1. COMMISSIONING STAGE COMPLIANCE CERTIFICATE – CSCC
System Reference / Description:
Discipline Code:
Location:
Certificate of Installation Completion
Verification that Installation Activities are Completed sufficiently for Pre-Functional and Operational Check
Out Procedures to commence.
Certificate of Readiness
Verification that Pre-Functional and Operational Check Out Activities are Completed and prior to the
Functional Testing being commenced.
Certificate of Commissioning Completion
Verification that Functional Testing Activities are Completed and prior to the Integrated Commissioning
being commenced.
Item
Completed
Comment
Signed by
Date
1
QAN’s Reviewed.
Refer to Checklist
2
CTI’s Reviewed.
Refer to Checklist
3
NCR’s
Refer to Checklist
4
Commissioning Issues Log Items reviewed.
5
Construction/Installation Completed.
6
Sub-Contractors works Complete.
7
Pre-Functional Check Out Signed.
8
Operational Check Out Signed.
9
Functional Check Out Signed.
Note: All outstanding issues that can be carried forward and do not prevent commissioning from continuing must be added to the
commissioning issues log.
Signed by:
Signature:
On Behalf of:
Sub-Contractor
Date:
Signed by:
Signature:
On Behalf of:
SOJV Construction
Date:
Signed by:
Signature:
On Behalf of:
SOJV Cx
Date:
Signed by:

2. Signature:
On Behalf of:
OBI
Date:
Upon sign off of this document, the following procedures / test activities may be conducted.
TABTP/CTP/TPPRef.
A
B
E
F
J
M
P
J
X
COMMISSIONING STAGE COMPLIENCE CERTIFICATE CHECKLIST
SYSTEM/EQUIPMENT REF:
Date:
AREA LOCATION:
WORKS DESCRIPTION:
ITEM
DOCUMENT/DRAWING No
CODE
1. Method Statements
2. Test Procedures
3. Shop Drawings
4. QAN’s
5. NCR’s
6.CTI’s