ADNOC Onshore Contract No.16559.01 Project No. P14395 PE JOB NO.

PE-104

EPC FOR QUSAHWIRA FIELD DEVELOPMENT PHASE-II PROJECT

COMMENTS RESOLUTION SHEET

SUBCONTRACTOR / VENDOR NAME : ITEM : P.O No.

SUBCONTRACTOR / VENDOR PETORFAC REVIEW

DATE DATE DOCUMENT No. DOCUMENT TITLE REVISION
TRANSMITTAL NUMBER TRANSMITTAL NUMBER CODE

PE-104-NBTC-PE-T-0606 11 Apr 20 PE-104-PE-NBTC-T-1731 31-Mar-20 3 58-99-97-7871 ITP for Installation of Lighting System 2

DISCIPLINE: ELECTRICAL

DOCUMENT REVIEW SHEET:

PETROFAC ADNOC Onshore STATUS

Sl No. PETROFAC / ADNOC Onshore COMMENTS SUBCONTRACTOR / VENDOR RESPONSE
RESPONSE RESPONSE (Open or Closed)

1. Comments given in E-ITR-801A incorporated. NOTED

2.

3.

4.

5.

6.

7.

8.

VENDOR CHECKED BY DATE SIGNATURE VENDOR APPROVED BY DATE SIGNATURE

Santhosh Praveen 08.04.2020 Krishna Kumar Aiyappan 08.04.2020

Page 1 of 1
Code - 1

Praveen Kumar
18/04/2020

APPROVED FOR CONSTRUCTION

 Revision Description
Rev. No. Section Revision Description
A All Issued for Review
B All Issued for Approval
1 All Approved for Construction
2 All Approved for Construction
3 All Approved for Construction

HOLDS

Rev. No. Section Description

Contract No.16559.01 Project No: P14395

Inspection and Test Plan DOC No- 58-99-97-7871
for Installation Of Lighting
System Rev : 3 Date : 08-Apr-2020
Page 2 of 9
 TABLE OF CONTENTS

1. SCOPE.............................................................................................................................. 4
2. REFERENCES .................................................................................................................. 4
3. DEFINITIONS.................................................................................................................... 4
4. ATTACHMENTS ............................................................................................................... 9

Contract No.16559.01 Project No: P14395

Inspection and Test Plan DOC No- 58-99-97-7871
for Installation Of Lighting
System Rev : 3 Date : 08-Apr-2020
Page 3 of 9
1. SCOPE

This Inspection and Test Plan is applied to sub-contractor activities related to Installation of Lighting
system, Inspection and testing activities as per project specification & relevant codes and standard.

2. REFERENCES

DEP NO-33.64.10.10- Gen - Electrical Engineering Design

58-99-53-1620 - Specification for Electrical Bulk materials

ES-30-99-53-0015 - Specification for low voltage Power, control and Earthing Cable
58-99-90-7987 - QCP for Control of Inspection, Measuring and Test
Equipment
58-99-90-8003 - QCP for Request for Inspection (RFI) & Inspection Control
58-99-53-1623 - Specification of Electrical Installation
58-99-97-7645 - Project Quality Plan
58-99-90-1921 - Procedure for Control of Nonconformance
58-99-90-8000 - Procedure for Corrective and Preventive Action
58-99-89-7604 - Project HSE Plan
58-99-90-7980 - QCP for Installation of Lighting System
58-99-67-1654 - Installation Standard-Lighting
58-99-67-1656 - Electrical Design Basis

3. DEFINITIONS

COMPANY ADNOC Onshore

CONTRACTOR Petrofac Emirates (PE)
SUB CONTRACTOR Naser M Al-Baddah & Partner Gen. Cont. Co. LLC (NBTC)
RFI Request for Inspection
AFC Approved for Construction
GA General Arrangement Drawings
BOQ Bill of Quantity
MAR Material Approval Request
QCP Quality Control Procedure

QCE Quality Control Engineer

QCI Quality Control Inspector

ITR Inspection and Test Record

IRN Inspection Release Note

ITP Inspection and Test Plan

Contract No.16559.01 Project No: P14395
Inspection and Test Plan DOC No- 58-99-97-7871
for Installation Of Lighting
System Rev : 3 Date : 08-Apr-2020
Page 4 of 9
Notes:

This document and referenced ITR’s shall be applied to Construction/Inspection & test activities carried out on
Qusahwira Phase-II Project sites.
This document is based on widely used international codes, standards and good engineering practice that is
applied in oil & Gas projects and is intended to highlight the minimum tests and inspections that ensure quality
requirements are fulfilled within the scope of the document.
In case of any conflict between documents, the project specification shall take precedence over this QCP and applicable
ITR’s.
This ITP serves primarily as a plan and it shall not be used to obtain signatures. Acceptance signatures shall be
obtained on the referenced inspection and test record, which shall form part of generic records to be handed
over to the client.
Company signature is optional for review and surveillance points.
The referenced inspection and test records (ITR’s) are controlled independently. Therefore, the latest revision
of these ITRs, at the time of initiation, shall be utilized.

Contract No.16559.01 Project No: P14395

Inspection and Test Plan DOC No- 58-99-97-7871
for Installation Of Lighting
System Rev : 3 Date : 08-Apr-2020
Page 5 of 9
 EPC FOR QUSAHWIRA FIELD DEVELOPMENT PHASE-II NASER M. AL-BADDAH &
ADNOC
PROJECT PARTNER GEN. CONT. CO.
ONSHORE LLC
PROJECT / ORDER NO : P14395 ITP NO: 58-99-97-7871
Inspection and Test Plan
CONTRACTOR JOB NO: 16559.01 Installation of Lighting System DATE: 8-Apr-2020 REV: 3

Inspection Codes: SC: Sub-Contractor PE: Petrofac Emirates C : Company/Client TP: Third Party
R: Document/Report Review S: Surveillance RR: Random Review
H: Hold Point (Notification required & presence is mandatory) W: Witness Point (Notification required but presence is not mandatory)

Act Intervention Points

Responsible Verifying
Control Activity Action to be verified Reference Document Acceptance Criteria
No Party Document
SC PE AO TP

PE Electrical QC
a. Review & verify validity of
Inspector
Control of Inspection calibration certificates, Identification  Manufacturer’s data sheet  Good mechanical and Calibration
PEC Site
1.0 Test & Measuring Number/Sticker  58-99-90-7987 electrical condition Certificate/ IM&TE H H S N/A
Supervisor
Equipment b. Verify condition of the test  Project Spec.  Valid calibration certificate Register
SC Electrical QC
equipment
Inspector
a. Visual inspection to ensure no PE Electrical QC
 Purchase Order  No damage and materials
Material Inspection physical damages, all materials are Inspector
 Delivery Note are correct as per Purchase Order
(subject to provisions of in accordance with project SC Material
2.0  Data Sheet requirement Delivery Note H H W N/A
Project Material requirements Controller
 Project Material Receiving  Confirms to storage and Data Sheet, MTC
Receiving Procedures) b. Storage and preservation (e.g. long SC Electrical QC
Procedure, MTC preservation requirements
term outdoor storage at site) Inspector
a. Review of applicable
PE Electrical
drawings/documents and ensure  Complies with AFC
 List of latest revision of QC Inspector
Drawings and that latest revision is available at document register
applicable drawings PEC Site
3.0 Documents status site (e.g.: Location layout, SLD,  Complies with AFC NIL H R R N/A
 AFC drawings and Supervisor
Review of work procedures, Method drawings, applicable
Specifications SC Electrical
Statements, QC Procedures and standards and Specifications
QC Inspector
other related documents etc.)

PE Electrical
a. Check against applicable data QC Inspector
Lighting Fixture rating  Installation details and
sheet/drawings  Complies with installation PEC Site ITR-E-0801A
4.0 and specification Layout drawings H W W N/A
b. Where applicable, verify hazardous  Project Spec. details and layout drawing Supervisor
checks
area classification and IP rating SC Electrical
QC Inspector

Page 6 of 9
 EPC FOR QUSAHWIRA FIELD DEVELOPMENT PHASE-II NASER M. AL-BADDAH &
ADNOC
PROJECT PARTNER GEN. CONT. CO.
ONSHORE LLC
PROJECT / ORDER NO : P14395 ITP NO: 58-99-97-7871
Inspection and Test Plan
CONTRACTOR JOB NO: 16559.01 Installation of Lighting System DATE: 08-Apr-2020 REV: 3

Inspection Codes: SC: Sub-Contractor PE: Petrofac Emirates C : Company/Client TP: Third Party
R: Document/Report Review S: Surveillance RR: Random Review
H: Hold Point (Notification required & presence is mandatory) W: Witness Point (Notification required but presence is not mandatory)

Act Intervention Points

Responsible Verifying
Control Activity Action to be verified Reference Document Acceptance Criteria
No Party Document
SC PE AO TP
a. Perform IR test and IR testing of
internal cable (Test Voltage: as per PE Electrical
item-10.0) QC Inspector
Verification of pole  Installation details and  Complies with installation
PEC Site ITR-E-0801A
5.0 mounted lights prior to b. Verify cable terminations are correct Layout drawings details and layout drawing H W S N/A
Supervisor
installation c. Verify mounting of light fixture as  Project Spec.  Minimum IR: 1MΩ
SC Electrical
per manufacturer’s instructions QC Inspector
d. Verify earthing
a. Installation as per lighting layout
b. Correct locations
c. Correct support details PE Electrical
d. Correct orientation QC Inspector
Lighting Fixture,  Installation details and
 Complies with installation PEC Site ITR-E-0801A
6.0 installation, orientation e. Correct fixtures tag number Layout drawings H W W N/A
details and layout drawing Supervisor
and alignment f. Ensure correct alignment  Project Spec.
SC Electrical
g. No obstructions QC Inspector
h. Verify clearance from moving parts
and hot surfaces

a. Check terminal lugs are of correct PE Electrical

size QC Inspector
 Distribution diagram  Wiring as per distribution
b. Check wire connections at each PEC Site ITR-E-0801A
7.0 Wiring  Layout drawings drawing, correct connections H W S N/A
junction box, fixtures, switches and Supervisor
 Project Spec. etc.
socket outlets SC Electrical
QC Inspector
c. Verify Identification markers

Page 7 of 9
 EPC FOR QUSAHWIRA FIELD DEVELOPMENT PHASE-II NASER M. AL-BADDAH &
ADNOC
PROJECT PARTNER GEN. CONT. CO.
ONSHORE LLC
PROJECT / ORDER NO : P14395 ITP NO: 58-99-97-7871
Inspection and Test Plan
CONTRACTOR JOB NO: 16559.01 Installation of Lighting System DATE: 08-Apr-2020 REV: 3

Inspection Codes: SC: Sub-Contractor PE: Petrofac Emirates C : Company/Client TP: Third Party
R: Document/Report Review S: Surveillance RR: Random Review
H: Hold Point (Notification required & presence is mandatory) W: Witness Point (Notification required but presence is not mandatory)

Act Intervention Points

Responsible Verifying
Control Activity Action to be verified Reference Document Acceptance Criteria
No Party Document
SC PE AO TP

a. Visual inspection of earthing to PE Electrical

confirm all earth cables are properly  Installation details and QC Inspector
 Earthing provided as per
Earthing of lighting PEC Site ITR-E-0801A
8.0 connected Layout drawings drawing H W S N/A
system Supervisor
b. Check and record earth resistance  Project Spec.  Complies with Project Spec.
SC Electrical
to main grid QC Inspector

PE Electrical
QC Inspector
 Installation details and
Circuit list and labels a. Verify labels against applicable  Correct labels as per PEC Site ITR-E-0801A
9.0 Layout drawings H W S N/A
installed drawings drawings Supervisor
 Project Spec.
SC Electrical
QC Inspector

a. Visual inspection of circuit

components to verify completion of
each circuit
Insulation resistance test on
complete circuit. (Ensure to PE Electrical
Lighting circuit disconnect light fixtures prior to QC Inspector
 Installation details and  Complies with installation
installation and apply test voltage) PEC Site ITR-E-0801A
10.0 Layout drawings details H W W N/A
insulation resistance  Test voltage for 1minute: 500VDC  Project Spec. Supervisor
 Minimum IR: 1MΩ
test for cables rated less than 600V and SC Electrical
1000VDC for cable rated 600V to QC Inspector
1000V
b. Verify continuity of each circuit
c. Ensure to reconnect wires after the
test
Page 8 of 9
 EPC FOR QUSAHWIRA FIELD DEVELOPMENT PHASE-II NASER M. AL-BADDAH &
ADNOC
PROJECT PARTNER GEN. CONT. CO.
ONSHORE LLC
PROJECT / ORDER NO : P14395 ITP NO: 58-99-97-7871
Inspection and Test Plan
CONTRACTOR JOB NO: 16559.01 Installation of Lighting System DATE: 08-Apr-2020 REV: 3

Inspection Codes: SC: Sub-Contractor PE: Petrofac Emirates C : Company/Client TP: Third Party
R: Document/Report Review S: Surveillance RR: Random Review
H: Hold Point (Notification required & presence is mandatory) W: Witness Point (Notification required but presence is not mandatory)

Act Intervention Points

Responsible Verifying
Control Activity Action to be verified Reference Document Acceptance Criteria
No Party Document
SC PE AO TP
d. Unused cable entries are blanked
off with correct type of plugs
e. Haz. inspection by circuit as per
Item:11.0 as work progress

a. Inspections shall be performed only  Layout drawing

by a trained and experienced  Hazardous area drawing
Hazardous Area  Complies with requirements
personnel  Project Spec. SC/PEC Ex
11.0 Equipment Inspection of relevant protection ITR-E-1401A H H W N/A
 Hazardous area equipment Inspector
per plant area b. Perform inspection as per IEC- concepts
register
60079-17 Table-1,2,3 as applicable  IEC-60079-14 &17

4. ATTACHMENTS

No. ITR No. Description

1 ITR-E-0801A Shelter / Building, High-mast & Column mounted lighting circuit installation and test record

2 ITR-E-1401A Initial Inspection Record for Hazardous Area Electrical Equipment.

Page 9 of 9
 INSPECTION & TEST RECORD-ELECTRICAL
ITR No: E-0801A
SHELTER / BUILDING, HIGH-MAST &
COLUMN MOUNTED LIGHTING CIRCUIT
INSTALLATION AND TEST RECORD

E-0801A
Project No.: Record No:
Tag No:
Location: Sub-System No:
DB No: Circuit No. Lighting Type:
Light Fixture Ex. Protection Type: Gas Group: Temp. Class: IP Rating:
Jn. Boxes Ex. Protection Type: Gas Group: Temp. Class: IP Rating:
Lighting Layout Drawing No: Dist. Drawing/Schedule No:
Haz. Area Classification Drawing No: Haz.Area Class:

Sl. No: Checks to be Performed Result

A GENERAL REQUIREMENTS

1 Location, Elevation and orientation as per layout drawing.

2 Lamp rating, type and position are correct.

3 Circuit Installed and Identified according to approved drawings and specifications.

4 Equipment is appropriate to the hazardous area classification requirements of the location.

5 All fittings solidly and correctly mounted and not obstructed by other services.

6 All identification labels are correct.

7 Verify warning labels are fitted, where necessary.

8 All name plates / warning labels are correct and securely attached, readable and not obscured.
All fittings, lamps and junction boxes undamaged, clean and all spare entries blanked off with
9
correct plugs.
Verify cable termination and glanding at each junction box and lighting fitting to ensure
10
compliance with drawing/specification.
Verify earth connections/bonding are in accordance with standard drawing and record
11
resistance to earth: ( Ω).
Insulation resistance and continuity test of complete Phase – Neutral: MΩ
circuit: (Ensure to disconnect lighting fixtures during Neutral-Earth: MΩ
12 IR test.) Phase – Earth: MΩ

Test Voltage: VDC for 1min. Continuity:

Record number of lighting fittings and junction boxes Light Fittings:

13
in a circuit. Jn. Boxes:
Enclosure lids are satisfactory with suitable gasket (where applicable) and fixing screws / bolts
14
tightened, and IP rating is maintained.

B SHELTER / BUILDING AND COLUMN MOUNTNED LIGHTING CIRCUIT

1 Support fabrication as per detail drawing.

2 No hazards from moving parts, hot surfaces etc.

3 All shipping stops bracing and packing removed (Where applicable).

C HIGH-MAST ROAD / PLANT LIGHTING CIRCUIT

1 Foundation released from Civil QC (If required).

2 Where applicable, Vertical alignment checked and adjusted.

3 Fixture and support stability good.

4 Assembly as per manufacturer instructions.

5 All equipment undamaged and clean.

Rev.3 Ref. ITP No:58-99-97-7871

Page 1 of 2
 INSPECTION & TEST RECORD-ELECTRICAL
ITR No: E-0801A
SHELTER / BUILDING, HIGH-MAST &
COLUMN MOUNTED LIGHTING CIRCUIT
INSTALLATION AND TEST RECORD

E-0801A
Project No.: Record No:
Tag No:
Location: Sub-System No:
DB No: Circuit No. Lighting Type:
Light Fixture Ex. Protection Type: Gas Group: Temp. Class: IP Rating:
Jn. Boxes Ex. Protection Type: Gas Group: Temp. Class: IP Rating:
Lighting Layout Drawing No: Dist. Drawing/Schedule No:
Haz. Area Classification Drawing No: Haz.Area Class:

IR& Continuity test/termination of internal cables prior to lifting the pole (MΩ)
Pole. No: 1 2 3 4 5 6 7 8 9 10
P-N
6 P-E
N-E
Continuity
Termination

Circuit Component Details

Fixture Details JB Details
Result Remarks
Tag No. Sl. No. Tag No. Sl. No.

Test Equipment Type Make Model Sl. No. Cal Due Date

Remarks:

Record Acceptance Subcontractor QC Petrofac QC Adnoc Onshore

Name
Signature
Date

Rev.3 Ref. ITP No:58-99-97-7871

Page 2 of 2
 INSPECTION & TEST RECORD-ELECTRICAL
ITR No: E-1401A
INITIAL INSPECTION RECORD FOR
HAZARDOUS AREA ELECTRICAL EQUIPMENT

E-1401A
Project No.: Record No:
Bulk Tag No:
Sub-System No:

Drawing No: Rev:

Service: Location:

Inspection Report No.

Sl. *Table Category (Attach Insp.
Tag Number Punch List no. (if any) Result
No: No. applicable Date
D C V Check List)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
*Attach applicable Check List used for Inspection:
ITR-E-1401A-Table 1: HAE Inspection Check List for “Exd, Exe, Exn” installations,
ITR-E-1401A-Table 2: HAE Inspection Check List for “Exi” Installations,
ITR-E-1401A-Table 3: HAE Inspection Check List for “Exp” Installations, Modified Table (Specify)
Inspection Category: D- Detailed, C-Close, V-Visual
Note: *Please see PEC-QU-PRO-11690-Appendix-8.0 for applicable Inspection Check Lists

Company Signature: Applicable Not Applicable

Record Acceptance Subcontractor QC Petrofac QC ADNOC Onshore

Name

Signature

Valid Ex. Certificate No.

Date
Rev.3 Page 1 of 1 Ref. ITP No. 58-99-97-7871
 HAE Inspection Check List for “Ex-d”, “Ex-e” & “Ex-n”
Installations E-1401A: Table-1

Project No.: Record No:

Attachment to ITR No. E-1401A
Sub-System No:
Equipment Type: (e.g. Transmitter)
Area: Location:
Layout Drawing No:
General Arrangement Drawing No:
Typical Installation Drawing No:
Haz. Area Classification Drawing No: Zone:
T
Item Tag No. Make Model Sl. No Category Ex Type Gas Group EPL IP ExCB/NoBo Certificate No
Class
1
2
3
4
5
6
7
8
9
10

Checks to be performed Result (Yes, No, NA)

Exd

Exn
Sl. No: Exe
“x” Required,” #” Recommended, “+” By Commissioning 1 2 3 4 5 6 7 8 9 10

A. Equipment
Equipment is appropriate to the EPL/Zone requirements of
A1 x x x
the location
A2 Equipment group is correct x x x
A3 Equipment temperature class is correct x x x
A4 Equipment maximum surface temperature is correct
Degree of protection (IP grade) of equipment is appropriate
A5 x x x
for the level of protection/group conductivity
A6 Equipment circuit identification is correct x x x
A7 Equipment circuit identification is available x x x
Enclosure glass parts and glass-to-metal sealing gaskets
A8 x x x
and/or compounds are satisfactory
A9 There are no damage or unauthorized modifications x x x
A10 There is no evidence of unauthorized modifications x x x
Bolts, cable entry devices (direct and indirect) and blanking
A11 elements are of the correct type and complete and tight x x x
(Physical and visual checks)
Threaded covers on enclosures are of the correct type, are
A12 x
tight and secured (Physical and visual checks)
Joint surfaces are clean and undamaged and gaskets, if any,
A13 x
are satisfactory and positioned correctly
A14 Condition of enclosure gasket is satisfactory x x x
There is no evidence of ingress of water or dust in the
A15 x x x
enclosure in accordance with the IP rating

Record Acceptance Subcontractor QC Petrofac QC ADNOC Onshore

Name

Signature

Valid Ex. Certificate No.

Date
Rev.3 Page 1 of 3 Ref. ITP No. 58-99-97-7871
 HAE Inspection Check List for “Ex-d”, “Ex-e” & “Ex-n”
Installations E-1401A: Table-1

Project No.: Record No:

Attachment to ITR No. E-1401A
Sub-System No:

Checks to be performed Result (Yes, No, NA)

Exd

Exn
Exe
Sl. No:
“x” Required,” #” Recommended, “+” By Commissioning 1 2 3 4 5 6 7 8 9 10

Dimensions of flanged joint gap are: (Check, if visually not

satisfactory)
-within the limits in accordance with manufacturer's
A16 documentation, or x
-within maximum values permitted by relevant construction
at time of installation or
-within maximum values permitted by site documentation
A17 Electrical connections are tight # x x
A18 Unused terminals are tightened # x x
Enclosed-break and hermetically sealed devices are
A19 x
undamaged
A20 Encapsulated components are undamaged x x
A21 Flame proof components are undamaged x x
A22 Restricted breathing enclosure is satisfactory (Type nR only) x
A23 Test port, if fitted, is functional (Type nR only) x
A24 Breathing operation is satisfactory (Type nR only) x
A25 Breathing and draining devices are satisfactory x x x
A26 Fluorescent lamps are not indicating EOL effects x x
Lighting

A27 HID lamps are not indicating EOL effects x x x

Lamp type, rating, pin configuration and position are
A28 x x x
correct
Motor fans have sufficient clearance to enclosure
A29 and/or covers, cooling systems are undamaged, motor x x x
Motor

foundations have no indentations or cracks

A30 The ventilation airflow is not impeded x x x
Insulation resistance (IR) of the motor winding is
A31 x x x
satisfactory
B. Installation
B1 Type of cable is appropriate x x x
B2 There is no obvious damage to cables x x x
B3 Sealing of trunking, ducts, pipes and/or conduits is x x x
satisfactory
B4 Stopping boxes and cable boxes are correctly filled x
Integrity of conduit system and interface with mixed system
B5 x x x
is maintained
Earthing connections including any supplementary earth
bonding connections are satisfactory (e.g. connections are
B6 tight, and conductors are of sufficient cross section) x x x
-Physical and visual checks
Fault loop impedance (TN systems) or earthing resistance
B7 (IT systems) is satisfactory x x x

Automatic electrical protective devices are set correctly

B8 (auto-reset not possible) + + +

Record Acceptance Subcontractor QC Petrofac QC ADNOC Onshore

Name

Signature

Valid Ex. Certificate No.

Date
Rev.3 Page 2 of 3 Ref. ITP No. 58-99-97-7871
 HAE Inspection Check List for “Ex-d”, “Ex-e” & “Ex-n”
Installations E-1401A: Table-1

Project No.: Record No:

Attachment to ITR No. E-1401A
Sub-System No:
Checks to be performed Result (Yes, No, NA)

Exd

Exn
Exe
Sl. No. “x” Required,” #” Recommended, “+” By Commissioning 1 2 3 4 5 6 7 8 9 10

Automatic electrical protective devices operate within

B9 + + +
permitted limits
B10 Specific conditions of use (if applicable) are complied with x x x
Cables not in use are correctly terminated (see IEC-60079-
B11 x x x
14-9.6.3 & 16.2.2.5.3 for details)
Obstructions adjacent to flameproof flanged joints are in
B12 x
accordance with IEC 60079-14-10.2
Variable voltage/frequency installation in accordance with
B13 x x x
documentation
Temperature sensors function according to
B14 + +
manufacturer's documents
Safety cut off devices function according to
B15 + +
manufacturer's documents
B16 The setting of the safety cut off is sealed + +
Heating Systems

Reset of a heating system safety cut off possible with

B17 + +
tool only
B18 Auto-reset is not possible + +
Reset of a safety cut off under fault conditions is
B19 + +
prevented
B20 Safety cut off independent from control system + +
B21 Level switch is installed and correctly set, if required + +
B22 Flow switch is installed and correctly set, if required + +
Motor protection devices operate within the permitted tE or
B23 +
tA time limits
C. Environment
Equipment is adequately protected against corrosion,
C1 x x x
weather, vibration and other adverse factors
C2 No undue accumulation of dust and dirt x x x
C3 Electrical insulation is clean and dry # x x
Remarks

Company Signature: Applicable Not Applicable

Record Acceptance Subcontractor QC Petrofac QC ADNOC Onshore

Name

Signature

Valid Ex. Certificate No.

Date
Rev.3 Page 3 of 3 Ref. ITP No. 58-99-97-7871
 HAE Inspection Check List for “Ex-i” Installations
E-1401A: Table-2

Project No.: Record No:

Attachment to ITR No. E-1401A
Sub-System No:

Equipment Type: (e.g. Transmitter)

Area: Location:

Layout Drawing No:

General Arrangement Drawing No:

Typical Installation Drawing No:

Haz. Area Classification Drawing No: Zone:

Ex Gas T
Item Tag No. Make Model Sl. No Category EPL IP ExCB/NoBo Certificate No
Type Group Class
1
2
3
4
5
6
7
8
9
10

Checks to be performed Result (Yes, No, NA)

Sl. No: Exi
“x” Required,” #” Recommended, “+” By Commissioning 1 2 3 4 5 6 7 8 9 10

A. Equipment
Circuit and/or Equipment documentation is appropriate to the
A1 x
EPL/Zone requirements of the location
A2 Equipment installed is that specified in the documentation x
A3 Circuit and/or Equipment category and group are correct x
A4 IP rating of equipment is appropriate to the Group III material present x
A5 Equipment temperature class is correct x
Ambient temperature range of the apparatus is correct for the
A6 x
installation
Service temperature range of the apparatus is correct for the
A7 x
installation
A8 Installation is clearly labeled x
Enclosure glass parts and glass-to-metal sealing gaskets and/or
A9 x
compounds are satisfactory
Cable glands and blanking elements are the correct type, complete
A10 x
and tight (Physical and visual checks)
A11 There are no damage or unauthorized modifications x
A12 There is no evidence of unauthorized modifications x
Diode safety barriers, galvanic isolators, relays and other energy
A13 limiting devices are of the approved type, installed in accordance with x
the certification requirements and securely earthed where required

Record Acceptance Subcontractor QC Petrofac QC ADNOC Onshore

Name

Signature

Valid Ex. Certificate No.

Date
Rev.3 Page 1 of 2 Ref. ITP No. 58-99-97-7871
 HAE Inspection Check List for “Ex-i” Installations
E-1401A: Table-2

Project No.: Record No:

Attachment to ITR No. E-1401A
Sub-System No:

Exi
Checks to be performed Result (Yes, No, NA)
Sl. No:
“x” Required,” #” Recommended, “+” By Commissioning 1 2 3 4 5 6 7 8 9 10

A14 Condition of enclosure gasket is satisfactory x

A15 Electrical connections are tight x
A16 Printed circuit boards are clean and undamaged x
A17 The maximum Um of the associated apparatus is not exceeded x
B. Installation
B1 Cables are installed in accordance with the documentation x
B2 Cable screens are earthed in accordance with the documentation x
B3 There is no obvious damage to cables x
B4 Sealing of trunking, ducts, pipes and/or conduits is satisfactory x
B5 Point to point connections are all correct x
Earth continuity is satisfactory (e.g. connections are tight and
B6 conductors are of sufficient cross section) for non-galvanically isolated x
circuits
B7 Earth connections maintain the integrity of the type of protection x
B8 Intrinsically safe circuit earthing is satisfactory x
B9 Insulation resistance is satisfactory x
Separation is maintained between intrinsically safe and non-
B10 x
intrinsically safe circuits in common distribution boxes or relay cubicles
Short circuit protection of the power supply is in accordance with the
B11 x
documentation
B12 Specific conditions of use (if applicable) are complied with x
Cables not in use are correctly terminated (see IEC-60079-14-9.6.3 &
B13 x
16.2.2.5.3 for details)
C. Environment
Equipment is adequately protected against corrosion, weather,
C1 x
vibration and other adverse factors
C2 No undue accumulation of dust and dirt x
Remarks

Company Signature: Applicable Not Applicable

Record Acceptance Subcontractor QC Petrofac QC ADNOC Onshore

Name

Signature

Valid Ex. Certificate No.

Date
Rev.3 Page 2 of 2 Ref. ITP No. 58-99-97-7871
 HAE Inspection Check List for “Ex-p” Installations
E-1401A: Table-3
Project No.: Record No:
Attachment to ITR No. E-1401A
Sub-System No:

Equipment Type: (e.g. Transmitter)

Area: Location:

Layout Drawing No:

General Arrangement Drawing No:

Typical Installation Drawing No:

Haz. Area Classification Drawing No: Zone:

Ex Gas T
Item Tag No. Make Model Sl. No Category EPL IP ExCB/NoBo Certificate No
Type Group Class
1
2
3
4
5
6
7
8
9
10

Checks to be performed Result (Yes, No, NA)

Exp
Sl. No:
“x” Required,” #” Recommended, “+” By Commissioning 1 2 3 4 5 6 7 8 9 10

A. Equipment
Equipment is appropriate to the EPL/Zone requirements of the
A1 x
location
A2 Equipment group is correct x
Equipment temperature class is correct
A3 x
or surface temperature is correct
A4 Equipment circuit identification is correct x
A5 Equipment circuit identification is available x
Enclosure glass parts and glass-to-metal sealing gaskets and/or
A6 x
compounds are satisfactory
A7 There are no damage or unauthorized modifications x
A8 There is no evidence of unauthorized modifications x
A9 Lamp type, rating and position are correct x
B. Installation
B1 Type of cable is appropriate x
B2 There is no obvious damage to cables x
Earthing connections including any supplementary earth bonding
B3 connections are satisfactory (e.g. connections are tight, and x
conductors are of sufficient cross section)- Physical and visual checks

Record Acceptance Subcontractor QC Petrofac QC ADNOC Onshore

Name

Signature

Valid Ex. Certificate No.

Date

Rev.3 Page 1 of 2 Ref. ITP No. 58-99-97-7871

 HAE Inspection Check List for “Ex-p” Installations
E-1401A: Table-3
Project No.: Record No:
Attachment to ITR No. E-1401A
Sub-System No:

Result (Yes, No, NA)

Exp
Sl. No: Checks to be performed
1 2 3 4 5 6 7 8 9 10

Fault loop impedance (TN systems) or earthing resistance (IT

B4 x
systems) is satisfactory
B5 Automatic electrical protective devices operate within permitted limits +
B6 Automatic electrical protective devices are set correctly +
B7 Protective gas inlet temperature is below maximum specified +
B8 Ducts, pipes and enclosures are in good condition x
B9 Protective gas is substantially free from contaminants +
B10 Protective gas flow and/or pressure is adequate +
Pressure and/or flow indicators, alarms and interlocks function
B11 +
correctly
Conditions of spark and particle barriers of ducts for exhausting the
B12 x
gas in hazardous area are satisfactory
B13 Specific conditions of use (if applicable) are complied with x
C. Environment
Equipment is adequately protected against corrosion, weather,
C1 x
vibration and other adverse factors
C2 No undue accumulation of dust and dirt x
Remarks

Company Signature: Applicable Not Applicable

Record Acceptance Subcontractor QC Petrofac QC ADNOC Onshore

Name

Signature

Valid Ex. Certificate No.

Date

Rev.3 Page 2 of 2 Ref. ITP No. 58-99-97-7871