Drawing 10148 REV 0 24-11-15
ACCEPTANCE of EQUIPMENT
THE HANDOVER PROCEDURE, COMMISSIONING SHEET AND THIS SHEET ARE
TO BE REMOVED AND RETURNED TO TOPLINE OR COMMISSIONING AGENT
No person is to sign this commissioning sheet unless they are completely satisfied with the dosing
equipment supplied. Signing of this commissioning sheet means that you accept the equipment and
have understood POINTS 1 TO 19 in the hand over procedure, Health and Safety Warning, Risk
Assessment and Operations Manual. The dosing system is now yours and you are responsible
for its maintenance and operation. No person should operate the equipment unless they have
attended a commissioning or training session and are pool plant trained.
Start time ................................. Finish time .............................
Site ..................................................................
Address ..................................................................
..................................................................
..................................................................
Client (site) representative ..................................................................
Telephone ..................................................................
Fax ..................................................................
Commissioned by ..................................................................
Date ..................................................................
Pool? |__________|__________|__________|__________|__________|
Size m3? |__________|__________|__________|__________|__________|
Serial No? |__________|__________|__________|__________|__________|
Model? |__________|__________|__________|__________|__________|
pH Pump type? |__________|__________|__________|__________|__________|
Cl Pump type? |__________|__________|__________|__________|__________|
Rodding injector? |__________|__________|__________|__________|__________|
pH agitator man/electric? |__________|__________|__________|__________|__________|
Cl agitator man/electric? |__________|__________|__________|__________|__________|
pH Chemical? |__________|__________|__________|__________|__________|
Cl Chemical? |__________|__________|__________|__________|__________|
Cl day tank size? |__________|__________|__________|__________|__________|
pH day tank size? |__________|__________|__________|__________|__________|
Cl Strainer basket? |__________|__________|__________|__________|__________|
pH Strainer basket? |__________|__________|__________|__________|__________|
Topline safety kit? |__________|
Alkalinity incoming |__________|
Calcium Hardness incoming |__________|
Site Documentation |__________|
Staff qualifications |__________|
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