Bridge Tender Station (Bt Sta) - ______

PREFUNCTIONAL TEST CHECKLIST BRIDGE TENDER STATION (BT STA) - ______Specification Section 15_____ Project: ______Project No: ______

Components included: ___ Control Valves (V-1, V-2), ___Flow meters, ___ Sensors and Transmitters, ___ Control Panel Associated Checklists: ___CHW Piping, ___ CHW Pump ____, ___Other______

1. Submittal / Approvals Submittal. The above equipment and systems integral to them are complete and ready for functional testing. The checklist items are complete and have been checked off only by parties having direct knowledge of the event, as marked below, respective to each responsible contractor. This prefunctional checklist is submitted for approval, subject to an attached list of outstanding items yet to be completed. A Statement of Correction will be submitted upon completion of any outstanding areas. None of the outstanding items preclude safe and reliable functional tests being performed. ___ List attached.

______Mechanical Contractor Date Controls Contractor Date

______Electrical Contractor Date Sheet Metal Contractor Date

______TAB Contractor Date General Contractor Date

Prefunctional checklist items are to be completed as part of startup & initial checkout, preparatory to functional testing.  This checklist does not take the place of the manufacturer’s recommended checkout and startup procedures or report.  Contractors assigned responsibility for sections of the checklist shall be responsible to see that checklist items by their subcontractors are completed and checked off.

Approvals. This filled-out checklist has been reviewed. Its completion is approved.

______Commissioning Authority/Agent Date Owner’s Representative Date

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2. Requested documentation submitted a) Manufacturer’s cut sheets/piping and instrumentation diagrams: Yes / No - date to be submitted ______b) Performance data (control valve Cvs, etc.): Yes / No - date to be submitted ______c) Installation and startup manual and plan: Yes / No - date to be submitted ______d) Sequences and control strategies: Yes / No - date to be submitted ______e) O & M Manuals: Yes / No - date to be submitted ______f) Data base sheets: Yes / No - date to be submitted ______

3. Model Verification

Item Specified Submitted Installed Manufacturer Model Serial Number Full Flow no by-pass (GPM) Primary Pipe Size (in) Secondary Pipe Size (in) Design Press/Temp (psig/F)

4. Installation Checks a) Unit and General Installation i) Permanent labels affixed: Yes / No ii) Panel condition good – no dents, door shuts and locks: Yes / No iii) Thermometers readable without special equipement: Yes / No iv) Flow meters readable without special equipment: Yes / No v) Maintenance access to valves, flow meters and panel acceptable:Yes / No vi) Instrumentation installed correctly per specifications (thermowells, thermometers, pressure gages, flow meters, transmitters, sensors): Yes / No vii) Equipment clean: Yes / No b) Flow Meters, Valves and Piping i) Pipe fittings complete and pipes properly supported: Yes / No ii) Pipe pressure test compete and acceptable: Yes / No iii) Pipes properly insulated: Yes / No iv) Pipes properly labeled: Yes / No v) Piping system properly flushed: Yes / No

PREFUNCTIONAL TEST CHECKLIST BRIDGE TENDER STATION 03/02 15997-03-2 OF 5 D:\DOCS\DIV1\03-02\15997-03.DOC PREFUNCTIONAL TEST CHECKLIST BRIDGE TENDER STATION (BT STA) - ______vi) Water quality testing complete per CHW piping checklist: Yes / No vii) Water quality testing results approved by MDAD Maintenance: Yes / No viii) Piping system charged: Yes / No ix) No leaking evident around fittings or components: Yes / No x) Flow meters installed correctly per piping and instrumentation drawings (including minimum straight runs): Yes / No xi) Valves installed properly: Yes / No xii) Valves open and close: Yes / No c) Electrical and Controls i) Panel power source identified: Yes / No ii) Panel labeled with permanent label: Yes / No iii) Power disconnect in place and labeled: Yes / No iv) Low voltage wiring in separate conduit as 120 vac: N/A / Yes / No v) 120 vac lightning protection installed: N/A / Yes / No vi) Low voltage lightning protection installed (underground only): N/A / Yes / No vii) Pneumatic devices separated from controller and electronics: Yes / No viii) E-O-L devices labeled and wiring tagged per drawings: Yes / No ix) Panel devices labeled and wiring tagged per drawings: Yes / No x) I/O devices labeled and wiring tagged per drawings: Yes / No xi) Digital inputs and outputs operational: Yes / No xii) E-PROM images on LAN for each controller: Yes / No xiii) Controller drawing and point summary log in panel: Yes / No xiv) All electric connections tight: Yes / No xv) Proper grounding installed for components and unit: Yes / No xvi) Safeties in place and operable: Yes / No xvii) Sensors calibrated (see below) : Yes / No xviii) Control system interlocks hooked up and functional: Yes / No xix) Secondary Supply Temperature as setpoint/control: Yes / No xx) Primary Return Temperature as setpoint/control: Yes / No xxi) All control devices, pneumatic tubing and wiring complete: Yes / No d) TAB i) Installation of required system balancing devices complete: Yes / No e) Final i) Startup report completed with this checklist attached: Yes / No ii) Safeties and safe operating ranges for this equipment have been reviewed and accepted: Yes / No iii) Sequence of Operation adequately show all information: Yes / No iv) Manufacturer piping and instrumentation diagrams attached: Yes / No

5. Operational Checks (These augment manufacturer’s list. This is not the functional performance testing.)

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a) V1 valve (PCHWR) modulates: Yes / No b) V2 valve (bypass) modulates: Yes / No c) Specified sequences of operation and operating schedules have been implemented with all variations documented: Yes / No d) Specified point-to-point checks have been completed and documentation record submitted for this system: Yes / No

6. Sensor and/or Actuator Calibration All field-installed temperature, [relative humidity], [CO], [CO2] and pressure sensors and gages, and all actuators (dampers and valves) on this piece of equipment shall be calibrated. Sensors installed in the unit at the factory with calibration certification provided need not be field calibrated.

All test instruments have had a certified calibration within the last 12 months: Y/N______.

Sensor/Actuator Verification Table

Sensor or Location Thermometer BMS Value Instrument Pass (Y/N) Actuator OK (Y/N) or Gage Measured Value Value PCHW Supply Temp PCHW Return Temp SCHW Supply Temp SCHW Return Temp Primary Flow Secondary Flow Differential Pressure across V2 valve

Thermometer/Gage reading = reading of the permanent instrument on the equipment.

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