HAC Quality Management System Quality Department

QMS Ref#HAC-QLT-PR-14-F01E Rev.01

Inspection Test Plan - ITP Issued Date. 01/07/2021

PROJECT NAME

ITP

INSPECTION TEST PLAN

INSPECTION AND TEST PLAN for

INSTALLATION OF INSTRUMENT
ITP-XXXXX

Rev. Issue Date Prepared by Reviewed by Approved by

 HAC Quality Management System Quality Department
QMS Ref#HAC-QLT-PR-14-F01E Rev.01
Inspection Test Plan - ITP Issued Date. 01/07/2021

FORM INDEX

NO. FORM NO. DESCRIPTION

Note: The referenced forms are included in and controlled by the referenced
document. The latest revision of these forms will be used.
 HAC Quality Management System Quality Department
QMS Ref#HAC-QLT-PR-14-F01E Rev.01
Issued Date. 01/07/2021
Inspection Test Plan - ITP Page 3 of 19

PROJECT NAME: PROJECT NAME

ITP TITLE: INSPECTION AND TEST PLAN FOR INSTALLATION OF INSTRUMENT
ITP REFERENCE: ITP-XXXXX DATE: DISCIPLINE: Civil

Inspection involvment
Sr#. Description of Activity Test/ Inspection Reference Document Acceptance Criteria Frequeney Verification Document
HAC CS / Eng.

1-Material

Approved material / material approved vendor

1.1 Document Review ITB H H Approved M&DS
certificates (ASL)&correct material

Material Reciving from

NO visual defect and per
1.2 CONTRACTOR Material Per Engineering Standard PO, delivery note and MRR H H ITP-EM1-1
specification & ata sheet
warehouse Inspection

Material Reciving from

Stored &Preserved As Per AS per Preservation
1.3 CONTRACTOR Proper Storage &presevation ITB H H
Procedure Prcedure
warehouse Inspection

2-Installation work

CHECK INSTRUMENT I/O and

check calibration steps as per Approved IFC DWGs & Compliance to approved IFC
2.1 Calibration check list H S HEM 8019
documents and vendor instruction Specification Drawings&specs
list

check loop from instrument to

Approved IFC DWGs & Compliance to approved IFC
2.2 Branch test janction box and from junction box H S HEM 8019
Specification Drawings&specs
to DCS

Instrument support / Check support materials and support Compliance to approved IFC
2.3 P&ID DRWING H S HEM 8012
Fabriacation details as per DWGs Drawings&specs

Instrument implus& tubing check tubing material and tubing Approved IFC DWGs & Compliance to approved IFC
2.4 H S HEM 8012
installation route as per hookup Specification Drawings&specs
 HAC Quality Management System Quality Department
QMS Ref#HAC-QLT-PR-14-F01E Rev.01
Issued Date. 01/07/2021
Inspection Test Plan - ITP Page 4 of 19

PROJECT NAME: PROJECT NAME

ITP TITLE: INSPECTION AND TEST PLAN FOR INSTALLATION OF INSTRUMENT
ITP REFERENCE: ITP-XXXXX DATE: DISCIPLINE: Civil

Inspection involvment
Sr#. Description of Activity Test/ Inspection Reference Document Acceptance Criteria Frequeney Verification Document
HAC CS / Eng.

check tubing fabrication according

Instrument implus& Tubing Approved IFC DWGs & Compliance to approved IFC
2.5 to hookup and details of tubing and H S HEM 8012
check list Specification Drawings&specs
tubing fabrication
 HAC Quality Management System Quality Department
QMS Ref#HAC-QLT-PR-14-F01E Rev.01
Issued Date. 01/07/2021
Inspection Test Plan - ITP Page 5 of 19

PROJECT NAME: PROJECT NAME

ITP TITLE: INSPECTION AND TEST PLAN FOR INSTALLATION OF INSTRUMENT
ITP REFERENCE: ITP-XXXXX DATE: DISCIPLINE: Civil

Inspection involvment
Sr#. Description of Activity Test/ Inspection Reference Document Acceptance Criteria Frequeney Verification Document
HAC CS / Eng.

check termination and wiring Approved IFC DWGs & Compliance to approved IFC
2.6 Termination & cable wiring H S HEM 6719
according to DWGs Specification Drawings&specs

check loopfrom instrument to

Approved IFC DWGs & Compliance to approved IFC HEM8019 , HEM 8013,
2.7 loop check janction box and from junction box H S
Specification Drawings&specs HEM8014 ,HEM 8015
to DCS

3-Pre commissioning & Testing

Final inspection Final Inspection of complete Complince to Approved IFC

3.1 RFI REPORT H S punch list
(walkthrough ) Installation DWGs & Specification

Verify the rectification of punch

3.2 Final Inspection RFI REPORT Clearance of punch items H S Sign of punch items
Items

Abbreviations and Definitions:

S: Surveillance - Random checkpoint.
W: Witness - Not allowed to start the Next Phase, if the inspection body not present at the date and time stipulated in the examination request.
H: Holdpoint - Not allowed to start the Next Phase, until the examination and acceptance of the inspection body.
R: Review Documents
 EQUIPMENT /MATERIAL INSPECTION RECORD

ITP -EMI-1
EQUIPMENT /MATERIAL INSPECTION RECORD RECORD NO.
DATE
PROJECT NO.
PURCHASE ORDER NO
REQUISITION NO.
PURCHASE SPEC NO.
INSPECTION ITEMS INVOICE NO
CHECK RESULT
REQD CHECK ITEM PROCEDURE RECORD NO.
SAT UNSAT
QUNITUITY
PACKING
VISUAL &APPERANCE
INSPECTION
MARKING
SIZE&DIMENTION
VENDOR DATA
DOCUMENTA RECORD
TION
AVAILABLE CONFORMATION
CERTIFICATE
RELEASE NOTE
MRR
PO
FAT
REFERANCE
REPORT/TEST
DOCUMENT
CERTIFICATE
PACKING LIST

WAREHOUSE RECEIVED BY INSPECT BY

TITLE
SIGATURE
DATE

NON-CONFORMITIES DISPOTION DESCRITION

 ITP -EMI-1

REV.
REV.

REMARKS

NOT NOT
COMPLETION AVAILABLE

APPROVED BY

APPROVAL
ACCEPTABLE
REJECT
 Instrument Calibration Result Sheet
(SAFETY RELIVE )
HEM 8019
Instrument Calibration Result Sheet RECORD NO
DATE
PROJECT NO. AREA PAGE
CABLE TAG NO LOCATION
DRAWING NO.
DESCRIBTION OF THE
TRANSMITTER OBSERVATION REMARKS

Calibration Devices
CALIBRATION DETAILS
S. No. DESCRIPTION OF THE INSTRUMENT MODEL/SERIAL No.
CERTIFICATE NO. VALIDITY

1
INSPECTION REMARKS :
1- work done at site inspected and found accepted .
APPROVED £
NOT APPROVED £
APPROVED W/ COMMENT £
NOTE:

NAME
SIGNATURE
DATE
HEM 8019

REMARKS

RATION DETAILS

VALIDITY
 Instrument Installation and Calibration
Inspection Sheet
HEM8012
Instrument Installation and Calibration RECORD NO
Inspection Sheet
DATE
PROJECT NO. AREA PAGE
CABLE TAG NO LOCATION
DRAWING NO.
ACCEPTABLE
ACTIVITY
YES NO
1- Check the device are free of damage

2- Review the calibration certificate of the main laboratory

3- Review the test procedure according to manufacture recommendations

Increase the load of test graually as per procedure (pressure - temp. - etc
4- …. )

5- Record all test result in test sheet

Make sure about transportation and handling of instruments before and after
6- calibration

Calibration technitian and Q.C inspector should sign on the calibrated

7- instrument

8- Make sure that Instrument Tag No. as per drawings

9- Check instrument calibararion certificate befoe installation

10- Connect the cable as per I.F.C drawing or vendor drawing

11- Check grounding connection at steel support (if any)

NOTE:

NAME
SIGNATURE
DATE
HEM8012

REMARK
 Instrument Calibration Result Sheet
HEM 8013
Instrument Calibration Result Sheet RECORD NO
DATE
PROJECT NO. AREA PAGE
CABLE TAG NO LOCATION
DRAWING NO.
max.
Instrument Tag 25 % of 50% of 100 % of max.
operating 75 % of max. value Deviation
NO.
value max. value max. value value

Calibration Devices
CALIBRATION DETAILS
S. No. DESCRIPTION OF THE INSTRUMENT MODEL/SERIAL No.
CERTIFICATE NO. VALIDITY

1
INSPECTION REMARKS :
1- work done at site inspected and found accepted .
APPROVED £
NOT APPROVED £
APPROVED W/ COMMENT £
NOTE:

NAME
SIGNATURE
DATE
HEM 8013

RESULT

RATION DETAILS

VALIDITY

ccepted .
 Instrument Calibration Result Sheet
(PI TI)
HEM 8014
Instrument Calibration Result Sheet RECORD NO
DATE
PROJECT NO. AREA PAGE
CABLE TAG NO LOCATION
DRAWING NO.
BEFORE CALIBRATION AFTER CALIBRATION
INPUT UNIT OUTPUT % OF ERROR INPUT OUTPUT % OF ERROR
0% 0%
25% 25%
50% 50%
75% 75%
100% 100%
75% 75%
50% 50%
25% 25%
0% 0%

Calibration Devices
CALIBRATION DETAILS
S. No. DESCRIPTION OF THE INSTRUMENT MODEL/SERIAL No.
CERTIFICATE NO. VALIDITY

1
INSPECTION REMARKS :
1- work done at site inspected and found accepted .
APPROVED £
NOT APPROVED £
APPROVED W/ COMMENT £
NOTE:

NAME
SIGNATURE
DATE
HEM 8014

RESULT

RATION DETAILS

VALIDITY

ccepted .
 Instrument Calibration Result Sheet
( RTD THERMO)
HEM 8015
Instrument Calibration Result Sheet RECORD NO
DATE
PROJECT NO. AREA PAGE
CABLE TAG NO LOCATION
DRAWING NO.
Input Output in
Remarks
% of Input Temperature m.v / Ohms
0%
25%
50%
75%
100%

Calibration Devices
CALIBRATION DETAILS
S. No. DESCRIPTION OF THE INSTRUMENT MODEL/SERIAL No.
CERTIFICATE NO. VALIDITY

1
INSPECTION REMARKS :
1- work done at site inspected and found accepted .
APPROVED £
NOT APPROVED £
APPROVED W/ COMMENT £
NOTE:

NAME
SIGNATURE
DATE
HEM 8015

Remarks

RATION DETAILS

VALIDITY

ccepted .
 VISUAL INSPECTION LIST OF LV CONTROL AND
INSTRUMENT CABLE TERMINATION
HEM 6719
VISUAL INSPECTION LIST OF LV CONTROL AND INSTRUMENT CABLE RECORD NO
TERMINATION
DATE
PROJECT NO. AREA PAGE
CABLE TAG NO LOCATION
DRAWING NO.
ACCEPTABLE
ACTIVITY
YES NO
1- The construction drawings and document is the final edition
The cable rating ,size ,number of core is compling with cable
2-
schedule/ connection drawings
The cable tage no,phase marker are according to construction
3-
drawing
The type and size of cable lug is correct.the crimpingof lug is good
4-
without loose or crack
5- The cable/wires dressing inside terminal champer is acceptable
The terminal block ,wire and cable number is according to the
6-
connection list and meet specification reqirement
The terminal block ,terminal and lug is fastend with out loose and
7-
stress on terminals
8- The entrance of cable is sealed
Cable gland size &installation is correct and the glang is bonded
9-
with ground grid
All wires are restored after insulation/continuity test and
10- termination are tight well
The termination of field devices(PB Station,Device/fixture)is as per
11- termination schedual
The surround of work area is kept clean and inner of panel is
12- clean
NOTE:

NAME
SIGNATURE
DATE
HEM 6719

REMARK