Instrument Loop Check Sheet

Job No: Loop Drawing No:

Area: P&ID No:
Loop No:
Inst. Tag No:

DCS/Local Indicator & Visual Check

Correct Tag in DCS ( Yes/No) Electrical Supply Check ( Yes/No)

Correct Description in DCS ( Yes/No) Instrument Air Supply Check ( Yes/No)
Correct Engineering Unit in DCS ( Yes/No)
Corrent Range ( Yes/No)

Alarm/Trip Function Check

Alarm Type Tag Setpoint Result
High High
High
Low
Low Low

Indicating Loop Test Control Control Valve Function Check

Analog Input Rising ( ) Falling ( ) DCS Manual Output Valve Position (%)
Amp Local DCS Local DCS % ( ) Rising ( ) Falling ( )
Measurement

Measurement

0
25
50
75
100

Ambient Temperature: Spring action at AIR failure :

Stroke time:

Digital Input/Output Test SDV/XV/On-Off Valve Function Check

Field Ints. PLC DCS Result Valve Action DCS/PLC
Digital Input Open/Close Alarm/Normal Alarm/Normal (FC/FO) Output Valve Position Result

Field Ints. PLC DCS Result

Digital Input De / Energise On/Off On/Off
Close/Open Position Remote
Positioner indicator Local Correct
Remark:

Done by:
Date:

Checked by:
Date: