Priority

No Action
B = Med Priority

B = Med Priority
A = High Priority
System name/description

Pump Type [MC, PD,

Vacuum, Centrifugal]
A = High Priority Grey fields indicate priority data entries

Certified Pump
Performance Curve

Pump ID/process area

Motor name plate data

Equipment Information

Service
(e.g. utility, process, etc.)

Time in service (years)

Indicate shared duty pump

systems/ in service spares

Voltage

Adjustable speed drive

Throttled
(% open if available)
Bypass/Re-circ
On/off
More than one pump/split
duty
Control schemes
(check all that apply)

Not controlled (pumps just

run)
Pumping system prescreening form

Operating hours or % of
time equipment operates

Power or Current

Flow requirements have

changed or are expected to
change

Design flow rate

Operational flow rate

Operating Parameters

Design head

Operational head

Static head

Upstream pressure
(provide if readily available, otherwise indicate with check if it is acquirable)

Downstream pressure
(after control valve, or
bypass line, etc)
Cavitation at pump or
in system?
Other

System maintenance level

symptoms

(Hi/Med/Lo)

Typical flow rates and

variation thereof

Duration diagrams

Maintenance Costs
(is acquirable?)
Additional Information

PID / DCS screen-shots

 System name Pump ID Notes
Circulating Water System A,B,C Flow is regulated by MOV during start-up and shut down only, each 1/3 capacity pump is brought on line as needed
Service Water A,B,C,D (4) pump in system, units brought on line as additional capacity is needed. Pumps draw suction from discharge of circ water pumps.

Don Casada, Diagnostic Solutions, LLC, December, 2005