Certificate of inspection for major repairs. The act of restoration work during major repairs

I APPROVE "__" __________ ____ ACT OF ACCEPTANCE FOR OPERATION BY THE ACCEPTANCE COMMISSION OF THE OBJECT COMPLETED MAJOR REPAIRS ________________________________________________________________________________ (name of the object) city. __________________ "__" __________ ____ (location) The acceptance committee appointed by _________________________________ __________________________________________________________________ (name of the body that appointed the acceptance committee) by order of "__" ___________ ____, N __________, consisting of: chairman _____________________________________________________ (last name, first name, patronymic, position) members of the commission __________________________________________________ (last name, first name, patronymic, position held) representatives of the involved organizations ________________________________ __________________________________________________________________ (last name, first name, patronymic, position held) __________________________________________________________________ (name of the involved organization) drew up this act on the following: 1. Capital repairs ______________________________________________ (name buildings, structures) was carried out by the general contractor (or economic method) __________________________________________________________________, (name of the general contractor) who performed ___________________________________________________________, (name of work) and its subcontractors ________________________________ __________________________________________________________________ (name of subcontractors __________________________________________________________________ and performed by them special work ) 2. The following documentation was presented to the acceptance committee: ___ __________________________________________________________________ (list all submitted documents and materials __________________________________________________________________ or list them in the annexes to this act) 3. The overhaul was carried out on time: start of work ________________________________________________ (year and month) and month) with the duration of the repair in accordance with the approved standards __________________________________________________________ (specify the duration) Based on the review of the submitted documentation and inspection of the objects presented for acceptance into operation in kind, random checks of structures and assemblies, as well as additional tests ______________________________________________________________ (name of structures ________________________________________________ __________________ and additional tests) The Acceptance Committee establishes the following: 1. Design and estimate documentation for the overhaul _____ __________________________________________________________________ (name of the object) developed by ____________________________________________________________ (name of the general designer and other _________________________________________________________________ design organizations involved in the development of the project) and approved by ____________________________________________________________________ (name of the body, approved __________________________________________________________________ design and estimate documentation, date of approval) 2. Overhaul was carried out on the basis of: _______________ __________________________________________________________________ (indicate the date and N of the decision) ______________ (give a description of the measures taken and works carried out __________________________________________________________________ in order to ensure labor protection and safe __________________________________________________________________ work at the facility being commissioned) 4. Fire fighting measures were taken _____________________ __________________________________________________________________ (give a description of the fire fighting measures taken) 5. Measures taken to ensure cleanup and neutralization Wastewater, as well as measures to ensure the purification of emissions into the atmosphere _____________________________________ (describe __________________________________________________________________ measures taken on this issue) 6. Repair work on _______________________________________ __________________________________________________________________ (name of the object) were completed with an assessment of ______________________________________________ (to assess the quality of work on individual __________________________________________________________________ buildings, structures, the quality of the installed equipment, __________________________________________________________________ as well as the quality of the design - budget documentation) and for the facility as a whole: ____________________________________________ __________________________________________________________________ (excellent, good, satisfactory) 7. During the overhaul, the following deviations from the approved project, working drawings, building codes and rules, including deviations from the norms for the duration of repairs ______________________________________________ (list identified __________________________________________________________________ deviations, indicate for what reason these deviations __________________________________________________________________ occurred, by whom and when they were authorized, give a decision __________________________________________________________________ to the acceptance committee on this issue) complete list deficiencies, their estimated cost __________________________________________________________________ and the timing of the elimination of deficiencies, as well as the name of organizations __________________________________________________________________ obliged to perform work to eliminate these deficiencies) do not interfere with the normal operation of ________________________________ __________________________________________________________________ (name of the object) 9. Complete estimated cost overhaul according to the approved estimate documentation ______________________ mln. rub. actual costs _______________ mln. rub. Conclusion Capital repairs _______________________________________________ ________________________________________________________________________________ (name of the building, structure) were completed in accordance with the project, building codes and rules and meets the requirements for acceptance into operation of completed facilities set forth in SNiP III-4-80. Decision of the acceptance committee Presented for acceptance by __________________________________________ (name of the object) to be put into operation with a general assessment (excellent, good, satisfactory) _______________________________________________ Appendix to the act: Chairman of the acceptance committee ____________________ (signature) Members of the commission: ____________________ (signatures) Representatives of the involved organizations ____________________ (signatures) Note. This act can be supplemented taking into account the specifics of the facility being put into operation after a major overhaul.