F.1 TUJUAN
Form ini digunakan untuk:
✓ Verifikasi instalasi AHU
✓ Verifikasi performa AHU
✓ Dokumentasi commissioning
✓ Dasar serah terima sistem
✓ Referensi maintenance dan troubleshooting
FORM F-01
AHU COMMISSIONING DATA SHEET
| Item | Data |
|---|---|
| Project Name | |
| Client | |
| Location | |
| AHU Tag Number | |
| AHU Type | |
| Airflow Design (CMH) | |
| Static Pressure Design (Pa) | |
| Motor Power (kW) | |
| Cooling Capacity | |
| Filter Configuration | |
| Date | |
| Commissioning Engineer |
FORM F-02
PRE-COMMISSIONING CHECKLIST
Mechanical Inspection
| No | Item | Status | Remark |
|---|---|---|---|
| 1 | AHU Installed Correctly | □ OK □ NG | |
| 2 | Access Door Installed | □ OK □ NG | |
| 3 | Filter Installed | □ OK □ NG | |
| 4 | Coil Installed | □ OK □ NG | |
| 5 | Drain Pan Installed | □ OK □ NG | |
| 6 | Drain Trap Installed | □ OK □ NG | |
| 7 | Fan Rotation Correct | □ OK □ NG | |
| 8 | Flexible Connection Installed | □ OK □ NG | |
| 9 | Duct Connected Properly | □ OK □ NG | |
| 10 | Damper Installed | □ OK □ NG |
Electrical Inspection
| No | Item | Status | Remark |
|---|---|---|---|
| 1 | Panel Installed | □ OK □ NG | |
| 2 | MCCB Installed | □ OK □ NG | |
| 3 | Grounding Connected | □ OK □ NG | |
| 4 | Motor Protection Installed | □ OK □ NG | |
| 5 | Sensor Connected | □ OK □ NG | |
| 6 | VFD Connected | □ OK □ NG | |
| 7 | Emergency Stop Tested | □ OK □ NG |
Instrument Inspection
| No | Item | Status | Remark |
|---|---|---|---|
| 1 | Temperature Sensor | □ OK □ NG | |
| 2 | RH Sensor | □ OK □ NG | |
| 3 | Differential Pressure Sensor | □ OK □ NG | |
| 4 | Airflow Sensor | □ OK □ NG | |
| 5 | Magnehelic Gauge | □ OK □ NG |
FORM F-03
FUNCTIONAL TEST REPORT
| No | Function | Result | Remark |
|---|---|---|---|
| 1 | Fan Start | □ Pass □ Fail | |
| 2 | Fan Stop | □ Pass □ Fail | |
| 3 | Cooling Coil Control | □ Pass □ Fail | |
| 4 | Heater Control | □ Pass □ Fail | |
| 5 | UV-C Operation | □ Pass □ Fail | |
| 6 | Alarm Function | □ Pass □ Fail | |
| 7 | Sensor Reading | □ Pass □ Fail | |
| 8 | Damper Operation | □ Pass □ Fail |
FORM F-04
AIRFLOW MEASUREMENT REPORT
| Point | Location | Velocity (m/s) | Area (m²) | Airflow (CMH) |
|---|---|---|---|---|
| 1 | ||||
| 2 | ||||
| 3 | ||||
| 4 | ||||
| 5 |
Total Airflow
Design Airflow :
__________ CMH
Measured Airflow :
__________ CMH
Deviation :
__________ %
Status :
□ PASS
□ FAIL
FORM F-05
AIR CHANGE RATE (ACH) REPORT
Room Information
| Item | Value |
|---|---|
| Room Name | |
| Length (m) | |
| Width (m) | |
| Height (m) | |
| Room Volume (m³) | |
| Airflow (CMH) | |
| ACH Design | |
| ACH Actual |
Result:
□ PASS
□ FAIL
FORM F-06
DIFFERENTIAL PRESSURE REPORT
| Room | Pressure Design (Pa) | Pressure Actual (Pa) | Status |
|---|---|---|---|
| Room 1 | |||
| Room 2 | |||
| Room 3 | |||
| Room 4 |
Result:
□ PASS
□ FAIL
FORM F-07
TEMPERATURE & RH REPORT
| Room | Temp Design (°C) | Temp Actual (°C) | RH Design (%) | RH Actual (%) |
|---|---|---|---|---|
| Room 1 | ||||
| Room 2 | ||||
| Room 3 | ||||
| Room 4 |
Result:
□ PASS
□ FAIL
FORM F-08
ELECTRICAL PERFORMANCE REPORT
| Parameter | Design | Actual |
|---|---|---|
| Voltage (V) | ||
| Current (A) | ||
| Frequency (Hz) | ||
| Motor Power (kW) | ||
| Fan RPM |
Remarks:
FORM F-09
FILTER PRESSURE DROP REPORT
| Filter Stage | Initial (Pa) | Actual (Pa) | Status |
|---|---|---|---|
| Pre Filter | |||
| Medium Filter | |||
| Final Filter | |||
| HEPA Filter |
FORM F-10
HEPA INTEGRITY TEST REPORT
Filter Information
| Item | Data |
|---|---|
| Filter Type | |
| Filter Grade | |
| Filter Location | |
| Serial Number |
PAO / DOP Test Result
| Filter ID | Result |
|---|---|
| HEPA-01 | □ Pass □ Fail |
| HEPA-02 | □ Pass □ Fail |
| HEPA-03 | □ Pass □ Fail |
Remarks:
FORM F-11
SMOKE TEST REPORT
| Test Item | Result |
|---|---|
| Airflow Direction Verified | □ Pass □ Fail |
| No Reverse Flow | □ Pass □ Fail |
| No Dead Zone | □ Pass □ Fail |
| No Excessive Turbulence | □ Pass □ Fail |
Observations:
FORM F-12
PARTICLE COUNT REPORT
| Location | ISO Class Design | Result |
|---|---|---|
| Point 1 | ||
| Point 2 | ||
| Point 3 | ||
| Point 4 |
Overall Status:
□ PASS
□ FAIL
FORM F-13
CLEANROOM RECOVERY TEST REPORT
| Item | Value |
|---|---|
| Room Name | |
| ISO Classification | |
| Disturbance Method | |
| Recovery Time Design | |
| Recovery Time Actual |
Result:
□ PASS
□ FAIL
FORM F-14
FINAL COMMISSIONING SUMMARY
Scope Performed
□ Airflow Test
□ ACH Verification
□ Differential Pressure Test
□ Temperature Verification
□ RH Verification
□ Electrical Verification
□ Filter Pressure Drop Verification
□ HEPA Integrity Test
□ Smoke Test
□ Particle Count
□ Recovery Test
Overall Result
□ ACCEPTED
□ ACCEPTED WITH COMMENT
□ REJECTED
Comments
Signatures
Commissioning Engineer
Name :
Signature :
Date :
Client Representative
Name :
Signature :
Date :
RIJOMAC COMMISSIONING PACKAGE
BASIC HVAC
✓ Airflow
✓ Temperature
✓ RH
✓ Electrical Check
CLEANROOM COMMISSIONING
✓ Airflow
✓ ACH
✓ Differential Pressure
✓ Particle Count
✓ HEPA Integrity
✓ Smoke Test
✓ Recovery Test
MEDICAL HVAC COMMISSIONING
✓ ACH
✓ Differential Pressure
✓ HEPA Integrity
✓ Airflow Direction
BSL LABORATORY COMMISSIONING
✓ Pressure Cascade
✓ HEPA Integrity
✓ Smoke Study
✓ Exhaust Verification
✓ Containment Verification
PRINSIP RIJOMAC
"Troubleshooting bukan menebak."
"Commissioning bukan asumsi."
"Data adalah bukti bahwa sistem bekerja sesuai desain."
