SA‐3730‐ENG 

 (07/2016) 1

SAUDI ARABIAN OIL COMPANY

HIPS MAINTENANCE REPORT
TEST TYPE : Result:PASS/FAIL‐ (Failure of full System or 
1 HIPS SAP EQUIPMENT NUMBER component failure)
Partial Stroke PASS FAIL System Component
2 PLANT NUMBER
Quarterly Sensor Test (Offshore Oil) PASS FAIL System Component
3 FUNCTIONAL LOCATION
Quarterly HIPS ZV Full Stroke (Offshore Gas) PASS FAIL System Component
4 WELL NUMBER/Plant Unit (ONSHORE HIPS)
Quarterly Full Proof Test (Onshore Oil, Onshore Gas) PASS FAIL System Component
5 WELL HEAD PLATFORM (OFFSHORE HIPS)
Seat Leakage Test PASS FAIL System Component
6 INSPECTION LOT No.
Yearly Full Proof Test ‐As applicable per HIPS master data in SAP PASS FAIL System Component
7 SAP PM order No.
8 Operational Information

9 HIPS MAWP PSIG
10 HIPS Pressure Rating #class HIPS Description for Upstream &  Downstream applications
11 MAWP of the vessel/Pipe line protected PSIG
12 Vessel/Pipe Line protected ASME rating #class
13 High Pressure Trip Set point PSIG
14 Low Pressure Trip Set point PSIG
15 HIPS Full Response Time Seconds
16 Process Safety Time Seconds
17 Inspection Frequency (Full Proof Test) Months
18 Number of Logic Solvers
19 Number of Pressure Sensors
20 Number of Final Elements 
21 Mean Time to Repair (MTTR) Hours
22 Pressure Sensor (Any No item shall be recorded in detail in the record defects section)
23 Tag No. Type Model Manufacturer Responded/ calibrated over Full Scale Associated Alarm Triggered Trip at correct set point
E-PT HI/LO-PT E-PS Yes NO Yes NO Yes NO
24
E-PT HI/LO-PT E-PS Yes NO Yes NO Yes NO
25
E-PT HI/LO-PT E-PS Yes NO Yes NO Yes NO
26
E-PT HI/LO-PT E-PS Yes NO Yes NO Yes NO
27
E-PT HI/LO-PT E-PS Yes NO Yes NO Yes NO
28
E-PT HI/LO-PT E-PS Yes NO Yes NO Yes NO
29
30 Logic Solver as applicable  (Any No item shall be recorded in detail in the record defects section)
All Combinations tested
Tag No. Type Model Manufacturer Logic solver responded ALARM to DCS/SCADA 1oo2 ‐Sensor A, Sensor B
31 2oo3‐Sensor AB, AC, BC
E/PE SS/E RL/HY Yes NO Yes NO Yes NO
32
E/PE RL/HY Yes NO Yes NO Yes NO
SS/E
33
Yes NO Yes NO N/A Yes NO N/A
34 Logic solver Reset Bypass function tested  Cabinet Indicating lamps ok

Saudi Aramco: Company General Use
35 Final Elements Offshore Oil  (Any No item shall be recorded in detail in the record defects section)
36 WSD Solenoids from HIPS (OFFSHORE OIL)‐ Non Safety loop
37 Tag No. Type Model Manufacturer Tripped (Denergized) Fluid Vented
Yes NO Yes NO
38
Yes NO Yes NO
39
Final Elements Offshore Oil  (Any No item shall be recorded in detail in the record defects section) HIPS TRIP PUSH BUTTONS
41 Relays HV switchgear
42 Tag No. Type Model Manufacturer Tripped (Denergized)
Yes NO
43
Yes NO
44 TEST  applicable Push Buttons that trip the HIPS
Yes NO
48
Onshore/Offshore
Yes NO
49
Yes NO
50 TAG No. Tripped
Yes NO Yes NO
51
Yes NO Yes NO
52
Yes NO Yes NO
53
Yes NO Yes NO
54
Yes NO Yes NO
55
Yes NO
56 Adjustable Frequency Drives Final Elements

57 Tag No. Type Model Manufacturer Tripped (Denergized)

Yes NO
58
Yes NO
59
Yes NO
60
Yes NO
61
Yes NO
62
Yes NO
63
Yes NO
64
Yes NO
65
Yes NO
66
Yes NO
67

Saudi Aramco: Company General Use
SA‐3730‐ENG  (07/2016) 3

Final Elements Valves (ZVs) for onshore Oil, Onshore Gas, Offshore Gas
(Any No item shall be recorded in detail in the record defects section)
68

Open/Close feedback 
SEAT Leakage
correct response in  
TEST
SCADA/DCS
69 Tag No. Type Model Manufacturer Fully closed Closure Time (seconds) Partial stroke ok
PASS FAIL

Yes NO Yes NO Yes NO

70

Yes NO Yes NO PASS FAIL

NO Yes

71

Yes NO Yes NO PASS FAIL

Yes NO

72

Yes NO Yes NO Yes NO PASS FAIL

73

Yes NO Yes NO Yes NO PASS FAIL

74

Yes NO Yes NO Yes NO PASS FAIL

75

Yes NO Yes NO Yes NO PASS FAIL

76

Yes NO Yes NO Yes NO PASS FAIL

77

Yes NO Yes NO Yes NO PASS FAIL

78

Yes NO Yes NO Yes NO PASS FAIL

79

Saudi Aramco: Company General Use
 Technician name , signature &
 badge number
80 Date

Field Inspector name, signature & 
badge number
81 Date

Maintennace supervisor & badge number
82 Date

Calibration/test equipment Calibration due date: Calibration sticker number:

83
84 Record Defects: Add details / Comments for the "as found" issues during the test and any remedial work that took place during the test
Sensors

If sensor trip point was incorrect, record "as found trip pressure "
PSIG

Logic Solver

If trip set trip point was incorrect, record "as found set point " 
PSIG

Final Elements

Other Initiators

Saudi Aramco: Company General Use
SA‐3730‐ENG  (07/2016) 5

85 SEAT LEAK TEST

86 Record the information as per the seat leak test procedure for the particular HIPS application
87
Instructions Upstream  Downstream  Delta P after 
ZV Tag Number Pressure Unit Pressure Unit test Unit Time Elapsed Minutes
a)Enter all HIPS valve Tag 
numbers subject to seat leak 
PSIG PSIG PSIG Minutes
test
b)Enter Upstream ZV 
pressure at test start (ZV  PSIG PSIG PSIG Minutes
closed)
c)Enter downstream 
PSIG PSIG PSIG Minutes
pressure at test start (ZV 
closed)
d)Enter Delta P upon test  PSIG PSIG PSIG Minutes
completion (ZV closed)
e) Enter Test duration 
PSIG PSIG PSIG Minutes

PSIG PSIG PSIG Minutes

PSIG PSIG PSIG Minutes

PSIG PSIG PSIG Minutes

PSIG PSIG PSIG Minutes

PSIG PSIG PSIG Minutes

Saudi Aramco: Company General Use