Power Pack Hydraulic Quick Disconnect Skid Equipment # 11976555-308293819

HALLIBURTON
CL-GL-HAL-IEM-PM-S12A Shop Location and # DATE (ddMMMyyyy)

Record PM Meter reading (Verify meter functions properly)

Initials

= OK

= Fail (Create

RPM order)

N/A

= not appl

Process Owner: Global Equipment Maintenance Manager Approver: Larry Deweese Page 1 of 4

Preventive Maintenance Check Sheet Revision Date: 05/28/2013

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HALLIBURTON
Power Pack Hvdraulic Quick Disconnect 26 27 28 29 30 Skid CL-GL-HAL-IEM-PM-S12A Pass/Fail Initial HYDRAULIC SYSTEM Check hydraulic oil level and for contamination. Check hydraulic tank for leaks. Change hydraulic return filters. Check hydraulic hoses and fittings for leaks, and verify they are in good condition. Repair all leaks. Verify hydraulic pumps and control valves appear to be in good condition and mounted securely. FRAME Check all structural members for damage, deformation or excessive corrosion. Caution: Do not weld on unit without first disconnecting all magnetic pickups and MCI!. Check all safety guards and Ensure they are in place and secure. Verify that proper company logos and decals are installed as per the Branding initiative. Verify that the SAP equipment number is clearly marked on the unit (see the ESG Branding web ~age for guidelines). Touch up paint as necessary to Halliburton specifications. LIFTING STRUCTURE Visually inspect all lifting points and welds on frame. If repairs are required have NDE performed after repairs are made. ATTACH COPY OF INSPECTION REPORT TO THIS CHECK SHEET. Check and Record date of visual inspection on all lifting slings and padeyes. Visual inspection of padeye and Slings required every six months by certify vender. If due before next PM, fail this line item and have inspection done. (Note: Create separate Certification (CERT) order to record visual inspection). Pass/Fail Initial Pass/Fail Initial

31 32 33

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36

Date Last Visual Sling Inspection. Date Last Visual Pad eye Inspection 37 Verify lifting sling certification tags in place on the sling. Record: (all should be noted on certification tag). Invoice/Cert# Test Date Sling Capacity Sling unit # Verify all lifting shackles, pins, and nuts are in place and secure. Check and Record date of Last NDE on Padeyes. NDE required every year. If due before next PM, fail this line item and have NDE done. (Note: Create separate Certification (CERT) order to record NDE inspection. Date Last Padeye NDE Check and Record date of Padeye Full Load Test. Padeye Full Load Test required every 2 years. If due before next PM, fail this line item and have test performed. Verify Load Test Tag is on unit. (Note: Create separate Certification (CERT) order to record Full Load test). Date Last Full Load Test of Padeyes Verify that Lift Certification data plate is attached to unit.

38 39

40

41

Process Owner: Global Equipment Maintenance Manager Approver: Larry Deweese Page 2 of 4

Preventive Maintenance Check Sheet Revision Date: OS/28/2013

Power Pack Hvdraulic Quick Disconnect

HALLIBURTON
Skid

CL -GL -HAL -IEM PM -S12A Pass/Fail Initial

FUNCTION TEST

42 Connect remote hydraulic relief valves between pump's pressure lines and return lines. * *
* CAUTION: * * *

DO NOT dead head pressure on hydraulic quick disconnects.

43 Assure engine starts properly and oil pressure gauge functions. 44 Assure engine responds to throttle and regular stop controls. 45 Assure hydraulic pressure for starter system pressures up if equipment with auxiliary
pump. N/A if not applicable.

46 Assure engine temperature gauge functions and does not exceed 190 degrees F while
engine is running.

47 48 49 50 51

Increase engine speed to full rpm and verify on tach. Check for engine oil, water, and fuel leaks. Repair any leaks found after test. Gradually adjust remote hydraulic relief valves and assure pumps pressure up to 2000 psi. Check hydraulic system for leaks. Repair any leaks found after test. Back out on remote hydraulic relief valves to 0 psi and slow engine down to idle before stopping engine. ENVIRONMENTAL CH CH

52 Dispose of all waste properly. Ensure all spills are cleaned up and properly contained.
REQUIRED PAPER WORK

53 Check regulatory documents and decals per State and/or Country Requirements (DOT, CVIP, MMS
Coast Guard, etc.)

54 Verify that proper company logos and decals are installed as per the Branding initiative. Verify that the
SAP equipment number is clearly marked on the unit (see the ESG Branding web page for guidelines).

55

a
b

Record date of DOT/CVIP and/or state annual inspection sticker (if applicable). Replace sticker if within 90 days of expiration date. Was a new DOT/CVIP sticker applied? (Circle response) Signature:

I.
Yes

Date No Date

56 Install new sticker to indicate when the next PM is due 57 Record date when next PM is due. 58 Record hours/miles/km when next PM is due.

I I I

Date Hour/Miles/KM

Process Owner: Global Equipment Maintenance Manager Approver: Larry Deweese Page 3 of 4

Preventive Maintenance Check Sheet Revision Date: OS/28/2013

HALLIBURTON
Power Pack Hvdraulic Quick Disconnect Skid CL-GL-HAL-IEM-PM-S12A LIST ALL REPAIRS THA T WERE FOUND DURING THE INSPECTION. THIS LIST WILL BE USED AS A TOOL TO RESCHEDULE ANY REPAIRS THAT WERE FOUND DURING PM INSPECTION. 1 Mechanic name: Repair date: 2 Mechanic name: Repair date: 3 Mechanic name: Repair date:
4

Approval acquired: Maintenance order #:

Approval acquired: Maintenance order #:

Approval acquired: Maintenance order #:

Mechanic name: Repair date: 5

,

Approval acquired: Maintenance order #:

Mechanic name: Repair date: 6 Mechanic name: Repair date:

7

Approval acquired:

Maintenance order #:

Approval acquired: Maintenance order #:

Mechanic name: Repair date: 8 Mechanic name: Repair date:

9

Approval acquired: Maintenance order #:

Approval acquired: Maintenance order #:

Mechanic name: Repair date: 10 Mechanic name: Repairdate: Report any errors found on check sheet to supervisor

Approval acquired: Maintenance order #:

Approval acquired: Maintenance order #:

Process Owner: Global Equipment Maintenance Manager Approver: Larry Deweese Page 4 of 4

Preventive Maintenance Check Sheet Revision Date: 05/28/2013