20
10
Acceptance Report for Installation & Commissioning
Customer
Order number
Client
Contact person
Tel.
Product type
Number of Fans
Serial number
Local conditions
Fan height from the
floor, mounting
height
Ceiling height
Distance to
obstacles (top,
bottom, side)
Nominal voltage
(V)
Current (A)
Field voltage (V)
Limit frequencies
(HZ) (upper / lower
limit)
Testing by customer
Handover of the technical instructions
Yes
☐
No
☐
The fan was started up without any problems.
(No vibrations, no noise, no error messages)
Yes
☐
No
☐
Blades are undamaged
Yes
☐
No
☐
The instruction by technician to customer has taken place
Yes
☐
No
☐
10 min test run was problem-free
Yes
☐
No
☐
Installation took place according to customer drawing and customer
request
Yes
☐
No
☐
Technician / Name, First name:
________________________________________
Place:
________________________________________
Installation time:
________________________________________
____________________________________
(Signature technician)
Customer Name, First name:
________________________________________
Place, Time:
________________________________________
____________________________________
(Signature customer)
