Systems Completion – B Check Sheet
Control Valve and Ancillaries Calibration
Unique ID: Date Printed:
Tag Number:
Sub-System:
Area/Deck: Test Pack:
Resource: Service:
P&ID No: Manufacturer:
Location Plan: PO:
Single Line Diagram: Model No:
Data Sheet: Serial No:
Item Description of Checks / Actions to be Performed Initial Date
1 All ‘A’ check sheets are accepted and approved.
2 All category ‘B’ punch list items completed and inspected.
Preservation was maintained up to this “B” check and has subsequently been removed for
3
this check.
Actuator Manufacturer:
Actuator Model / Type No.:
Actuator Serial No.:
Size: Rating:
Flange Type: Service:
UID Number:
Initial Date
Valve Information Material Certification correct
Body Material:
Trim Material :
Open Timing (secs) ____
Close Timing (secs) ____
Interface Signal: Type AI / DI
100
Output signal 0% 25 % 50 % 75 %
%
75 % 50 % 25 % 0%
Control Valve
Calibration mA
Travel inches
Travel indicator length _________ inches
Action: DA____ RA____
Actuator
Failure action: FO____ FC____FL____
Hand wheel operation correct Y N N/A
Mfr.: Type No.:
Serial No.: Signal type: AI / DI
Positioner Initial Date
Signal Range _________ mA
Limit switches set
Open / Close indication correct at HMI.
August 2016 (R) © 2013–2016 Chevron U.S.A. Inc. All rights reserved. Confidential – Restricted Access Page 1 of 2
Chevron Engineering Standards: ICM-CD-6120.06
Systems Completion – B Check Sheet
Control Valve and Ancillaries Calibration
Unique ID: Date Printed:
Tag Number:
Sub-System:
Area/Deck: Test Pack:
Resource: Service:
P&ID No: Manufacturer:
Location Plan: PO:
Single Line Diagram: Model No:
Data Sheet: Serial No:
Item Description of Checks / Actions to be Performed Initial Date
Confirm data sheet information matches device type.
Mfr.: Type No.:
Solenoid Serial No.:
Voltage:
Filter / Regulator Mfr.: Model: Range ________ psi
LOCAL CONTROLLER INFORMATION AND ALIGNMENT CHECKS
Initial Date
Gain Range: Auto / Manual operating
correct
Integral Range: Integral action correct
Derivative Range: Derivative correct
Gain Setting: 50% 100% 200%
Test Equipment Manufacturer / Model / Type Serial Number Certification Date
Comments:
Completed By Witnessed By Verified By
Company
Signature
Print Name
Date of Signing
August 2016 (R) © 2013–2016 Chevron U.S.A. Inc. All rights reserved. Confidential – Restricted Access Page 2 of 2
Chevron Engineering Standards: ICM-CD-6120.06
