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INSTALLATION QUALIFICATION SHEET

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EQUIPMENT

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MECHANICAL
Status Date Remarks
ERECTION ?6!N0INA
Orientation correct )d I No! NA
Levelling of equipment .Y I No! NA
Vertical alignment of equipment No! NA
Equipment properly rested and supported )t I No! NA
All nuts and bolts checked for tightness No! NA
MDC of nuts and bolts rI No! NA
MOC of the gasket correct aC! No! NA
Size of nuts and boils is proper I No! NA
Gaskets In place at required places Cs I No! NA
Type/MOC or valve used is correct I No’ NA
Valves placed in all desired position d’! No! NA
Proper MOC 8. type of NRV provided Yes! No! NA
Pressure tapings at required locations Yes! No! NA
Temperature tapings at required locations Yes I No! NA
Pressure switch tapings given Yes / No / NA
Temperature switch tapings given Yes! No! NA
LT!level switch tapings given Yes! No! NA
Supply!Return connections to limpeujacket Yes! No! NA
Seal pot fitted with cooling arrangement ?6c! No! NA
AirlNitrogen supply line to seal pot e! No! NA

Seal cooitng!flushlng arrangement ts ! No! NA

Sight glass provided I No! NA
MotorAllgnment with equipment proper XI No! NA
Coupling guard provided j6s1 No! NA
Motor Guard provided s I No! NA
insuiallonflracing completed Yes! No! NA
Proper Insulation materialS thickness used Yes! No! NA
Cladding MOC correct S done property Yes! No! NA
Flanges & valves Insulated properly Yes! No! NA
Flange Guards given Yes! No! NA
Any Other

CIVIL
FoundatIon locatton as desired • (jDINOINA n
(QE5I
Size of the foundation correct No I NA ;:
Foundation holes no of holes PCD proper (Yj9 No I NA nI
FoundatIon bolts of correct size 8. tightened (YI No I NA -%-

Grouting proper jcesj No! NA %n

Anti-corrosIve coating/tiling completed (ca) No! NA --

Foundation finishing completed ( Yes)! No! NA ri

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Any Other

ELECTRICAL
Etectricat cable routad property J4s I No! NA
Cable trays are fixed properly La3en10! NA
Earthing to motor provkied j No! NA
Earthing_to equipment provided — — Yes! No! N
OnfOffpusti button locatIon proper Y —1 No NA /
Push button Guard provided — Yes I No —

Sight Giazs Lamp provide Yes I No It

Any Oilier

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 INSTRUMENTATION
Corroct typo & range PG installed
Correct typo & range rn installed
Ye4TI& / NA
Yes? No! NA.
tYtat,-L4._—-3—? 4.
Pressure switch installed Yes? No? N /
Temperature switch Installed Yes? No? NA C”
Level transmitter/switch installed Yes? No? NA ‘—‘

Safety valves/Rupture discs installed Yes? No? NA .

Fire arrester installed at required location Yes? No? NA C/

Any other

CLEANING & LUDRICATI )N

Equipment cleaned Internally & externally {te) No? NA
Inlet line cleaned r No ? NA
Outlet line cleaned (?flj? No / NA
Other associated pipelines cleaned Yii])4o/ NA
Surrounding areas cleaned ,—tei1o / NA
Required Grade & quantity of oil in Gearbox Yes? Not NA
Rare Grade & qnty of oil In Timing gearbox Yes? Not NA
Oillevel visible in sight glass Yes? Not NA
Roquired grade greasing applied to bearing Yes? Not NA
Seal pot tilled wIth desired liquId Yes? Not NA
Any Other

NOTES&RECOMMENDATIONS N
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# Descflpt?on 0/job Target Remarks
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The equipment is installed to satisfaction and Is cleared for running trial Yes? No

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NPT?S0PIPER/012/F01 Rev No.00 Effective dsh, 15/11/2017 P ije 2 of 2