INSTRUMENT INSPECTION PM SHEETS

LEVEL TRANSMITTER ( DISPLACER TYPE )

:Plant :Area :.Project No
:.Tag No :.Model No
:Manufacturer :.Manufacture No
:Location :.Loop No
:.Hook Up DWG No
ACCEPTANCE
ITEM DESCRIPTION Technician Supervisor Remark
1 INS CONNECTION IS CORRECT
2 EXTERNAL CHAMBERE IS CORRECT
3 DISPLACER IS CORRECT
4 INDICATION & TRANSMITTER SECTION IS CORRECT
5 CASING W/P OR EXP-P
6 CABLE CONTINUITY
7 CABLE GLAND W/P & EXP-P PROVIDED
8 GASKET & BOLTS & NUTES INSTALLED
9 ALL ACCESSORIES AS PRE-DRAWING INSTALED
10 .INSTALLATION IS ACCORDING TO APPROVED DRW
11 TAG-PLATE INFORMATION IS CORRECT
12 ALL CONNECTIONS TO L.T IS CORRECT
13
14
15
16
17
18
19
20
:Remarks

.The items listed above have been placed and inspected .The items listed above have been placed and inspected

:Supervisor : Witness
:Name :Date :Name :Date

:Signature :Signature