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Commissioning Issues and Resolution Log: 1. General Project Information

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Chapter 1

Commissioning Issues and Resolution Log


Project Name: _________________________________________________________________________________
Project Address: _______________________________________________________________________________
Permit Number: ________________________________________________________________________________
Commissioning Provider #: _______________________________________________________________________
Chapter 2

Item No. Commissioning Issues and Resolution Log Items Included? Y/N
1. General Project Information
All open and continuing items, with status and responsible person or organization for resolution.
2. Checklists and Procedures
Procedures to maintain the log throughout the project until all issues are resolved or accepted by
Chapter 3

the Owner.
3. Distribution
Procedures to distribute the log to the Commissioning Team at intervals prescribed in the Cx Plan.

Commissioning Provider Acknowledgment


I have reviewed the documents and verified that they meet the Owner’s Project Requirements:
Chapter 4

Name: _______________________________________________________________________________________
Company Name: _______________________________________________________________________________
Signature: ______________________________________________________________ Date: _________________

Owner/Owner’s Representative Acknowledgment


The project documents include the items listed on this form and have been approved by the Owner or Owner’s
Chapter 5

representative:
Name: _______________________________________________________________________________________
 Owner  Owner’s Representative
Company Name: _______________________________________________________________________________
Signature: ______________________________________________________________ Date: _________________
Appendix A
Appendix B
Appendix B

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