TESTING COMMISIONING REPORT

MCC PANEL
Project _______________________
FM/IK/ODR/MEP-007/10 Rev: 0 Halaman 1 dari 1

Location : _______________________________ Equipment No. : _____________________________

Level : _______________________________ Service : _____________________________
Test Date : _______________________________ Drawing Ref. : _____________________________
Report Date : _______________________________

MCC Data :
Manufacture : __________________________________________________________________
Type : __________________________________________________________________
Rated Current : __________________________________________________________________
Rated Voltage : __________________________________________________________________
Cable Feeder Size : ____________________________ from : ___________________________
Ip : __________________________________________________________________

Test Result :
Panel Cleaning : 5. Yes 5. No
Bolt & Nut Tightening : 5. Yes 5. No
Insulation Test : 5. Installation 5. Motor 5. Attached
Control Simulation Test : 5. Yes 5. No
Starter Type : 5. DOL 5. Start Delta 5. Variable Speed
Overload Rating :
Overload Setting :
Operation Current :
Phase Sequence Test : 5. Yes 5. No
Electric Motor Data
In :
Rpm :
Phase :
Voltage :

Test Result Equipment Test Comments

Approved

Not Approved

Re - Tested

Approved by, Checked by, Tested by,

_________________________ _________________________ _________________________

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