Commissioning assessment form

Project title: (required)

Project number: (required)

Project type: (required)

Description: (required)

Project leader: (required) Phone: phone1 (required)

Project manager: (required)

(The project manager is responsible for archiving this document in the project file for audit purpose.)

Phone: phone2 (required)

Commissioning manager: (required) Phone: phone3 (required)

The Real Property Branch (RPB) Commissioning Standard applies to build works managed by RPB and/or by real property contractors. This includes new construction, renovations, engineering assets, sale-leaseback, and fit-up work in Crown-owned buildings. The standard also applies to new build-to-lease buildings and major leased building renovations under the custodianship of RPB.

Project manager: (required)

Is commissioning required for this project, based on the criteria indicated in the RPB Commissioning Standard?

If affirmative then Commissioning Manager to complete the rest of this section.

If negative, go to Section 3, Responsibilities

Yes

No

Commissioning manager: (required)

Yes

No

1. If commissioning is required, identify the systems to be commissioned:

Yes

No

2. Identify commissioning deliverables:

Yes

No

Commissioning plan
Functional test reports
Final commissioning report

Project cost: (required)
$

Design and construction - Cost (85% of project cost): (required)
$

Estimated cost of commissioning (percentage of design and construction cost): (required)
%

Prepared by:

Project manager (required) Signature: Date: (required)

Reviewed by: (required)

Senior project manager

Asset manager

Block letter: (required) Signature: signature2 Date: date2(required)

Recommended by:

Commissioning manager: (required) Signature: signature3 Date: date3 (required)

Language selection

Search

Note

Section 1: Personal information

Section 2: Commissioning assessment

Section 3: Responsibilities

Prepared by:

Recommended by: