GMP Facility Utility Equipment Commissioning Form

1. Equipment Information

2. Pre-Commissioning Checks

Check Item Status
(Pass/Fail)
Remarks
Utility Connections (Water, Power, Air, etc.)
Physical Condition Inspection
Safety Devices Installed & Functioning
Labelling & Identification
Documentation Provided (Manuals, Certificates)

3. Commissioning Tests

Test Description Result Remarks
Functionality Test
Alarm & Interlock Verification
System Parameters Checked
Calibration Status Verification
Integration Test with Existing Systems

4. Deviations / Non-conformances

5. Commissioning Summary & Recommendations

6. Approval