Date: ___-_____-___ __-___-CHK-___-_____

DD MMM YY Qatar Chemical Company

CATHODIC PROTECTION SYSTEM TRANSFORMER RECTIFIER ROUTINE INSPECTION CHECKLIST
HEADER INFORMATION
WORK ORDER NO: UNIT/AREA: EVENT TYPE: INSPECTION
TAG / FUNCT. LOC. NUMBER: DATE OF INSPECTION :
TECHNICIAN'S NAME: REFERENCE NUMBER :
Print First Name, Last Name

CHECKLIST DETAILS
1 TRANSFORMER BOXES NOT APPLICABLE NO ACTION REQ'D
Examine for leaks, corrosion, cracking, damaged hinges and coating condition. ACTION REQ'D

2 OIL LEVEL NOT APPLICABLE NO ACTION REQ'D

Check oil level is within marked range, check for debris in oil container. ACTION REQ'D

3 GAUGES NOT APPLICABLE NO ACTION REQ'D

Check if operating and condition of glass. ACTION REQ'D

4 VENTILATION NOT APPLICABLE NO ACTION REQ'D

Check for debris or sand at screens or vent holes. ACTION REQ'D

5 BREATHER NOT APPLICABLE NO ACTION REQ'D

Check silica gel condition / color. ACTION REQ'D

6 ALARM LAMP NOT APPLICABLE NO ACTION REQ'D

Ensure this lamp is illuminated ACTION REQ'D

7 WIRING AND WIRING TERMINALS NOT APPLICABLE NO ACTION REQ'D

Ensure all hardware is present and tight. ACTION REQ'D

8 NAMEPLATES NOT APPLICABLE NO ACTION REQ'D

Ensure they are intact and correct ACTION REQ'D

9 CABLE TAGS NOT APPLICABLE NO ACTION REQ'D

Ensure they are intact and correct ACTION REQ'D

10 TAPS NOT APPLICABLE NO ACTION REQ'D

Check taps are secure with all hardware intact. ACTION REQ'D

11 RECORD TRANSFORMER RECTIFIER DC VOLTAGE Volts DC

12 RECORD TRANSFORMER RECTIFIER DC AMPERAGE Amps

13 RECORD TRANSFORMER RECTIFIER VARIANCE / TAP SETTING

14 RECORD TEMPERATURE GAUGE READING o

C

NO. COMMENT

GENERAL NOTE/SIGN OFF SECTION

Note: 1. The Document Number in the top right corner is to be completed by the Document Control Center.
2. Use the Additional Comments area when you run out of space on the specific Instruction comment area.
3. Attach drawing showing areas of concern.
4. Return checklist to ERG Inspector upon completion of inspection.

INSP/TECH'S SIGNATURE: REVIEWER SIGN-OFF (if applicable)

(include date with signature)
(include printed name and date with signature)

TE-STA-SFM-00-0034 Rev. 2
page 1 of 1
20-Dec-09