PC Inspection & Test Record

PC-JX-XX E&I Interface Function Test

Tag No :
Description :

Subsystem : -
System : -

Drawing Ref 1 / Rev:

Drawing Ref 2 / Rev:

P&ID No: Loop Drawing No: Loop No.

Layout Drawing No: Location:
Associated Tags:

Item Description OK N/A P/L Comments

1.00 INSPECTION CHECK LIST
1.01 Confirm all MC ITRs for the loop are complete and loop tag numbers are listed.
1.02 Confirm all applicable drawings are of latest revision.
1.03 Ensure the equipment is isolated.
1.04 Energise the loop and confirm no abnormality is found.
1.05 Ensure the loop is healthy with no fault indication at the ICSS HMI / UCP HMI.
2.00 INPUT DEVICES
2.01 Verify that digital inputs function correctly.
2.02 Verify that normally open/normally closed connections are correct.
2.03 Verify that open circuit/short circuit/fault indication is correct.(If Applicable)
2.04 Verify that all analog signals are functioning correctly.
3.00 OUTPUT DEVICES
3.01 Verify that digital Outputs function correctly.
3.02 Verify that normally open/normally closed connections are correct.
3.03 Verify that open circuit/short circuit/fault indication is correct.(If Applicable)
3.04 Verify that all analog signals are functioning correctly.
4.00 FULL FUNCTION CHECK
4.01 Simulate start stop / emergency stop from field and confirm functionlity
4.02 Simulate emergency stop from MCC and confirm functionility
4.03 Ensure all feed backs work as required.

Analog Input
Tag No:
Range % Field Input Local Indicator Output Signal
0
50
100

Digital Input Digital Output

Contact
Design Field Output Output State Field
Tag No. State Tag No. Output Signal
Setting Value Signal (Active) Status
(In Alarm)

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PC Inspection & Test Record
PC-JX-XX E&I Interface Function Test
Tag No :
Description :

Subsystem : -
System : -

Drawing Ref 1 / Rev:

Drawing Ref 2 / Rev:

Note: This form might be amended as per the project ICSS standard if necessary

Note: Tick all check item under OK - Satisfactory; N/A - Not Applicable; Punch items(s) are to be PL
Owner Charterer
Data Input
Checked By Accepted By Checked By Accepted By Witnessed By

Company / Dept : Operation CCMS Coord./

Representative Operator
Name:

Signature:

Date:

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