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HIGH SENSITIVITY SMOKE

DETECTOR (HSSD) LOOP TEST

ITR No I12B
Item/Tag No. @T System No. @S
Item/Tag Description @D Sub System No. @SS
Sub System Description @SSD
Location @L Print Date @PD

INFORMATION
Type Model Number
Service Manufacturer
IP rating Range
Reference Drgs Serial No.
Method of detection Ex Protection
Area Covered
Type of Detector  Flame  Gas  Break glass  Other (To specify):_________________

No. Items to be Checked OK N/A Punch List no.

Verify installation check sheet I12-A has been


1
completed
Verify the cable has been installed terminated and
2 tested as per check sheet
I-01A and completed
Verify the Junction Boxes has been installed as per check
3
sheet I-07A and completed
Confirm all Cabling / Terminations / Earthing /Pipework
4 conforms to project specifications and is correctly
installed as per Loop drawings and Hook up diagrams.
5 Verify the correct electric power supply is connected
Verify all tools/equipment/test kits for the loop test are
6
available
Verify local indication/display are correctly activated
7
upon testing of the loop
Verify all the indication/display in FGS Panel are correctly
8
activated upon testing of the loop
Verify the indication/display in DCS (if applicable) are
9
correctly activated upon testing of the loop
Verify the indication/display and actions in Shutdown
10 Systems (if applicable) are correctly activated upon
testing of the loop as per cause and effect matrix
Verify no dust inside Enclosure /Cabinet / Panel and
11
insulation surfaces are clean
Verify Instruments & its Accessories /Electrical
12
equipment/Panel externally clean
Reference Drawings:
1. Cabinet / JB drawing
2. Instrument Location Drawings
3. FGS Cause & Effect Matrix (if applicable)
4. Vendor Drawings

COMMENT(S) / ADDITIONAL INFORMATION:

COMPLETED BY CONTRACTOR VERIFIED BY PMT/OWNER


Designation
Company
Name
Signature
Date

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