INSTRUMENT COLD LOOP CHECK

ITR No I15B
Item/Tag No. @T System No. @S
Item/Tag Description @D Sub System No. @SS
Sub System Description @SSD
Location @L Print Date @PD

INFORMATION
Controller Tag No. Signal Range
Initiator Tag No. Cal range
Final Element Tag No. JB Number
Reference Drgs Cabinet Number
Temp Detection Loop Drawing No.

Controller Action  Direct  Reverse Valve Action  Direct Reverse

No. Items to be Checked OK N/A Punch List no.

Verify the device calibration check sheet I06-A &

1
Installation check sheet I03-A has been completed.
Verify the cable has been installed terminated and
2 tested as per Cable Installation & Testing check sheet I-
04A completed.
Verify loop details are correct against Project / Vendor
information
3 i.e. P & ID's, I/O schedule, Data sheet / Instrument
index / Alarm & Trip schedule (including Rack / Slot /
Channel location for all I/O devices).
4 Verify the calibration certificate of the test equipment
5 Visually inspect equipment for external damage
Verify no dust inside Enclosure /Cabinet / Panel and
6
insulation surfaces are clean.
Verify Instruments & its Accessories /Electrical
7
equipment/Panel externally clean.
Verify each Instrument is calibrated, accepted and
8 confirm the duration of the calibration certificate is still
valid.
Test and ensure that loop is WIRED and tested for its
9
integrity properly from Instrument to Cabinet.
Verify no dust inside Enclosure /Cabinet / Panel and
10
insulation surfaces are clean.
Verify Instruments & its Accessories /Electrical
11
equipment/Panel externally clean.
 Reference Drawings:
1. Cabinet / JB drawing
2. Instrument Location Drawings
3. Loop Drawing
4. Vendor Drawings if applicable

COMMENT(S) / ADDITIONAL INFORMATION:

COMPLETED BY CONTRACTOR VERIFIED BY PMT/OWNER

Designation
Company
Name
Signature
Date