CONTROLLED COPY-NOT FOR

CIRCULATION

Contractor :______________________________________

Site Location:___________________________________

Date:
S.No Equipment Description/Functionality/Remarks
Automation (PLC based Control
system)
1 PLC Make Allen Bradley/Schneider Electric/GE Fanuc/Mitsubishi/others

Others:________________________________

Model No:_____________________________
2 Configuration
Standalone / Hot-Standby

3 System Commissioning
Date/Year

10 I/O system Simplex: Duplex:

12 SCADA Software Make
13 Communication interface GSM/GPRS---- LeasedLine---Wireless----FOC

Others:_______________________________
Instrumentation
Flow Instrumentation
Make/Vendor:______________________

Type:_____________________________

Model Number:_____________________

Working condition: Yes/No

Level Instrumentation
Make/Vendor:______________________

Type:_____________________________

Model Number:_____________________

Working condition: Yes/No

Pressure Instrumentation
Make/Vendor:______________________

Type:_____________________________

Model Number:_____________________

Working condition: Yes/No

Analytical Instrumentation
Make/Vendor:______________________

Type:_____________________________

Model Number:_____________________
 Working condition: Yes/No
Documentation:
Is Instrumentation manuals, P&ID,
datasheets available? Please list the
same.
Are automation (PLC, SCADA )
documentation available? Please list
the same.