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Requalification Report AHU - 0004-01 2018

The document is a requalification report for an HVAC system, detailing the testing and evaluation of various components such as HEPA filters and air velocity. It includes sections on test report attachments, discrepancies and corrective actions, a summary and conclusion, and requalification approvals. The final conclusion indicates whether the equipment is qualified or disqualified for routine use.

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brijendra2009
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31 views5 pages

Requalification Report AHU - 0004-01 2018

The document is a requalification report for an HVAC system, detailing the testing and evaluation of various components such as HEPA filters and air velocity. It includes sections on test report attachments, discrepancies and corrective actions, a summary and conclusion, and requalification approvals. The final conclusion indicates whether the equipment is qualified or disqualified for routine use.

Uploaded by

brijendra2009
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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REQUALIFICATION REPORT

OF
HVAC SYSTEM (AHU)

SYSTEM NAME :

SYSTEM ID :
PROTOCOL REFERENCE :
NO.
PROTOCOL APPROVED ON :
YEAR :

SERVICING TO AREA :
TABLE OF CONTENT

SR. NO. ITEM DESCRIPTION PAGE NO.

1.0 TEST REPORT ATTACHMENTS 3

2.0 DISCREPANCY & CORRECTIVE ACTION 4

3.0 REQUALIFICATION SUMMARY & CONCLUSION REPORT 5

4.0 REQUALIFICATION APPROVAL 5


1.0 TEST REPORT ATTACHMENTS

SR. NO. LIST OF ATTACHMENTS ATTACHMENT NO.

1. HEPA Filter Integrity Test Report Attachment # 1


2. Air Velocity and Air Changes Test Report Attachment # 2
3. Differential Pressure Test Report Attachment # 3
4. Temperature & Relative Humidity Test Report Attachment # 4
5. Non-Viable Particle Count Test Report Attachment # 5
6. Viable Count Through Settle Plate Method Test Attachment # 6
Report
7. Air Flow Pattern Attachment # 7
2.0 DISCREPANCY & CORRECTIVE ACTION:
Discrepancy (if any)
---------------------------------------------------------------------------------------------------------------------
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Corrective Action (if any):
---------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------
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3.0 REQUALIFICATION SUMMARY & CONCLUSION REPORT:
SUMMARY:
---------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------
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----------------------CONCLUSION:
The _________________________________ (Equipment Code: ___________________)

has been tested for requalification as per the Protocol.

The equipment/system is Qualified / Disqualified as per the observations.

Hence, the equipment/system/instrument is released for routine use.

4.0 REQUALIFICATION APPROVAL:

HEAD OF NAME SIGNATURE DATE


FUNCTIONAL AREA

VALIDATION

USER DEPARTMENT

ENGINEERING

QUALITY ASSURANCE

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