DOCUMENT NO.

: R/INST/003
PAGE : 01 OF 01
CALIBRATION FORM FOR ISSUE NO. : 01
DISSOLVED OXYGEN ISSUE DATE : 01/07/02
REVISION NO. : 02
ANALYSER REVISION DATE : 13.05.2011

TAG NO. UNIT DP-53 HP-50

LOCATION
PURPOSE 1. PM (OSM) 2. PM (SDM) 3. BM
NAME OF INSPECTOR DATE OF INSPECTION
MODEL DO30G/54eA-01-09/SC100 MAKE YOKOGAWA/EMERSON/HACH
SENSOR TYPE GALVANIC CELL/ LDO CONVERTER TYPE DO30G/54eA-01-09/ SC100
MEASUREMENT RANGE 0 – 5 PPM LOOP DETAILS INDICATION / ALARM
ACCURACY
AMBIENT TEMP. o
C AMBIENT HUMIDITY %
ANALYSER READING
PPM
BEFORE MAINTENANCE
SAFETY MEASURES 1. INFORM DCS OPERATORS 2. ALARM OFF 3.
REF. WI NO. WI/INST/003
CHECK POINTS
SEQUENCE PARAMETERS OBSERVATIONS REMARKS
ZERO CHECK PPM
BEFORE MAINT.
SPAN CHECK PPM
IMMERSN. LENGTH OF SENSOR cm.

MOUNTING STATUS ANY CORROSION, BREAKAGE

CONDITION OF CABLE &
CONNECTION
MEMBRANE & LOCKNUT
ELECTROLYTE
SENSOR CHECK
O-RING
CONDITION OF Ag- ELECTRODE
FRONT WINDOW & RUBBER
GASKET
CONVERTER CHECK LIQUID CRYSTAL OF DISPLAY
CONDITION OF CABLE &
CONNECTION
11-13 : 12-13 :
12-15 : 11-14 :
SENSOR CABLE 12-14 : 13-14 :
INSULATION RESISTANCE, MOHMS
CHECK 14-15 : 11-16 :
12-16 : 13-16 :
15-16 :
RTD CHECK RESISTANCE ACROSS T1 & T2 OHMS
Pb ELECTRODE CHECK CONDITION OF ELECTRODE
ZERO CHECK PPM
CALBRATION AFTER
SPAN CHECK PPM
MAINTENANCE
RESPONSE TIME FOR 90% SEC.
RESTORATION FOR 1. INFORM DCS OPERATORS 2. ALARM ON
NORMAL WORKING 3. 4.
ANALYSER READING
PPM
AFTER RESTORATION
RESULT PASSED NOT PASSED
SIGNATURES
LEADER AREA IN-CHARGE DEPTT. IN-CHARGE

DATE DATE DATE