INSTRUMENTATION SWITCH CHECKLIST Page 1 of 1
Project
Facility: Project Name:
Area : Bid Opportunity:
Instrument
Tag: Description:
Manufacturer: Model: Serial Number:
Inspection Checklist
Pass
No. Item to be Inspected Comments
(P/F)
1. Instrument type and class per P&ID and specification
2. Instrument tag(s) installed and correct
3. Installation of sensor complete and correct
4. Block and drain valves
5. Pneumatic / hydraulic tubing leak tested
6. Heat tracing / insulation / instrument housing
7. Wiring correct
8. Drawings marked up as-built
9. HMI Graphic symbol and tag correct
State Checklist
Pass
State State Desc PLC Input Local HMI SCADA Alarm
(P/F)
0 On Off
N/A
1 On Off
Calibration
Setpoint Trip Point Actual Trip Point Setpoint Actual Pass
Transition
(incl. units) (incl. units) Time Delay Time Delay (P/F)
0!1
1!0
Comments:
Company Name Signature Date (yyyy/mm/dd)
Tested By
Witnessed By
Form F-INST-SW-CHECKLIST Rev 00, Created by SNC-Lavalin Inc
Form F-LOOP-CHECKLIST Rev 00, Created by SNC-Lavalin Inc.
L:\40ENG\48I&C\Commissioning Forms\F-INST-SW-CHECKLIST.doc
INSTRUMENTATION TRANSMITTER LOOP CHECKLIST Page 1 of 2
Project
Facility: Project Name:
Area : Bid Opportunity:
Instrument (Sensor / Element)
Tag: Description:
Manufacturer: Model: Serial Number:
Transmitter
Tag: Description:
Manufacturer: Model: Serial Number:
Design
Units: -
Range:
4-20 mA Modbus Other:
Output
0-10 V Ethernet IP
Inspection Checklist
Pass
No. Item to be Inspected Comments
(P/F)
1. Instrument type and class per P&ID and specification
2. Instrument tag(s) installed and correct
3. Installation of sensor complete and correct
4. Block and drain valves
5. Pneumatic / hydraulic tubing leak tested
6. Heat tracing / insulation / instrument housing
7. Impulse lines pressure tested
8. Wiring correct
9. Drawings marked up as-built
10. HMI Graphic symbol, tag and units correct
Form F-INST-TRANS-CHECKLIST Rev 00, Created by SNC-Lavalin Inc.
L:\40ENG\48I&C\Commissioning Forms\F-INST-TRANS-CHECKLIST.doc
INSTRUMENTATION TRANSMITTER LOOP CHECKLIST Page 2 of 2
Signal Validation
Input Pass
Location Design Value Actual Value Error (%)
Signal (P/F)
Transmitter Display
Transmitter Output
Process Display
PLC
HMI
Transmitter Display
Transmitter Output
Process Display
PLC
HMI
Transmitter Display
Transmitter Output
Process Display
PLC
HMI
Notes:
1. Attach factory calbration forms for all instruments where provided and/or specified.
2. Provide instrument parameters for each parameter changed from the factory default.
Comments:
Company Name Signature Date (yyyy/mm/dd)
Tested By
Witnessed By
Form F-INST-TRANS-CHECKLIST Rev 00, Created by SNC-Lavalin Inc.
L:\40ENG\48I&C\Commissioning Forms\F-INST-TRANS-CHECKLIST.doc
MODULATING CONTROL DEVICE CHECKLIST Page 1 of 1
Project
Facility: Project Name:
Area : Bid Opportunity:
Control Device
Tag: Description:
Manufacturer: Model: Serial Number:
Inspection Checklist
Pass
No. Item to be Inspected Comments
(P/F)
1. Actuator type and class per P&ID and specification
2. Instrument tag(s) installed and correct
3. Installation of actuator complete and correct
4. Wiring correct
5. Drawings marked up as-built
6. HMI graphic symbol, tag and units correct
Control Validation
Pass
Control Output Location Design Value Actual Value Error (%)
(P/F)
PLC Output
0%
Field Device
PLC Output
50%
Field Device
PLC Output
100%
Field Device
Notes:
1. Attach factory calbration forms for all instruments where provided and/or specified.
2. Provide instrument parameters for each parameter changed from the factory default.
Comments:
Company Name Signature Date (yyyy/mm/dd)
Tested By
Witnessed By
Form F-MOD-CTRL-DEV-CHECKLIST Rev 00, Created by SNC-Lavalin Inc.
L:\40ENG\48I&C\Commissioning Forms\F-MOD-CTRL-DEV-CHECKLIST.doc
PID CONTROLLER CHECKLIST Page 1 of 1
Project
Facility: Project Name:
Area : Bid Opportunity:
Controller Loop
Tag: Description:
Test Checklist
Pass
No. Item to be Inspected Comments
(P/F)
1. Startup Test
2. Input signal positive bump test
3. Input signal negative bump test
4. Bumpless auto-manual control transition
4. Manual output capability
5. Bumpless manual-auto control transition
6. HMI graphic symbols, tag and units correct
7. HMI equipment faceplate correct
Final PID Tuning Values
P: I: D:
Notes:
1. Attach printouts of trends for varous tests, with final PID tuning values.
Comments:
Company Name Signature Date (yyyy/mm/dd)
Tested By
Witnessed By
Form F-PID-CTRLR-CHECKLIST Rev 00, Created by SNC-Lavalin Inc.
L:\40ENG\48I&C\Commissioning Forms\F-PID-CTRLR-CHECKLIST.doc
PLC DISCRETE INPUT CHECKLIST Page 1 of 2
Project
Facility: Project Name:
Area : Bid Opportunity:
PLC
PLC ID: Description:
Rack: Slot:
PLC Local Pass
Pt Tag Description State State Desc. SCADA Alarm
Input HMI (P/F)
0 On Off
N/A
1 On Off
0 On Off
N/A
1 On Off
0 On Off
N/A
1 On Off
0 On Off
N/A
1 On Off
0 On Off
N/A
1 On Off
0 On Off
N/A
1 On Off
0 On Off
N/A
1 On Off
0 On Off
N/A
1 On Off
0 On Off
N/A
1 On Off
0 On Off
N/A
1 On Off
0 On Off
N/A
1 On Off
0 On Off
N/A
1 On Off
Form F-PLC-DI-CHECKLIST Rev 00, Created by SNC-Lavalin Inc.
L:\40ENG\48I&C\Commissioning Forms\F-PLC-DI-CHECKLIST.doc
PLC DISCRETE INPUT CHECKLIST Page 2 of 2
0 On Off
N/A
1 On Off
0 On Off
N/A
1 On Off
0 On Off
N/A
1 On Off
0 On Off
N/A
1 On Off
Comments:
Company Name Signature Date (yyyy/mm/dd)
Tested By
Witnessed By
Form F-PLC-DI-CHECKLIST Rev 00, Created by SNC-Lavalin Inc.
L:\40ENG\48I&C\Commissioning Forms\F-PLC-DI-CHECKLIST.doc
PLC DISCRETE OUTPUT CHECKLIST Page 1 of 2
Project
Facility: Project Name:
Area : Bid Opportunity:
PLC
PLC ID: Description:
Rack: Slot:
Pass
Pt Tag Description State State Desc. PLC Output Field Device
(P/F)
Form F-PLC-DO-CHECKLIST Rev 00, Created by SNC-Lavalin Inc.
L:\40ENG\48I&C\Commissioning Forms\F-PLC-DO-CHECKLIST.doc
PLC DISCRETE OUTPUT CHECKLIST Page 2 of 2
Comments:
Company Name Signature Date (yyyy/mm/dd)
Tested By
Witnessed By
Form F-PLC-DO-CHECKLIST Rev 00, Created by SNC-Lavalin Inc.
L:\40ENG\48I&C\Commissioning Forms\F-PLC-DO-CHECKLIST.doc
