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To Update!!!

Project Title :
System No :
Testpack No :CIWE-JIMT-P-001
P&ID No :
Rev No :

Location :
Contractor :CIWE
Test Medium :
Type of Test Hydro Test
Test Pressure :
Tie-Ins :
Area :
Design Pressure :
Fluid :
CIWE-JIMT PROJECT

SYSTEM NO.:

TESTPACK:
CIWE-JIMT-P-001

Main P & ID :

Type of Test : HYTRO TEST

Test Pressure :

DesignTest Pressure :

Test Medium :

Contractor : CIWE

PROJECT : LOCATION : See attachment


CIWE-JIMT PROJECT

T-62 BEFORE CLOSE MANHOLE CHECK LIST

Page 1 of 1

SYSTEM: PROJECT :

MAIN P&ID No: REV: LOCATION :

TEST PACK No: CIWE-JIMT- -


YES N/A NO

1.Fit-up Inspection Record


2. Welding Joint Traceability Record
3.Dimension Inspection Record
4.Air Leak Test Record
5.Oil Chalk Test Record
6.Vacuum Box Test Record
7. NDT Test Report
8.Hydrostatic Test Report
9.Painting & Blasting Inspection Report

Remarks:

For and on behalf of NAME Signature Date


CIWE
PMC
SRC
CIWE-JIMT PROJECT

TEST BLIND LIST

Page: 1 of 1

TEST PACK NO: CIWE-JIMT-P-001

Test
Blind Iso Dwg. Size of Removed CIWE PMC
No. No./ Pipe line No : blind Sign Sign Remarks

For and on behalf of NAME Signature Date


CIWE
PMC
SRC
CIWE-JIMT PROJECT

PIPING PUNCH LIST

PAGE 1 of 1

SYSTEM No.###
: PROJECT : ###

TEST PACK No. : CIWE-JIMT-P-001 PIPE SPEC###


:

PUNCH LIST COMPLETION


DESCRIPTION OF REMEDIAL WORKS
Item Initiator CAT CIWE PMC SRC
(DISCIPLINE)
DATE SIGN DATE SIGN DATE SIGN

Cat "A" - Punch Items must be repaired/completed or corrected before (pressure) testing can take place

Cat "B" - Punch Items may be repaired, completed/corrected after (pressure) testing, but before Reinstatement Acceptance
CIWE-JIMT PROJECT

PIPING TEST PACK APPROVAL TO TEST

Page: 1 of 1

SYSTEM NO:
### PROJECT : ###

TEST PACK No.: CIWE-JIMT-P-001 LOCATION :

EFD No.:
###

1. MC ENGINEERING REVIEW
There are no outstanding Engineering issues that prevent this line from being tested.

NAME: POSITION:

DATE: SIGNATURE:

2. MC CONSTRUCTION REVIEW
All items on Pipework Pre-Test Check List have been examined and completed.
All category A Punch List items have been rectified.
The system has been set-up for testing as per requirements.

NAME: POSITION:

DATE SIGNATURE:

REMARKS

COMPLETED BY

COMPANY

SIGNATURE

NAME
DATE
being tested.
CIWE-JIMT PROJECT

PRESSURE TEST REPORT

SYSTEM: PROJECT :

TEST PACK No:CIWE-JIMT-P-001 LOCATION :

P & ID No.

ISO Drawing No. See Attached Sheets (pipe line release inspection record)
DESIGN DATA TEST DATA
Ambient Temperature Ambient Temperature

Test Pressure Test Pressure

Design Pressure Holding Time

Fluid Testing Medium

Service Temperature Testing Temperature


Applicable Documents Pressure gages used give ID No.
1
Document No. : Calibration Cert. No & Date

Pressure gages used give ID No.


2
Calibration Cert. No & Date

Pressure gages used give ID No.


3
Calibration Cert. No & Date

Comments/Remarks Pressure Checked During Holding Time


P (If Required)
No Gage ID. Date Time Reading Signature

12bar 15minutes 1
8bar 2
3
0 4

t0 t1 t2 t3 t4 t5 t6 T

We confirm that the pressure test results as noted above correct and conform to the project requirements.

For and on behalf of Name Signature Date

CIWE

PMC

SRC
CIWE-JIMT

PIPE LINE TEST RELEASE INSPECTION RECORD


SYSTEM No. : PROJECT :
PAGE NO.: 1 of 1
TEST PACK No: CIWE-JIMT-P-001 LOCATION :
Checked by CIWE Checked by CIWE CHECKED BY PMC CHECKED SRC
P&ID NO.:

SHT CHECK ITEMS


REV
S/N ISO DWG NO. . LINE NO. RESULT
NO VALVE BLIND SPACER VENT DRAIN SUPPORT GASKET NDE
NO

Exception List Issued Yes No E/L No


CIWE-JIMT PROJECT

TEST PACK CONTENTS


Page: 1 of 1

AREA: PROJECT : ###

SYSTEM:
### TEST PACK NO:

LOCATION : ###

Tick Box if Included

1. Pipework Pre-Test Checklist

2. Test Blind List

3. Construction Punch List

4. Piping Test Pack Approval To Test

5. Pressure Gauge Calibration Certificates

6. Pressure Test Report

7. Line List

8.Approved Isometric Drawing

9. Piping & Instrument Diagram

10.Pipe Line Welding Pack

11. Equipment Erection Report

12. Material Certificate