CONSTRUCTION CHECK SHEET I-003A

INSTRUMENTS
Control Valve
Pre-Installation Calibration
PROJECT
PROJECT No.
DESCRIPTION
SYSTEM
SYSTEM No.
DESCRIPTION
SERVICE
TAG No.
DESCRIPTION

MANUFACTURER MODEL No.

SERIAL No. REQN. No.
RANGE PEFS No.

 VALVE SUPPLIED AS PER REQUISITION / DATA SHEET.

 VALVE UNDAMAGED.  SHIPPING STOPS REMOVED BEFORE CALIBRATION

LEAK TEST TO ANSI/FCI 70-2 ISSUE 1967:  CLASS III  CLASS IV  CLASS V
LEAKAGE RATE : INSIDE TOLERANCE  YES  NO
TEST MEDIUM : TEST PRESSURE :

POSITIONER VALVE POSITION

CALIBRATION CHECK:
RISING FALLING
%SPAN INPUT OUTPUT
ACTUAL % ERROR ACTUAL % ERROR
0
25
50
75
100

STROKING TIME: SEC. TO SPECIFICATION?  YES  NO

ANCILLARY EQUIPMENT LIST :

GENERAL CONTROL VALVE CLASSIFICATION : SETTINGS:

 CONTROL  DEPRESSURIZING LOCK-UP DEVICE  YES  NO
 ON / OFF  SEQUENTIAL CONTROL POSITION SWITCHES :  OPEN  CLOSED
 SAFEGUARDING  COMPRESSOR RECYCLING

TEST EQUIPMENT DESCRIPTION SERIAL NO. CERTIFICATION EXPIRY DATE

REMARKS / OBSERVATIONS:

COMPLETED BY CONTRACTOR APPROVED BY JACOBS ACCEPTED BY CHEMETALL

NAME NAME NAME
COMPANY
SIGN & DATE SIGN & DATE SIGN & DATE

REF. DEP 62.10.08.11-GEN.