Petronas Carigali Sdn. Bhd. Inspection Test Record (Itr) - A Escape Routes and Signs S01-A

CSP-20 rev.
01
Appendix I-VIII
PETRONAS CARIGALI SDN. BHD.
INSPECTION TEST RECORD (ITR) - A

ESCAPE ROUTES AND SIGNS S01-A
Project No.
Project Title
Facilities
INFORMATION
Tag no. System/Subsystem no.
Area Location
Ref. Drawing nos
INSPECTION / TEST OK N/A P/L No
1 Quantity of signs are correct
2 Condition of signs are satisfactory
3 Signs installed in accordance with drawings and specification
4 Signs clearly visible from all directions
5 Correct type of signs fitted at each location

6 Escape routes clearly identified and free from obstruction.
Escape routes painted in accordance with relevant specification & deck
7
layout drawings.
Emergency escape route deck plans located at all deck levels in
8
accordance with relevant drawings.
9 Non-skid surfaces completed in accordance with specification.
Escape routes signs in accordance with specification and located in
10
Emergency exit signs in accordance with specification and located in
11
Warning signs in accordance with specification and located in
12
Alarm signs in accordance with specification and located in accordance
13
with relevant drawings.
Life boat / raft signs in accordance with specification and located in
14
Muster station signs in accordance with specification and located in
15
Fire point signs in accordance with specification and located in
16
17 Emergency lighting correctly located along escape routes.
Page 1 of 2
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Appendix I-VIII

ESCAPE ROUTES AND SIGNS S01-A
Manual call points (MAC's) in accordance with specification and located
18
in accordance with relevant drawings.
Platform status lamps and sounders in accordance with specification
19
and located in accordance with relevant drawings.
CO2 sounders and beacons sounders in accordance with specification
20
and located in accordance with relevant drawings.
General area alarms (noisy areas) in accordance with specification and
21
located in accordance with relevant drawings.
COMMENT(S) AND ADDITIONAL INFORMATION
COMPLETED BY VERIFIED BY ACCEPTED BY

Designation Contractor Representative PCSB Inspector Discipline Engineer
Company PETRONAS Carigali PETRONAS Carigali
Name
Signature
Date
Page 2 of 2
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Appendix I-VIII

SAFETY SHOWER / EYEWASH S02-A
Project No.
Project Title
Facilities
INFORMATION
Area Location
Ref. Drawing nos
1 Check equipment against the purchase order
2 Check manufacturers' instructions, drawings and certificates checked
3 Check and inspect name plate details against data sheet
4 Verify installation is in accordance with drawings and specification
5 Unit adequately supported
6 Operating instructions are fitted and visible
7 Unobstructed access to equipment
8 Connections to potable water system completed
9 Connections to drain system completed
10 Equipment clean and undamaged
11 Shower drains installed as required.
12 Operating sign installed.

Name
Signature
Date
Page 1 of 1
CSP-20 rev. 01
Appendix I-VIII

SURVIVAL EQUIPMENT S03-A
Project No.
Project Title
Facilities
INFORMATION
Area Location
Ref. Drawing nos
1 Check equipment against purchase order
2 Check nameplate details against data sheet
3 Life Jackets/ Work Vest/ Safety Equipment Cabinets.
Storage cabinet in accordance with specification and located in
4
accordance with relevant safety layout drawing.
Cabinet equipment inventory in accordance with specification and
5
attached signs.
6 Signs fitted in accordance with specification.
7 Ring Life buoy.
Life Buoy type and construction in accordance with specification (refer
8
to SOLAS) requirements.
Life buoys correctly installed, and located in accordance with relevant
9
safety layout drawings.
Life buoy fitted with length of buoyant safety line not less than 2 x
10 distance of mounting position to sea level, in accordance with
specification.
11 Light marker fitted.
Smoke Marker fitted (where appropriate, only required on 25% of
12
platform stock).

Name
Signature
Date
Page 1 of 1
CSP-20 rev. 01
Appendix I-VIII

BREATHING APPARATUS S04-A
Project No.
Project Title
Facilities
INFORMATION
Area Location
Ref. Drawing nos
Confirm BA set is compliant with specification, and located in
2
accordance with relevant drawings/spec.
3 Confirm cylinder test date is easily visible and current.
4 Confirm satisfactory condition of regulator hoses.
5 Confirm satisfactory condition of face piece and valve assembly.
6 Confirm satisfactory condition of face piece head-harness assembly.
Check and confirm contents gauge indicates within 'green' sector (1800
7
liters).
8 Confirm audible warning device fitted and serviceable.
9 Confirm satisfactory condition of harness.
10 Confirm storage container is undamaged and securely mounted in wall.

Name
Signature
Date
Page 1 of 1
CSP-20 rev. 01
Appendix I-VIII

FIRE HOSES AND MONITORS S05-A
Project No.
Project Title
Facilities
INFORMATION
Area Location
Ref. Drawing nos
2 FIRE HOSE REELS
Confirm hose reel station is compliant with specification, and is located
3
as indicated by the safety equipment layout drawing.
4 Confirm that hose reel, hose, S/O valve etc are undamaged.
Confirm tag plate is in accordance with specification, and is correct for
5
the location.
6 Confirm satisfactory condition of face piece head-harness assembly.
Check and confirm contents gauge indicates within 'green' sector (1800
7
liters).
8 Confirm hose reel is connected correctly to firewater ring main.
9 FIRE / FOAMWATER MONITORS
Confirm monitor station is compliant with specification, and located as
10
indicated by the safety equipment layout drawing.
Confirm monitor is securely fitted, and connected to Fire/Foam water
11
ring main as appropriate (dependant on location and service).
Confirm that monitor, S/O valve, and Isolation valve lubricated and are
12
undamaged.
13
the location.
Confirm that monitor is facing correct direction and that range of
14
movement is correct for the location.
15
movement is correct for the location.
For automatic (oscillating) monitors, confirm free range of movement
16
to stated horizontal and vertical limits of movement.
17 Confirm that spray field is not obstructed.
Page 1 of 2
CSP-20 rev. 01
Appendix I-VIII

FIRE HOSES AND MONITORS S05-A

Name
Signature
Date
Page 2 of 2
CSP-20 rev. 01
Appendix I-VIII

PORTABLE AND WHEELED FIRE EXTINGUISHERS S06-A
Project No.
Project Title
Facilities
INFORMATION
Area Location
Ref. Drawing nos
1 Check Fire Extinguisher against purchase order; confirm quantities
Serial / Model No.:-
Extinguisher Type:-
Extinguisher Colour:-
2
Specification / Data sheet No.:-
Size:-
Weight:-
Confirm extinguisher is compliant with specification and is located in
3
accordance with Safety Layout Diagram.
4 Confirm extinguisher is correctly mounted (as appropriate).
5 Confirm extinguisher is fully charged.
6 Confirm extinguisher carries a valid inspection and test certificate.
Confirm no obvious damage to extinguisher, and that no leaks are
7
evident.
Confirm that release (telltale) indicator is fitted and indicates that
8
extinguisher is unused.
Confirm fire extinguishers have a pressure gauge fitted with dial gauge
9
indicating pressure
Confirm portable fire extinguisher is correctly mounted (as
10
appropriate) and should not be obstructed.
Wheeled fire extinguisher to be provided with canvas-type protective
11
cover.
Wheeled fire extinguisher units shall have tow wheels (non-sparking)
12
for transport and to support the extinguisher upright.
Page 1 of 2
CSP-20 rev. 01
Appendix I-VIII

PORTABLE AND WHEELED FIRE EXTINGUISHERS S06-A

Name
Signature
Date
Page 2 of 2
CSP-20 rev. 01
Appendix I-VIII

FIREMAN OUTFIT CABINET S07-A
Project No.
Project Title
Facilities
INFORMATION
Area Location
Ref. Drawing nos
2 FIREMANS OUTFIT CABINET
Confirm design is in accordance with specification, and is located and
3 installed in accordance with specification and relevant safety layout
drawing.
4 Confirm tag plate details are correct
Confirm inventory of contents are undamaged, and in accordance with
5
specification.
Confirm First-Aid Box is included and complete in accordance with
6
specification.
Confirm Airpack (BA) is included and is tested and complete in
7
accordance with specification.
8 FIREFIGHTING SUITS
Confirm suits are in accordance with specification, and that locker is
9 located in accordance with the specification and relevant safety layout
drawing.
10 Confirm all suit items are in new condition and are undamaged.
Confirm inventory for each suit 'set' is complete in accordance with
11
specification and that size of suits is generally adequate for all people.

Name
Signature
Date
Page 1 of 1
CSP-20 rev. 01
Appendix I-VIII

MISCELLANEOUS SAFETY EQUIPMENT S08-A
Project No.
Project Title
Facilities
INFORMATION
Area Location
Ref. Drawing nos
2 KNOTTED ROPES
Confirm design is in accordance with specification, and it is located and
3 installed at all life raft stations in accordance with specification and
relevant safety layout drawing.
Check knotted rope data sheet and confirm minimum length =
4
Check knotted rope and record length =
5 Confirm storage bin provided for each rope.
6 ELSA (Emergency Life Support Apparatus).
Confirm all ELSA's are in accordance with specification, and are
7 located / stored in accordance with the details contained in the
relevant safety equipment layout drawing.
8 Confirm that all ELSA's are in a serviceable condition.
9 SAFETY GLOVES
Confirm supplied gloves are compliant with specification and located in
10
accordance with project requirement.
11 FIRE BLANKETS
Confirm fire blankets are compliant with specification, and are located
12 in process areas in accordance with the relevant safety equipment
layout drawing.
13 Confirm storage container is undamaged.
14 FIRST AID KIT:
- 5 Triangular bandages 130cm x 90cm x 90cm
- Sterile eye pads
- Non-sterile 4x4” gauze pads
- Sterile 4x4” gauze pads
- Sterile 10x10” gauze pads
- Elastic bandage
- 4 Roller bandages 7.5 cm
- 4 Roller bandages 3 cm.
- 4 Roller bandages 2.5 cm
- Cold pack compress gel
- Burn sheet/dressing
Page 1 of 3
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Appendix I-VIII

- Pairs of gloves (disposable/ non sterile)
- Stainless steel bandage scissors
- Adhesive tape
- Sterile multi-trauma dressing/gauze
- Alcohol prep pads
- Cetavlon
- Cotton buds
- Barrier device for CPR (pocket mask, face shield)
- Elastoplasts/sterile adhesive dressing
- Safety pin for triangular bandages
- Thermometer
- First aid manual
- Waterproof waste bag
Inventory of box contents (checklist)
Confirm that first aid kits are compliant with inventory/specification,
15 and are located according to the relevant safety equipment layout
drawings.
16 Confirm storage container is undamaged.
17 FLASHLIGHTS/EMERGENCY LIGHTS
Confirm that flashlights supplied are compliant with specification and
18 are located in accordance with the relevant safety equipment layout
drawing.
Confirm flashlight suitable for hazardous areas (Class 1, Group D, and
19
Division 1).
Confirm holding bracket and guard for flashlight are included and are
20
undamaged.
Confirm that emergency lights are compliant with specification and are
21
located in accordance with relevant safety equipment layout drawing.
22 OXYGEN RESUSCITATORS
Confirm that all portable resuscitators are compliant with specification,
23 and are located in accordance with the relevant safety equipment
layout drawing.
Located in accordance with the relevant safety equipment layout
24
drawing 23 Confirm oxygen cylinder test date is visible and current.
25 LITTER BASKET
Confirm that litter basket is located according to the relevant safety
26
equipment layout drawings.
27 Confirm that litter basket is undamaged.
28 STRETCHER
Confirm that stretcher is located correctly according to the relevant
29
safety equipment layout drawings.
30 Confirm that stretcher is undamaged.
Page 2 of 3
CSP-20 rev. 01
Appendix I-VIII

31 Confirm that stretcher is easily accessible.
32 PORTABLE COMBUSTABLE GAS INDICATORS/ CALIBRATION KITS
- Confirm that gas indicators or calibration kits are located in
33
accordance to the relevant safety equipment layout drawings.
- Confirm that gas indicators or calibration kits are undamaged.
Has audible, visual and vibrating alarms if STEL or TWA levels
34 are exceeded
- STEL and TWA levels are set as per approved specification
- Portable gas detectors to be tested, calibrated and certified
35 SAFETY EQUIPMENT CABINET
Confirm that safety equipment cabinet is compliant with inventory
36 /specification, and is located according to the relevant safety
equipment layout drawing.
37 Confirm safety equipment cabinet is undamaged.
38 Confirm that safety equipment cabinet is easily accessible.

Name
Signature
Date
Page 3 of 3
CSP-20 rev. 01
Appendix I-VIII

LIFE RAFTS S09-A
Project No.
Project Title
Facilities
INFORMATION
Area Location
Ref. Drawing nos
Confirm design is in accordance with specification, and it is located and
1 installed at all life raft stations in accordance with specification and
relevant safety layout drawing.
2 Liferaft in satisfactory condition
3 Confirm water-tight container is secure and undamaged.
Confirm inventory of life raft is in accordance with specification and
4
SOLAS requirements (E.P.I.R.B. & Portable VHF Radio).
5 Confirm inflation cylinder is securely fitted, and is undamaged.
Confirm inflation cylinder is fully charged, and has a valid and current
6
test date stamp.
Confirm life raft launching cradle is compliant with specification (BRA-
7
SK-M-0034/1) and is undamaged.
8 Emergency Position Indicating Radio Beacon (EPIRB).
9 Confirm EPIRB is compliant with specification and is serviceable.
10 Portable VHF Radio.
Confirm Portable VHF radio is compliant with specification, and is
11
undamaged.
12 Confirm that a valid test/cal date label is attached.
13 Confirm batteries are fitted, and undamaged.

Name
Signature
Date
Page 1 of 1
CSP-20 rev. 01
Appendix I-VIII

FIREWATER/FOAM SYSTEM S10-A
Project No.
Project Title
Facilities
INFORMATION
Area Location
Ref. Drawing nos
Confirm firewater/foam system equipment is compliant with approved
2 specification, and is located as indicated by the Escape Route, Fire
Fighting, Safety and Life Saving Equipment layout drawing.
FIREWATER PUMP
3 Ref. Specification/ Datasheet No.:
4 Ensure that the Mechanical ITR-A for Firewater Pump is completed.

Name plate/tag details correct & in accordance with approved design
5 data sheet. Manufacturers test certificates & FAT documentation
available.
6 Ensure firewater pump is dedicated for firefighting purposes.
7 Check access to Firewater pump.
FIREWATER RING MAIN
Check that piping is constructed according to the latest AFC (Approved

for Construction) revision of P & ID and isometric drawing. Check
9
couplings, vents and drains, hangers and supports, piping penetration
is as per approved project specification.
10 Ensure Piping ITR-A for Firewater Ring Main is completed.
11 Check that materials used are as per approved piping specification.
12 Check piping for signs of damage.
Check and inspect NDE records and attach NDE clearance certificate
13
from quality control.
14 Check that lines are correctly marked with flow direction.
Check that any junctions of dissimilar metals liable to cause galvanic
15
corrosion are correctly insulated.
Check and inspect that piping systems do not obstruct escape ways and
16 emergency exits/ accesses.
17 Check and inspect all valves are as per approved P&ID for:
- Type
Page 1 of 4
CSP-20 rev. 01
Appendix I-VIII

- Rating
- Certified fire-safe (where stipulated)
- In line correct to the direction of flow
- Position indicators are correctly orientated and, where remote
signaling position is included, that the correct signals are
displayed
- Correct type of hand-wheel or activation lever and locking
devices fitted (where required)
- Operate smoothly through the designated limits and are
lubricated with the correct lubricant for their particular
application
- Valve schedule and checklists are complete and accurate
- No visible external damage
- Adequate access for operation and maintenance
- Purpose and operating instructions are provided
18 Check location and operation of all pressure- reducing valves.
19 Check that flow switch is installed in line with flow direction.
Check flow switch/ pressure switch indicates open circuit for no-flow
20
condition and closed circuit for flow condition.
21 Check sensitivity of flow switch and damper action to suit.
22 Check for signs of external damage of flow and pressure switch.
Check that access is adequate for inspection and maintenance
23
operations.
FIRE WATER/ FOAM HOSE REELS (INDOOR AND OUTDOOR)
25 Confirm that hose reel, hose, shut off valve etc. are undamaged.
Confirm tag plate is in accordance with approved specification, and is
26
correct for the location.
FIRE WATER/ FOAM MONITORS AND HYDRANTS
27
Ref. Specification/ Datasheet No.:
Confirm monitor/ hydrant is securely fitted, and connected to Fire
28
water /Foam ring main as appropriate.
Confirm that monitor/ hydrant, shut off valve, and Isolation valve
29
lubricated and are undamaged.
30
the location.
31 movement is correct for the location. Check rotation and elevation
capability of monitors.
For automatic (oscillating) monitors, confirm free range of movement
32
to stated horizontal and vertical limits of movement.
Page 2 of 4
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Appendix I-VIII

33 For remote control monitors, check remote control capability.
34 Confirm that spray field is not obstructed.
Check monitor gear box is filled to its correct level with manufacturer's
35
specified lubricant (applicable for oscillating electrical monitor).
Ensure the availability of hydrant hose (applicable for hydrants) and its
36 location is as per layout. Check couplings of each hose and any
equipment to be connected with them.
FOAM TANK
37
38 Ensure foam tank provided with level indicator.
Check foam (AFFF/ ARFFF) tank is filled to the correct level with
39
manufacturer's specified foam agent
SPRINKLER SYSTEM
40
Check sprinkler heads and ensure the frangible bulbs are of correct
41
temperature rating for the system.
Ensure that the sprinkler and/ or spray head (particularly the frangible
41 bulb) is completely clean and free of paint or other coatings other than
the original manufacturer’s finish.
Open sprinkler valve and inspect the condition of its interior and
ensure that the movement of the valve clapper is free and that the
42 clapper hinge is lubricated with the approved lubricant. Re-install the
sprinkler valve (Note: Ensure spare sprinkler heads are available prior
to any tests being performed on the sprinkler system)
DELUGE SYSTEM
43
Ensure that the deluge spray heads are correctly installed and no
44
external damage.
45 Check that deluge spray heads have correct orifice size and spray angle
WATER MIST SYSTEM
46
Check presence of nozzle caps (if specified in the approved
47
specifications).
48 Check location of all nozzles.
FIRE ALARM PANEL (LQ AND BUILDINGS)
49
Ref. Specification/ Datasheet No.
Ensure Fire Alarm Panel is available for LQ and Non-Process Buildings.
50
For onshore buildings, check connection to BOMBA.
Ensure the correct annunciation and resultant executive action of all
51
remote signals at the main Fire and Gas Panel.
Page 3 of 4
CSP-20 rev. 01
Appendix I-VIII

COMMENT(S) AND ADDITIONAL INFORMATION: (List the approved specification and datasheet
reference number)

Name
Signature
Date
Page 4 of 4
CSP-20 rev. 01
Appendix I-VIII

FIRE SUPPRESSION/TOTAL FLOODING SYSTEM S11-A
Project No.
Project Title
Facilities
INFORMATION
Area Location
Ref. Drawing nos
1 Check equipment as per Purchase Order
2 Ensure nozzles are not blocked.
Ensure warning signs posted at the entrance to, and inside of, area
3
protected by total flooding systems.
Check pre-discharge alarm (visual and audio) on total flooding systems
4
is provided and allows time to safely exit the area before discharge.
Check extinguishing agent storage container (pressure, piping
5
connections)
Ensure fire suppression/ total flooding system is connected to the fire
6
panel (including status display).

Name
Signature
Date
Page 1 of 1
CSP-20 rev. 01
Appendix I-VIII

ESCAPE AND EVACUATION EQUIPMENT S12-A
Project No.
Project Title
Facilities
INFORMATION
Area Location
Ref. Drawing nos
1 Check equipment as per Purchase Order
ESCAPE ROUTES AND MUSTER AREA
2
Ref Drawing No:
3 Escape routes clearly marked and free from obstruction.
Escape routes painted in accordance with approved specification & deck
4
layout drawings.
Emergency escape route deck plans displayed at all deck levels in
5
6 Non-skid surfaces completed as per specification.
Ensure muster area is clearly marked (signage and painting) and free
7
from obstruction
8 Emergency lighting correctly located along escape routes.
9 Ensure muster area location and space provision is as per drawings
Ensure Escape Route, Fire Fighting, Safety and Life Saving Equipment
10
layout is displayed at each deck
Safety sign is displayed in accordance with specification and located in
11
ESCAPE AND EVACUATION EQUIPMENT
Ref Drawing No:
12
Ensure the following items compliant with approved specification, and
is located as indicated by the Escape Route, Fire Fighting, Safety and
Life Saving Equipment layout drawing.
13 Life Jackets
Ref. Specification/ Datasheet No:
- Cabinet equipment inventory in accordance with specification

- Cabinet is labeled for “LIFE JACKET”
- Donning instructions for life jacket is permanently attached to
the inside of the doors/ lids of the life jacket cabinets
- Life jackets shall be labelled “LIFE JACKET” and “PLATFORM
NAME”
- Ensure life jacket is of USCG Type 1 Personal Floatation Device
(PFD)
Page 1 of 3
CSP-20 rev. 01
Appendix I-VIII

- Life jacket to include:
o Whistle and lanyard
o Seawater illuminating light
o Lifting straps and oral inflation system
o Reflective strips
Workvest
- Cabinet equipment inventory in accordance with specification

- Storage cabinet is labeled for “WORKVEST”
- Donning instructions for work vest is permanently attached to
14
the inside of the doors/ lids of the life jacket cabinets
- Work vest shall be labelled “WORKVEST” and “PLATFORM
NAME”
- Ensure work vest is of USCG Type V Personal Floatation Device
(PFD)
- Work vest is provided with adjustable strap
Knotted Ropes/ Rope Ladder
- Check knotted rope data sheet and confirm minimum length =
- Check knotted rope and record length =
15 - Confirm storage bin provided for each rope.
- Ensure ladder rung is with nonslip coating/ surface
- Ladder rungs equally spaced between 300 – 380 mm apart and
secured in such a manner that they will remain horizontal.
- Visual inspection of rope and ladder rung conditions
Quick Descent Device
16
Fire Blanket
17
18 Self-Contained Breathing Apparatus (SCBA)/ Breathing Apparatus (BA)
- Check pressure gauge of available breathing air in the cylinder.

- Ensure airpacks are MSHA/ NIOSH certified positive pressure
type rated for 30 minutes.
- SCBA to include
o Cylinder
o Valve assembly (spring loaded exhalation valve,
breathing valve, pressure demand regulator),
o High pressure hose
o Audible low pressure warning device
Page 2 of 3
CSP-20 rev. 01
Appendix I-VIII

o Face piece
o Harness
- SCBA air compressor is supplied with air purification equipment
for recharging SCBA unit.
- Compressor to be included with Breathing Air Test Kit and
method for securing cylinder being charged to compressor skid.
- Compressor is suitable to be powered from emergency power 3
phase.
Manual Call Points
19 - Ensure Manual Call Points are installed as per layout and is
visible.
- Ensure Manual Call Points are connected to the fire panel
Visual and Audio Alarms
20 - Ensure Visual and Audio Alarms are installed as per layout and is
visible.
- Ensure Visual and Audio Alarms are connected to the fire panel

Name
Signature
Date
Page 3 of 3
CSP-20 rev. 01
Appendix I-VIII

LEV S13-A
Project No.
Project Title
Facilities
INFORMATION
Area Location
Ref. Drawing nos
Verify to ensure that all construction / installation activities for LEV and
1
stack have been completed as per drawing
2 Ensure hood can be completely pulled closed and opened
Ensure that there is no abnormal sound present when LEV is switched
3
on
4 Ensure lighting has been installed
5 Ensure LEVs are labeled as per drawing.
Ensure that flexible ducts are installed in a way that it allows steady
6
uninterrupted flow i.e. no unnecessary heavy bends and dents
Confirm that there is no holes, dents or other signs of physical damage
7
on ducting; both below and above ceiling.
Check that test holes are fitted in correct position and accessible,
8
covers for test holes secured and sealed.
9 Ensure that baseline testing has been conducted
Confirm that the baseline testing covers capture/ face velocity, hood
10 static pressure, duct static pressure, hood velocity pressure, transport
velocity, air cleaner/ filter efficiency, fan capacity and fan efficiency
Confirm that the result of baseline testing is within +/- 10% of design
11
values

Name
Signature
Date
Page 1 of 1
CSP-20 rev. 01
Appendix I-VIII

SICKBAY S14-A
Project No.
Project Title
Facilities
INFORMATION
Area Location
Ref. Drawing nos
Verify to ensure that all construction have been completed as per
1
drawing
2 Signage at entrance
3 Lighting
4 Entrance door open sideways
5 Bottom clearance of doors does not exceed 0.6 cm
6 Windows with curtains
7 All electrical sockets tested and functioning
8 Water supply to all faucets and shower heads
9 Water heater / warm water supply
10 Floor drains doesn’t show signs of clog
11 Telephone
12 HVAC functioning
13 Bed screen curtain rail
14 Mirror
15 Fixture for oxygen tank
16 Hospital Bed
17 Examination couch
18 Biological waste bin
19 Clinical scales
20 Height measure
21 Stainless steel cabinets
22 AED
23 Refrigerator
Page 1 of 2
CSP-20 rev. 01
Appendix I-VIII

SICKBAY S14-A

Name
Signature
Date
Page 2 of 2
CSP-20 rev. 01
Appendix I-VIII

DECK INTEGRATED FIRE FIGHTING SYSTEM S15-A
Project No.
Project Title
Facilities
INFORMATION
Area Location
Ref. Drawing nos
Verify to ensure that all construction / installation activities have been
1
completed.
Confirm DIFFS is compliant with approved specification and layout
2
3 Ensure certification by manufacturer is available.
Ensure that the pop-up nozzles are closed and installed flushed with
4
the helideck surface.
Ensure the piping distribution system is connected with the pop-up
5
nozzles.
6 If foam system is used, ensure foam skid is connected and filled.
7 Ensure nozzles can pop-up.
8 Ensure the DIFFS activation button is installed at accessible area.

Name
Signature
Date
Page 1 of 1

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CSP-20 rev.

PETRONAS CARIGALI SDN. BHD.

INSPECTION TEST RECORD (ITR) - A

2 Condition of signs are satisfactory

3 Signs installed in accordance with drawings and specification

4 Signs clearly visible from all directions

5 Correct type of signs fitted at each location

PETRONAS CARIGALI SDN. BHD.

INSPECTION TEST RECORD (ITR) - A

COMPLETED BY VERIFIED BY ACCEPTED BY

PETRONAS CARIGALI SDN. BHD.

INSPECTION TEST RECORD (ITR) - A

COMPLETED BY VERIFIED BY ACCEPTED BY

PETRONAS CARIGALI SDN. BHD.

INSPECTION TEST RECORD (ITR) - A

COMPLETED BY VERIFIED BY ACCEPTED BY

PETRONAS CARIGALI SDN. BHD.

INSPECTION TEST RECORD (ITR) - A

COMPLETED BY VERIFIED BY ACCEPTED BY

PETRONAS CARIGALI SDN. BHD.

INSPECTION TEST RECORD (ITR) - A

PETRONAS CARIGALI SDN. BHD.

INSPECTION TEST RECORD (ITR) - A

COMPLETED BY VERIFIED BY ACCEPTED BY

PETRONAS CARIGALI SDN. BHD.

INSPECTION TEST RECORD (ITR) - A

PETRONAS CARIGALI SDN. BHD.

INSPECTION TEST RECORD (ITR) - A

COMPLETED BY VERIFIED BY ACCEPTED BY

PETRONAS CARIGALI SDN. BHD.

INSPECTION TEST RECORD (ITR) - A

COMPLETED BY VERIFIED BY ACCEPTED BY

PETRONAS CARIGALI SDN. BHD.

INSPECTION TEST RECORD (ITR) - A

PETRONAS CARIGALI SDN. BHD.

INSPECTION TEST RECORD (ITR) - A

PETRONAS CARIGALI SDN. BHD.

INSPECTION TEST RECORD (ITR) - A

COMPLETED BY VERIFIED BY ACCEPTED BY

PETRONAS CARIGALI SDN. BHD.

INSPECTION TEST RECORD (ITR) - A

COMPLETED BY VERIFIED BY ACCEPTED BY

PETRONAS CARIGALI SDN. BHD.

INSPECTION TEST RECORD (ITR) - A

4 Ensure that the Mechanical ITR-A for Firewater Pump is completed.

Check that piping is constructed according to the latest AFC (Approved

PETRONAS CARIGALI SDN. BHD.

INSPECTION TEST RECORD (ITR) - A

PETRONAS CARIGALI SDN. BHD.

INSPECTION TEST RECORD (ITR) - A

PETRONAS CARIGALI SDN. BHD.

INSPECTION TEST RECORD (ITR) - A

COMPLETED BY VERIFIED BY ACCEPTED BY

PETRONAS CARIGALI SDN. BHD.

INSPECTION TEST RECORD (ITR) - A

COMPLETED BY VERIFIED BY ACCEPTED BY

PETRONAS CARIGALI SDN. BHD.