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Doc.No.

RE/HSE/PTCL/FM 362

Pressure Test Check List Date issued: 10/02/2011

Revision No. 000

Project Name: Equipment # Date:


Sr.
Items for checking Yes No N/A Remarks
No.
Appropriate permit is available for pressure test and
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toolbox meeting conducted. Leakages if any.
Barricading and signage provided around the
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pressurized area.
3 Subcontractor Supervision/HSE Officer are present
No other activities and personnel present with in
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pressure test area other than pressure test crew.

5 All the hose connections having whip check arrestor.

Drain the water in approved pit or collect in a


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container or as accecpted.
The access to the pressure is clear and not causing
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any hindering to the movement of workmen.

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Additional Comments:

Checked by Name Signature

Verified by Name Signature

RE362 - 0

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