INSTRUMENT

INSTALLATION &
HOOK-UP INSPECTION
CHECKLIST
CC 7502 Rev 3
CONTRACTOR: CONTRACT NO:
PROJECT NAME: PROJECT NO: PAGE OF
SYSTEM NO: SUB-SYSTEM NO: TEST PACK NO:
TAG NO: SERIAL NO: MODEL NO:
Check List Items YES NA NO
MECHANICAL CHECK
1 Instrument location correct.
2 Instrument installed correctly and with no sign of damages.
3 Associated components installed correctly.
4 Instrument mounting robust and vibration free.
5 Tag Number fitted.
6 Orientation, Access and Ease of withdrawal.
7 Tubing pressure & leak test completed properly (CC 7519 completed)
8 Vent Lines routed to safe location.
IMPULSE LINES
1 Hook-up Drawing No.:_________________________________ Rev .:______
2 Tappings correct to Iso. Dwg. No.: _________________________ Rev .:______
3 Installed correct to Hook-up.
4 Tubing material correct as per Hook-up drawings.
5 All connections made.
6 Lines supported and protected correctly.
AIR SUPPLIES
1 Hook-up Drawing No.: _________________________________ Rev .:______
2 Main Isolation valve installed.
3 Installed correct to Hook-up.
4 Material correct to Hook-up.
5 All connections made.
6 Lines supported and protected correctly.
7 Lines identified.
8 Lines disconnected and End connections checked.
9 Lines blown clean.
10 Lines reconnected.

Approved By Client / Third Party

DESCRIPTION Prepared By Contractor Approved By JES
(If Applicable)

Signature

Print Name

Date

© 2017 Jacobs Engineering Singapore. Do not amend the content without authorization. Page 1 of 2
 INSTRUMENT
INSTALLATION &
HOOK-UP INSPECTION
CHECKLIST
CC 7502 Rev 3
CONTRACTOR: CONTRACT NO:
PROJECT NAME: PROJECT NO: PAGE OF
SYSTEM NO: SUB-SYSTEM NO: TEST PACK NO:
TAG NO: SERIAL NO: MODEL NO:

Check List Items YES NA NO

SIGNAL TUBING
1 Hook-up Drawing No.:_________________________________ Rev .:______
2 Installed correct to Hook-up.
3 Material correct to Hook-up.
4 All connections made.
5 Lines supported and protected correctly.
6 Lines identified and Tagged.
7 Lines disconnected and End connections checked.
8 Lines blown clean.
9 Lines reconnected.
REMARKS :

Approved By Client / Third Party

DESCRIPTION Prepared By Contractor Approved By JES
(If Applicable)

Signature

Print Name

Date

© 2017 Jacobs Engineering Singapore. Do not amend the content without authorization. Page 2 of 2