INSTRUMENTATION SWITCH CHECKLIST

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Project Facility: Area : Project Name: Bid Opportunity: Instrument Tag: Manufacturer: Description: Model: Inspection Checklist No. 1. 2. 3. 4. 5. 6. 7. 8. 9. Item to be Inspected Instrument type and class per P&ID and specification Instrument tag(s) installed and correct Installation of sensor complete and correct Block and drain valves Pneumatic / hydraulic tubing leak tested Heat tracing / insulation / instrument housing Wiring correct Drawings marked up as-built HMI Graphic symbol and tag correct State Checklist State 0 1 Calibration Transition 01 10 Comments: Setpoint Trip Point (incl. units) Actual Trip Point (incl. units) Setpoint Time Delay Actual Time Delay Pass (P/F) State Desc PLC Input Local HMI SCADA On On Alarm Off Off N/A Pass (P/F) Comments Pass (P/F) Serial Number:

Company Tested By Witnessed By

Name

Signature

Date (yyyy/mm/dd)

Form F-INST-SW-CHECKLIST Rev 00, Created by SNC-Lavalin Inc Form F-LOOP-CHECKLIST Rev 00, Created by SNC-Lavalin Inc. L:\40ENG\48I&C\Commissioning Forms\F-INST-SW-CHECKLIST.doc

INSTRUMENTATION TRANSMITTER LOOP CHECKLIST

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Project Facility: Area : Project Name: Bid Opportunity: Instrument (Sensor / Element) Tag: Manufacturer: Description: Model: Transmitter Tag: Manufacturer: Units: Output 4-20 mA 0-10 V Description: Model: Design Range: Modbus Ethernet IP Other: Serial Number: Serial Number:

Inspection Checklist No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Item to be Inspected Instrument type and class per P&ID and specification Instrument tag(s) installed and correct Installation of sensor complete and correct Block and drain valves Pneumatic / hydraulic tubing leak tested Heat tracing / insulation / instrument housing Impulse lines pressure tested Wiring correct Drawings marked up as-built HMI Graphic symbol, tag and units correct Comments Pass (P/F)

Form F-INST-TRANS-CHECKLIST Rev 00, Created by SNC-Lavalin Inc. L:\40ENG\48I&C\Commissioning Forms\F-INST-TRANS-CHECKLIST.doc

INSTRUMENTATION TRANSMITTER LOOP CHECKLIST

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Signal Validation Input Signal Location Transmitter Display Transmitter Output Process Display PLC HMI Transmitter Display Transmitter Output Process Display PLC HMI Transmitter Display Transmitter Output Process Display PLC HMI Notes: 1. 2. Comments: Design Value Actual Value Error (%) Pass (P/F)

Attach factory calbration forms for all instruments where provided and/or specified. Provide instrument parameters for each parameter changed from the factory default.

Company Tested By Witnessed By

Name

Signature

Date (yyyy/mm/dd)

Form F-INST-TRANS-CHECKLIST Rev 00, Created by SNC-Lavalin Inc. L:\40ENG\48I&C\Commissioning Forms\F-INST-TRANS-CHECKLIST.doc

MODULATING CONTROL DEVICE CHECKLIST

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Project Facility: Area : Project Name: Bid Opportunity: Control Device Tag: Manufacturer: Description: Model: Inspection Checklist No. 1. 2. 3. 4. 5. 6. Item to be Inspected Actuator type and class per P&ID and specification Instrument tag(s) installed and correct Installation of actuator complete and correct Wiring correct Drawings marked up as-built HMI graphic symbol, tag and units correct Control Validation Control Output 0% Field Device PLC Output 50% Field Device PLC Output 100% Field Device Notes: 1. 2. Comments: Location PLC Output Design Value Actual Value Error (%) Pass (P/F) Comments Pass (P/F) Serial Number:

Attach factory calbration forms for all instruments where provided and/or specified. Provide instrument parameters for each parameter changed from the factory default.

Company Tested By Witnessed By

Name

Signature

Date (yyyy/mm/dd)

Form F-MOD-CTRL-DEV-CHECKLIST Rev 00, Created by SNC-Lavalin Inc. L:\40ENG\48I&C\Commissioning Forms\F-MOD-CTRL-DEV-CHECKLIST.doc

PID CONTROLLER CHECKLIST

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Project Facility: Area : Project Name: Bid Opportunity: Controller Loop Tag: Description: Test Checklist No. 1. 2. 3. 4. 4. 5. 6. 7. Item to be Inspected Startup Test Input signal positive bump test Input signal negative bump test Bumpless auto-manual control transition Manual output capability Bumpless manual-auto control transition HMI graphic symbols, tag and units correct HMI equipment faceplate correct Final PID Tuning Values P: Notes: 1. Comments: I: D: Comments Pass (P/F)

Attach printouts of trends for varous tests, with final PID tuning values.

Company Tested By Witnessed By

Name

Signature

Date (yyyy/mm/dd)

Form F-PID-CTRLR-CHECKLIST Rev 00, Created by SNC-Lavalin Inc. L:\40ENG\48I&C\Commissioning Forms\F-PID-CTRLR-CHECKLIST.doc

PLC DISCRETE INPUT CHECKLIST

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Project Facility: Area : Project Name: Bid Opportunity: PLC PLC ID: Rack: Description: Slot: PLC Input Local HMI Pass (P/F) N/A 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 On On On On On On On On On On On On On On On On On On On On On On On Off Off N/A Off Off N/A Off Off N/A Off Off N/A Off Off N/A Off Off N/A Off Off N/A Off Off N/A Off Off N/A Off Off N/A Off Off N/A Off

Pt

Tag

Description

State 0

State Desc.

SCADA On

Alarm Off

Form F-PLC-DI-CHECKLIST Rev 00, Created by SNC-Lavalin Inc. L:\40ENG\48I&C\Commissioning Forms\F-PLC-DI-CHECKLIST.doc

PLC DISCRETE INPUT CHECKLIST

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0 1 0 1 0 1 0 1 Comments:

On On On On On On On On

Off N/A Off Off N/A Off Off N/A Off Off N/A Off

Company Tested By Witnessed By

Name

Signature

Date (yyyy/mm/dd)

Form F-PLC-DI-CHECKLIST Rev 00, Created by SNC-Lavalin Inc. L:\40ENG\48I&C\Commissioning Forms\F-PLC-DI-CHECKLIST.doc

PLC DISCRETE OUTPUT CHECKLIST

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Project Facility: Area : Project Name: Bid Opportunity: PLC PLC ID: Rack: Description: Slot: Pass (P/F)

Pt

Tag

Description

State 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1

State Desc.

PLC Output

Field Device

Form F-PLC-DO-CHECKLIST Rev 00, Created by SNC-Lavalin Inc. L:\40ENG\48I&C\Commissioning Forms\F-PLC-DO-CHECKLIST.doc

PLC DISCRETE OUTPUT CHECKLIST

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0 1 0 1 0 1 0 1 Comments:

Company Tested By Witnessed By

Name

Signature

Date (yyyy/mm/dd)

Form F-PLC-DO-CHECKLIST Rev 00, Created by SNC-Lavalin Inc. L:\40ENG\48I&C\Commissioning Forms\F-PLC-DO-CHECKLIST.doc