TECHNICAL SUBMITTAL’S CHECKLIST

FOR HV SUBSTATION PROJECTS

18.1 – HV SURGE ARRESTOR DESIGN

Filling Date: / / .
PROJECT TITLE
PTS NO.
SUBMITTAL CODE CONTRACT NO.

INCLUDED
S.NO DESCRIPTION REMARKS
YES N/A NO
Manufacturer name, type & country of origin as per NGSA
1
approved list of manufacturer
Clause by clause compliance statement & filled in data schedule of
2
35-TMSS-01 duly signed & stamped by supplier & contractor
Clause by clause compliance statement 01-TMSS-01 R2 duly signed
3
& stamped by supplier & contractor
4 Deviation List (if any)
5 Surge Arrester rating/sizing calculation
6 Dimensional drawings for offered Surge Arrestor
7 Terminal connection Drawing
8 Grounding connection Drawing
9 Technical specifications for offered Surge Arrestor
10 Name Plate for offered Surge Arrestor
11 Technical catalogue for offered Surge Arrestor
Type & Special Test Report with following information
a. Type & Special Test conducted
b. Dimensional Drawing of Equipment on which tests were
12
conducted
c. Year of Test
Laboratory where the tests were conducted
13 Manufacturer Responsibility Statement
14 Reference list of substations in KSA
15 Spare Parts (if any) as per PTS/Schedule-C
BY SIGNING BELOW:
1-Contractor guarantees that all submitted documents are as per this check list, otherwise, Contractor is responsible to do all required
modifications without changing submittal’s revision number.
2-Contractor confirms that complete package of document submittal is stamped and signed by Contractor/Manufacturer.
3-Contractor should clarify and explain in the Remarks column if a particular document submittal is not applicable.

<NG Project Representative> <Contractor’s Name>

<Project Manager’s Name> <Project Manager’s Name>

Signature Signature & Stamp

Rev No. Submission Date Releasing Date Days taken to Reply by Contractor
0
1
2

Technical Submittal’s Checklist For HV Substation Projects, Rev. 00 Page 99 of 138

E&DD © 2018