CONSTRUCTION CHECK SHEET I-010A

INSTRUMENTS
Instrument Nitrogen Signal Lines
Pneumatic Leak Test
PROJECT
PROJECT No.
DESCRIPTION
SYSTEM
SYSTEM No.
DESCRIPTION

Instrument Nitrogen Signal Lines connecting the following Instruments are correctly installed as per Project
Drawings & Standards and have been leak tested between 1.0 and 1.5 Bar Gauge
 All tubing disconnected and blown clear before testing
 All lines tested are within specification ( 1 to 3 bubbles per minute)
INSTRUMENT TAG NUMBER
COMMENTS
FROM TO

1.
2.
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8.
9.
10.
11.
12.
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20.
REMARKS / OBSERVATIONS:

COMPLETED BY CONTRACTOR APPROVED BY JACOBS ACCEPTED BY CHEMETALL

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

REF. DEP 62.10.08.11-GEN.