AREA

N° OS DATE OF EXECUTION

I – General Data Inspectio r

Inspection - 1st Operative
Type of Service ✘ n - i
Levell mode
Product
Specialty ✘ Mechanical Electrical ✘ Specific
Instrumentation Safety
ion
Room Name t
Duration Periodicidade i
8 1 2 3 4 6 7 8 10
9
Hour(s) Routine / Operative
Day(s) ✘ Week(s) ✘ Month ✘
mode
Systematic
1. According to the safety standards in force in the company.
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.

IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

1 General Items for Electrical/Subcontrol Room

Working & not

Main entrance Doors (locks)
damaged
In good working
Airconditioning Units
order

Fire Alarm systems Working (Flashing)

Available & up to
Fire Extinguishers
date

Cable Trays / Cable Conduits Need - in good order

If any, Move to
Spare parts & Equipments
Warehouse

Push buttons / Lighting Switches In working order

Power Socket Outlets (if available) In working order

Lights Working

Working (Green Led

Emergency Lights and Exit Lights
ON)

Visual Check for All equipments Not damaged

If any , Write tag

Locked out Equipments
numbers

General condition - clean, dust etc. Clean & tidy

2 LV & Subcontrol Panels in the room

Panel 1- Tag number

In good working
Door locks / locking mechanism
order

Drawings ( Interconnection Diagrams or related documents) Available

All terminals secure

Earthing
& connected

Inside Light Working

Display Unit (if available) Working

If any , Write tag

Damage/missing Equipments
numbers

General condition - clean, dust etc. Clean & tidy

1
 IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

Panel 2- Tag number

In good working
Door locks / locking mechanism
order

Drawings ( Interconnection Diagrams or related documents) Available

All terminals secure

Earthing
& connected

Inside Light Working

Display Unit (if available) Working

If any , Write tag

Damage/missing Equipments
numbers

General condition - clean, dust etc. Clean & tidy

3 GENERAL COMMENTS

2
 AREA Mix reclaimer

N° OS DATE OF EXECUTION 20/12/2016

I – General Data Inspecti

Inspection - Operative
Type of Service ✘ on - Prod
Electric Instrumentati mode
Specialty ✘ Mechanical 1st Levell ✘ Specific uctio Safety
al on
Room Name n

Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company. Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear. c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.

IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

1 General Items for Electrical/Subcontrol Room

Working & not

Main entrance Doors (locks)
damaged √
In good working
Airconditioning Units
order √
Fire Alarm systems Working (Flashing) √ not available
not available /
Available & up to
Fire Extinguishers
date √ should have one
the machine

Cable Trays / Cable Conduits Need - in good order √

If any, Move to
Spare parts & Equipments
Warehouse √
Push buttons / Lighting Switches In working order √
Power Socket Outlets (if available) In working order √ not available

Lights Working √
Working (Green Led
Emergency Lights and Exit Lights
ON) √ not available

Visual Check for All equipments Not damaged √

If any , Write tag
Locked out Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
2 LV & Subcontrol Panels in the room

Panel 1- Tag number 131.RE300A01

In good working
Door locks / locking mechanism
order √
Drawings ( Interconnection Diagrams or related documents) Available √
All terminals secure
Earthing
& connected √
Inside Light Working √
Display Unit (if available) Working √
If any , Write tag
Damage/missing Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
3 GENERAL COMMENTS
 IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

 AREA Additive reclimer

N° OS DATE OF EXECUTION 20/12/2016

I – General Data Inspecti

Inspection - Operative
Type of Service ✘ on -
Electrica Instrumentatio Produ mode
Specialty ✘ Mechanical 1st Levell ✘ Specific Safety
l n ction
Room Name

Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.

IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

1 General Items for Electrical/Subcontrol Room

Working & not

Main entrance Doors (locks)
damaged √
In good working
Airconditioning Units
order √
Fire Alarm systems Working (Flashing) √ not available
not available /
Available & up to
Fire Extinguishers
date √ should have one
the machine

Cable Trays / Cable Conduits Need - in good order √

If any, Move to
Spare parts & Equipments
Warehouse √
Push buttons / Lighting Switches In working order √
Power Socket Outlets (if available) In working order √ not available

Lights Working √
Working (Green Led
Emergency Lights and Exit Lights
ON) √ not available

Visual Check for All equipments Not damaged √

If any , Write tag
Locked out Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
2 LV & Subcontrol Panels in the room

Panel 1- Tag number 133.RE300A01

In good working
Door locks / locking mechanism
order √
Drawings ( Interconnection Diagrams or related documents) Available √
All terminals secure
Earthing
& connected √
Inside Light Working √
Display Unit (if available) Working √
 IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

If any , Write tag

Damage/missing Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
3 GENERAL COMMENTS
 AREA Mix stacker

N° OS DATE OF EXECUTION 20/12/2016

I – General Data Inspecti

Inspection - Operative
Type of Service ✘ on -
Electrica Instrumentatio Produ mode
Specialty ✘ Mechanical 1st Levell ✘ Specific Safety
l n ction
Room Name

Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.

IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

1 General Items for Electrical/Subcontrol Room

Working & not

Main entrance Doors (locks)
damaged √
the A/C dropping
In good working
Airconditioning Units
order √ water inside the
room
Fire Alarm systems Working (Flashing) √ not available
not available /
Available & up to
Fire Extinguishers
date √ should have one
the machine
Cable Trays / Cable Conduits Need - in good order √
If any, Move to
Spare parts & Equipments
Warehouse √
Push buttons / Lighting Switches In working order √
Power Socket Outlets (if available) In working order √ not available

Lights Working √
Working (Green Led
Emergency Lights and Exit Lights
ON) √ not available

Visual Check for All equipments Not damaged √

If any , Write tag
Locked out Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
2 LV & Subcontrol Panels in the room

Panel 1- Tag number 131.ST200A01

In good working
Door locks / locking mechanism
order √
Drawings ( Interconnection Diagrams or related documents) Available √
All terminals secure
Earthing
& connected √
not working /
Inside Light Working √ short circuit

Display Unit (if available) Working √

If any , Write tag
Damage/missing Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
3 GENERAL COMMENTS
 IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

 AREA Additive stacker

N° OS DATE OF EXECUTION 20/12/2016

I – General Data Inspecti

Inspection - Operative
Type of Service ✘ on -
Electrica Instrumentatio Produ mode
Specialty ✘ Mechanical 1st Levell ✘ Specific Safety
l n ction
Room Name

Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.

IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

1 General Items for Electrical/Subcontrol Room

Working & not

Main entrance Doors (locks)
damaged √
not working & the
In good working
Airconditioning Units
order √ sub controller
room is hot

Fire Alarm systems Working (Flashing) √ not available

not available /
Available & up to
Fire Extinguishers
date √ should have one
the machine
Cable Trays / Cable Conduits Need - in good order √
If any, Move to
Spare parts & Equipments
Warehouse √
Push buttons / Lighting Switches In working order √
Power Socket Outlets (if available) In working order √ not available
Lights Working √
Working (Green Led
Emergency Lights and Exit Lights
ON) √ not available
Visual Check for All equipments Not damaged √
If any , Write tag
Locked out Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
2 LV & Subcontrol Panels in the room
Panel 1- Tag number 133.ST200A01
In good working
Door locks / locking mechanism
order √
the drawing not
Drawings ( Interconnection Diagrams or related documents) Available √ available
All terminals secure
Earthing
& connected √
the internal lights
Inside Light Working √ not working
Display Unit (if available) Working √
If any , Write tag
Damage/missing Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
3 GENERAL COMMENTS
 Weigh feeder for bin feeders
AREA
of raw mill

N° OS DATE OF EXECUTION 15/12/2016

I – General Data Inspecti

Inspection - Operative
Type of Service ✘ on -
Electrica Instrumentatio Produ mode
Specialty ✘ Mechanical 1st Levell ✘ Specific Safety
l n ction
Room Name

Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.

IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

1 General Items for Electrical/Subcontrol Room

Working & not

Main entrance Doors (locks)
damaged √
the filter of air
In good working
Air-conditioning Units
order √ condition need to
clean

Fire Alarm systems Working (Flashing) √ not working

Available & up to
Fire Extinguishers
date √
Cable Trays / Cable Conduits Need - in good order √
If any, Move to
Spare parts & Equipments
Warehouse √
Push buttons / Lighting Switches In working order √ not working

Power Socket Outlets (if available) In working order √

Lights Working √
Working (Green Led
Emergency Lights and Exit Lights
ON) √
Visual Check for All equipments Not damaged √
If any , Write tag
Locked out Equipments
numbers √
The room need to
General condition - clean, dust etc. Clean & tidy √ clean
2 LV & Subcontrol Panels in the room

Panel 1- Tag number

311.WF150/25
0/350/450
In good working
Door locks / locking mechanism
order √
Drawings ( Interconnection Diagrams or related documents) Available √ not available
All terminals secure
Earthing
& connected √
the internal
Inside Light Working √ lighting not
working
Display Unit (if available) Working √
If any , Write tag
Damage/missing Equipments
numbers √
the panel need to
General condition - clean, dust etc. Clean & tidy √ clean
3 GENERAL COMMENTS
 IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

 AREA Water Treatment

N° OS DATE OF EXECUTION 15/12/2016

I – General Data Inspecti

Inspection - Operative
Type of Service ✘ on -
Electrica Instrumentatio Produ mode
Specialty ✘ Mechanical 1st Levell ✘ Specific Safety
l n ction
Room Name

Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.

IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

1 General Items for Electrical/Subcontrol Room

Working & not

Main entrance Doors (locks)
damaged √ The door is damage

In good working
Air-conditioning Units
order √
smoke detector is
Fire Alarm systems Working (Flashing) √ covered

Available & up to
Fire Extinguishers
date √
Cable Trays / Cable Conduits Need - in good order √
If any, Move to
Spare parts & Equipments
Warehouse √
The lighting push
Push buttons / Lighting Switches In working order √ buttons not
working
Power Socket Outlets (if available) In working order √
one lighting
Lights Working √ fixture not
working
Working (Green Led
Emergency Lights and Exit Lights
ON) √
Visual Check for All equipments Not damaged √
If any , Write tag
Locked out Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
2 LV & Subcontrol Panels in the room
Panel 1- Tag number 762.WP212
In good working
Door locks / locking mechanism
order √
The drawing not
Drawings ( Interconnection Diagrams or related documents) Available √ available
All terminals secure
Earthing
& connected √
Inside Light Working √
Display Unit (if available) Working √
If any , Write tag
Damage/missing Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
3 GENERAL COMMENTS
 AREA CF silo

N° OS DATE OF EXECUTION 15/12/2016

I – General Data Inspecti

Inspection - Operative
Type of Service ✘ on -
Electrica Instrumentatio Produ mode
Specialty ✘ Mechanical 1st Levell ✘ Specific Safety
l n ction
Room Name

Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.

IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

1 General Items for Electrical/Subcontrol Room

Working & not

Main entrance Doors (locks)
damaged √
the filter of air
In good working
Air-conditioning Units
order √ condition need to
clean

Fire Alarm systems Working (Flashing) √

The fire
Available & up to
Fire Extinguishers
date √ extinguisher not
available

Cable Trays / Cable Conduits Need - in good order √

If any, Move to
Spare parts & Equipments
Warehouse √
Push buttons / Lighting Switches In working order √
Power Socket Outlets (if available) In working order √
whole lights not
Lights Working √ working & room is
dark
Working (Green Led
Emergency Lights and Exit Lights
ON) √
Visual Check for All equipments Not damaged √
If any , Write tag
Locked out Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
2 LV & Subcontrol Panels in the room
Panel 1- Tag number 351.KF200A01
In good working
Door locks / locking mechanism
order √
Drawings ( Interconnection Diagrams or related documents) Available √
All terminals secure
Earthing
& connected √
Inside Light Working √
Display Unit (if available) Working √
If any , Write tag
Damage/missing Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
3 GENERAL COMMENTS
 AREA Raw mill Hydraulic room

N° OS DATE OF EXECUTION 15/12/2016

I – General Data Inspecti

Inspection - Operative
Type of Service ✘ on -
Electrica Instrumentatio Produ mode
Specialty ✘ Mechanical 1st Levell ✘ Specific Safety
l n ction
Room Name

Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.

IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

1 General Items for Electrical/Subcontrol Room

Working & not

Main entrance Doors (locks)
damaged √
In good working
Air-conditioning Units
order √
Fire Alarm systems Working (Flashing) √
Available & up to
Fire Extinguishers
date √
Cable Trays / Cable Conduits Need - in good order √
If any, Move to
Spare parts & Equipments
Warehouse √
Push buttons / Lighting Switches In working order √
Power Socket Outlets (if available) In working order √
one lighting
Lights Working √ fixture not
working
Working (Green Led
Emergency Lights and Exit Lights
ON) √
Visual Check for All equipments Not damaged √
If any , Write tag
Locked out Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
2 LV & Subcontrol Panels in the room
Panel 1- Tag number 321.LQ145A01
In good working
Door locks / locking mechanism
order √
Drawings ( Interconnection Diagrams or related documents) Available √
All terminals secure
Earthing
& connected √
Inside Light Working √
Display Unit (if available) Working √
If any , Write tag
Damage/missing Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
Panel 2- Tag number 321.LQ120A01
In good working
Door locks / locking mechanism
order √
Drawings ( Interconnection Diagrams or related documents) Available √
 IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

All terminals secure

Earthing
& connected √
Inside Light Working √
Display Unit (if available) Working √
If any , Write tag
Damage/missing Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
Panel 2- Tag number 321.HY110A01
In good working
Door locks / locking mechanism
order √
The drawing not
Drawings ( Interconnection Diagrams or related documents) Available √ available
All terminals secure
Earthing
& connected √
Inside Light Working √
Display Unit (if available) Working √
If any , Write tag
Damage/missing Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
3 GENERAL COMMENTS
 AREA Raw mill

N° OS DATE OF EXECUTION 15/12/2016

I – General Data Inspecti

Inspection - Operative
Type of Service ✘ on -
Electrica Instrumentatio Produ mode
Specialty ✘ Mechanical 1st Levell ✘ Specific Safety
l n ction
Room Name

Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.

IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

1 General Items for Electrical/Subcontrol Room

Working & not

Main entrance Doors (locks)
damaged √ the door is damage

In good working
Air-conditioning Units
order √
the smoke
Fire Alarm systems Working (Flashing) √ detectors is
covered
Available & up to
Fire Extinguishers
date √
Cable Trays / Cable Conduits Need - in good order √
If any, Move to
Spare parts & Equipments
Warehouse √
Push buttons / Lighting Switches In working order √
Power Socket Outlets (if available) In working order √
whole lights not
Lights Working √ working & room is
dark
Working (Green Led the emergency
Emergency Lights and Exit Lights
ON) √ light not charging
Visual Check for All equipments Not damaged √
If any , Write tag
Locked out Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
2 LV & Subcontrol Panels in the room
Panel 1- Tag number 321.HG700A01
In good working
Door locks / locking mechanism
order √
Drawings ( Interconnection Diagrams or related documents) Available √ not available
All terminals secure
Earthing
& connected √
Inside Light Working √
Display Unit (if available) Working √ The display removed
If any , Write tag
Damage/missing Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
3 GENERAL COMMENTS
 AREA conditioning tower

N° OS DATE OF EXECUTION 15/12/2016

I – General Data Inspecti

Inspection - Operative
Type of Service ✘ on -
Electrica Instrumentatio Produ mode
Specialty ✘ Mechanical 1st Levell ✘ Specific Safety
l n ction
Room Name

Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.

IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

1 General Items for Electrical/Subcontrol Room

Working & not

Main entrance Doors (locks)
damaged √ the door is damage

In good working the air condition

Air-conditioning Units
order √ not working

Fire Alarm systems Working (Flashing) √

the fire
Available & up to
Fire Extinguishers
date √ extinguisher not
available

Cable Trays / Cable Conduits Need - in good order √

If any, Move to
Spare parts & Equipments
Warehouse √
Push buttons / Lighting Switches In working order √
Power Socket Outlets (if available) In working order √
whole lights not
Lights Working √ working & room is
dark
Working (Green Led the emergency
Emergency Lights and Exit Lights
ON) √ light not charging
Visual Check for All equipments Not damaged √
If any , Write tag
Locked out Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
2 LV & Subcontrol Panels in the room
Panel 1- Tag number 331.WI210A01
In good working
Door locks / locking mechanism
order √
Drawings ( Interconnection Diagrams or related documents) Available √
All terminals secure
Earthing
& connected √
Inside Light Working √
Display Unit (if available) Working √
If any , Write tag
Damage/missing Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
3 GENERAL COMMENTS
 AREA Pre-heater analyzer / 7th floor

N° OS DATE OF EXECUTION 15/12/2016

I – General Data Inspecti

Inspection - Operative
Type of Service ✘ on -
Electrica Instrumentatio Produ mode
Specialty ✘ Mechanical 1st Levell ✘ Specific Safety
l n ction
Room Name

Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
Hour(s) / Operative
Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company. Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear. c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.

IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

1 General Items for Electrical/Subcontrol Room

Working & not

Main entrance Doors (locks)
damaged √
In good working
Air-conditioning Units
order √
Fire Alarm systems Working (Flashing) √
the fire
Available & up to
Fire Extinguishers
date √ extinguisher not
available

Cable Trays / Cable Conduits Need - in good order √

If any, Move to
Spare parts & Equipments
Warehouse √
Push buttons / Lighting Switches In working order √
Power Socket Outlets (if available) In working order √ not available
Lights Working √
Working (Green Led
Emergency Lights and Exit Lights
ON) √ not available
Visual Check for All equipments Not damaged √
If any , Write tag
Locked out Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
2 LV & Subcontrol Panels in the room
no tag number on
Panel 1- Tag number
the panel
In good working
Door locks / locking mechanism
order √
Drawings ( Interconnection Diagrams or related documents) Available √
All terminals secure
Earthing
& connected √
Inside Light Working √
Display Unit (if available) Working √
If any , Write tag
Damage/missing Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
3 GENERAL COMMENTS
 AREA Blaster calciner

N° OS DATE OF EXECUTION 15/12/2016

I – General Data Inspecti

Inspection - Operative
Type of Service ✘ on -
Electrica Instrumentatio Produ mode
Specialty ✘ Mechanical 1st Levell ✘ Specific Safety
l n ction
Room Name

Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.

IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

1 General Items for Electrical/Subcontrol Room

Working & not

Main entrance Doors (locks)
damaged √
the filter of air
In good working
Air-conditioning Units
order √ condition need to
clean
smoke detector is
Fire Alarm systems Working (Flashing) √ covered
the fire
Available & up to
Fire Extinguishers
date √ extinguisher not
available

Cable Trays / Cable Conduits Need - in good order √

If any, Move to
Spare parts & Equipments
Warehouse √
Push buttons / Lighting Switches In working order √
Power Socket Outlets (if available) In working order √
Lights Working √
Working (Green Led
Emergency Lights and Exit Lights
ON) √
Visual Check for All equipments Not damaged √
If any , Write tag
Locked out Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
2 LV & Subcontrol Panels in the room
Panel 1- Tag number 421.BU515A01
In good working
Door locks / locking mechanism
order √
Drawings ( Interconnection Diagrams or related documents) Available √
All terminals secure
Earthing
& connected √
Inside Light Working √
Display Unit (if available) Working √
If any , Write tag
Damage/missing Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
Panel 2- Tag number 421.BQ185A01
In good working
Door locks / locking mechanism
order √
the drawing not
Drawings ( Interconnection Diagrams or related documents) Available √ available
 IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

All terminals secure

Earthing
& connected √
Inside Light Working √
Display Unit (if available) Working √
If any , Write tag
Damage/missing Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
3 GENERAL COMMENTS
 AREA Kiln gas analyzer

N° OS DATE OF EXECUTION 15/12/2016

I – General Data Inspecti

Inspection - Operative
Type of Service ✘ on -
Electrica Instrumentatio Produ mode
Specialty ✘ Mechanical 1st Levell ✘ Specific Safety
l n ction
Room Name

Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.

IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

1 General Items for Electrical/Subcontrol Room

Working & not

Main entrance Doors (locks)
damaged √
In good working
Air-conditioning Units
order √
Fire Alarm systems Working (Flashing) √
the fire
Available & up to
Fire Extinguishers
date √ extinguisher not
available

Cable Trays / Cable Conduits Need - in good order √

If any, Move to
Spare parts & Equipments
Warehouse √
Push buttons / Lighting Switches In working order √
Power Socket Outlets (if available) In working order √ not available
Lights Working √
Working (Green Led
Emergency Lights and Exit Lights
ON) √ not available
Visual Check for All equipments Not damaged √
If any , Write tag
Locked out Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
2 LV & Subcontrol Panels in the room
no tag number on
Panel 1- Tag number
the panel
In good working
Door locks / locking mechanism
order √
the drawing not
Drawings ( Interconnection Diagrams or related documents) Available √ available
All terminals secure
Earthing
& connected √
Inside Light Working √
Display Unit (if available) Working √
If any , Write tag The SO2 analiyser
Damage/missing Equipments
numbers √ shown EREOR
General condition - clean, dust etc. Clean & tidy √
3 GENERAL COMMENTS
 AREA Kiln lubrication

N° OS DATE OF EXECUTION 15/12/2016

I – General Data Inspecti

Inspection - Operative
Type of Service ✘ on -
Electrica Instrumentatio Produ mode
Specialty ✘ Mechanical 1st Levell ✘ Specific Safety
l n ction
Room Name

Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.

IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

1 General Items for Electrical/Subcontrol Room

Working & not

Main entrance Doors (locks)
damaged √
In good working air conditions are
Air-conditioning Units
order √ not available
fire fighting
Fire Alarm systems Working (Flashing) √ system not
available
the fire
Available & up to
Fire Extinguishers
date √ extinguisher not
available

Cable Trays / Cable Conduits Need - in good order √

If any, Move to
Spare parts & Equipments
Warehouse √
Push buttons / Lighting Switches In working order √
Power Socket Outlets (if available) In working order √
Lights Working √
wrong connection
Working (Green Led
Emergency Lights and Exit Lights
ON) √ for emergency
lights
Visual Check for All equipments Not damaged √
If any , Write tag
Locked out Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
2 LV & Subcontrol Panels in the room
Panel 1- Tag number 431.HT120A01
In good working the lock door is
Door locks / locking mechanism
order √ damage
Drawings ( Interconnection Diagrams or related documents) Available √
All terminals secure
Earthing
& connected √
Inside Light Working √
Display Unit (if available) Working √
If any , Write tag
Damage/missing Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
Panel 2- Tag number 431.GS160A01
In good working the lock door is
Door locks / locking mechanism
order √ damage
Drawings ( Interconnection Diagrams or related documents) Available √
 IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

All terminals secure

Earthing
& connected √
Inside Light Working √
Display Unit (if available) Working √
If any , Write tag
Damage/missing Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
3 GENERAL COMMENTS
 AREA Kiln burner

N° OS DATE OF EXECUTION 15/12/2016

I – General Data Inspecti

Inspection - Operative
Type of Service ✘ on -
Electrica Instrumentatio Produ mode
Specialty ✘ Mechanical 1st Levell ✘ Specific Safety
l n ction
Room Name

Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.

IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

1 General Items for Electrical/Subcontrol Room

Working & not the door lock is

Main entrance Doors (locks)
damaged √ damage

In good working
Air-conditioning Units
order √
Fire Alarm systems Working (Flashing) √
the fire
Available & up to
Fire Extinguishers
date √ extinguisher not
available

Cable Trays / Cable Conduits Need - in good order √

If any, Move to
Spare parts & Equipments
Warehouse √
Push buttons / Lighting Switches In working order √
Power Socket Outlets (if available) In working order √
the lighting not
Lights Working √ working
wrong connection
Working (Green Led
Emergency Lights and Exit Lights
ON) √ for emergency
lights & charging
Visual Check for All equipments Not damaged √
If any , Write tag
Locked out Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
2 LV & Subcontrol Panels in the room
Panel 1- Tag number
431.MD140A0
1
In good working
Door locks / locking mechanism
order √
Drawings ( Interconnection Diagrams or related documents) Available √
All terminals secure
Earthing
& connected √
Inside Light Working √
Display Unit (if available) Working √
If any , Write tag
Damage/missing Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
Panel 2- Tag number 431.BU510A01
In good working
Door locks / locking mechanism
order √
 IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

Drawings ( Interconnection Diagrams or related documents) Available √

All terminals secure
Earthing
& connected √
Inside Light Working √
Display Unit (if available) Working √
If any , Write tag
Damage/missing Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
3 GENERAL COMMENTS
 AREA Boiler

N° OS DATE OF EXECUTION 15/12/2016

I – General Data Inspecti

Inspection - Operative
Type of Service ✘ on -
Electrica Instrumentatio Produ mode
Specialty ✘ Mechanical 1st Levell ✘ Specific Safety
l n ction
Room Name

Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.

IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

1 General Items for Electrical/Subcontrol Room

Working & not

Main entrance Doors (locks)
damaged √
In good working one air condition
Air-conditioning Units
order √ not working

Fire Alarm systems Working (Flashing) √

the fire
Available & up to
Fire Extinguishers
date √ extinguisher not
available

Cable Trays / Cable Conduits Need - in good order √

If any, Move to
Spare parts & Equipments
Warehouse √
lighting switch is
Push buttons / Lighting Switches In working order √ not working

Power Socket Outlets (if available) In working order √

Lights Working √
Working (Green Led
Emergency Lights and Exit Lights
ON) √
Visual Check for All equipments Not damaged √
If any , Write tag
Locked out Equipments
numbers √
the room need to
General condition - clean, dust etc. Clean & tidy √ clean
2 LV & Subcontrol Panels in the room
Panel 1- Tag number 731.BR300A01
In good working
Door locks / locking mechanism
order √
Drawings ( Interconnection Diagrams or related documents) Available √
All terminals secure
Earthing
& connected √
Inside Light Working √
Display Unit (if available) Working √
If any , Write tag
Damage/missing Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
Panel 2- Tag number 731.HE200A01
In good working
Door locks / locking mechanism
order √
Drawings ( Interconnection Diagrams or related documents) Available √
 IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

All terminals secure

Earthing
& connected √
Inside Light Working √
Display Unit (if available) Working √
If any , Write tag
Damage/missing Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
3 GENERAL COMMENTS
 AREA Ball mill 1

N° OS DATE OF EXECUTION 19/12/2016

I – General Data Inspecti

Inspection - Operative
Type of Service ✘ on -
Electrica Instrumentatio Produ mode
Specialty ✘ Mechanical 1st Levell ✘ Specific Safety
l n ction
Room Name

Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.

IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

1 General Items for Electrical/Subcontrol Room

Working & not

Main entrance Doors (locks)
damaged √
In good working
Air-conditioning Units
order √
smoke detector is
Fire Alarm systems Working (Flashing) √ covered
the fire
Available & up to
Fire Extinguishers
date √ extinguisher not
available

Cable Trays / Cable Conduits Need - in good order √

If any, Move to
Spare parts & Equipments
Warehouse √
Push buttons / Lighting Switches In working order √
Power Socket Outlets (if available) In working order √
Lights Working √
wrong connection
Working (Green Led
Emergency Lights and Exit Lights
ON) √ for emergency
lights & charging
Visual Check for All equipments Not damaged √
If any , Write tag
Locked out Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
2 LV & Subcontrol Panels in the room
Panel 1- Tag number 531.LQ120A01
In good working
Door locks / locking mechanism
order √
Drawings ( Interconnection Diagrams or related documents) Available √
All terminals secure
Earthing
& connected √
Inside Light Working √
Display Unit (if available) Working √
If any , Write tag
Damage/missing Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
3 GENERAL COMMENTS
 Weigh feeder for bin feeders
AREA
of ball mill 1

N° OS DATE OF EXECUTION 19/12/2016

I – General Data Inspecti

Inspection - Operative
Type of Service ✘ on -
Electrica Instrumentatio Produ mode
Specialty ✘ Mechanical 1st Levell ✘ Specific Safety
l n ction
Room Name

Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.

IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

1 General Items for Electrical/Subcontrol Room

Working & not the door lock is

Main entrance Doors (locks)
damaged √ damage
the filter of air
In good working
Air-conditioning Units
order √ condition need to
clean
smoke detector is
Fire Alarm systems Working (Flashing) √ covered

Available & up to
Fire Extinguishers
date √
Cable Trays / Cable Conduits Need - in good order √
If any, Move to
Spare parts & Equipments
Warehouse √
Push buttons / Lighting Switches In working order √
Power Socket Outlets (if available) In working order √
Lights Working √
Working (Green Led
Emergency Lights and Exit Lights
ON) √
Visual Check for All equipments Not damaged √
If any , Write tag
Locked out Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
2 LV & Subcontrol Panels in the room

Panel 1- Tag number

511.WF150/25
0/350
In good working
Door locks / locking mechanism
order √ the door is damage

Drawings ( Interconnection Diagrams or related documents) Available √ not available

All terminals secure
Earthing
& connected √
Inside Light Working √
Display Unit (if available) Working √
The arm of main
If any , Write tag
Damage/missing Equipments
numbers √ circuit breaker is
damage
General condition - clean, dust etc. Clean & tidy √
3 GENERAL COMMENTS
 IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

 AREA Ball mill 2

N° OS DATE OF EXECUTION 19/12/2016

I – General Data Inspecti

Inspection - Operative
Type of Service ✘ on -
Electrica Instrumentatio Produ mode
Specialty ✘ Mechanical 1st Levell ✘ Specific Safety
l n ction
Room Name

Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.

IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

1 General Items for Electrical/Subcontrol Room

Working & not the door lock is

Main entrance Doors (locks)
damaged √ damage

In good working
Air-conditioning Units
order √
Fire Alarm systems Working (Flashing) √
the fire
Available & up to
Fire Extinguishers
date √ extinguisher not
available

Cable Trays / Cable Conduits Need - in good order √

If any, Move to
Spare parts & Equipments
Warehouse √
Push buttons / Lighting Switches In working order √
Power Socket Outlets (if available) In working order √
The lighting
Lights Working √ fixture is not
working
Working (Green Led
Emergency Lights and Exit Lights
ON) √
Visual Check for All equipments Not damaged √
If any , Write tag
Locked out Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
2 LV & Subcontrol Panels in the room
Panel 1- Tag number 532.LQ120A01
In good working
Door locks / locking mechanism
order √
Drawings ( Interconnection Diagrams or related documents) Available √
All terminals secure
Earthing
& connected √
Inside Light Working √
Display Unit (if available) Working √
If any , Write tag
Damage/missing Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
3 GENERAL COMMENTS
 Weigh feeder for bin feeders
AREA
of ball mill 2

N° OS DATE OF EXECUTION 19/12/2016

I – General Data Inspecti

Inspection - Operative
Type of Service ✘ on -
Electrica Instrumentatio Produ mode
Specialty ✘ Mechanical 1st Levell ✘ Specific Safety
l n ction
Room Name

Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.

IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

1 General Items for Electrical/Subcontrol Room

Working & not the door lock is

Main entrance Doors (locks)
damaged √ damage

In good working
Air-conditioning Units
order √
smoke detector is
Fire Alarm systems Working (Flashing) √ covered

Available & up to
Fire Extinguishers
date √
Cable Trays / Cable Conduits Need - in good order √
If any, Move to
Spare parts & Equipments
Warehouse √
Push buttons / Lighting Switches In working order √
Power Socket Outlets (if available) In working order √
Lights Working √
Working (Green Led
Emergency Lights and Exit Lights
ON) √
Visual Check for All equipments Not damaged √
If any , Write tag
Locked out Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
2 LV & Subcontrol Panels in the room

Panel 1- Tag number

512.WF150/25
0/350
In good working
Door locks / locking mechanism
order √
Drawings ( Interconnection Diagrams or related documents) Available √
All terminals secure
Earthing
& connected √
the internal lights
Inside Light Working √ not working
Display Unit (if available) Working √
The arm of main
If any , Write tag
Damage/missing Equipments
numbers √ circuit breaker is
damage
General condition - clean, dust etc. Clean & tidy √
3 GENERAL COMMENTS
 IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

 AREA Cement silo 1

N° OS DATE OF EXECUTION 19/12/2016

I – General Data Inspecti

Inspection - Operative
Type of Service ✘ on -
Electrica Instrumentatio Produ mode
Specialty ✘ Mechanical 1st Levell ✘ Specific Safety
l n ction
Room Name

Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.

IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

1 General Items for Electrical/Subcontrol Room

Working & not

Main entrance Doors (locks)
damaged √
In good working
Air-conditioning Units
order √
smoke detector is
Fire Alarm systems Working (Flashing) √ covered

Available & up to
Fire Extinguishers
date √
Cable Trays / Cable Conduits Need - in good order √
If any, Move to
Spare parts & Equipments
Warehouse √
Push buttons / Lighting Switches In working order √
Power Socket Outlets (if available) In working order √
Lights Working √
wrong connection
Working (Green Led
Emergency Lights and Exit Lights
ON) √ for emergency
lights
Visual Check for All equipments Not damaged √
If any , Write tag
Locked out Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
2 LV & Subcontrol Panels in the room
Panel 1- Tag number 611.SI100A01
In good working
Door locks / locking mechanism
order √
Drawings ( Interconnection Diagrams or related documents) Available √ Drawing not available
All terminals secure
Earthing
& connected √
Inside Light Working √
Display Unit (if available) Working √
If any , Write tag
Damage/missing Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
3 GENERAL COMMENTS
 AREA Cement silo 2

N° OS DATE OF EXECUTION 19/12/2016

I – General Data Inspecti

Inspection - Operative
Type of Service ✘ on -
Electrica Instrumentatio Produ mode
Specialty ✘ Mechanical 1st Levell ✘ Specific Safety
l n ction
Room Name

Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.

IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

1 General Items for Electrical/Subcontrol Room

Working & not

Main entrance Doors (locks)
damaged √
the filter of air
In good working
Air-conditioning Units
order √ condition need to
clean
smoke detector is
Fire Alarm systems Working (Flashing) √ covered

Available & up to
Fire Extinguishers
date √
Cable Trays / Cable Conduits Need - in good order √
If any, Move to
Spare parts & Equipments
Warehouse √
Push buttons / Lighting Switches In working order √
Power Socket Outlets (if available) In working order √
one lighting
Lights Working √ fixture is damage
Working (Green Led
Emergency Lights and Exit Lights
ON) √
Visual Check for All equipments Not damaged √
If any , Write tag
Locked out Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
2 LV & Subcontrol Panels in the room
Panel 1- Tag number 612.SI100A01
In good working
Door locks / locking mechanism
order √
Drawings ( Interconnection Diagrams or related documents) Available √ Drawing not available
All terminals secure
Earthing
& connected √
Inside Light Working √
Display Unit (if available) Working √
If any , Write tag
Damage/missing Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
3 GENERAL COMMENTS
 AREA Packing plant

N° OS DATE OF EXECUTION 19/12/2016

I – General Data Inspecti

Inspection - Operative
Type of Service ✘ on -
Electrica Instrumentatio Produ mode
Specialty ✘ Mechanical 1st Levell ✘ Specific Safety
l n ction
Room Name

Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.

IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

1 General Items for Electrical/Subcontrol Room

Working & not

Main entrance Doors (locks)
damaged √
some air
In good working
Air-conditioning Units
order √ conditions not
working

Fire Alarm systems Working (Flashing) √

Available & up to
Fire Extinguishers
date √
Cable Trays / Cable Conduits Need - in good order √
If any, Move to
Spare parts & Equipments
Warehouse √
Push buttons / Lighting Switches In working order √
Power Socket Outlets (if available) In working order √
one lighting
Lights Working √ fixture not
working
Working (Green Led
Emergency Lights and Exit Lights
ON) √
Visual Check for All equipments Not damaged √
If any , Write tag
Locked out Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
2 LV & Subcontrol Panels in the room

Panel 1- Tag number

panels packer
machine 1
In good working
Door locks / locking mechanism
order √ on door lock is damage

Drawings ( Interconnection Diagrams or related documents) Available √

All terminals secure
Earthing
& connected √
Inside Light Working √
Display Unit (if available) Working √
If any , Write tag
Damage/missing Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
Panel 2- Tag number
panels packer
machine 2
In good working
Door locks / locking mechanism
order √ on door lock is damage

Drawings ( Interconnection Diagrams or related documents) Available √

All terminals secure
Earthing
& connected √
Inside Light Working √
 IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

Display Unit (if available) Working √

If any , Write tag
Damage/missing Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
Panel 3- Tag number
panels packer
machine 3
In good working
Door locks / locking mechanism
order √
Drawings ( Interconnection Diagrams or related documents) Available √
All terminals secure
Earthing
& connected √
Inside Light Working √
Display Unit (if available) Working √
If any , Write tag
Damage/missing Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
Panel 4- Tag number
panels packer
machine 4
In good working
Door locks / locking mechanism
order √
Drawings ( Interconnection Diagrams or related documents) Available √
All terminals secure
Earthing
& connected √
one internal light
Inside Light Working √ not working
Display Unit (if available) Working √
If any , Write tag
Damage/missing Equipments
numbers √
Amp meter for
General condition - clean, dust etc. Clean & tidy √ elevator still
missing
3 GENERAL COMMENTS
 AREA Palletizer

N° OS DATE OF EXECUTION 19/12/2016

I – General Data Inspecti

Inspection - Operative
Type of Service ✘ on -
Electrica Instrumentatio Produ mode
Specialty ✘ Mechanical 1st Levell ✘ Specific Safety
l n ction
Room Name

Duration Periodicidade
Routine
8 1 2 3 4 6 7 8 9 10
/ Operative
Hour(s) Day(s) ✘ Week(s) ✘ Month ✘
1. According to the safety standards in force in the company.
Systemati mode
2. Always use: helmet, goggles, hearing protection, gloves, safety footwear.
c
Security Measures
3. Security / Electrical Consignment ✘
4. Consignment mechanical, hydraulic and / or pneumatic
Environmental measures 1. We aim to protect and respect the environment.

IMPLEMENTATION PROCEDURE

CHECK POINTS
INSPECTED
ROUTE IDEAL SETTING COMMENTS

ITEM TAG POINTS TO SCAN YES NO

1 General Items for Electrical/Subcontrol Room

Working & not

Main entrance Doors (locks)
damaged √
In good working
Air-conditioning Units
order √
Fire Alarm systems Working (Flashing) √
Available & up to
Fire Extinguishers
date √
Cable Trays / Cable Conduits Need - in good order √
If any, Move to
Spare parts & Equipments
Warehouse √
Push buttons / Lighting Switches In working order √
Power Socket Outlets (if available) In working order √
Lights Working √
Working (Green Led
Emergency Lights and Exit Lights
ON) √
Visual Check for All equipments Not damaged √
If any , Write tag
Locked out Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
2 LV & Subcontrol Panels in the room
Panel 1- Tag number all panels
In good working
Door locks / locking mechanism
order √
Drawings ( Interconnection Diagrams or related documents) Available √
All terminals secure
Earthing
& connected √
Inside Light Working √
Display Unit (if available) Working √
If any , Write tag
Damage/missing Equipments
numbers √
General condition - clean, dust etc. Clean & tidy √
3 GENERAL COMMENTS