SAUDI ARAMCO ID/PIEU - 14- May 2018 - REV. 2018.03.00 (Standards Cutoff -March 31, 2018) Rev. 2018.03.

Rev. 2018.03.00 31-Mar-18

SAIC NUMBER DATE APPROVED QR NUMBER
SAUDI ARAMCO INSPECTION CHECKLIST
Relief Valve Test and Calibration Test Report SATR-J-2001 14-May-18 MECH
PROJECT TITLE WBS / BI / JO NUMBER CONTRACTOR / SUBCONTRACTOR

EQUIPMENT ID NUMBER(S) EQUIPMENT DESCRIPTION EQPT CODE SYSTEM ID. PLANT NO.

LAYOUT DRAWING NUMBER REV. NO. PURCHASE ORDER NUMBER EC / PMCC / MCC NO.

SCHEDULED TEST DATE & TIME ACTUAL TEST DATE & TIME QUANTITY INSP. MH's SPENT TRAVEL TIME
SAUDI ARAMCO USE ONLY
SAUDI ARAMCO TIP NUMBER SAUDI ARAMCO ACTIVITY NUMBER WORK PERMIT REQUIRED?

SAUDI ARAMCO INSPECTION LEVEL CONTRACTOR INSPECTION LEVEL

Proponent: _________________________________ Report No: ____________________________ Date: _______________________

Name Plate Data:
RV No./Tag No.: ______________________________________ Valve Serial No.: ____________________________________________

Valve Type: _________________________________________ Valve Size: ________________________________________________

Set Pressure: ________________________________________ CDTP: ____________________________________________________

Back Pressure: _______________________________________ Seat Test Pressure: ________________________________________

Capacity: ____________________________________________ Temperature: _____________________________________________

Details of Pressure Guage Used for Calibration:
P/Guage Sr.No.: _______________________________________ Calibration Cert. No.: _______________________________________

Make: _______________________________________________ P/Guage Range: _________________________________________

Calibration Date: _______________________________________ Re. Calibration Date: ______________________________________

Final Test Results: Test Media: Air ____ Water _______
Pop at Psig: __________________________________ Set Pressure (CDTP): _____________________________________
Seat Leak Test (Psig): __________________________ Accept/Reject:
Back Seat Pressure (Psig): ______________________ Accept/Reject:
Bonnet Leak Test (Psig): ________________________ Accept/Reject:
RV Calibration on: _____________________________ MM/DD/YY
REMARKS: (NOTE: Test Report Form from the testing Agency is acceptable.)

Contractor / Third-Party Saudi Aramco

Technician Performing Test* PMT Representative
Name, Title, Department, Test Performed Successfully and Results are Acceptable: T&I Witnessed QC Record Reviewed Work Verified
Company, Initials and Name, Initials and Date:
Date:
QC Inspector PID Representative
Witnessed Test Work / Rework May Proceed T&I Witnessed QC Record Reviewed Work Verified
Name, Initials and Date: Name, Initials and Date:

QC Supervisor Proponent and Others

Quality Record Approved: T&I Witnessed QC Record Reviewed Work Verified
Name, Organization,
Name, Sign and Date:
Initials and Date:

*Person Responsible for Implementation of Test and Analysis of Results Y = YES N = NO F = FAILED

Saudi Aramco: Company General Use