WOMEN AND CHILDREN'S BLOCK - RIPAS HOSPITAL

TEST & COMMISSIONING RECORD

AUDIO INTERCOM SYSTEM - FUNCTIONAL TEST Page ….. of …..

VOICE
NO INTERCOM ID INTERCOM ADDRESS LOCATION CLARITY REMARKS
Yes No
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Checked by : Verified by : Inspected by : Witnessed by : (OPTIONAL)

SubContrator (AUTO/ICSS) M&E Tobishima PMCMD RIPAS Engineer
Signature : Signature : Signature : Signature :
Name : Name : Name : Name :

Date : Date : Date : Date :