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:
 Instrument Calibration of Transmitter

Job No: Inst. Tag No:

Area: P&ID No:
Manufacture: Supply:
Model: Signal/Output range:

Instrument Inspection

Correct Tag in DCS ( Yes/No)

General physical Condition and Connection
Cabling ( Ok/No)
Valve ( Ok/No)
Actuator ( Ok/No)
Air regulator ( Ok/No)
Bolt & Nuts ( Ok/No)
Tubing ( Ok/No)
Support ( Ok/No)
Environment ( Ok/No)
Tagging condition ( Ok/No)
Pneumatic/Elect Supply Setting ( Ok/No)
Others

Calibration Test Data

Rising Falling
% Input Amps (mA ) Actual Amps % Input Amps (mA) Actual Amps
Error % Error %
( ) (mA) ( ) (mA)
0 4 100 4
25 8 75 8
50 12 50 12
75 16 20 16
100 20 0 20

Test Equipment data

Test Equipment Used:

Manufacturer:
Model
Serial No:
Calibration Date
Expire date:

Remark:

Done by:
Date:

Checked by:
Date:
 Instrument Calibration of Switches

Job No: Inst. Tag No:

Area: P&ID No:
Manufacture: Set point:
Model: Others

Instrument Inspection

Correct Tag in DCS ( Yes/No)

General physical Condition and Connection
Cabling ( Ok/No)
Valve ( Ok/No)
Actuator ( Ok/No)
Air regulator ( Ok/No)
Bolt & Nuts ( Ok/No)
Tubing ( Ok/No)
Support ( Ok/No)
Environment ( Ok/No)
Tagging condition ( Ok/No)
Pneumatic/Elect Supply Setting ( Ok/No)
Others

Calibration Test Data

Process requirement Calibration

Set point Rise/Fall Contact Input Operating Value Error %
Action
Set 1
Reset 1
Set 2
Reset 2

Test Equipment data

Test Equipment Used:

Manufacturer:
Model
Serial No:
Calibration Date
Expire date:

Remark:

Done by:
Date:

Checked by:
Date:
 Instrument Calibration of Temperature Element

Job No: Inst. Tag No:

Area: P&ID No:
Manufacture: Supply
Model: Signal/Output range:

Instrument Inspection

Correct Tag in DCS ( Yes/No)

General physical Condition and Connection
Cabling ( Ok/No)
Valve ( Ok/No)
Actuator ( Ok/No)
Air regulator ( Ok/No)
Bolt & Nuts ( Ok/No)
Tubing ( Ok/No)
Support ( Ok/No)
Environment ( Ok/No)
Element (RTD/T/C)
Pneumatic/Elect Supply Setting ( Ok/No)
Tagging condition ( Ok/No)

Calibration Test Data

Rising Falling
% Input Output Error % Input

0 100%
25 75
50 50
75 25
100 0

Test Equipment data

Test Equipment Used:

Manufacturer:
Model
Serial No:
Calibration Date
Expire date:

Remark:

Done by:
Date:

Checked by:
Date:
e Element

Falling
Output Error
 Instrument Calibration of Gauges

Job No: Inst. Tag No:

Area: P&ID No:
Manufacture: Supply
Model: Range:

Instrument Inspection

Correct Tag in DCS ( Yes/No)

General physical Condition and Connection
Cabling ( Ok/No)
Valve ( Ok/No)
Actuator ( Ok/No)
Air regulator ( Ok/No)
Bolt & Nuts ( Ok/No)
Tubing ( Ok/No)
Support ( Ok/No)
Environment ( Ok/No)
Tagging condition ( Ok/No)
Pneumatic/Elect Supply Setting ( Ok/No)
Others

Calibration Test Data

Rising Falling
% Input Output Error % Input

0 100%
25 75
50 50
75 25
100 0

Test Equipment data

Test Equipment Used:

Manufacturer:
Model
Serial No:
Calibration Date
Expire date:

Remark:

Done by:
Date:

Checked by:
Date:
es

Falling
Output Error