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Site Acceptance Test Checklist - 16613

The document provides a Site Acceptance Test (SAT) checklist template from Lumiform, designed for conducting digital inspections via a mobile app. It includes various checks such as visual inspections, functionality verification, and operator training, with options to pass or fail each item. The template emphasizes that it is a standard example and should not replace professional advice or legal requirements.

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heba
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0% found this document useful (0 votes)
97 views2 pages

Site Acceptance Test Checklist - 16613

The document provides a Site Acceptance Test (SAT) checklist template from Lumiform, designed for conducting digital inspections via a mobile app. It includes various checks such as visual inspections, functionality verification, and operator training, with options to pass or fail each item. The template emphasizes that it is a standard example and should not replace professional advice or legal requirements.

Uploaded by

heba
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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3/23/2025 Site Acceptance Test Checklist - Download FREE Template | Lumiform Templates

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Inspection
Site Acceptance Test (SAT)

Finishing visual check


Pass Fail

Main components visual check


Pass Fail

Internal box pressure and ventilation setting


Pass Fail

Utilities functionality and setting check


Pass Fail

Functionality/Interlocks Verification (Mechanical & Software)


Pass Fail

Hot test for dispensing systems


Pass Fail

Dose calibrator verification


Pass Fail

Safety devices and interlocks check


Pass Fail

Operator’s training
Pass Fail

https://lumiformapp.com/templates/site-acceptance-test-checklist_16613
3/23/2025 Site Acceptance Test Checklist - Download FREE Template | Lumiform Templates

Delivery of the performed FAT protocol and documentation package


Pass Fail

Completion

Additional observations

The equipment has been delivered, installed and worked successfully.

Full Name and Signature of Company Representative

Please note that this checklist template is a hypothetical example and provides only standard information. The template does not aim to
replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You
should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.

https://lumiformapp.com/templates/site-acceptance-test-checklist_16613

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