START-UP REPORT FORM
Voltage supply at panel line connection, pump on
Amperage load connection, pump on
Is pump secured properly?
Was pump checked for leaks?
Do check valves operate properly?
Flow: Does station appear to operate at
proper rate?
Describe and equipment difficulties during start-up
Installed by:
Company:
Person:
Date:
Maintained by:
Company:
Person:
Date and time of start-up
Present at start-up:
( ) Engineer’s name
( )Contractor’s name
( ) Operator’s name
( ) others
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