Equipment Commissioning Checklist template Download as PDF Digitalize this paper form now
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Cut inspection time by 50% Uncover more issues and solve them 4x faster Select from over 4000 expert-proofed templates Equipment Commissioning Checklist template (page name not set) Equipment Commissioning Checklist Documentation & Requirements Have all required legislated obligations been completed prior to installation? Yes No N/A Has all required licensing and testing been completed prior to or on installation? Yes No N/A Has all required specialist signage been installed? Yes No N/A Is baseline health surveillance required? Yes No N/A Has it been completed where required? Yes No N/A Is there an English language version of instruction/operating manual available? Yes No N/A Have all modifications been completed and approved by relevant authorities? Yes No N/A Does the equipment NOT create emissions or any other by-product which may impact the environment? Yes No N/A Has Safe Work Procedure (SWP) been completed for the equipment? Yes No N/A Are training, work practice and supervision changes required? Yes No N/A Have all staff who require training in the use of the equipment completed it prior to commissioning? Yes No N/A Are Staff training records completed and properly stored in the database? Yes No N/A Has the contractor company and individual workers completed the contractor induction? Yes No N/A Is a HAZOP required for this equipment? (Do it for high risk/complex equipment) Yes No N/A Has the Pressure Vessel Compliance Checklist been completed? Yes No N/A Are Specific Emergency Plan and relevant procedures/equipment in place? Yes No N/A If required, are health surveillance and testing programs in place? Yes No N/A Are machine guarding and emergency stops in place and working as designed? Yes No N/A Have all electrical wiring and supply issues been resolved? Yes No N/A Have all gas storage and supply issues been resolved? Yes No N/A Have all radiation sources storage, handling, and disposal issues been identified and resolved? Yes No N/A Has a maintenance plan and contract for scheduled maintenance and breakdown been arranged? Yes No N/A Burner/Boiler Commissioning Is safe site access available and risk assessment completed? Yes No N/A Has a visual inspection been carried out to assess physical damage of components and cases? Yes No N/A Are all items packed in transit removed from combustion chamber? Yes No N/A Has boiler been assembled as per manufacturers instructions, including casing and baffles where appropriate? Yes No N/A Has boiler been pressure tested and certificated? Yes No N/A Are boiler filled with water and isolation valves open? Yes No N/A Is the burner to boiler fixings correct as per manufacturers instructions? Yes No N/A Are water pumps working to provide sufficient circulation/heating load? Yes No N/A Is the burner flame tube insulation sealing correct at appliance body as per manufacturers instructions? Yes No N/A Is there adequate clearance around Boiler and Burner for servicing? Yes No N/A Is the boiler door aligned and sealed correctly? Yes No N/A Is flue installation safe, fitted correctly and sealed to the appliance? Yes No N/A Does the permanent ventilation comply with current installation standards and regulations? Yes No N/A Are appliance electrical wiring checked for safety? Yes No N/A Is the wiring of the burner to appliance correct and according to manufacturers instructions? Yes No N/A Are external controls and interlocks connected and fully operational (BMS, fan flue, flow-switches, dampers, diverter valves, etc.)? Yes No N/A Are boiler thermostats fitted correctly to manufacturers instruction (on/off, high/low, high limit)? Yes No N/A Are modulating burners probes fitted and wired to manufacturers instructions? Yes No N/A Are all safety systems fitted and fully operational (e.g. pressure relief/safety valves etc.)? Yes No N/A Does the gas pipework safely fit and support with correct means of isolation? Yes No N/A Is the gas pipework tested for tightness and purged (certificates and fuel available)? Yes No N/A Is the gas booster or non-appliance specific gas valve safety interlocks connected? Yes No N/A Is the adequate access to the gas meter? Yes No N/A Are oil supply pipe(s) correctly fitted, purged and supported (check inline filter has been fitted)? Yes No N/A Is the oil pump set for the single or two-pipe system as applicable (fuel available)? Yes No N/A Is the rotation of 3 phase motors relative to burner/booster checked? Yes No N/A Completion All hazards and H&S issues have been identified and control measures have been initiated and/or implemented. Inspector Name & Signature Supplier/Installer Name & Signature Manager/Supervisor Name & Signature
Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.