Doc. Owner Doc.

No
Effective
Date
Revision
No.
KFM SYSTEMS 3 7/30/2013 1
Time :10.00 PM-12.00 PM
PASS FAIL PASS FAIL PASS FAIL PASS FAIL
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2
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5
6
7
8
9
10
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13
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20
INSPECTION FORM
Reference No.
KFMS/PMO/RFW/RFI/___________
REQUEST FOR WORK INSPECTION - BUILDING AUTOMATION SYSTEM
To : KLK Synergy Sdn. Bhd.
Work Desription : Functional Test
Location :________________________
Reference / Serial No. :________________________
Equipments : AH-2F2-1-VAV
The following works are / will ready for inspection Date : 13/2/2014
Request by : KFM Systems Sdn Bhd
VAV-2F2/1.6
INSPECTION CHECKLIST
ITEM DESCRIPTION
VAV DAMPER CONTROL
VAV DAMPER
POSITION
VAV BOX AIR FLOW
VAV SPACE
TEMPERATURE
VAV-2F2/1.1
VAV-2F2/1.2
VAV-2F2/1.3
VAV-2F2/1.4
VAV-2F2/1.5
VAV-2F2/1.18
VAV-2F2/1.7
VAV-2F2/1.8
VAV-2F2/1.9
VAV-2F2/1.10
VAV-2F2/1.11
VAV-2F2/1.12
VAV-2F2/1.13
VAV-2F2/1.14
VAV-2F2/1.15
VAV-2F2/1.16
VAV-2F2/1.17
VAV-2F2/1.19
VAV-2F2/1.20
Comment/Remark
PREPARED BY : KFM SYSTEMS SDN BHD WITNESSED BY : KFM OPERATIONS SDN BHD WITNESSED BY : KFM PROJECTS SDN BHD
Signature /Name/Position/Date Signature /Name/Position/Date Signature /Name/Position/Date
Signature /Name/Position/Date Signature /Name/Position/Date Signature /Name/Position/Date
INSPECTED BY : CONSULT SDN BHD WITNESSED BY : KLK SYNERGY SDN. BHD VERIFIED BY : JURUTERA PERUNDING HBJ
Doc. Owner Doc. No Effective date Revision No.
KFM SYSTEMS 8/2/2013 1/0/1900
Work Desription : FUNCTIONALITY
Reference / Serial No.
The following works are / will ready for inspection Date :16/4/2014
PASS FAIL YES NO
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5
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7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
VERIFIED BY JURUTERA PERUNDING HBJ SDN BHD
WITNESSED BY : KFM OPERATIONS WITNESSED BY : KFM PROJECTS
Comment/Remark
CHILLED WATER RETURN PRESSURE
UVGI STERILAZATION SYSTEM
Signature/Name/Position/Date Signature/Name/Position/Date
Signature/Name/Position/Date Signature/Name/Position/Date Signature/Name/Position/Date
Signature/Name/Position/Date
INSPECTED BY : CONSULT SDN BHD WITNESSED BY : KLK SYNERGY SDN BHD
REINSPECT
ITEM REMARK
CHILLED WATER SUPPLY PRESSURE
CHILLED WATER SUPPLY TEMP
DUCT STATIC PRESSURE
RESULT
START/STOP
STATUS ON/OFF
TRIP/FAULT
AIR FILTER
DESCRIPTION
MANUAL / AUTO STATUS
CONTROL VALVE (MODULATE)
:
: AHU LG5-1
Time : 8.00PM - 12.00PM
Equipments
CO CONCENTRATION LEVEL
INSPECTION CHECKLIST
Reff.No
KFMS/PMO/BMS/LCC/INS/
REQUEST FOR WORK INSPECTION - BUILDING AUTOMATION SYSTEM
: KFM SYSTEMS Sdn Bhd
: CORE 5
INSPECTION FORM
To
Location
PREPARED BY : KFM SYSTEMS SDN BHD
CONTROL FA DAMPER (MODULATE)
VSD CONTROL
SUPPLY AIR (OFFCOIL) TEMP
RETURN AIR TEMP
AIR FLOW MEASURING STATION
CHILLED WATER RETURN TEMP
DIFF PRESSURE
VSD MONITORING
CONTROL VALVE POSITION