Doc. No.

: 26071-100-GQI-GCQ-00017

Job No. : 26071 Rev.002

Inspection and Test Plan for

Electrical Installation Early Work

PROJECT : Engineering, Procurement and Construction (EPC) Inside

Battery Limits (ISBL) and Outside Battery Limits (OSBL) for
the Refinery Development Master Plan (RDMP) Project
RU V Balikpapan
LOCATION : Refinery Unit V Balikpapan, East Kalimantan,Indonesia
OWNER : PT PERTAMINA (Persero)

002 23 SEP 20 RE-ISSUED FOR CONSTRUCTION A.SURYADI A.ARIFIN Y.D.KIM

001 02 SEP 20 RE-ISSUED FOR CONSTRUCTION A.SURYADI A.ARIFIN Y.D.KIM

000 13 FEB 20 ISSUED FOR CONSTRUCTION A.SURYADI A.ARIFIN Y.D.KIM

00A 18 DEC 19 ISSUED FOR REVIEW A.SURYADI A.ARIFIN Y.D.KIM

REV
DATE DESCRIPTION PREPARED CHECKED APPROVED
.

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 Doc. No. : 26071-100-GQI-GCQ-00017

Job No. : 26071 Rev.002

REVISION LOG

REV. NO. DATE PAGE DESCRIPTION

00A 18 DEC 19 - ISSUED FOR REVIEW

000 13 FEB 20 - REVISED AS PER PMC’S COMMENT RECEIVED
ISSUED FOR CONSTRUCTION
Revised according to IPMT Comment on PMAR
001 02 SEP 20 - No. 402000-00540-CM-CHK-0297 :
ITP to be revised and added the ITR for Ex
inspection
002 23 SEP 20 RE – ISSUED FOR CONSTRUCTION

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 Doc. No. : 26071-100-GQI-GCQ-00017

Job No. : 26071 Rev.002

TABLE OF CONTENTS

1 PURPOSE ………………………………………………………………………………………………….. 4

2 SCOPE …………………………………………………………………………………………..……………4

3 REFERENCED DOCUMENTS………………………………………………………..………………..4

4 ATTACHMENT……………………………………………………………………………………………..4

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 Doc. No. : 26071-100-GQI-GCQ-00017

Job No. : 26071 Rev.002

1 PURPOSE
The purpose of this document is to describe Inspection and Test Plan (ITP) for Electrical
Installation Early Work of The Refinery Development Master Plan (RDMP) Project RU V
Pertamina Balikpapan (hereinafter referred to as PROJECT).

2 SCOPE
This ITP applied for Electrical installation works such as Cables / Wires, Cable raceway,
Earthing/Grounding. Lighting System, Local Control System and LV Switch gear & MCC.
This document is applicable for inspection and test during construction for Electrical Installation
Early Work for The Refinery Development Master Plan (RDMP) Project RU V Pertamina
Balikpapan (hereinafter referred to as PROJECT).

3 REFERENCED DOCUMENTS
The documents listed below shall be as reference on ITP prior to inspection
- IFC Drawing
- Material approval
- Technical specification / Manufacture Recommendation
- Method Statement
- Equipment/Tools Certificate
- Project Procedure and Specification

Project Specification and Applicable codes & Standards

1. 26071-100-GQI-GAQ-00005- Site Inspection and Test Procedure
2. 26071-100-GQI-GAQ-00009- Material Receiving Inspection
3. 26071-100-3PS-EYM0-00001- Electrical Bulk Material
4. 26071-100-3PS-EW00-00001- Electrical Cables & Accessories
5. 26071-100-3SS-ESL0-00001- LV Switchgear (MCC)
6. 26071-100-GQI-GAQ-00004- Inspection Measuring & Test Equipment Control
7. 26071-100-3SS-EKP0-00001- Electrical Requirement For Package Equipment
8. 26071-100-3SS-E00X-00001- Electrical Installation & Test During Precom
9. IEC 60079 - Explosive atmospheres - All applicable parts
10. IEC 60079-14 - Ex atmospheres - Electrical installations design, selection and erection
11. IEC 60079-17 - Ex atmospheres Electrical Installation inspection and maintenance

4 ATTACHMENT

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 Doc. No. : 26071-100-GQI-GCQ-00017

Job No. : 26071 Rev.002

Inspection and Test Plan for Electrical Installation Early Work.

Material Verification and Inspection Report (MVR), GQI-GAQ-00009-01
Inspection Report For Cable Drum (ITR-EL-003-01)
Inspection Report For Cable Installation (ITR-EL-003-02)
Inspection Report For Cable Termination (ITR-EL-003-03)
Inspection Report For Electrical LV Cable Test (ITR-EL-003-05)
Inspection Report For Electrical Control & Signal Cable Test (ITR-EL-003-07)
Inspection Report For Electrical Cable Tray (ITR-EL-004-01)
Inspection Report For Electrical Cable Trench (ITR-EL-004-02)
Inspection Report For Electrical Conduit (ITR-EL-004-03)
Inspection Report For Earthing / Grounding System (ITR-EL-00A-01)
Inspection Report For Earthing / Grounding Resistance & Continuity Test Data (ITR-EL-00A-02)
Inspection Report For Lighting Panel Installation (ITR-EL-00B-01)
Inspection Report For Phase Sequence & Polarity Test Data (ITR-EL-002-05)
Inspection Report For Lighting Fixture / Lighting Pole Installation (ITR-EL-00B-02)
Inspection Report For Lighting Pole Installation (ITR-EL-00B-03)
Inspection Report For Lighting Circuit Test Data (ITR-EL-002-03)
Inspection Report For Illumination Level Measurement Data (ITR-EL-002-04)
Inspection Report For Local Control Station / JB Installation (ITR-EL-00C-01)
Inspection Report For HV / LV Switch gear, MCC Installation (ITR-EL-006-01)
Inspection Report For Hazardous Equipment Inspection Schedule (ITR-ELCI-EX-01)

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 Inspection and Test Plan for
Electrical Installation Early Work

ITP No 26071-100-GQI-GCQ-00017
Job No. : 26071 Revision No. 002
Revision Date 23 SEP 20

Description:

Inspection and Test Plan for Electrical Installation Early Work.

This ITP applied for Electrical installation works such as Cables / Wires, Cable raceway, Earthing/Grounding. Lighting System, Local Control System,
LV Switch gear & MCC and Hazardous Equipment Installation.

Remark:

002 19 SEP 20 RE-ISSUED FOR CONSTRUCTION A.SURYADI A.ARIFIN Y.D.KIM

001 2 SEP 20 RE-ISSUED FOR CONSTRUCTION A.SURYADI A.ARIFIN Y.D.KIM

000 13 FEB 20 ISSUED FOR CONSTRUCTION A.SURYADI A.ARIFIN Y.D.KIM

00A 18 DEC 19 ISSUED FOR REVIEW A.SURYADI A.ARIFIN Y.D.KIM

REV. DATE DESCRIPTION PREPARED CHECKED APPROVED

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 Inspection and Test Plan for
Electrical Installation Early Work

ITP No 26071-100-GQI-GCQ-00017
Job No. : 26071 Revision No. 002
Revision Date 23 SEP 20
Reference Acceptance Report Inspection Point
No. Description of Inspection or Test
Criteria
Remark
Document Form No. Subcon Contractor IPMT TPI

0 Pre-Inspection Meeting H H H

- Design Drawing and Data Engineering Spec. Engineering Spec.

IFC Drawing IFC Drawing
- QA/QC Procedure

1 MATERIAL

1.1 Material Receiving Inspection

Mill certification 26071-100-GQI-GAQ-
a) Document Review GQI-GAQ-00009-01 R R R
Manufacturer Data 00009
26071-100-GQI-GAQ-
b) Spec. / Rating / Type / Quantity P.O / Packing List GQI-GAQ-00009-01 W W S
00009
26071-100-GQI-GAQ-
c) Correct Dimension and Type Engineering Spec. GQI-GAQ-00009-01 W W S
00009
26071-100-GQI-GAQ- 26071-100-GQI-GAQ-
d) Physical Damage GQI-GAQ-00009-01 W W S
00009 00009
26071-100-GQI-GAQ- 26071-100-GQI-GAQ-
e) Preservation and Storage GQI-GAQ-00009-01 W W S
00009 00009
1.2 Electrical Support
Engineering Spec. Engineering Spec.
a) Welding Visual Inspection W W S
IFC Drawing IFC Drawing
Engineering Spec. Engineering Spec.
b) Touch up paint Visual Inspection W W S
IFC Drawing IFC Drawing

Legend: H - Hold W - Witness S - Surveillance R - Document Review

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 Inspection and Test Plan for
Electrical Installation Early Work

ITP No 26071-100-GQI-GCQ-00017
Job No. : 26071 Revision No. 002
Revision Date 23 SEP 20
Reference Acceptance Report Inspection Point
No. Description of Inspection or Test
Criteria
Remark
Document Form No. Subcon Contractor IPMT TPI

2 CABLE & WIRE INSPECTION

2.1 Pre-Installation

2.1.1 Cable Drum

26071-100-3PS-EW00-
a) General Condition Satisfactory Engineering Spec. ITR-EL-003-01 W W S
00001
26071-100-3PS-EW00- Engineering Spec.,
b) Type / Size / Material ITR-EL-003-01 W W S
00001 P.O / Packing List
26071-100-3PS-EW00- 26071-100-3PS-EW00-
c) Vendor Documents ITR-EL-003-01 W W R
00001 00001
26071-100-3PS-EW00- Engineering Spec.
d) Spec. and length correct ITR-EL-003-01 W W S
00001 IFC Drawing
e) Cable Drum Identification / Check Cable 26071-100-3PS-EW00- Engineering Spec.
ITR-EL-003-01 W W S
Marking 00001 IFC Drawing
f) Adequate protection of cable drum and 26071-100-3PS-EW00- Engineering Spec.
ITR-EL-003-01 W W S
against damage 00001 IFC Drawing
2.1.2 Testing
26071-100-3PS-EW00- 26071-100-3SS-E00X-
a) Continuity Test ITR-EL-003-01A W W R
00001 00001
2.2 Installation
a) Material Verification (Type / Size / 26071-100-3PS-EW00- 26071-100-3PS-EW00-
ITR-EL-003-02 R R R
Damage, etc.) 00001 00001
b) Prepare of Cable Pulling (Raceway, Tag, 26071-100-3SS-E00X-
IFC Drawing ITR-EL-003-02 R R R
etc.) 00001

Legend: H - Hold W - Witness S - Surveillance R - Document Review

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 Inspection and Test Plan for
Electrical Installation Early Work

ITP No 26071-100-GQI-GCQ-00017
Job No. : 26071 Revision No. 002
Revision Date 23 SEP 20
Reference Acceptance Report Inspection Point
No. Description of Inspection or Test
Criteria
Remark
Document Form No. Subcon Contractor IPMT TPI
26071-100-3PS-EW00- 26071-100-3SS-E00X-
c) Route & Schedule as per DWG ITR-EL-003-02 W W S
00001 00001
26071-100-3SS-E00X-
d) Cable Bending Radius IFC Drawing ITR-EL-003-02 W W S
00001
26071-100-3SS-E00X- 26071-100-3SS-E00X-
e) No Physical Damage & End Sealing ITR-EL-003-02 W W S
00001 00001
26071-100-3SS-E00X- 26071-100-3SS-E00X-
f) Arrangement & Separation ITR-EL-003-02 W W S
00001 00001
26071-100-3SS-E00X-
g) Suitable Cable Fixing IFC Drawing ITR-EL-003-02 W W S
00001
26071-100-3PS-EW00- 26071-100-3SS-E00X-
h) Cable Identification Mark ITR-EL-003-02/02A W W S
00001 00001
i) Spacing inside raceway (Trench / Tray / 26071-100-3PS-EW00- 26071-100-3SS-E00X-
ITR-EL-003-02 W W S
Duct) 00001 00001
26071-100-3PS-EW00- 26071-100-3SS-E00X-
j) Cleaning ITR-EL-003-02 W W S
00001 00001
before final
backfill and
2.3 Cable Test before
jointing and
terminating
2.3.1 LV Power cable
26071-100-3PS-EW00- Engineering Spec.
a) Continuity Test ITR-EL-003-05 W W W
00001 IFC Drawing
26071-100-3PS-EW00- Engineering Spec.
b) Insulation Resistance Test ITR-EL-003-05 W W W
00001 IFC Drawing
2.3.2 Control & Signal Cable

Legend: H - Hold W - Witness S - Surveillance R - Document Review

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 Inspection and Test Plan for
Electrical Installation Early Work

ITP No 26071-100-GQI-GCQ-00017
Job No. : 26071 Revision No. 002
Revision Date 23 SEP 20
Reference Acceptance Report Inspection Point
No. Description of Inspection or Test
Criteria
Remark
Document Form No. Subcon Contractor IPMT TPI
26071-100-3PS-EW00- Engineering Spec.
a) Continuity Test ITR-EL-003-07 W W W
00001 IFC Drawing
26071-100-3PS-EW00- Engineering Spec.
b) Insulation Resistance Test ITR-EL-003-07 W W W
00001 IFC Drawing
Connection / Termination
2.4
(Splicing, Connection)
26071-100-3PS-EW00- 26071-100-3SS-E00X-
a) No physical damages (visual check) ITR-EL-003-03 W W S
00001 00001
26071-100-3PS-EW00- 26071-100-3SS-E00X-
b) Cable glands ITR-EL-003-03 W W S
00001 00001
c) Permanent cable & core identification 26071-100-3PS-EW00- 26071-100-3SS-E00X-
ITR-EL-003-03 W W S
mark 00001 00001
26071-100-3PS-EW00- 26071-100-3SS-E00X-
d) Cable arrangement / separation ITR-EL-003-03 W W S
00001 00001
26071-100-3PS-EW00- 26071-100-3SS-E00X-
e) Conductor and terminal lug crimping ITR-EL-003-03 W W S
00001 00001
f) Armor / Screen / Shield treatment and 26071-100-3PS-EW00- 26071-100-3SS-E00X-
ITR-EL-003-03 W W S
connection 00001 00001
g) Cable connection to exact termination 26070-203-3PS-EW00- 26071-100-3SS-E00X-
ITR-EL-003-03A W W S
point J0001- 00001
h) Bolt tightening check (according to the 26070-203-3PS-EW00- 26071-100-3SS-E00X-
ITR-EL-003-03 W W S
vendor recommendation) J0001- 00001

3 CABLE RACEWAY INSPECTION

3.1 Cable Ladder & Perforated Tray

Legend: H - Hold W - Witness S - Surveillance R - Document Review

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 Inspection and Test Plan for
Electrical Installation Early Work

ITP No 26071-100-GQI-GCQ-00017
Job No. : 26071 Revision No. 002
Revision Date 23 SEP 20
Reference Acceptance Report Inspection Point
No. Description of Inspection or Test
Criteria
Remark
Document Form No. Subcon Contractor IPMT TPI

3.1.1 Installation
a) Conformance to specification and Engineering Spec. Engineering Spec.
ITR-EL-004-01- W W S
drawings IFC Drawing IFC Drawing
Engineering Spec.
b) Check interference with others discipline IFC Drawing ITR-EL-004-01- W W S
IFC Drawing
Engineering Spec.
c) Support Installation & Bolt tightness IFC Drawing ITR-EL-004-01- W W S
IFC Drawing
d) Check Spacing between tray / ladder Engineering Spec.
IFC Drawing ITR-EL-004-01- W W S
layers IFC Drawing
e) Expansion joints / splice plates properly 26071-100-3PS-EYM0- Engineering Spec.
ITR-EL-004-01- W W S
Installed 00001 IFC Drawing
26071-100-3PS-EYM0- Engineering Spec.
f) All bonding jumpers are installed ITR-EL-004-01- W W S
00001 IFC Drawing
26071-100-3PS-EYM0-
g) Cable Tray tagging IFC Drawing ITR-EL-004-01- W W S
00001
26071-100-3PS-EYM0-
h) Earthing System IFC Drawing ITR-EL-004-01- W W S
00001
26071-100-3PS-EYM0- Engineering Spec.
i) Touch-up paint ITR-EL-004-01- W W S
00001 IFC Drawing
26071-100-3PS-EYM0-
j) Check no sharp edge IFC Drawing ITR-EL-004-01- W W S
00001
3.2 Cable Trench

3.2.1 Installation
a) Check cable trench type / size as per Engineering Spec.
IFC Drawing ITR-EL-004-02- R R R
drawing IFC Drawing

Legend: H - Hold W - Witness S - Surveillance R - Document Review

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 Inspection and Test Plan for
Electrical Installation Early Work

ITP No 26071-100-GQI-GCQ-00017
Job No. : 26071 Revision No. 002
Revision Date 23 SEP 20
Reference Acceptance Report Inspection Point
No. Description of Inspection or Test
Criteria
Remark
Document Form No. Subcon Contractor IPMT TPI
b) Check location, routing, depth and width Engineering Spec.
IFC Drawing ITR-EL-004-02- W W S
of cable trench IFC Drawing
c) Check physical damage and cable space Engineering Spec.
IFC Drawing ITR-EL-004-02- R R R
of underground cables IFC Drawing
d) Cable protection tiles, correct backfilling Engineering Spec.
IFC Drawing ITR-EL-004-02- W W S
and compaction installed IFC Drawing
e) Ends of PVC pipe sleeve to be sealed or Engineering Spec.
IFC Drawing ITR-EL-004-02- W W S
capped IFC Drawing
f) Cable bending radius within acceptance Engineering Spec.
IFC Drawing ITR-EL-004-02- W W S
limits IFC Drawing
g) Proper tagging of cable entering and Engineering Spec.
IFC Drawing ITR-EL-004-02- W W S
exiting all cable duct IFC Drawing
Engineering Spec.
h) Warning Tape Installation properly IFC Drawing ITR-EL-004-02- W W S
IFC Drawing
3.3 Conduit Pipe

3.3.1 Installation
a) Conformance to specification and Engineering Spec. Engineering Spec.
ITR-EL-004-03- R R R
drawings (Size, Location, materials) IFC Drawing IFC Drawing
26071-100-3PS-EYM0-
b) Expansion joints properly installed IFC Drawing ITR-EL-004-03- R R R
00001
Engineering Spec.
c) Check interference with others discipline IFC Drawing ITR-EL-004-03- W W S
IFC Drawing
26071-100-3PS-EYM0- Engineering Spec.
d) Support installation & bolt tightness ITR-EL-004-03- W W S
00001 IFC Drawing
26071-100-3PS-EYM0- Engineering Spec.
e) Check no sharp edge ITR-EL-004-03- W W S
00001 IFC Drawing

Legend: H - Hold W - Witness S - Surveillance R - Document Review

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 Inspection and Test Plan for
Electrical Installation Early Work

ITP No 26071-100-GQI-GCQ-00017
Job No. : 26071 Revision No. 002
Revision Date 23 SEP 20
Reference Acceptance Report Inspection Point
No. Description of Inspection or Test
Criteria
Remark
Document Form No. Subcon Contractor IPMT TPI
26071-100-3PS-EYM0- Engineering Spec.
f) Seal/drain/breather properly installed ITR-EL-004-03- W W S
00001 IFC Drawing
g) Field bend radius corrected per 26071-100-3PS-EYM0- Engineering Spec.
ITR-EL-004-03- W W S
specification and codes 00001 IFC Drawing
h) Spacing between instrument and power 26071-100-3PS-EYM0- Engineering Spec.
ITR-EL-004-03- W W S
conduit as per specifications 00001 IFC Drawing
i) Aluminum, PVC or PVC coated conduits 26071-100-3PS-EYM0- Engineering Spec.
ITR-EL-004-03- W W S
installed where specified on drawings 00001 IFC Drawing

4 EARTHING/GROUNDING SYSTEM

4.1 Installation
Engineering Spec.
a) Location /Area Classification IFC Drawing ITR-EL-00A-01 W W S
IFC Drawing
Engineering Spec.
b) Cable Trench/ Excavation accepted IFC Drawing ITR-EL-00A-01 W W S
IFC Drawing
26071-100-GQI-GAQ- 26071-100-3SS-E00X-
c) Tools / Equipment Tester ITR-EL-00A-01 W W S
00004 00001
26071-100-3SS-E00X- Engineering Spec.
d) Visual inspection during pulling cable ITR-EL-00A-01 W W S
00001 IFC Drawing
26071-100-3PS-EW00- Engineering Spec.
e) Check cable size and installation ITR-EL-00A-01 W W S
00001 IFC Drawing
26071-100-3SS-E00X-
f) Check underground cable jointing IFC Drawing ITR-EL-00A-01 W W S
00001
26071-100-3SS-E00X-
g) Check construction electrodes IFC Drawing ITR-EL-00A-01 W W S
00001

Legend: H - Hold W - Witness S - Surveillance R - Document Review

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 Inspection and Test Plan for
Electrical Installation Early Work

ITP No 26071-100-GQI-GCQ-00017
Job No. : 26071 Revision No. 002
Revision Date 23 SEP 20
Reference Acceptance Report Inspection Point
No. Description of Inspection or Test
Criteria
Remark
Document Form No. Subcon Contractor IPMT TPI
26071-100-3SS-E00X-
h) Check cable clamp and layout IFC Drawing ITR-EL-00A-01 W W S
00001
26071-100-3SS-E00X- Engineering Spec.
i) Check grounding connection ITR-EL-00A-01 W W S
00001 IFC Drawing
4.2 Testing
26071-100-3SS-E00X- Engineering Spec.
a) Earthing / Grounding continuity test ITR-EL-00A-01 / 02 W W S
00001 IFC Drawing
26071-100-3SS-E00X- Engineering Spec.
b) Inspect resistance of each electrodes ITR-EL-00A-01 / 02 W W S
00001 IFC Drawing
26071-100-3SS-E00X- Engineering Spec.
C) Inspect resistance of grounding loop ITR-EL-00A-01 / 02 W W S
00001 IFC Drawing

5 LIGHTING SYSTEM

5.1 Lighting Panel

5.1.1 Installation
Engineering Spec.
a) Location /Area Classification IFC Drawing ITR-EL-00B-01 W W S
IFC Drawing
26071-100-3SS-E00X- Engineering Spec.
b) Pulling cable accepted ITR-EL-00B-01 W W S
00001 IFC Drawing
26071-100-3SS-E00X- 26071-100-3SS-E00X-
c) Check Name plate and Rating ITR-EL-00B-01 W W S
00001 00001
26071-100-3SS-E00X- 26071-100-3SS-E00X-
d) Visual & dimensional ITR-EL-00B-01 W W S
00001 00001

Legend: H - Hold W - Witness S - Surveillance R - Document Review

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 Inspection and Test Plan for
Electrical Installation Early Work

ITP No 26071-100-GQI-GCQ-00017
Job No. : 26071 Revision No. 002
Revision Date 23 SEP 20
Reference Acceptance Report Inspection Point
No. Description of Inspection or Test
Criteria
Remark
Document Form No. Subcon Contractor IPMT TPI
e) Board assembly, mounting position and 26071-100-3SS-E00X- Engineering Spec.
ITR-EL-00B-01 W W S
bolting 00001 IFC Drawing
26071-100-3SS-E00X- Engineering Spec.
f) Busbars bolted connection ITR-EL-00B-01 W W S
00001 IFC Drawing
26071-100-3SS-E00X- Engineering Spec.
g) Check Fuse and Circuit breaker ratings ITR-EL-00B-01 W W S
00001 IFC Drawing
26071-100-3SS-E00X-
h) Cable glands, clamping and installation IFC Drawing ITR-EL-00B-01 W W S
00001
26071-100-3SS-E00X-
i) Check termination, Tag & wire number IFC Drawing ITR-EL-00B-01 W W S
00001
26071-100-3SS-E00X-
j) Check Earthing / grounding connections IFC Drawing ITR-EL-00B-01 W W S
00001
5.1.2 Testing
26071-100-3SS-E00X- ITR-EL-00B-01 / ITR-
a) Continuity test Vendor Procedure W W S
00001 EL-003-05
26071-100-3SS-E00X- ITR-EL-00B-01 / ITR-
b) Insulation resistance measurement Vendor Procedure W W S
00001 EL-003-05
26071-100-3SS-E00X- ITR-EL-00B-01 / ITR-
c) Phase sequence test Vendor Procedure W W S
00001 EL-002-05
26071-100-3SS-E00X-
d) Operation test Vendor Procedure ITR-EL-00B-01 H W W
00001
5.2 Lighting Fixture / Lighting Pole

5.2.1 Installation
Engineering Spec.
a) Location /Area Classification IFC Drawing ITR-EL-00B-02 W W S
IFC Drawing

Legend: H - Hold W - Witness S - Surveillance R - Document Review

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 Inspection and Test Plan for
Electrical Installation Early Work

ITP No 26071-100-GQI-GCQ-00017
Job No. : 26071 Revision No. 002
Revision Date 23 SEP 20
Reference Acceptance Report Inspection Point
No. Description of Inspection or Test
Criteria
Remark
Document Form No. Subcon Contractor IPMT TPI
26071-100-3SS-E00X-
b) Pulling cable accepted IFC Drawing ITR-EL-00B-02 W W S
00001
26071-100-GQI-GAQ- Engineering Spec.
c) Condition of material accepted ITR-EL-00B-02 W W S
00009 IFC Drawing
d) Visual and dimensional (check name Engineering Spec. Engineering Spec.
ITR-EL-00B-02 W W W
plate) IFC Drawing IFC Drawing
Engineering Spec.
e) Check grounding connection IFC Drawing ITR-EL-00B-02 W W W
IFC Drawing
26071-100-3PS-EYM0- Engineering Spec.
f) Check lighting fixture c/w accessories ITR-EL-00B-02 W W S
00001 IFC Drawing
g) Check the mounting system for lighting 26071-100-3PS-EYM0- Engineering Spec.
ITR-EL-00B-02 W W S
fixture 00001 IFC Drawing
26071-100-3PS-EYM0- Engineering Spec.
h) Check lighting pole c/w accessories ITR-EL-00B-02 W W S
00001 IFC Drawing
26071-100-3PS-EYM0- Engineering Spec.
i) Check lighting pole installation ITR-EL-00B-02 W W S
00001 IFC Drawing
Engineering Spec.
k) Check location lighting as per Layout IFC Drawing ITR-EL-00B-02 W W W
IFC Drawing
5.2.2 Testing
a) Test operation and setting of time Engineering Spec.
Vendor Procedure ITR-EL-00B-02 W W W
switches photoelectric. IFC Drawing
26071-100-3SS-E00X- ITR-EL-00B-02 / ITR-
b) Continuity Test Vendor Procedure W W W
00001 EL-003-05
26071-100-3SS-E00X- ITR-EL-00B-02 / ITR-
c) Insulation resistance measurement Vendor Procedure W W W
00001 EL-003-05
26071-100-3SS-E00X- ITR-EL-00B-02 / ITR-
d) Lighting circuit test Vendor Procedure W W W
00001 EL-002-03

Legend: H - Hold W - Witness S - Surveillance R - Document Review

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 Inspection and Test Plan for
Electrical Installation Early Work

ITP No 26071-100-GQI-GCQ-00017
Job No. : 26071 Revision No. 002
Revision Date 23 SEP 20
Reference Acceptance Report Inspection Point
No. Description of Inspection or Test
Criteria
Remark
Document Form No. Subcon Contractor IPMT TPI
26071-100-3SS-E00X- Engineering Spec, ITR-EL-00B-02 / ITR-
d) Illumination quality check W W W
00001 Vendor Procedure EL-002-04

LOCAL CONTROL STATION / JUNCTION

6
BOX
6.1 Installation
a) Location / Area Classification (as per Engineering Spec.
IFC Drawing ITR-EL-00C-01 W W S
layout) IFC Drawing
26071-100-3SS-E00X- 26071-100-3SS-E00X-
b) Check name plate and rating ITR-EL-00C-01 W W W
00001 00001
26071-100-3SS-E00X- Engineering Spec.
c) Visual & dimensional ITR-EL-00C-01 W W S
00001 IFC Drawing
26071-100-3PS-EYM0- Engineering Spec.
d) All MCB operational and correct rating. ITR-EL-00C-01 W W S
00001 IFC Drawing
e) All terminal wiring & terminations 26071-100-3PS-EYM0- Engineering Spec.
. ITR-EL-00C-01 W W W
completed and secure. 00001 IFC Drawing
f) All cable connected and glanded 26071-100-3PS-EYM0- Engineering Spec.
ITR-EL-00C-01 W W W
correctly. 00001 IFC Drawing
26071-100-3PS-EYM0- Engineering Spec.
g) Earthling connected and correct. ITR-EL-00C-01 W W W
00001 IFC Drawing
26071-100-3PS-EYM0- Engineering Spec.
h) Installation Accepted. ITR-EL-00C-01 W W W
00001 IFC Drawing
6.2 Testing
26071-100-3PS-EYM0- ITR-EL-00C-01 / ITR-
a) Insulation resistance measurement Vendor Procedure W W W
00001 EL-003-05

Legend: H - Hold W - Witness S - Surveillance R - Document Review

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 Inspection and Test Plan for
Electrical Installation Early Work

ITP No 26071-100-GQI-GCQ-00017
Job No. : 26071 Revision No. 002
Revision Date 23 SEP 20
Reference Acceptance Report Inspection Point
No. Description of Inspection or Test
Criteria
Remark
Document Form No. Subcon Contractor IPMT TPI
b) Inspect interlock & control correctly 26071-100-3PS-EYM0-
Vendor Procedure ITR-EL-00C-01 W W W
operate 00001
c) Test indicating and signaling lamps or 26071-100-3PS-EYM0-
Vendor Procedure ITR-EL-00C-01 W W W
devices 00001
26071-100-3PS-EYM0-
d) Operation / function test Vendor Procedure ITR-EL-00C-01 H W W
00001

7 LV SWITCH GEAR and MCC

7.1 Installation
a) Identification (Nameplate, Equipment / 26071-100-3SS-E00X- Engineering Spec.
ITR-EL-006-01 W W W
devices ) 00001 IFC Drawing
Engineering Spec. Engineering Spec.
b) Location & Foundation ITR-EL-006-01 W W S
IFC Drawing IFC Drawing
26071-100-3SS-ESL0- Engineering Spec.
c) Alignment & Leveling ITR-EL-006-01 W W W
00001 IFC Drawing
d) Components complete and tight (bolt, 26071-100-3SS-ESL0- Engineering Spec.
ITR-EL-006-01 W W W
anchorage, bus bar, etc.) 00001 IFC Drawing
26071-100-3SS-ESL0- Engineering Spec.
e) Earthing ITR-EL-006-01 W W W
00001 IFC Drawing
f) Check protection device rating per 26071-100-3SS-ESL0- Engineering Spec.
ITR-EL-006-01 W W S
drawing (CB etc.) 00001 IFC Drawing
g) Cubicle door can be fully opened without 26071-100-3SS-ESL0- Engineering Spec.
ITR-EL-006-01 W W S
obstruction 00001 IFC Drawing
h) Adequate protection of equipment and 26071-100-3SS-ESL0- Engineering Spec.
ITR-EL-006-01 W W S
against corrosion 00001 IFC Drawing

Legend: H - Hold W - Witness S - Surveillance R - Document Review

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 Inspection and Test Plan for
Electrical Installation Early Work

ITP No 26071-100-GQI-GCQ-00017
Job No. : 26071 Revision No. 002
Revision Date 23 SEP 20
Reference Acceptance Report Inspection Point
No. Description of Inspection or Test
Criteria
Remark
Document Form No. Subcon Contractor IPMT TPI
26071-100-3SS-ESL0-
i) Cable glands, clamping and termination IFC Drawing ITR-EL-006-01 W W W
00001
26071-100-3SS-ESL0- Engineering Spec.
j) The relays have complete final setting ITR-EL-006-01 W W W
00001 IFC Drawing
7.2 Testing
a) Test indicating and signaling lamps or 26071-100-3SS-ESL0-
Vendor Procedure ITR-EL-006-01 W W W
devices 00001
26071-100-3SS-ESL0-
b) Test anti-condensation heater Vendor Procedure ITR-EL-006-01 W W W
00001
26071-100-3SS-ESL0-
c) PT's polarity & phase rotation Vendor Procedure ITR-EL-006-01 W W W
00001
d) Inspect interlock & control correctly 26071-100-3SS-ESL0-
Vendor Procedure ITR-EL-006-01 W W W
operate 00001
26071-100-3SS-ESL0-
e) Switchgear / MCC function test Vendor Procedure ITR-EL-006-01 H W W
00001

8 Hazardous Equipment Installation

26071-100-3SS-E00X-
Hazardous Area Inspection IEC 60079-17 ITR-ELCI-EX-01 H W W
00001
9 FINAL DOSSIER
Project handover Project handover
9.1 Final Document Dossier - R R R
procedure (TBA) procedure (TBA)
26070-203- 30X-G00- 26070-203- 30X-G00-
9.2 As Build
J0002 J0002

Legend: H - Hold W - Witness S - Surveillance R - Document Review

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 Inspection and Test Plan for
Electrical Installation Early Work

ITP No 26071-100-GQI-GCQ-00017
Job No. : 26071 Revision No. 002
Revision Date 23 SEP 20
Reference Acceptance Report Inspection Point
No. Description of Inspection or Test
Criteria
Remark
Document Form No. Subcon Contractor IPMT TPI

Note: For more detail & specific 'Reference Document' & 'Acceptance Criteria' shall be developed in accordance with the Project requirements.

Legend: H - Hold W - Witness S - Surveillance R - Document Review

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 Doc. No. : 26071-100-GQI-GCQ-00017

Job No. : 26071 Rev.002

Material Verification and

Inspection Report (MVR)

Report No. :
Item PO No. :
Packing No :
Description
Vendor :
Quantity
Inspection date :

Result
No. Check Point Remark
Accept Reject N/A

1 Documentation

2 Shipping Damage

3 Physical Damage

4 Identification / Marking

5 Dimension

6 Cleanliness

7 Protective Cover / Seals

8 Coatings / Preservatives

9 Inert Gas Blanket

10 Desiccant

11 Lubricants / Oils

12 Storage Status

13 Other, if any
Inspection Result : □ Accept □ As-noted □ Reject
Contractor
Inspected by IPMT
QA/QC
Name
Signature
Date
GQI-GAQ-00009-01

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Job No. : 26071 Rev.002

INSPECTION REPORT FOR

ELECTRICAL CABLE DRUM

Project : Report No. :

DWG No. : Date :
Location : Subcontractor :
Subsystem No. : :
Inspection Result
No. Check / Test
Accept Reject N/A

1 General Condition Satisfactory (No physical damages)

2 Vendor documents

3 Type and size correct

4 Spec. and length correct

5 Cable drum identification / Check Cable Marking

Adequate protection of cable drum and against damage, other adverse factors
6
& cleaning
7 Continuity Test

Note :

Inspection Result : □ Accept □ As-noted □ Reject

Inspected by Subcontractor Contractor IPMT
Name
Signature
Date
ITR-EL-003-01

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Job No. : 26071 Rev.002

INSPECTION REPORT FOR

ELECTRICAL CABLE DRUM

Project : Report No.

DWG No. : Date :
Location : Subcontractor :
Test Equipment
MFR/Model No. Calibration date :
Serial No. Calibration due date :
mfr. Continuity Test
No. Cable Drum No. Spec. Length(M) Remarks
(Manufacturer) Accept Reject

Inspection Result : □ Accept □ As-noted □ Reject

Inspected by Subcontractor Contractor IPMT
Name
Signature
Date
ITR-EL-003-01A

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 Doc. No. : 26071-100-GQI-GCQ-00017

Job No. : 26071 Rev.002

INSPECTION REPORT FOR

ELECTRICAL CABLE
INSTALLATION
Project : Report No.
DWG No. : Date :
Location : Subcontractor :
Subsystem No. : :
Inspection Result
No. Check / Test
Accept Reject N/A

1 Material Verification (Type / Size / Damage, etc.)

2 Prepare of Cable Pulling (Raceway, Tag, etc.)

3 Route & Schedule as per DWG

4 Cable Bending Radius

5 No Physical Damage & End Sealing

6 Arrangement & Separation

7 Suitable Cable Fixing

8 Cable Identification Mark

9 Spacing inside raceway (Trench / Tray / Duct)

10 Cleaning
Note :

Inspection Result : □ Accept □ As-noted □ Reject

Inspected by Subcontractor Contractor IPMT
Name
Signature
Date
ITR-EL-003-02

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Job No. : 26071 Rev.002

INSPECTION REPORT FOR

ELECTRICAL CABLE
INSTALLATION
Project : Report No.
DWG No. : Date :
Location : Subcontractor :
Installation
No. Cable Tag & Size Remarks
From To

Inspection Result : □ Accept □ As-noted □ Reject

Inspected by Subcontractor Contractor IPMT
Name
Signature
Date
ITR-EL-003-02A

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Job No. : 26071 Rev.002

INSPECTION REPORT FOR

ELECTRICAL CABLE
TERMINATION
Project : Report No.
DWG No. : Date :
Location : Subcontractor :
Subsystem No. : :
Inspection Result
No. Check / Test
Accept Reject N/A

1 No physical damages

2 Cable glands

3 Permanent cable & core identification mark

4 Cable arrangement / separation

5 Conductor and terminal lug crimping

6 Armour / Screen / Shield treatment and connection

7 Cable connection to exact termination point

8 Bolt tightening check (according to the vendor recommendation)

10
Note :

Inspection Result : □ Accept □ As-noted □ Reject

Inspected by Subcontractor Contractor IPMT
Name
Signature
Date
ITR-EL-003-03

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 Doc. No. : 26071-100-GQI-GCQ-00017

Job No. : 26071 Rev.002

INSPECTION REPORT FOR

ELECTRICAL CABLE
TERMINATION
Project : Report No.
DWG No. : Date :
Location : Subcontractor :
Termination
No. Cable Tag & Size Remarks
From To

Inspection Result : □ Accept □ As-noted □ Reject

Inspected by Subcontractor Contractor IPMT
Name
Signature
Date
ITR-EL-003-03A

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Job No. : 26071 Rev.002

INSPECTION REPORT FOR

ELECTRICAL LV CABLE TEST

Project : Report No.

DWG No. : Date :
Location : Subcontractor :
1. Test Equipment
MFR/Model No : Calibration Date :
Serial No. : Calibration Due Date :

2. Check List
Installation IR Value (㏁) Continuity
No. Cable Tag & Size
From To L1-L2 L2-L3 L3-L1 L1,2,3-E,N Test

Inspection Result : □ Accept □ As-noted □ Reject

Inspected by Subcontractor Contractor IPMT
Name
Signature
Date
ITR-EL-003-05

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Job No. : 26071 Rev.002

INSPECTION REPORT FOR ELEC.

CONTROL & SIGNAL CABLE TEST

Project : Report No.

DWG No. : Date :
Location : Subcontractor :
1. Test Equipment
MFR/Model No : Calibration Date :
Serial No. : Calibration Due Date :

2. Cable List
Installation IR Value (㏁) Continuity
No. Cable Tag & Size
From To C-C C-S C-E Test

Inspection Result : □ Accept □ As-noted □ Reject

Inspected by Subcontractor Contractor IPMT
Name
Signature
Date
ITR-EL-003-07

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Job No. : 26071 Rev.002

INSPECTION REPORT FOR

ELECTRICAL CABLE TRAY &
LADDER
Project : Report No.
DWG No. : Date :
Location : Subcontractor :
Subsystem No. : :
Inspection Result
No. Check / Test
Accept Reject N/A

1 Conformance to specification and drawings

2 Check interference with others discipline

3 Support Installation & Bolt tightness

4 Check Spacing between tray / ladder layers

5 Expansion joints / splice plates properly Installed

6 All bonding jumpers are installed

7 Cable Tray tagging

8 Earthing System

9 Touch-up paint

10 Check no sharp edge

Note :

Inspection Result : □ Accept □ As-noted □ Reject

Inspected by Subcontractor Contractor IPMT
Name
Signature
Date
ITR-EL-004-01

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Job No. : 26071 Rev.002

INSPECTION REPORT FOR

ELECTRICAL CABLE TRENCH

Project : Report No. :

DWG No. : Date :
Location : Subcontractor :
Subsystem No. : :
Inspection Result
No. Check / Test
Accept Reject N/A

1 Check cable trench type / size as per drawing

2 Check location, routing, depth and width of cable trench

3 Check physical damage and cable space of underground cables

4 Cable protection tiles, correct backfilling and compaction installed

5 Ends of PVC pipe sleeve to be sealed or capped

6 Cable bending radius within acceptance limits

7 Proper tagging of cable entering and exiting all cable duct

8 Warning Tape Installation properly

10
Note :

Inspection Result : □ Accept □ As-noted □ Reject

Inspected by Subcontractor Contractor IPMT
Name
Signature
Date
ITR-EL-004-02

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Job No. : 26071 Rev.002

INSPECTION REPORT FOR

ELECTRICAL CONDUIT

Project : Report No. :

DWG No. : Date :
Location : Subcontractor :
Subsystem No. : :
Inspection Result
No. Check / Test
Accept Reject N/A
Conformance to specification and drawings
1
(Size, Location, materials)
2 Expansion joints properly installed

3 Support installation & bolt tightness

4 Check no sharp edge

5 Check interference with others discipline

6 Seal/drain/breather properly installed

7 Field bend radius corrected per specification and codes

8 Spacing between instrument and power conduit as per specifications

9 Aluminum, PVC or PVC coated conduits installed where specified on drawings

10
Note :

Inspection Result : □ Accept □ As-noted □ Reject

Inspected by Subcontractor Contractor IPMT
Name
Signature
Date
ITR-EL-004-03

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Job No. : 26071 Rev.002

INSPECTION REPORT FOR

EARTHING / GROUNDING
SYSTEM
Project : Report No. :
DWG No. : Date :
Location : Subcontractor :
Inspection Result
No. Check / Test
Accept Reject N/A

1 Location /Area Classification

2 Cable Trench/ Excavation accepted

3 Tools / Equipment Tester

4 Visual inspection during pulling cable

5 Check cable size, tagging and installation

6 Check underground cable jointing

7 Check construction earth electrodes

8 Check cable clamp and layout

9 Check grounding connection

10 Earthing / Grounding continuity test (ITR-EL-00A-02)

11 Inspect resistance of each electrodes (ITR-EL-00A-02)

12 Inspect resistance of grounding loop (ITR-EL-00A-02)

Note :

Inspection Result : □ Accept □ As-noted □ Reject

Inspected by Subcontractor Contractor IPMT
Name
Signature
Date
ITR-EL-00A-01

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 Doc. No. : 26071-100-GQI-GCQ-00017

Job No. : 26071 Rev.002

INSPECTION REPORT FOR

EARTHING / GROUNDING RESISTANCE
& CONTINUITY TEST DATA

Project : Report No. :

DWG No. : Date :
Location : Subcontractor :
Test Instrument : Serial No. :
Type : Manufacture :
Expire Due Date
Range : :
of Calibration
Equip No./ Ground Rod Continuity Grounding Resistance (Ω) Inspection Result
No. Location Test Point
No. (Ω) Individual Group Accept Reject N/A

10
Note :

Inspection Result : □ Accept □ As-noted □ Reject

Inspected by Subcontractor Contractor IPMT
Name
Signature
Date
ITR-EL-00A-02

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 Doc. No. : 26071-100-GQI-GCQ-00017

Job No. : 26071 Rev.002

INSPECTION REPORT FOR

LIGHTING PANEL INSTALLATION

Project : Report No. :

DWG No. : Date :
Location : Subcontractor :
Inspection Result
No. Check / Test
Accept Reject N/A

1 Location /Area Classification

2 Pulling cable accepted

3 Check Name plate and Rating

4 Visual & dimensional

5 Board assembly and bolting

6 Busbars bolted connection

7 Check Fuse and Circuit breaker ratings

8 Cable glands, clamping and installation

9 Check termination, Tag & wire number

10 Check Earthing / grounding connections

11 Continuity test & Insulation resistance measurement ( ITR-EL-003-05)

12 Phase sequence test

13 Operation Test

Note :

Inspection Result : □ Accept □ As-noted □ Reject

Inspected by Subcontractor Contractor IPMT
Name
Signature
Date
ITR-EL-00B-01

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 Doc. No. : 26071-100-GQI-GCQ-00017

Job No. : 26071 Rev.002

INSPECTION REPORT FOR

PHASE SEQUENCE AND
POLARITY TEST DATA
Project : Report No. :
DWG No. : Date :
Location : Subcontractor :
1. Test Equipment : Calibration date :
MFR / Type : Range :
Serial No. : Voltage :

2. Check List
TEST POINT PHASE ROTATION TIE-IN
No. REMARKS
(Refer to attached drawing) CW / CCW BREAKER NO.

Inspection Result : □ Accept □ As-noted □ Reject

Inspected by Subcontractor Contractor IPMT
Name
Signature
Date
ITR-EL-002-05

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 Doc. No. : 26071-100-GQI-GCQ-00017

Job No. : 26071 Rev.002

INSPECTION REPORT FOR

LIGHTING FIXTURE / LIGHTING
POLE INSTALLATION
Project : Report No. :
DWG No. : Date :
Location : Subcontractor :
Inspection Result
No. Check / Test
Accept Reject N/A

1 Location /Area Classification

2 Pulling cable accepted

3 Condition of material accepted

4 Visual and dimensional

5 Check grounding connection

6 Check lighting fixture c/w accessories

7 Check the mounting system and levelling for lighting fixture

8 Check lighting pole c/w accessories

9 Check lighting pole installation (ITR-EL-00B-03)

10 Check tagging No & location lighting as per Layout

11 Test operation and setting of time switches photoelectric.

12 Continuity Test & Insulation resistance measurement ( ITR-EL-003-05)

13 Lighting circuit test (ITR-EL-002-03)

14 Illumination quality check

Note :

Inspection Result : □ Accept □ As-noted □ Reject

Inspected by Subcontractor Contractor IPMT
Name
Signature
Date
ITR-EL-00B-02

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 Doc. No. : 26071-100-GQI-GCQ-00017

Job No. : 26071 Rev.002

INSPECTION REPORT FOR

LIGHTING POLE
INSTALLATION
Project : Report No. :
DWG No. : Date :
Location : Subcontractor :
SURVEY RESULT DEVIATION REFERENCE
ACCEPTED
X1 X2 ∆ X1 RX REQUIRED
REMARKS
Y1 Y2 ∆ Y1 RY TOLERANCE
YES NO
Z1 Z2 ∆ Z1 RZ
X +6
Y +6
Z NA +3

X2 Y2
3000 mm

3000 mm

Z Z

X Y
3 Allowable
Tolerance
Y1
X1 Y1

SIDE VIEW FRONT VIEW

Note :

Inspection Result : □ Accept □ As-noted □ Reject

Inspected by Subcontractor Contractor IPMT
Name
Signature
Date
ITR-EL-00B-03

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Job No. : 26071 Rev.002

INSPECTION REPORT FOR

LIGHTING CIRCUIT TEST DATA

Project : Report No. :

DWG No. : Date :
Location : Subcontractor :

1. Test Equipment
MFR/Model No. Calibration Date :
Serial No. Calibration Due Date:
2. Check List
BRANCH CIRCUIT RESULT
No. PANEL NO. REMARKS
CIRCUIT NO. VOLTAGE

Inspection Result : □ Accept □ As-noted □ Reject

Inspected by Subcontractor Contractor IPMT
Name
Signature
Date
ITR-EL-002-03

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Job No. : 26071 Rev.002

INSPECTION REPORT FOR

ILLUMINATION LEVEL MEASUREMENT
DATA
Project : Report No. :
DWG No. : Date :
Location : Subcontractor :
Test Equipment
MFR/Model No. : Calibration Date :
Serial No. Calibration Due Date :
Standard Inspection Result
Measurement Height from Measurement ILLUMINATION
No. ILLUMINATION
Position Ground Level Time (Lux) Accept Reject N/A
(Lux)

Inspection Result : □ Accept □ As-noted □ Reject

Inspected by Subcontractor Contractor IPMT
Name
Signature
Date
ITR-EL-002-04

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Job No. : 26071 Rev.002

INSPECTION REPORT FOR

LOCAL CONTROL STATION /
JUNCTION BOX INSTALLATION
Project : Report No. :
DWG No. : Date :
Location : Subcontractor :
:
Inspection Result
No. Check / Test
Accept Reject N/A
1 Location / Area Classification

2 Check name plate and rating

3 Visual & dimensional

4 All MCB operational and correct rating

5 All terminal wiring & terminations completed and secure.

6 All cable connected and glanded correctly.

7 Earthling connected and correct.

8 Installation Accepted.

9 Insulation resistance measurement ( ITR-EL-003-05)

10 Inspect interlock & control correctly operate

11 Test indicating and signaling lamps or devices

12 Operation / function test

Note :

Inspection Result : □ Accept □ As-noted □ Reject

Inspected by Subcontractor Contractor IPMT
Name
Signature
Date
ITR-EL-00C-01

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Job No. : 26071 Rev.002

INSPECTION REPORT FOR

HV / LV SWITCHGEAR,
MCC INSTALLATION
Project : Report No. :
DWG No. : Date :
Location : Subcontractor :
Inspection Result
No. Check / Test
Accept Reject N/A
1 Identification (Nameplate, Equipment / devices )

2 Location & Foundation

3 Alignment & Leveling

4 Components complete and tight (bolt, anchorage, bus bar, etc.)

5 Earth connection of the Panel and inspect internal earth bus bar

6 Check protection device rating per drawing (CB etc.)

7 Cubicle door can be fully opened without obstruction

Adequate protection of equipment and against corrosion, other adverse factors
8
& cleaning
9 Cable glands, clamping and termination

10 The relays have complete final setting

11 Test indicating and signaling lamps or devices

12 Test anti-condensation heater

13 PT's polarity & phase rotation

14 Inspect interlock & control correctly operate

15 Switchgear / MCC function test

Note :

Inspection Result : □ Accept □ As-noted □ Reject

Inspected by Subcontractor Contractor IPMT
Name
Signature
Date
ITR-EL-006-01

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Job No. : 26071 Rev.002

HAZARDOUS EQUIPMENT
INSPECTION SCHEDULE

Project : Report No :
DWG No. : System No. :
Location : Date :
Equipment / Tag No. : Subcontractor ::
Notes: 1. All fields are to be completed. Any non-applicable fields shall state “NA”.
2. Inspection to be performed in accordance with IEC 60079-14, 60079-17.
3. A Schedule should be completed for EACH item of Equipment.

Manufacturer : Ex Protection Concept :

Model No. : Certification Body :
Serial No. : Certification No. :
Area Zone Classification : Gas Group :
Equipment Classification : Temperature Class :
IP Rating : Reference Spec’s / Codes : IEC 60079- 17

Ex Ex Ex Ex Ex Ex Ex Ex Ex Inspection Result
No Check / Test
de d e n i/nL q o m p Accept Reject N/A

Equipment is appropriate to the EPL/Zone requirements of the

1 location
  
2 Equipment Gas Group is correct for the Area N/A   
3 Equipment Temperature Class is correct   
4 Circuit and / or equipment category and group is correct N/A N/A N/A N/A N/A N/A N/A N/A   
5 Equipment identification is available and correct   
Equipment installed is that specified in the documentation –
6 fixed equipment only
N/A N/A N/A N/A N/A N/A N/A N/A   
Enclosure, glass to-metal sealing gasket and / or compounds
7 are satisfactory
N/A N/A   
A. EQUIPMENT

8 There are no unauthorized modifications   

9 Lamp rating, type and position are correct N/A N/A N/A N/A   
Safety barriers unit, relays and other energy limiting device are
10 of the approved type, installed in accordance with the N/A N/A N/A N/A N/A N/A N/A N/A   
certification requirements and securely earthed where required
Bolts, cable gland and MCTs (direct and indirect) and blanking
11 element are of the correct type and are complete and properly N/A N/A   
torqued
Flange faces are clean and undamaged and gaskets, if any,
12 satisfactory
N/A N/A N/A N/A N/A N/A N/A   
13 Flange gap dimensions are within maximal values permitted N/A N/A N/A N/A N/A N/A N/A   
14 Electrical connections are tight and properly torqued N/A   
N/
15 Condition of enclosure gaskets is satisfactory N/A N/A
A
  
Enclosed-break and hermetically sealed devices are
16 undamaged
N/A N/A N/A N/A N/A   

17 Restricted breathing enclosure is satisfactory N/A N/A N/A N/A N/ N/

N/A
N/
  
A A A

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Motor fans have sufficient clearance to enclosure and / or

18 N/A N/A N/A N/A N/A   
covers, motor foundations have no identification or cracks

19 Insulation Resistance (IR) of the motor windings is satisfactory N/A N/A N/A N/A N/A   
20 Breathing and draining device are satisfactory N/A N/A N/A   
21 Printed circuit boards are clean and undamaged N/A N/A N/A N/A N/A N/A N/A N/A   
Type of cable is appropriate and installed in accordance with
22 documentation
  
23 Cable screens are earthed in accordance with documentation N/A N/A N/A N/A N/A N/A N/A N/A   
24 There is no obvious damage to cable   
25 Sealing of trunking ducts, pipes and / or conduits is satisfactory N/A   
26 Stopping boxes and cable boxes are correctly filled N/A N/A N/A N/A   
Integrity of conduit system and interface with mixed system is
27 maintained
N/A N/A   
Earthing connections, including any supplementary earthing
28 bonding connection are satisfactory (for example connections N/A   
are tight and conductors are of sufficient cross-section)
Fault loop impedance (TN system) or earthing resistance is
29 satisfactory
N/A   
30 Insulation resistance is satisfactory N/A N/A   
Automatic electrical protective devices operate within permitted
31 limits
N/A   
Automatic electrical protective devices are set correctly (auto
32 re-set not possible)
N/A   
33 Point to point connections are all correct N/A N/A N/A N/A N/A N/A N/A N/A   
Earth Continuity is satisfactory (e.g. connection are tight,
34 conductors are of sufficient cross-section) for non-galvanically N/A N/A N/A N/A N/A N/A N/A N/A   
isolated circuits
INSTALLATION

35 Earth connections maintain the integrity of the type of protection N/A N/A N/A N/A N/A N/A N/A N/A   
Intrinsically safe circuit earthing and insulation resistance is
36 satisfactory
N/A N/A N/A N/A N/A N/A N/A N/A   
Separation is maintained between intrinsically safe and non-
37 intrinsically safe circuit in common distribution boxes or relay N/A N/A N/A N/A N/A N/A N/A N/A   
cubicles
B.

As applicable, short circuit protection of the power supply is in

38 accordance with documentation
N/A N/A N/A N/A N/A N/A N/A N/A   
39 Special condition of use (if applicable) are complied with   
40 Cable/cores not in use are correctly terminated N/A   
Obstructions adjacent to flameproof flanged joint are in
41 accordance with IEC 60079-14
N/A N/A N/A N/A N/A N/A N/A   
Variable voltage / frequency installation in accordance with
42 documentation
N/A N/A N/A N/A N/A   
43 No evidence of leakage of filling material N/A N/A N/A N/A N/A N/A N/A N/A   
Protective liquid is between minimum and maximum permissible N/A
44 levels
N/A N/A N/A N/A N/A N/A N/A   
45 Protective liquid is compliant with IEC 600790-6 clause 4.2 N/A N/A N/A N/A N/A N/A N/A N/A   
46 No sign of deterioration of protective liquid by dust or humidity N/A N/A N/A N/A N/A N/A N/A N/A   
47 No evidence of loosening of external fasteners N/A N/A N/A N/A N/A N/A N/A N/A   
48 No evidence of loss of protective liquid N/A N/A N/A N/A N/A N/A N/A N/A   
No exposure of encapsulated part, flaking, inadmissible
49 shrinkage, swelling, decomposition, failure in adhesion or N/A N/A N/A N/A N/A N/A N/A N/A   
softening
50 Protective gas inlet temperature is below maximum specified N/A N/A N/A N/A N/A N/A N/A N/A   
51 Ducts, pipe and enclosure are in good condition N/A N/A N/A N/A N/A N/A N/A N/A   
52 Protective gas is substantially free from contaminants N/A N/A N/A N/A N/A N/A N/A N/A   

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53 Protective gas pressure and / or flow is adequate N/A N/A N/A N/A N/A N/A N/A N/A   
Pressure and / or flow indicators, alarms and interlocks
54 functions correctly
N/A N/A N/A N/A N/A N/A N/A N/A   
Condition of spark and practical barrier of ducts for exhausting
55 the gas in hazardous area are satisfied
N/A N/A N/A N/A N/A N/A N/A N/A   
Equipment is adequately protected against corrosion, weather,
  
ENV

56 vibration and other adverse factors

57 No undue accumulation of dust and dirt or humidity   
C.

58 Electrical installation is clean and dry   

Accessories Item

No Item Manufacturer Type Ex protection concept Certification No. Qty Remarks

Note :

Inspection Result : □ Accept □ As-noted □ Reject

Inspected by Subcontractor Contractor IPMT
Name
Signature
Date
ITR-ELCI-EX-01

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