Doc. No.
: 26071-100-GQI-GCQ-00014
Job No. : 26071 Rev.000
INSPECTION REPORT FOR
CALIBRATION (CONTROL VALVE,
ON-OFF VALVE & MOV)
Project : Report No. :
TAG No. : Date :
DWG No. : Subcontractor :
Range : Model No. :
Serial No. : Manufacture
1. Test Equipment
MFR/Model No. : Calibration Date :
Serial No. : Calibration Due Date :
2. Check List
Result
No. Check List
Accept Reject N/A
1 Body size / trim size / rating / type
2 Check positioner / solenoid V/V
3 Pneumatic. / electrical connection
4 Check valve stroke time
5 Check for power fail action
6 Check Open & Close cycle time
7 Check opreration voltage & current
3. Calibration Value
Input Output Position ON-
% Span Input I/P Position Control Valve Position Switch
Positioner Positioner OFF Valve
0 4 mA
25 8 mA
50 12 mA
75 16 mA
100 20 mA
Inspection Result : □ Accept □ As-noted □ Reject
Inspected by Subcontractor Contractor IPMT
Name
Signature
Date
ITR-CI-00014-06
22 of 36