I-002B

PRE-COMMISSIONING CHECK SHEET

INSTRUMENTS
Safeguarding Logic
Function Check Sheet
PROJECT
PROJECT No.
DESCRIPTION
SYSTEM
SYSTEM No.
DESCRIPTION

STATION AREA

C & E DIAGRAM EQUIPMENT

 THE FOLLOWING LOGIC POINTS HAVE BEEN FUNCTION TESTED AND WITNESSED

 LOGIC IS CORRECT AS PER THE ATTACHED CAUSE & EFFECT DIAGRAM

* Tick input method used
Design Actual * Input * Input
Ref Drawing No Tag Number Remark Sign
Setting Setting Simulated from Process

REMARKS / OBSERVATIONS:

COMPLETED BY CONTRACTOR APPROVED BY ACCEPTED BY

NAME NAME NAME
COMPANY
SIGN & DATE SIGN & DATE SIGN & DATE