Superintendent)
MDCBP Document Controller
Revision No. : 002 (May 2014)

FORM NO. : F-QM-EET-020


PROJECT

LOCATION :

CONTINUITY
ELECTRICAL
TESTING

Structural

Sanitary/Plumbing

Architectural

FDAS/BAS

Elec'l/Auxiliaries

FIRE PRO

Mechanical

Others

Site Location :

Brand

Equipment No. :

Model/Serial No. :

Type/ Rating

Asset No.

I. Type of Test:

Date Conducted :

Control No. :

:
:

II. Equipment/Instrument Used:

Continuity

Brand

Resistance

Serial No. :

Other/s

Range

III. Location / Item of Test :


IV. Continuity Test :
CIRCUIT
NO.

DESCRIPTION

PREPARED BY:
(Subcon PIC / QAQC)
DISTRIBUTION :

L1-L2

L2-L3

L3-L1

L1-N

L2-N

INSPECTED BY:
(MDCBP Field QC Engineer)
Subcon

L3-N

L1-G

L2-G

L3-G

N-G

WIRE
SIZE

REMARKS

APPROVED BY:
(MDCBP Supervisor / Superintendent)
MDCBP Document Controller
Revision No. : 002 (May 2014)

FORM NO. : F-QM-EET-021


PROJECT

ELECTRICAL
GROUNDING
TESTING

LOCATION :
Structural

Sanitary/Plumbing

Architectural

FDAS/BAS

Elec'l/Auxiliaries

FIRE PRO

Mechanical

Others

Site Location :

Brand

Equipment No. :

Model/Serial No. :

Type/ Rating

Asset No.

ITEM
NO.

Control No. :

:
:

EARTH RESISTANCE READINGS(MEGA-OHMS)


LOAD DESCRIPTION

PREPARED BY:
(Subcon PIC/ QAQC)
DISTRIBUTION :

Date Conducted :

QTY.

PT.1
PT.2
PT.3
INITIAL FINAL INITIAL FINAL INITIAL FINAL

INSPECTED BY:
(MDCBP Field QC Engineer)
Subcon

WIRE SIZE

REMARKS

APPROVED BY:
(MDCBP Supervisor / Superintendent)
MDCBP Document Controller
Revision No. : 002 (May 2014)

FORM NO. : F-QM-EET-022


PROJECT

LOCATION :

ELECTRICAL
FUNCTIONAL
TESTING

Structural

Sanitary/Plumbing

Architectural

FDAS/BAS

Elec'l/Auxiliaries

FIRE PRO

Mechanical

Others

Site Location :

Brand

Equipment No. :

Model/Serial No. :

Type/ Rating

Asset No.

CIRCUIT
NO.

DESCRIPTION

PREPARED BY:
(Subcon PIC / QAQC)
DISTRIBUTION :

L1-L2

L2-L3

L3-L1

(MDCBP Field QC Engineer)


Subcon

Control No. :

:
:

VOLTAGE READINGS
L1-N
L2-N
L3-N
L1-G

INSPECTED BY:

Date Conducted :

L2-G

L3-G

N-G

WIRE
SIZE

CIRCUIT
BREAKER

REMARKS

APPROVED BY:
(MDCBP Supervisor / Superintendent)
MDCBP Document Controller
Revision No. : 002 (May 2014)

FORM NO. : F-QM-EET-023


PROJECT

LOCATION :

TRANSFORMER TEST

Structural

Date Conducted :

Architectural

Sanitary/Plumbing
FDAS/BAS

Elec'l/Auxiliaries
Mechanical

FIRE PRO
Others ___________________

Site Location :

Brand

Equipment No. :

Model/Serial No. :

Type/ Rating

Asset No.

Control No. :

:
:

A. Insulation Resistance Test


TIME

Pri-Ground (megaohms)

Pri-Secondary
(megaohms)

Sec-Ground (megaohms)

Test Voltage:

Test Voltage:

Test Voltage:

30sec.

Test Instrument Used :

1min.

Name/Type

10min.

Model/Serial No.

Limit (Rdg>)
Remarks

Manufacturer
Calibration Date

:
:

B. Winding Resistance Test


TAP POSITION

VOLTAGE

Primary Winding (Mohm)

Secondary Winding
(Milliohm)

VOLTAGE

H(1)-(2) H(2)-(3) H(3)H(1)

X(0)-X(1) X(0)-X(2) X(0)-X(3)

Test Instrument Used :

1min.

Name/Type

10min.

Model/Serial No.

:
:

Limit (Rdg>)
Remarks: Resistance value of each winding should not be far from each (small variance only)

Manufacturer
Calibration Date

:
:

C. Turns Ration Test


WINDING
TERMINALS

TAP

EXPECTED AS FOUND
RATIO
RATIO

PERCENT DIFFERENCE
(%)

REMARKS
LIMITS +
Test Instrument Used :
Name/Type

Model/Serial No.

Manufacturer
Calibration Date

:
:

D. Excitation Current Test


WINDING
TERMINALS

TAP

TEST
VOLTAGE

EXCITATION CURRENT
(Ma)

REMARKS LIMITS +
Test Instrument Used :
Name/Type

Model/Serial No.

Manufacturer
Calibration Date

:
:

E. Diaelectric Breakdown Voltage Test of Insulating Oil


TYPE

TRIALS
3

AVERAGE in
kV

REMARKS
Limits > 24KV

Remarks:
1. The limits for the winding resistance test are 5% difference with the other windings or compare with the manufacturer's test values.
2. The insulation resistance readings are corrected to 20 degrees Celsius with a multiplier of 1.98
3. The insulation resistance readings for the secondary windings should reached the equipment maximum range at a given test voltage.
4. Test results must be within the limits.
PREPARED BY:
(Subcon PIC / QAQC)
DISTRIBUTION :

INSPECTED BY:
(MDCBP Field QC Engineer)
Subcon

APPROVED BY:
(MDCBP Supervisor / Superintendent)
MDCBP Document Controller
Revision No. : 002 (May 2014)

FORM NO. : F-QM-EET-024

AUTOMATIC
TRANSFER
SWITCH (ATS)
TESTING

PROJECT

LOCATION :
Structural

Sanitary/Plumbing

Architectural

FDAS/BAS

Elec'l/Auxiliaries

FIRE PRO

Mechanical

Others

Date Conducted :

Site Location :

Brand

Equipment No. :

Model/Serial No. :

Type/ Rating

Asset No.

:
DATA

AUTOMATIC

MANUAL

Control No. :

:
:
PASSED

FAILED

REMARKS

1. Power Transfer
2. Load Sharing
3. Syncronization
4. Normal to Emergency Time (sec.)
5. Emergency to Normal Time (sec.)
6. Cool Down Time (sec.)

PREPARED BY:
(SubCon PIC / QAQC)
DISTRIBUTION :

INSPECTED BY:
(MDCBP Field QC Engineer)
Subcon

APPROVED BY:
(MDCBP Supervisor / Superintendent)
MDCBP Document Control

Revision No. : 002 (May 2014)

FORM NO. : F-QM-EET-025


PROJECT

LOCATION :

CAPACITOR TEST

Structural

Sanitary/Plumbing

Architectural

FDAS/BAS

Elec'l/Auxiliaries

FIRE PRO

Mechanical

Others

Site Location :

Brand

Equipment No. :

Model/Serial No. :

Type/ Rating

Asset No.

:
DATA

Date Conducted :

Control No. :

:
:

NO. OF STEPS
1

REMARKS

1. Power Factor %
2. Time(sec)
3. Circuit Breaker Rating
4. Ampere Trip
5. Kvar rating
6. Kvar rating/bank
7. Capacitor Brand
8. Feeder Type
9. Feeder Size
10. Feed Size(G)
11. No. of steps
12. Voltage reading
L1
L2
L3
L1-G
L2:G
L3-G
13. Ampere reading:
L1
L2
L3
14. Frequency:
15. Fed From:
PREPARED BY:
DISTRIBUTION :

INSPECTED BY:
Subcon

APPROVED BY:
MDCBP Document Controller
Revision No. : 002 (May 2014)

FORM NO. : F-QM-EET-026


PROJECT

LOCATION :

FIRE ALARM TESTING

Structural

Elec'l/Auxiliaries

Sanitary/Plumbing

FIRE PRO

Architectural

Mechanical

FDAS/BAS

Others ___________________________

Site Location :
Equipment No. :
Type/ Rating

NAME TAG

Control No. :

Brand
:
Model/Serial No. :
Asset No.

DEVICE TYPE
ITEM
NO.

Date Conducted :

LOCATION

SERIAL
NUMBER

SMOKE

HEAT

BELL

INTERFACING
ANNUNCIATO
R

MANUAL
PULL
STATION

FLOW
SWITCH

INSTALLATION
SMOKE

SUPERVISOR PRESSURIZ
EVACUATION
Y SWITCH
ATION FAN
FAN

LPG LEAK

ON SLAB

DROP
CEILING

REMARKS

TOTAL

PREPARED BY:

(Subcon PIC / QAQC)


DISTRIBUTION :

INSPECTED BY:

(MDCBP Field QC Engineer)


Subcon

APPROVED BY :

(MDCBP Supervisor / Superintendent)


MDCBP Document Controller
Revision No. : 002 (May 2014)

FORM NO. : F-QM-EET-027


PROJECT

BACKGROUND
MUSIC/PUBLIC
ADDRESS SYSTEM
TESTING

LOCATION :
Structural

Sanitary/Plumbing

Architectural

FDAS/BAS

Elec'l/Auxiliaries

FIRE PRO

Mechanical

Others

Date Conducted :

Site Location :

Brand

Equipment No. :

Model/Serial No. :

Type/ Rating

Asset No.

ITEM
NO.

:
:
FUNCTIONAL
TEST

DECIBEL (db)
EQUIPMENT / DEVICE

PREPARED BY:
(Subcon PIC / QAQC)
DISTRIBUTION :

LOCATION
DESIGN

INSPECTED BY:
(MDCBP Field QC Engineer)
Subcon

Control No. :

ACTUAL
INITIAL FINAL

REMARKS

PASSED

APPROVED BY:
(MDCBP Supervisor / Superintendent)
MDCBP Document Controller
Revision No. : 002 (May 2014)