Method Statement For Testing & Commissioning of Feeder Pillar

METHOD STATEMENT FOR
TESTING & COMMISSIONING OF
FEEDER PILLAR
Roads and Infrastructure for

Umm Salal Integrated Worker Accommodation Community
PWA Project Code No.: IA 2016 C 042 G

DOCUMENT NO.: C-042G-UCE-CON-ELECT-MST-00018 REVISION NO :0
ISSUE STATUS: For Approval PROJECT PHASE: Construction
Prepared by: Reviewed by : Checked by: Approved by:
Name Waleed Al Sebaee Juniarto S. Bhakti Mahmoud Abd. Jaber Hassan Kamel
Job Title MEP Project Manager QA/QC Manager Construction Manager Project Manager
Signature
Date December 14, 2017 December 14, 2017 December 14, 2017 December 14, 2017
* Copy Issued
Controlled Copy No: 1 ITALCONSULT
to:
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Revision 0-20 DEC 2017
CONTENT
CONTENT................................................................................................................................................................... 2
1 INTRODUCTION....................................................................................................................................................... 3
1.1 PURPOSE.................................................................................................................................................... 3
1.2 SCOPE OF WORK............................................................................................................................................... 3
1.3 REQUIRED PERMIT............................................................................................................................................ 3
2. ROLES AND RESPONSIBILITIES.............................................................................................................................. 4
2.1 MAIN CONTRACTOR.......................................................................................................................................... 4
3. DEFINITIONS / ABBREVIATION / REFERENCES........................................................................................................ 6
3.1 DEFINITIONS & ABBREVIATION.............................................................................................................................. 6
3.2 REFERENCES.................................................................................................................................................... 7
4. RESOURCES........................................................................................................................................................ 8
4.1 MANPOWER................................................................................................................................................... 8
4.2 PLANT AND EQUIPMENT..................................................................................................................................... 8
4.3 MATERIALS..................................................................................................................................................... 8
5. HEALTH / SAFETY / ENVIRONMENTAL PROVISIONS................................................................................................ 9
5.1 HEALTH AND SAFETY.......................................................................................................................................... 9
5.2 PERSONNEL PROTECTIVE EQUIPMENT REQUIREMENTS..................................................................................9
5.3 Information to Personnel......................................................................................................................... 10
6. SEQUENCE OF WORKS................................................................................................................................ 11
6.1 PREPARATION OF WORK............................................................................................................................. 11
6.2 GENERAL INSTALLATION PROCEDURE..................................................................................................................... 11
6.3 Outdoor Installation.................................................................................................................................... 12
7. INSPECTION AND TEST PLAN.................................................................................................................13-14
8. RISK ASSESSMENT................................................................................................................................15-18
Revision 0 20 DEC 2017

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1 INTRODUCTION
1.1 Purpose
The purpose of this Method Statement is to;
 Define the specific tasks to be performed and ensure a safe system of work.
 To set out the sequence of construction and work procedures.
 Show the procedures to ensure work complies with the specification and drawings.
 Ensure work is carried out without any adverse impact on the environment.
1.2 Scope of work
 This method statement covers the field procedure for the installation of feeder pillar .
1.3 Required Permit
The following permits are required for the execution of this method statement:
 Hot work permit

 Scaffold Permit

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2. ROLES AND RESPONSIBILITIES
2.1 Main Contractor

Construction Manager:
Responsibility to ensure the construction activities are being carried-out according to the plans,
specifications and client’s requirements.
Section Head:
Responsible to allocate work distribution to Site Engineers.
Site Engineer and the Foreman:

Implement this method statement and ensure that all works confirms to the drawings and specifications.
Safety Manager:
The HSE Manager will interface with Company, Client and Sub-Contractors for all phases of the contract
with regard to HSE matters. The HSE Manager will have direct responsibility for ensuring compliance with
all HSE requirements, procedures and work instructions for all the work force inclusive of CONTRACTOR /
Sub-Contractors. In the event of any difficulties, the HSE Manager will provide early warning and the
proposed corrective actions.
The HSE Manager has direct responsibility for ensuring that the requirements of the HSE&S Plan are met
and for advising the Project Manager of any non-compliance.
Assign HSE&S Staff shall be competent & qualified and meet CONTRACTOR HSE Job Family minimum
requirements to ensure the HSE requirements mentioned in RAMS for the task
Safety Officers:
Ensure that all necessary safety measures are in place at the location of the works with daily monitoring
for the worker on the job location; reporting any safety issues and take the necessary action on site.
Safety Supervisor:
Ensure that all necessary safety measures are in place at the location of the works, and coordinating
between the safety officers in order to have a full coverage of the working site.
QA/QC Engineers:

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Continuously monitor all the work activities to ensure that it’s executed according to the procedures
detailed above and within accepted tolerances and complying with the project specifications.

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3. DEFINITIONS / ABBREVIATION / REFERENCES
3.1 Definitions & Abbreviation
SH&E Safety, Health & Environment

PMC Project management consultant
QCS Qatar Construction specifications 2014
ITP Inspection Test Plan
PPE Personal Protective equipment
IFC Issue for construction
BS British Standard
EDC Engineering Design Consultant
KAHRAMAA Qatar General Electricity and water Corporation
ASHGHAL Qatar Public Works Authority
MS Method statement
PQP Project Quality Plan
PMT Permit To Work
RA Risk assessment
RFI Request for information
SH&E Safety, Health & Environment
SD Shop Drawings
TBT Tool Box Talk

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3.2 References
Project specifications for Electrical Works C2/PS6/6
Latest approved IFC drawings All related drawings
Approved Shop drawings All related drawings
Street lighting Schematic diagram IA 2016 C042G/SL/408
Project Specification for Street Lights Section 6 part 15
QCS QCS 2014

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4. RESOURCES
4.1 Manpower
 Site engineers
 Supervisors
 Forman
 Labours
 Helper
 Drivers and operators
 Welders
4.2 Plant and Equipment
 Megger tester
 Drilling Machine
 Hand Tools
 Multimeter
 Electrical tool box
 Ladders
 Scaffoldings
 Torque wrench
4.3 Materials
 Feeder Pillar
 Cable glands and accessories
 Cables
Note:
 Material shall be approved by the Engineer/PMC prior to use/Placement on site.
 Material inspection request shall be raised to inspect the material by QC and PMC representative
as per approved ITP and MAR.
 Approved materials to be segregated and stored at warehouse at specific place and then shifted
to site as required.
 Copy of IR-Material shall be available at warehouse for record.

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5. HEALTH / SAFETY / ENVIRONMENTAL PROVISIONS
5.1 Health and Safety
The health and safety activities are to be in accordance with the relevant Health, Safety and Environmental
requirements.
 Make sure all employees are Safety inducted before they can work on site.
 Make sure employees take the right equipment with them on visits. Check they have been trained
and know how to use it.
 Keep available, records of hazards on particular sites. Make sure all relevant people are notified.
 Make sure a supply of the right equipment is available.
 Helmets, steel capped high angle shoes, Safety goggles, High visibility jackets, face masks, overalls
should be appropriate and in good condition.
 Assess the risks of manual handling before going to the site and look at the materials being used
or stored.
 Lighting devices shall be set up at the work area and ensure the required Lux available as per QCS
2014 during night shift
 The lifting area should be barricaded and appropriate signs boards to be fixed to warn and avoid
the unauthorized entry.
 Copies of drivers/operator’s license vehicle’s registration and security passes to be submitted to
Company safety department before commencing the work.
 All moving crane/equipment shall have reverse horn. All major equipment and crane shall be
tested and certified by Third Party prior to mobilization to site.
 Ample and unobstructed passage shall be maintained at all times in and around the truck loading
and lifting space.
 All equipment movement at job site must be controlled by third party certified rigger/banks man.
 Trained, Competent and Authorized Supervision present at all times to ensure workers are safely
working on site
5.2 Personnel Protective Equipment requirements

 Safety Helmet
 Safety Goggles
 Safety Boots
 High Visibility Vest
 Hand Gloves
 Ear Plugs

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5.3 Information to Personnel
HSE knowledge shall be disseminated through:
 SH&E Site Safety Inductions

 Ensure STARRT and/or RAMS are discussed with the work group prior to works commencing
 Safety toolbox talks
 Environmental toolbox talks
 SH&E training records / Toolbox attendance register
 Training courses (Internal and Third party Training)
 Group discussions of Method Statement and Job Hazard Analysis
 SH&E Bulletin /SH&E Site Notice Boards
 SH&E Personnel site instructions
 Site Engineers, Site Supervisors and Site Foreman
Dissemination of HSE information shall be exercised by enforcing the application of edifying approaches at
site that culminates in the full comprehension of the job hazard/ risk assessment.

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6. SEQUENCE OF WORKS
Site Accessibility & Safety
Prior to the commencement of any permanent works, areas and access will be inspected to
confirm that they are in a condition for permanent works to commence ensuring the
environment is clean and dry. Testing will commence only after the equipment is completely
installed and released for testing and commissioning.
Site safety induction and gate passes needs to be arranged for the testing personnel.
The Commissioning activities will be started only after a proper and valid Permit to work has
been issued to Commissioning team and all the hazards have been notified.
Test procedure will be followed by Safety precaution documents, warning boards, safety
tapes etc. Test shall be carried out by skilled/ authorized personnel.
Cleaninq
Panel under commissioning should be thoroughly cleaned and vacuumed before

commencing the commissioning activity.
Earthinq
Proper Earth connection & Earth continuity shall be verified before carrying out the
commissioning
Requirements of the relevant IEC/ Shell DEP standards should be met with.
Local authorities' rules and regulation for earth conductor size, position color code &
protection must be followed.
Power Supply
Main Supply 240/415V , 50 Hz, 3 Phase 4 wire Plus Earth supply should be made available
at the terminals of the incomer through a proper source either from a Transformer,

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Generator or from any other panel. Based on the connected load power supply should be
made available.
Auxiliary control supply 1 10 V or 24V AC/ DC should be made available according to the
panel requirement.
Testing Tools & Formats
 The testing tools list is as given below,

 Multimeter
 Megger upto 1000V
 PROI OIT
 Torque Wrench
 Micro Ohm Meter
 Primary Injection kit
 High Voltage Kit (51Q/)
 Phase Sequence test equipment.
MCCB Protection Release test with PROIOIT test kit.(lF Fitted with Release)
The MCCB's protection release shall be tested by a hand held test kit PRO 1 0/T / EKIP, The right selection
of the Protection release has to be selected in the test kit.
The test is passed if all the channels (L, S, l, G) of the ACB's as tested by the test kit are functioning
correctly. Separate test report shall be attached.
Electrical Functional Test
The Electrical function as indicated by the circuit diagram is to be verified by activating the apparatus
included in the circuits. The order in which the apparatus is activated may be determined by the tester, but a
final operating condition has to be reproduced as much as possible.
If any specified third party device/ equipment not ready for test, simulation on all possible positions shall be
conducted by shorting the terminal links or applying required voltage/current signal.
Modifications or corrections if reported any at site will be marked and reproduced in the As- Built drawings.

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The Operation of the panel is verified as per the control logic scheme.
NOTE: Reference to ABB drawings and Description on Logic of Operation.
Ammeter Testinq
Inject current from secondary injection kit to the Ammeter terminals and record the value up to full
deflection.
Test will be performed using FREJA300 by injecting a Current of 25%, 50%, 75% 100% of Rated Meter
Current and readings are recorded on the Test Form.
Voltmeter Testinq
Inject voltage from secondary injection kit to the Voltmeter terminals and record the value up to full
deflection.
Test will be performed using FREJA300 by injecting current of 25%, 50%, 75% 100% of Rated Meter
voltage and readings are recorded on the Test Form.
Visual Installation and Mechanical Inspection
The panel will be checked for the following things;
 Verify the Installation is as per the General arrangement and no unintended obstruction is
present.
 Minimum recommended access available
 Check Installation on Floor

 Verify the Shipping section coupling.
 Verify that there is no internal or external damage to the panel.
 Verify the connection of earthing busbar to the customer earth point.
 Verify the safety covers, barriers & shrouds are all in place.

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 Verify the safety interlocks; doors are all in place and secure.
 Verify the mechanical operation of the ACB (rack in, rack out, mechanical charging of the springs
etc).
Commissioninq Activity
The commissioning activities will be started once the pre-commissioning has been done on the
panel and either a permanent or a test (3-phase supply) is available at site. The following things
will be done.
Insulation Resistance Test
Test voltage for insulation resistance shall be 1000 VDC applied for one minute. The
IR value in (M ohm) should be recorded in the MNS Commissioning check list.
Testinq procedure
Either all mechanically operated switches /Breakers must be closed or all electrical
connection of the same voltage ratings must be interconnected. Test voltage is to be
applied between live parts and parts connected to Earth.
Documents & Manuals
 O&M Manual of the project
 As built drawing
 Test reports

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CONSOLIDATED CONTRACTORS
GROUP S.A.L.(OFFSHORE) (CCC) & MISCELLANEOUS ELECTRICAL CONTROL
TEYSEER CONTRACTING COMPANY PANELS & BOARDS
WLL – J. V.
AREA/LOCATION:
EQUIPMENT TAG NO.:_________________________ SERVICE SYSTEM:_________________
EQUIPMENT TITLE: _________________________ RATING:__________________________
MEQ Date
1. Receiving operations and inspection are complete
2. Equipment Protection Program instituted and documented
3. Check panel board / equipment assembly for missing parts
4. Check that panel board identification tag is correct and in accordance with drawings
5. Confirm that the panel board assembly is suitable for the area classification with
correct IP rating
6. Check that the panel board schedule is filled out
7. Verify that circuits are served by correctly-sized breakers and/or fuses
8. Verify that grounded conductors (neutrals) are correctly color coded
9. Check that equipment grounding conductor(s) and/or grounding electrode conductor

are installed as required.
10. Verify that connections are tight
11. Verify that seals are installed if required
12. Check glands type is correct as per area classification
13. Check color coding of branch circuit connections
14. Verify that breaker spaces are blanked off to eliminate exposed live parts
15. Panel board / equipment is clean

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16. Check that panel board / equipment is securely mounted
17. For outdoor enclosures, check that gaskets are undamaged and the enclosure is
weather proofed as required.
18. The nameplate, rating, and the panel location are all in accordance with the
drawings
19. Check isolator rating is correct & isolator is securely mounted
20. Operation of isolator satisfactory
21. Conduct an insulaton resistance (megger) test on power buses. Main desconnect
and outgoing circuits should be open
22. Function check to all breakers and isolators.
23. Final inspection is complete.
24. Completed check for indication, alarm, trip & metering, if provided
25. Incoming and outgoing cable entry sealed
26. Confirm that as-built markups have been completed
27.
28.
NAME:
SIGNATURE:
DATE:

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1. General Details:
Project: DPCT Panel Name:
Client: NPP STATE OF QATAR Cubical Ref:
Consultant: AECOM Test date:
2. IR Test: (Before HV Test) Criteria: Value should be in Mega Ohms
Pole Applied Voltage Tine Duration IR Value in MΩ
R- (Y+B+N shorted with

1000 v DC 1 Min
Earth)
Y- (R+B+N shorted with

1000 v DC 1 Min
Earth)
B- (R+Y+N shorted with

1000 v DC 1 Min
Earth)
N- (R+Y+B shorted with

1000 v DC 1 Min
Earth)
5. Test Instrument Details:
Instrument
Instrument Make Instrument Model Calibration due date
Serial No
I & R TEST
EQUPMENT LTD
INSULATION RESISTANCE
KIT
General TCC/CCC JV CCC QC APPROVED BY AECOM
Signature
Name
Date

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DBChecklist
Project: NPP-0026 DB Ref No:
Client: NPP-STATE OF QATAR Feeder No:
Consultant: AECOM date:
DB Name:
1 VISUAL INSPECTION Remarks
1.1 Documents clear & correct. 
1.2 Enclosure dimensions. 
1.3 Interior & exterior paint finish. 
1.4 Component labels. 
1.5 Specs of MCCB / MCB / ISOLATOR / FUSE 
1.6 Specs of ELCB / ELR. 
1.7 Specs of CONTACTORS. 
1.8 Specs of TIMER / UVR / PHOTOCELL 
1.9 Specs of busbars & interconnections. 
1.10 Insulation of busbars & interconnections. 
1.11 Rating of PROTECTIVE CONDUCTORS. 
1.12 Specs of CONTROL COMPONENTS. 
1.13 Specs of WIRES & COLOUR CODING. 
1.14 Wiring check. 
1.15 Gland plates earthing. 
1.16 Continuity of protective conductors. 
1.17 Cable termination facilities. 

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2 MECHANICAL INSPECTION Remarks
2.1 Panel degree of protection IP 
2.2 All bolts tightness & marking. 
2.3 Creepage & clearance distances. 
2.4 Protective covers & shrouds. 
2.5 Caution labels. 
2.6 Legend plates. 
2.7 Name plates. 
3 ELECTRICAL INSPECTION Remarks
3.1 Load schedule check. *
3.2 Megger test. 
3.3 Electrical function test. *
3.4 Contactor test. *
3.5 All breakers trip test. *
NOTE: * CAN BE TESTED AFTER ARRANGING 3 PHASE POWER SUPPLY.

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INSPECTION ITP No.C-042G-UCE-CON-CIV-MST-
Activity: Street Lighting Works 00017 Rev. 0
& TEST PLAN
Inspection or Inspection by
Project Ref.
No. Stage/Activity Test Frequency Record
Sub- ASHGH
Or/ Contract Ref. UCE ITALCON.
(Guideline Ref.) Con AL
1 Submittals
Review of Shop Shop Drawings
1.1 Shop Drawings Drawing Prior to start work IFC Drawing H H S R Submittal
Submittal Approved
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Review of Method
Method QCS 2014, IFC Statement
1.2 Method Statement Prior to start work H H S R
Statement Drawing and BOQ Submittal
Submittal Approval Forms
Review of
Material
Method
1.3 Material Submittal Prior to start work BOQ H H S R Submittal
Statement
Approval Forms
Submittal
2 Preparation
Verify that work permits
obtained from Concerned
Project Project
2.1 authorities prior to Prior to start work W H S R
Specification Specification
Commencement of any
activity
3 Execution
Material Material Approval
3.1 Delivery Of Material Approval
Prior to start work W H S R
Material Inspection IR Each Feeder pillar QCS 2014 CI W S R

3.2
3.3 Installation work IR Each Feeder pillar IR CI W S R
Pre – Functional test &

3.4 IR Each Feeder pillar CI W S R
Visual Check QCS 2014
Fictional Test IR Each Feeder pillar QCS 2014 CI W S R

3.5
Prepared by Name: Hosam Signature: Date: 20/12/2017

Approved by Name: Signature: Date:
Note: The underline Nos indicate incorporated amendments made to previous revision

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H = Hold Point (IR), W = Witness point (WPN), S = Surveillance, CI = Contractor's Inspection, R= Record Review

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Risk Assessment For Roads and Infrastructure for Umm Salal Integrated Worker Accommodation Community
Fedder Pillar
Risk Rating Residual Risk

Item Activities Hazard / Risk Who is at Risk Necessary Control Measures Action By
S F Rating S F Rating
1 Instruction, Information,  Incompetent or Workers, 2 1 2  Ensure all new employees/workers undergone Safety Induction training. 1 1 1
Training and Supervision untrained person/
Supervisor,  SARRT and/or RAMS discussed to all persons involved in the task prior to works
inadequate
documentation Visitor, commencing.
 Misinformation/Inadequ Drivers/  Trained, Competent and Authorized Supervision present at all times to ensure
ate information employees/workers are adhering to manual handling safe working procedure.
Operators
 Poor communication  Mobile equipment operator has appropriate 3rd party certificate for type of
 Careless and unsafe equipment used and a valid Qatar driving license and is authorized to operate the
behavior equipment and a Qualified, Competent and Authorized 3rd party rigger is present.
 Trained, Competent and Authorized Banksman to be mobilized where mobile
equipment is working near people, structures. i.ie. reversing or transporting loads
that restrict the driver’s vision
 As a minimum the following information should be communicated to workforce;
o Permit required for work (PTW)
o Emergency arrangements and contact numbers
o Welfare and first aid arrangements
o Restricted / permit required areas
o Appointed persons
 Visiting drivers should be made aware of their Health and Safety
responsibilities;i.e. attend QSS induction and obtain a visitors pass prior to entry
 Qualified, Competent and Authorized mobile equipment operator(s).
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2 Use of hand tools Chances of scratches in hand
 Employs 3 2 2  Selection and physical fitness of personal for manual works Project 2 1 2
carrying out to Manager
Injury from sharp edges /  Deploy physically fit and trained workforce
task supervisors
skinning objects
 TBT on safe use of hand tools
Site Engineer.
 Provision of adequate PPEs
Trailer operation for  Slips , trips and fall  Employs 4 3 4 Provision

  Selection of of good
good tools for the best performance
vehicle Project 1 1 1
conveying poles HSE
3 Hazard to handle carrying out to  physically fitness of driver Manager
vehicle injury due to task supervisors  adequate rest breaks
fall of material on Foreman
 Deploy competent driver Site Engineer.
ground / hitting other
vehicles/ pedestrians  Follow traffic rules
 Follow bank man signals HSE
 Secure the load properly
Item Activities Hazard / Risk Who is at Risk  Avoid rash drivingNecessary
and unwanted
Controlmaneuvering
Measures Foreman
Action By
 Do not park the vehicle in uneven surfaces
 Follow instruction from traffic warden
 Provision of adequate supervision

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 Fitness’of the operator
4 Lifting operation using Vehicle hard to handle Employs carrying 4 3 4 Project 2 2 2
mobile crane / trucks  Adequate rest breaks
Hit by the load out to task  Lifting operation should be planned and carried out under the supervision of a competent
mounted crane Manager
Failure of suspended load supervisors person
Collapse of crane  Ensure the competency of the operator Site Engineer.
 Do not use damaged web sling
Failure of lifting accessories
 Ensure the weight of the load should be within the SWL
HSE
 Never lift the load over the person
 Avoid lifting during night
 No one to be allowed to stand under the suspended load Foreman
 Use of appropriate access equipment MEWP , mini tower /scaffold , podium / safety steps
5 Working at height  Fail from height Employs carrying 2 2 2 Project 1 1 1
hops ups , etc
Manager
 Injury caused by failing out to task  Use of safety harness and fall prevention
object  Training / certification where required
supervisors  Schedule inspection certification Site Engineer.
 Visual checks
 Use of appropriate PPE , hard hat , safety shoes etc
 Rungs and side rails are not to be missing HSE
Foreman
 Avoid manual handing where possible

6 Material storage  Musculoskeletal disorders Employs carrying 3 2 3 Project 2 1 1
 The rate of manual handling should not be set by a machine , supervisor or colleague ,
 Cuts abrasions and out to task  The time to carry out manual handing tasks should be extended by taking breaks , or by Manager
fractures slip , trip fall alternated them with other tasks so that the muscles have time to recover
supervisors
 Back injury Site Engineer.
 Sharp objects
HSE
Foreman

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Assessment carried out by: KORODE KAYODE

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Method Statement For Testing & Commissioning of Feeder Pillar

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Method Statement For Testing & Commissioning of Feeder Pillar

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METHOD STATEMENT FOR

TESTING & COMMISSIONING OF

Roads and Infrastructure for

PWA Project Code No.: IA 2016 C 042 G

Revision 0 20 DEC 2017

The purpose of this Method Statement is to;

 To set out the sequence of construction and work procedures.

1.2 Scope of work

1.3 Required Permit

 Hot work permit

Revision 0 20 DEC 2017

2.1 Main Contractor

Site Engineer and the Foreman:

Revision 0 20 DEC 2017

Revision 0 20 DEC 2017

3.1 Definitions & Abbreviation

SH&E Safety, Health & Environment

Revision 0 20 DEC 2017

Latest approved IFC drawings All related drawings

Approved Shop drawings All related drawings

Street lighting Schematic diagram IA 2016 C042G/SL/408

Project Specification for Street Lights Section 6 part 15

QCS QCS 2014

Revision 0 20 DEC 2017

4.2 Plant and Equipment

 Material shall be approved by the Engineer/PMC prior to use/Placement on site.

 Copy of IR-Material shall be available at warehouse for record.

Revision 0 20 DEC 2017

5.1 Health and Safety

5.2 Personnel Protective Equipment requirements

Revision 0 20 DEC 2017

 SH&E Site Safety Inductions

Revision 0 20 DEC 2017

Site Accessibility & Safety

Panel under commissioning should be thoroughly cleaned and vacuumed before

Revision 0 20 DEC 2017

Testing Tools & Formats

 The testing tools list is as given below,

Electrical Functional Test

Revision 0 20 DEC 2017

Visual Installation and Mechanical Inspection

The panel will be checked for the following things;

 Check Installation on Floor

Revision 0 20 DEC 2017

Insulation Resistance Test

Documents & Manuals

 O&M Manual of the project

Revision 0 20 DEC 2017

EQUIPMENT TAG NO.:_________________________ SERVICE SYSTEM:_________________

EQUIPMENT TITLE: _________________________ RATING:__________________________

1. Receiving operations and inspection are complete

2. Equipment Protection Program instituted and documented

3. Check panel board / equipment assembly for missing parts

7. Verify that circuits are served by correctly-sized breakers and/or fuses

8. Verify that grounded conductors (neutrals) are correctly color coded

9. Check that equipment grounding conductor(s) and/or grounding electrode conductor

11. Verify that seals are installed if required

12. Check glands type is correct as per area classification

13. Check color coding of branch circuit connections

15. Panel board / equipment is clean

Revision 0 20 DEC 2017

20. Operation of isolator satisfactory

23. Final inspection is complete.

EQUIPMENT TAG NO.:_________ SERVICE SYSTEM:_

EQUIPMENT TITLE: _ RATING:__