INSTRUMENT INSTALLATION LOOP CHECK SHEET Project No.: H0403600 Prepared By: Pipe I.D.: Instrument Tag No.

:
MEASURING ELEMENT: VERIFY LOCATION AND TAG NUMBER ISOLATING/DRAIN VALVES CORRECT CHECK DIRECTION AND METER RUN LOCATION AND TAG NUMBER CORRECT MATERIALS CORRECT INSTRUMENT FIELD: CONNECTION TO ELEMENT HI/LO IN D/P VERIFY LOCATION AND TAG NUMBER CHECK 3-WAY MAINIFOLD CHECK TERMINATION POLARITY CHECK SHIELD WIRE ISOLATION CHECK TUBES AND/OR CONDUIT SUPPORTS INSTALLED CORRECTLY POWER SUPPLY CORRECT WEATHER PROTECTED AIR SUPPLY CORRECT TRACING & INSULATION CORRECT TRANSMISSION: PNEUMATIC LINES VISUALLY INSPECTED BLOWN CLEAR & LEAK TESTED ELECTRONIC CONTINUITY CHECKED INSULATION CORE TO CORE CHECKED EARTH BONDING CHECKED LOOP IMPEDANCE CHECKED ZENER BARRIER DEVICES CORRECT GENERAL TRANSMITTER OUTPUT TO RELEVANT ITEMS LOOPS CHECKED-DCS CONTROLLED OUTPUT TO RELEVANT ITEMS OF LOOP CHECKED-DCS LOOP TEST LOOP TEST OUTPUT SENSOR INPUT LOCAL INST: DCS 0% 25% 75% 100% Sub-Contractor QA/QC Rep. By Date

Client: CLNG Location: Cameron Parish, LA Loop Number: Line or Equipment No:

Report No.: Date: Service:

IMPULSE CONNECTIONS: CONNECT TO HOOK-UP DRAWINGS PRESSURE TESTED TO PROCESS LINE TEST PRESSURE WEATHER PROTECTED TO REQUIREMENTS OF INSTRUMENT INDEX MATERIALS CORRECT FINAL CONTROL ELEMENT: VERIFY LOCATION OF TAG NUMBER STROKE TESTED POSITIONER CHECKED TYPE & SIZE CORRECT LIMIT SWITCH CORRECTLY SET I/P TRANSDUCER CHECKED INSTALLED TO CORRECT FLOW DIRECTION AIR SUPPLIES: VISUALLY INSPECTED BLOWN CLEAR & LEAK TESTED CORRECT TO INSTALLATION DETAIL T/C OR RTD INSTALLATION CHECKED CONTINUITY CHECKED SUPPORTS CHECKED LOOP IMPEDANCE CHECKED CABLE TO SPECIFICATION TAGGING CORRECT REMARKS:

AK/IHI QA/QC Rep. By Date

CLNG Rep. By Date

CP-5803.074

Rev 3