SAUDI ARAMCO ID/PIEU - 15-Nov-2017 - REV. 2016.06.00 (Standards Cutoff -June 30, 2016) Rev. 2016.06.

00 30-Jun-16

SAUDI ARAMCO INSPECTION CHECKLIST SAIC NUMBER DATE APPROVED QR NUMBER

Emergency Eyewash/Shower Receiving, Handling, Storage

SAIC-B-4001 15-Nov-17 PLUMB
and Preservation
PROJECT TITLE WBS / BI / JO NUMBER CONTRACTOR / SUBCONTRACTOR

EQUIPMENT ID NUMBER(S) EQUIPMENT DESCRIPTION EQPT CODE SYSTEM ID. PLANT NO.

LAYOUT DRAWING NUMBER REV. NO. PURCHASE ORDER NUMBER EC / PMCC / MCC NO.

SCHEDULED INSPECTION DATE & TIME ACTUAL INSPECTION DATE & TIME QUANTITY INSP. MH's SPENT TRAVEL TIME
SAUDI ARAMCO USE ONLY
SAUDI ARAMCO TIP NUMBER SAUDI ARAMCO ACTIVITY NUMBER WORK PERMIT REQUIRED?

SAUDI ARAMCO INSPECTION LEVEL CONTRACTOR INSPECTION LEVEL

ITEM
ACCEPTANCE CRITERIA REFERENCE PASS FAIL N/A RE-INSP DATE
No.

A Handling, Storage and Preservation

Verify that approved procedures for handling, storage and preservation of

Schedule"Q"
A1 emergency eyewash / shower lists all the required inspection schedules for
Att IV Section 5
maintaining the quality of the material and /or equipment.

B Receiving (Units and their accessories)

Schedule"Q",
B1 Visually inspect all material/equipment for defects / damage Att. IV, Section
5

An emergency shower installation shall always include an eyewash. SAES-B-069

B2
However, an eyewash does not always have to include a shower (see 6.1). Para 4.1.3

All equipment and materials shall meet this Standard and ANSI Z358.1, SAES-B-069
B3
Eyewash and Shower Equipment. Para 4.1.4
Eyewash and showers shall be constructed of a material resistant to SAES-B-069
B4
corrosion in their installed environment Para 4.3.1
Verify that the water supply piping shall be consistent with materials provided SAES-B-069
B5
for the source water system as specified in SAES-L-132 Para 4.3.2
A combination eyewash/shower unit shall be capable of flowing through both
SAES-B-069
B6 units simultaneously with the flow rate, pressure, and temperature
Para 5.2.2
requirements specified herein.

Eyewash nozzles shall be protected with covers, which can be easily SAES-B-069
B7
removed, to prevent nozzle contamination and clogging. Para 5.2.5

Permanently installed emergency eyewashes shall be provided with

pressure controllers or self-regulating orifices to ensure that eyes will not be
SAES-B-069
B8 injured due to excessive water velocity if the water supply pressure exceeds
Para 5.4
the 207 kPa (30 psig) design flowing pressure in ANSI Z358.1, unless the
system is designed such that this pressure could not be exceeded.

The water supply system shall be designed as a potable water system in

accordance with SAES-L-310, SAES-S-040, SAES-S-060 and SAES-S-070 SAES-B-069
B9
for design requirements including cross-connection constraints and backflow Para 5.5
preventer requirements between potable water and other systems.

Under special circumstances such as areas where personnel work alone

handling hazardous chemicals or where communications may not be readily
available, alarms shall be considered for eyewashes and safety showers by SAES-B-069
B10
Operations in conjunction with the Loss Prevention Department and the Para 6.5.1
Industrial Hygiene Unit of Medical Services. The nature of the hazard and its
location shall be evaluated in determining whether an alarm is necessary.

Saudi Aramco: Company General Use

SAUDI ARAMCO ID/PIEU - 15-Nov-2017 - REV. 2016.06.00 (Standards Cutoff -June 30, 2016) Rev. 2016.06.00 30-Jun-16

SAUDI ARAMCO INSPECTION CHECKLIST SAIC NUMBER DATE APPROVED QR NUMBER

Emergency Eyewash/Shower Receiving, Handling, Storage

SAIC-B-4001 15-Nov-17 PLUMB
and Preservation
PROJECT TITLE WBS / BI / JO NUMBER CONTRACTOR / SUBCONTRACTOR

Manufacturer's instruction shall be provided for assembling combination

SAES-B-069
B11 units (eyewash and shower), if shipped with the components separate.
Para 6.1
(ANSI Z-358.1 Para 9.4.3)

*Acceptable evidence shall be a label or tag on the equipment marked ANSI Z358.1, or a certified test report from a recognized independent testing
laboratory indicating that the equipment has been tested and conforms to ANSI Z358.1.
REMARKS:

REFERENCE DOCUMENTS:
1-SAES-B-069 -- Emergency Eyewash and Showers, 23 January 2012
2-Schedule "Q" -- Saudi Aramco Quality Requirements, March 2013
3-ANSI Z-358.1 -- American National Standard for Emergency Eyewash and Shower Equipment, 1990

Contractor / Third-Party Saudi Aramco

Construction Representative* PMT Representative
Work is Complete and Ready for Inspection: T&I Witnessed QC Record Reviewed Work Verified
Name, Initials and Date: Name, Initials and Date:

QC Inspector PID Representative

Performed Inspection Work / Rework May Proceed T&I Witnessed QC Record Reviewed Work Verified
Name, Initials and Date: Name, Initials and Date:

QC Supervisor Proponent and Others

Quality Record Approved: T&I Witnessed QC Record Reviewed Work Verified
Name, Organization,
Name, Sign and Date:
Initials and Date:

*Person Responsible for Completion of Quality Work / Test Y = YES N = NO F = FAILED

Saudi Aramco: Company General Use