INSTRUMENTATION SWITCH CHECKLIST Page 1 of 1

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1 INSTRUMENTATION SWITCH CHECKLIST Page of Instrument Manufacturer: Model: Serial Number: Inspection Checklist No. Item to be Inspected. Instrument type and class per P&ID and specification 2. Instrument tag(s) installed and correct 3. Installation of sensor complete and correct 4. Block and drain valves 5. Pneumatic / hydraulic tubing leak tested 6. Heat tracing / insulation / instrument housing 7. Wiring correct 8. Drawings marked up as-built 9. HMI Graphic symbol and tag correct Comments State Checklist State State Desc Input Local HMI SCADA Alarm Calibration Transition Setpoint Trip Point (incl. units) Actual Trip Point (incl. units) Setpoint Time Delay Actual Time Delay Form F-INST-SW-CHECKLIST Rev, Created by SNC-Lavalin Inc Form F-LOOP-CHECKLIST Rev, Created by SNC-Lavalin Inc. L:\4ENG\48I&C\Commissioning Forms\F-INST-SW-CHECKLIST.doc

2 INSTRUMENTATION TRANSMITTER LOOP CHECKLIST Page of 2 Instrument (Sensor / Element) Manufacturer: Model: Serial Number: Transmitter Manufacturer: Model: Serial Number: Units: Design Range: - Output 4-2 ma - V Modbus Ethernet IP Other: Inspection Checklist No. Item to be Inspected. Instrument type and class per P&ID and specification 2. Instrument tag(s) installed and correct 3. Installation of sensor complete and correct 4. Block and drain valves 5. Pneumatic / hydraulic tubing leak tested 6. Heat tracing / insulation / instrument housing 7. Impulse lines pressure tested 8. Wiring correct 9. Drawings marked up as-built. HMI Graphic symbol, tag and units correct Comments Form F-INST-TRANS-CHECKLIST Rev, Created by SNC-Lavalin Inc. L:\4ENG\48I&C\Commissioning Forms\F-INST-TRANS-CHECKLIST.doc

3 INSTRUMENTATION TRANSMITTER LOOP CHECKLIST Page 2 of 2 Input Signal Signal Validation Location Design Value Actual Value Error (%) Transmitter Display Transmitter Output Process Display HMI Transmitter Display Transmitter Output Process Display HMI Transmitter Display Transmitter Output Process Display HMI Notes:. Attach factory calbration forms for all instruments where provided and/or specified. 2. Provide instrument parameters for each parameter changed from the factory default. Form F-INST-TRANS-CHECKLIST Rev, Created by SNC-Lavalin Inc. L:\4ENG\48I&C\Commissioning Forms\F-INST-TRANS-CHECKLIST.doc

4 MODULATING CONTROL DEVICE CHECKLIST Page of Control Device Manufacturer: Model: Serial Number: No. Item to be Inspected Inspection Checklist Comments. Actuator type and class per P&ID and specification 2. Instrument tag(s) installed and correct 3. Installation of actuator complete and correct 4. Wiring correct 5. Drawings marked up as-built 6. HMI graphic symbol, tag and units correct Control Validation Control Output Location Design Value Actual Value Error (%) Output % Field Device 5% % Output Field Device Output Field Device Notes:. Attach factory calbration forms for all instruments where provided and/or specified. 2. Provide instrument parameters for each parameter changed from the factory default. Form F-MOD-CTRL-DEV-CHECKLIST Rev, Created by SNC-Lavalin Inc. L:\4ENG\48I&C\Commissioning Forms\F-MOD-CTRL-DEV-CHECKLIST.doc

5 PID CONTROLLER CHECKLIST Page of Controller Loop No. Item to be Inspected Test Checklist Comments. Startup Test 2. Input signal positive bump test 3. Input signal negative bump test 4. Bumpless auto-manual control transition 4. Manual output capability 5. Bumpless manual-auto control transition 6. HMI graphic symbols, tag and units correct 7. HMI equipment faceplate correct Final PID Tuning Values P : I : D : Notes:. Attach printouts of trends for varous tests, with final PID tuning values. Form F-PID-CTRLR-CHECKLIST Rev, Created by SNC-Lavalin Inc. L:\4ENG\48I&C\Commissioning Forms\F-PID-CTRLR-CHECKLIST.doc

6 DISCRETE INPUT CHECKLIST Page of 2 ID: Rack: Slot: Pt Tag Description State State Desc. Input Local HMI SCADA Alarm Form F--DI-CHECKLIST Rev, Created by SNC-Lavalin Inc. L:\4ENG\48I&C\Commissioning Forms\F--DI-CHECKLIST.doc

7 DISCRETE INPUT CHECKLIST Page 2 of 2 Form F--DI-CHECKLIST Rev, Created by SNC-Lavalin Inc. L:\4ENG\48I&C\Commissioning Forms\F--DI-CHECKLIST.doc

8 DISCRETE OUTPUT CHECKLIST Page of 2 ID: Rack: Slot: Pt Tag Description State State Desc. Output Field Device Form F--DO-CHECKLIST Rev, Created by SNC-Lavalin Inc. L:\4ENG\48I&C\Commissioning Forms\F--DO-CHECKLIST.doc

9 DISCRETE OUTPUT CHECKLIST Page 2 of 2 Form F--DO-CHECKLIST Rev, Created by SNC-Lavalin Inc. L:\4ENG\48I&C\Commissioning Forms\F--DO-CHECKLIST.doc

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