"Area for Customer Logo and Data"

Name Date Name Date Name Date Revision Text

Rev
Prepared Checked Released
Status: Original Size:

Customer: Project Phase: Site No.:

Project Name: Customer Document ID:

Replaced by: Replaces:

Document Title:

Global Form GF 202, Rev02

Loop Check Analogue Input
Gas Cleaning

Equipment No: Item No:

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

1 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

TABLE OF CONTENTS
Tagnumber: CGC01-AE02-BP001..................................................................................................4
Tagnumber: CGC01-AE02-BT001..................................................................................................7
Tagnumber: CGC01-AG20-BP001................................................................................................10
Tagnumber: CGC01-AG20-BP002................................................................................................13
Tagnumber: CGC01-AG30-BF008................................................................................................16
Tagnumber: CGC01-AG30-BF009................................................................................................19
Tagnumber: CGC01-AG30-BP002................................................................................................22
Tagnumber: CGC01-AG30-BP006................................................................................................25
Tagnumber: CGC01-AG30-BP007................................................................................................28
Tagnumber: CGC01-AG31-BF005................................................................................................31
Tagnumber: CGC01-AG31-BT013................................................................................................34
Tagnumber: CGC01-AG31-BT018................................................................................................37
Tagnumber: CGC01-SG02-BE011................................................................................................40
Tagnumber: CGC01-SG02-BE021................................................................................................43
Tagnumber: CGC01-SG02-BE031................................................................................................46
Tagnumber: CGC01-SG02-BE041................................................................................................49
Tagnumber: CGC01-SG02-BI011.................................................................................................52
Tagnumber: CGC01-SG02-BI021.................................................................................................55
Tagnumber: CGC01-SG02-BI031.................................................................................................58
Tagnumber: CGC01-SG02-BI041.................................................................................................61
Tagnumber: CGC01-SG02-BL001................................................................................................64
Tagnumber: CGC01-SG02-BL002................................................................................................67
Tagnumber: CGC01-SG02-BT001................................................................................................70
Tagnumber: CGC01-SG02-BT011................................................................................................73
Tagnumber: CGC01-SG02-BT012................................................................................................76
Tagnumber: CGC01-SG02-BT013................................................................................................79
Tagnumber: CGC01-SG02-BT014................................................................................................82
Tagnumber: CGC01-SG02-BT021................................................................................................85
Tagnumber: CGC01-SG02-BT022................................................................................................88
Tagnumber: CGC01-SG02-BT023................................................................................................91
Tagnumber: CGC01-SG02-BT024................................................................................................94
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

2 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Tagnumber: CGC01-SG02-BT031................................................................................................97
Tagnumber: CGC01-SG02-BT032..............................................................................................100
Tagnumber: CGC01-SG02-BT033..............................................................................................103
Tagnumber: CGC01-SG02-BT034..............................................................................................106
Tagnumber: CGC01-SG02-BT041..............................................................................................109
Tagnumber: CGC01-SG02-BT042..............................................................................................112
Tagnumber: CGC01-SG02-BT043..............................................................................................115
Tagnumber: CGC01-SG02-BT044..............................................................................................118
Tagnumber: CGC01-SG03-BF001..............................................................................................121
Tagnumber: CGC01-SG03-BF002..............................................................................................124
Tagnumber: CGC01-SG03-BL001..............................................................................................127
Tagnumber: CGC01-SG03-BL002..............................................................................................130
Tagnumber: CGC01-SG03-BL003..............................................................................................133
Tagnumber: CGC01-SG03-BL004..............................................................................................136
Tagnumber: CGC01-SG03-BL009..............................................................................................139
Tagnumber: CGC01-SG03-BP003..............................................................................................142
Tagnumber: CGC01-SG03-BP006..............................................................................................145
Tagnumber: CGC01-SG03-BP007..............................................................................................148
Tagnumber: CGC01-SG03-BT002..............................................................................................151
Tagnumber: CGC01-TC01-BF003..............................................................................................154
Tagnumber: CGC01-TC01-BF004..............................................................................................157
Tagnumber: CGC01-TC01-BL001...............................................................................................160
Tagnumber: CGC01-TC01-BL002...............................................................................................163
Tagnumber: CGC01-TC01-BL003...............................................................................................166
Tagnumber: CGC01-TC01-BL004...............................................................................................169
Tagnumber: CGC01-TC01-BP003..............................................................................................172
Tagnumber: CGC01-TC01-BP007..............................................................................................175
Tagnumber: CGC01-TC01-BP008..............................................................................................178
Tagnumber: CGC01-TC01-BP009..............................................................................................181
Tagnumber: CGC01-TC01-BP009..............................................................................................184
Tagnumber: CGC01-TC01-BP010..............................................................................................187
Tagnumber: CGC01-TC01-BT003..............................................................................................190
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

3 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Tagnumber: CGC01-TC01-BT003..............................................................................................193
Tagnumber: CGC01-TC01-BT004..............................................................................................196
Tagnumber: CGC01-TC02-BF001..............................................................................................199
Tagnumber: CGC01-TC02-BL001...............................................................................................202
Tagnumber: CGC01-TC02-BP001..............................................................................................205
Tagnumber: CGC01-TC02-BP005..............................................................................................208
Tagnumber: CGC01-TC02-BP006..............................................................................................211
Tagnumber: CGC01-TC02-BP007..............................................................................................214
Tagnumber: CGC01-TC02-BP008..............................................................................................217
Tagnumber: CGC01-TC02-BP009..............................................................................................220
Tagnumber: CGC01-TC02-BP010..............................................................................................223
Tagnumber: CGC01-TC02-BP005..............................................................................................226
Tagnumber: CGC01-TC02-BP005..............................................................................................229
Tagnumber: CGC01-TC02-BT001..............................................................................................232
Tagnumber: CGC01-TC02-BT002..............................................................................................235
Tagnumber: CGC01-TC02-BT003..............................................................................................238
Tagnumber: CGC01-TC02-BT004..............................................................................................241

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

4 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: AE02 Assembly: BP001 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-AE02-BP001 Tag-Description: emergency shower water
supply
1.4. Function : PI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: pressure
1.10. Measurement pressure transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

5 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

diagrams, Hook-up’s)
3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

6 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.6. Display dynamics:
5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

7 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: AE02 Assembly: BT001 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-AE02-BT001 Tag-Description: emergency shower water
supply
1.4. Function : TI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: temperature
1.10. Measurement temperature transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

8 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

diagrams, Hook-up’s)
3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

9 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.6. Display dynamics:
5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

10 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: AG20 Assembly: BP001 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-AG20-BP001 Tag-Description: plant air supply
1.4. Function : PI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: pressure
1.10. Measurement pressure transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

11 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

12 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

13 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: AG20 Assembly: BP002 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-AG20-BP002 Tag-Description: instrument air supply
1.4. Function : PI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: pressure
1.10. Measurement pressure transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

14 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

15 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

16 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: AG30 Assembly: BF008 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-AG30-BF008 Tag-Description: process water to wet
ESP stage 2
1.4. Function : FI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: flow
1.10. Measurement flow transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

17 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

diagrams, Hook-up’s)
3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

18 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.6. Display dynamics:
5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

19 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: AG30 Assembly: BF009 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-AG30-BF009 Tag-Description: process water to wet
ESP stage 2
1.4. Function : PI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: flow
1.10. Measurement flow transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

20 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

diagrams, Hook-up’s)
3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

21 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.6. Display dynamics:
5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

22 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: AG30 Assembly: BP002 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-AG30-BP002 Tag-Description: plant water supply
1.4. Function : PI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: pressure
1.10. Measurement pressure transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

23 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

24 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

25 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: AG30 Assembly: BP006 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-AG30-BP006 Tag-Description: process water strainer
inlet
1.4. Function : PI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: pressure
1.10. Measurement pressure transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

26 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

diagrams, Hook-up’s)
3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

27 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.6. Display dynamics:
5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

28 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: AG30 Assembly: BP007 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-AG30-BP007 Tag-Description: process water strainer
outlet
1.4. Function : PI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: pressure
1.10. Measurement pressure transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

29 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

diagrams, Hook-up’s)
3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

30 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.6. Display dynamics:
5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

31 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: AG31 Assembly: BF005 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-AG31-BF005 Tag-Description: cooling water from acid
coolers
1.4. Function : FI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: flow
1.10. Measurement flow transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

32 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

diagrams, Hook-up’s)
3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

33 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.6. Display dynamics:
5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

34 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: AG31 Assembly: BT013 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-AG31-BT013 Tag-Description: cooling water to acid
coolers
1.4. Function : TI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: temperature
1.10. Measurement temperature transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

35 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

diagrams, Hook-up’s)
3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

36 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.6. Display dynamics:
5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

37 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: AG31 Assembly: BT018 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-AG31-BT018 Tag-Description: cooling water from acid
coolers
1.4. Function : TI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: temperature
1.10. Measurement temperature transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

38 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

diagrams, Hook-up’s)
3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

39 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.6. Display dynamics:
5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

40 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG02 Assembly: BE011 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG02-BE011 Tag-Description: wet ESP first stage
1.4. Function : EI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: voltage
1.10. Measurement voltage transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

41 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

42 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

43 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG02 Assembly: BE021 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG02-BE021 Tag-Description: wet ESP first stage
1.4. Function : EI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: voltage
1.10. Measurement voltage transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

44 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

45 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

46 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG02 Assembly: BE031 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG02-BE031 Tag-Description: wet ESP second stage
1.4. Function : EI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: voltage
1.10. Measurement voltage transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

47 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

48 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

49 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG02 Assembly: BE041 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG02-BE041 Tag-Description: wet ESP second stage
1.4. Function : EI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: voltage
1.10. Measurement voltage transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

50 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

51 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

52 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG02 Assembly: BI011 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG02-BI011 Tag-Description: wet ESP first stage
1.4. Function : II Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: current
1.10. Measurement current transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

53 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

54 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

55 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG02 Assembly: BI021 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG02-BI021 Tag-Description: wet ESP first stage
1.4. Function : II Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: current
1.10. Measurement current transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

56 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

57 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

58 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG02 Assembly: BI031 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG02-BI031 Tag-Description: wet ESP second stage
1.4. Function : II Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: current
1.10. Measurement current transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

59 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

60 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

61 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG02 Assembly: BI041 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG02-BI041 Tag-Description: wet ESP second stage
1.4. Function : II Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: current
1.10. Measurement current transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

62 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

63 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

64 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG02 Assembly: BL001 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG02-BL001 Tag-Description: wet ESP flushing tank
1.4. Function : LI, ZI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: level
1.10. Measurement level transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

65 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

66 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

67 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG02 Assembly: BL002 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG02-BL002 Tag-Description: wet ESP flushing tank
1.4. Function : LI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: level
1.10. Measurement level transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

68 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

69 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

70 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG02 Assembly: BT001 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG02-BT001 Tag-Description: reactor tower inlet
1.4. Function : TI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: temperature
1.10. Measurement temperature transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

71 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

72 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

73 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG02 Assembly: BT011 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG02-BT011 Tag-Description: band heater 1
1.4. Function : TI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: temperature
1.10. Measurement temperature transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

74 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

75 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

76 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG02 Assembly: BT012 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG02-BT012 Tag-Description: band heater 2
1.4. Function : TI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: temperature
1.10. Measurement temperature transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

77 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

78 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

79 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG02 Assembly: BT013 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG02-BT013 Tag-Description: band heater 3
1.4. Function : TI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: temperature
1.10. Measurement temperature transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

80 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

81 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

82 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG02 Assembly: BT014 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG02-BT014 Tag-Description: band heater 4
1.4. Function : TI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: temperature
1.10. Measurement temperature transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

83 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

84 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

85 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG02 Assembly: BT021 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG02-BT021 Tag-Description: band heater 1
1.4. Function : TI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: temperature
1.10. Measurement temperature transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

86 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

87 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

88 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG02 Assembly: BT022 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG02-BT022 Tag-Description: band heater 2
1.4. Function : TI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: temperature
1.10. Measurement temperature transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

89 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

90 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

91 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG02 Assembly: BT023 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG02-BT023 Tag-Description: band heater 3
1.4. Function : TI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: temperature
1.10. Measurement temperature transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

92 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

93 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

94 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG02 Assembly: BT024 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG02-BT024 Tag-Description: band heater 4
1.4. Function : TI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: temperature
1.10. Measurement temperature transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

95 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

96 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

97 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG02 Assembly: BT031 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG02-BT031 Tag-Description: band heater 1
1.4. Function : TI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: temperature
1.10. Measurement temperature transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

98 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

99 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

100 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG02 Assembly: BT032 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG02-BT032 Tag-Description: band heater 2
1.4. Function : TI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: temperature
1.10. Measurement temperature transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

101 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

102 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

103 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG02 Assembly: BT033 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG02-BT033 Tag-Description: band heater 3
1.4. Function : TI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: temperature
1.10. Measurement temperature transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

104 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

105 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

106 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG02 Assembly: BT034 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG02-BT034 Tag-Description: band heater 4
1.4. Function : TI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: temperature
1.10. Measurement temperature transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

107 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

108 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

109 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG02 Assembly: BT041 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG02-BT041 Tag-Description: band heater 1
1.4. Function : TI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: temperature
1.10. Measurement temperature transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

110 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

111 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

112 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG02 Assembly: BT042 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG02-BT042 Tag-Description: band heater 2
1.4. Function : TI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: temperature
1.10. Measurement temperature transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

113 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

114 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

115 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG02 Assembly: BT043 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG02-BT043 Tag-Description: band heater 3
1.4. Function : TI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: temperature
1.10. Measurement temperature transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

116 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

117 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

118 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG02 Assembly: BT044 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG02-BT044 Tag-Description: band heater 4
1.4. Function : TI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: temperature
1.10. Measurement temperature transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

119 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

120 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

121 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG03 Assembly: BF001 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG03-BF001 Tag-Description: weak acid to reactor
tower
1.4. Function : FI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: flow
1.10. Measurement flow transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

122 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

diagrams, Hook-up’s)
3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

123 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.6. Display dynamics:
5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

124 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG03 Assembly: BF002 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG03-BF002 Tag-Description: weak acid to settler 1
1.4. Function : FI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: flow
1.10. Measurement flow transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

125 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

126 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

127 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG03 Assembly: BL001 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG03-BL001 Tag-Description: circulation tank
1.4. Function : LI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: level
1.10. Measurement level transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

128 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

129 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

130 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG03 Assembly: BL002 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG03-BL002 Tag-Description: Zn-dust tank
1.4. Function : LI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: level
1.10. Measurement level transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

131 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

132 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

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133 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG03 Assembly: BL003 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG03-BL003 Tag-Description: chlorination tank
1.4. Function : LI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: level
1.10. Measurement level transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

134 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

135 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

136 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG03 Assembly: BL004 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG03-BL004 Tag-Description: strong solution tank
1.4. Function : LI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: level
1.10. Measurement level transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

137 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

138 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

139 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG03 Assembly: BL009 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG03-BL009 Tag-Description: gas cleaning system
sump
1.4. Function : LI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: level
1.10. Measurement level transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

140 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

diagrams, Hook-up’s)
3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

141 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.6. Display dynamics:
5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

142 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG03 Assembly: BP003 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG03-BP003 Tag-Description: SO2-gas from reactor
tower
1.4. Function : PI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: pressure
1.10. Measurement pressure transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

143 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

diagrams, Hook-up’s)
3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

144 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.6. Display dynamics:
5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

145 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG03 Assembly: BP006 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG03-BP006 Tag-Description: SO2-gas from reactor
tower
1.4. Function : PI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: pressure
1.10. Measurement pressure transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

146 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

diagrams, Hook-up’s)
3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

147 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.6. Display dynamics:
5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

148 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG03 Assembly: BP007 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG03-BP007 Tag-Description: SO2-gas from reactor
tower
1.4. Function : PI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: pressure
1.10. Measurement pressure transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

149 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

diagrams, Hook-up’s)
3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

150 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.6. Display dynamics:
5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

151 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: SG03 Assembly: BT002 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-SG03-BT002 Tag-Description: reactor tower outlet
1.4. Function : TI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: temperature
1.10. Measurement temperature transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

152 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

153 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

154 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: TC01 Assembly: BF003 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-TC01-BF003 Tag-Description: weak acid to otovent
1.4. Function : FI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: flow
1.10. Measurement flow transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

155 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

156 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

157 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: TC01 Assembly: BF004 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-TC01-BF004 Tag-Description: weak acid to otovent
1.4. Function : FI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: flow
1.10. Measurement flow transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

158 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

159 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

160 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: TC01 Assembly: BL001 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-TC01-BL001 Tag-Description: emergency water tank
1.4. Function : LI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: level
1.10. Measurement level transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

161 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

162 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

163 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: TC01 Assembly: BL002 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-TC01-BL002 Tag-Description: Otovent, liquid discharge
1.4. Function : LI, ZI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: level
1.10. Measurement level transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

164 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

165 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

166 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: TC01 Assembly: BL003 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-TC01-BL003 Tag-Description: Otovent sump
1.4. Function : LI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: level
1.10. Measurement level transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

167 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

168 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

169 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

1. General
1.1. Plant: CGC01 Unit / Module: TC01 Assembly: BL004 Component:
1.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
1.3. Tagnumber: CGC01-TC01-BL004 Tag-Description: sump
1.4. Function : LI Instrument used SIL IPL
as: non IPL or SIL
1.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
1.7. Hardware Loop: Labelling Hardware Loop
1.8. Device X
Manufacture:
1.9. Device Type: level
1.10. Measurement level transmitter
Technique: In accordance to the order specification
1.11. Measurement X
Range: In accordance to the order specification
1.12. Measurement X
Units:
2. Documents
Test result Remarks
P / F / NA
P F NA
2.1. Instrument Certificates present :
2.2. Wiring Diagram present:
2.3. Release of construction
present:
2.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

3. Visual Inspection
Test result Remarks
P / F / NA
P F NA
3.1. Labelling correct
3.2. Construction / flow direction
o.K.
3.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

170 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

3.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

4. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
4.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
4.3.1. 3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
4.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

5. Test Results
Test result Remarks
P / F / NA
P F NA
5.1. Loop Text :
5.2. Interlocks :
5.3. Location in Software Display:
5.4. Alarm settings:
5.5. Switch points:
5.6. Display dynamics:
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171 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

5.7. Colour settings :
6. End of Test
6.1. Is everything from the loop
recovered and acknowledged?
7. Status of Loop
Status Date Remarks
7.1. Issued to checkout crew
7.2. Issued to repair crew
7.3. Issued to construction for repair
7.4. Issued to prog. for repair
7.5. Issued to engineering
7.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

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172 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

8. General
8.1. Plant: CGC01 Unit / Module: TC01 Assembly: BP003 Component:
8.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
8.3. Tagnumber: CGC01-TC01-BP003 Tag-Description: SO2-gas from Otovent
8.4. Function : PI Instrument used SIL IPL
as: non IPL or SIL
8.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
8.7. Hardware Loop: Labelling Hardware Loop
8.8. Device X
Manufacture:
8.9. Device Type: pressure
8.10. Measurement pressure transmitter
Technique: In accordance to the order specification
8.11. Measurement X
Range: In accordance to the order specification
8.12. Measurement X
Units:
9. Documents
Test result Remarks
P / F / NA
P F NA
9.1. Instrument Certificates present :
9.2. Wiring Diagram present:
9.3. Release of construction
present:
9.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

10. Visual Inspection
Test result Remarks
P / F / NA
P F NA
10.1. Labelling correct
10.2. Construction / flow direction
o.K.
10.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

173 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

10.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

11. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
11.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
11.3.1.3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
11.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

12. Test Results
Test result Remarks
P / F / NA
P F NA
12.1. Loop Text :
12.2. Interlocks :
12.3. Location in Software Display:
12.4. Alarm settings:
12.5. Switch points:
12.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

174 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

12.7. Colour settings :
13. End of Test
13.1. Is everything from the loop
recovered and acknowledged?
14. Status of Loop
Status Date Remarks
14.1. Issued to checkout crew
14.2. Issued to repair crew
14.3. Issued to construction for repair
14.4. Issued to prog. for repair
14.5. Issued to engineering
14.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

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175 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

15. General
15.1. Plant: CGC01 Unit / Module: TC01 Assembly: BP007 Component:
15.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
15.3. Tagnumber: CGC01-TC01-BP007 Tag-Description: weak acid from Otovent
15.4. Function : PI Instrument used SIL IPL
as: non IPL or SIL
15.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
15.7. Hardware Loop: Labelling Hardware Loop
15.8. Device X
Manufacture:
15.9. Device Type: pressure
15.10. Measurement pressure transmitter
Technique: In accordance to the order specification
15.11. Measurement X
Range: In accordance to the order specification
15.12. Measurement X
Units:
16. Documents
Test result Remarks
P / F / NA
P F NA
16.1. Instrument Certificates present :
16.2. Wiring Diagram present:
16.3. Release of construction
present:
16.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

17. Visual Inspection
Test result Remarks
P / F / NA
P F NA
17.1. Labelling correct
17.2. Construction / flow direction
o.K.
17.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

176 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

17.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

18. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
18.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
18.3.1.3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
18.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

19. Test Results
Test result Remarks
P / F / NA
P F NA
19.1. Loop Text :
19.2. Interlocks :
19.3. Location in Software Display:
19.4. Alarm settings:
19.5. Switch points:
19.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

177 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

19.7. Colour settings :
20. End of Test
20.1. Is everything from the loop
recovered and acknowledged?
21. Status of Loop
Status Date Remarks
21.1. Issued to checkout crew
21.2. Issued to repair crew
21.3. Issued to construction for repair
21.4. Issued to prog. for repair
21.5. Issued to engineering
21.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

178 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

22. General
22.1. Plant: CGC01 Unit / Module: TC01 Assembly: BP008 Component:
22.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
22.3. Tagnumber: CGC01-TC01-BP008 Tag-Description: weak acid to Otovent
22.4. Function : PI Instrument used SIL IPL
as: non IPL or SIL
22.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
22.7. Hardware Loop: Labelling Hardware Loop
22.8. Device X
Manufacture:
22.9. Device Type: pressure
22.10. Measurement pressure transmitter
Technique: In accordance to the order specification
22.11. Measurement X
Range: In accordance to the order specification
22.12. Measurement X
Units:
23. Documents
Test result Remarks
P / F / NA
P F NA
23.1. Instrument Certificates present :
23.2. Wiring Diagram present:
23.3. Release of construction
present:
23.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

24. Visual Inspection
Test result Remarks
P / F / NA
P F NA
24.1. Labelling correct
24.2. Construction / flow direction
o.K.
24.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

179 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

24.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

25. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
25.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
25.3.1.3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
25.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

26. Test Results
Test result Remarks
P / F / NA
P F NA
26.1. Loop Text :
26.2. Interlocks :
26.3. Location in Software Display:
26.4. Alarm settings:
26.5. Switch points:
26.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

180 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

26.7. Colour settings :
27. End of Test
27.1. Is everything from the loop
recovered and acknowledged?
28. Status of Loop
Status Date Remarks
28.1. Issued to checkout crew
28.2. Issued to repair crew
28.3. Issued to construction for repair
28.4. Issued to prog. for repair
28.5. Issued to engineering
28.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

181 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

29. General
29.1. Plant: CGC01 Unit / Module: TC01 Assembly: BP009 Component:
29.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
29.3. Tagnumber: CGC01-TC01-BP009 Tag-Description: weak acid to Otovent
29.4. Function : PI Instrument used SIL IPL
as: non IPL or SIL
29.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
29.7. Hardware Loop: Labelling Hardware Loop
29.8. Device X
Manufacture:
29.9. Device Type: pressure
29.10. Measurement pressure transmitter
Technique: In accordance to the order specification
29.11. Measurement X
Range: In accordance to the order specification
29.12. Measurement X
Units:
30. Documents
Test result Remarks
P / F / NA
P F NA
30.1. Instrument Certificates present :
30.2. Wiring Diagram present:
30.3. Release of construction
present:
30.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

31. Visual Inspection
Test result Remarks
P / F / NA
P F NA
31.1. Labelling correct
31.2. Construction / flow direction
o.K.
31.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

182 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

31.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

32. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
32.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
32.3.1.3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
32.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

33. Test Results
Test result Remarks
P / F / NA
P F NA
33.1. Loop Text :
33.2. Interlocks :
33.3. Location in Software Display:
33.4. Alarm settings:
33.5. Switch points:
33.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

183 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

33.7. Colour settings :
34. End of Test
34.1. Is everything from the loop
recovered and acknowledged?
35. Status of Loop
Status Date Remarks
35.1. Issued to checkout crew
35.2. Issued to repair crew
35.3. Issued to construction for repair
35.4. Issued to prog. for repair
35.5. Issued to engineering
35.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

184 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

36. General
36.1. Plant: CGC01 Unit / Module: TC01 Assembly: BP009 Component:
36.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
36.3. Tagnumber: CGC01-TC01-BP009 Tag-Description: droplet eliminator outlet
36.4. Function : PI Instrument used SIL IPL
as: non IPL or SIL
36.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
36.7. Hardware Loop: Labelling Hardware Loop
36.8. Device X
Manufacture:
36.9. Device Type: pressure
36.10. Measurement pressure transmitter
Technique: In accordance to the order specification
36.11. Measurement X
Range: In accordance to the order specification
36.12. Measurement X
Units:
37. Documents
Test result Remarks
P / F / NA
P F NA
37.1. Instrument Certificates present :
37.2. Wiring Diagram present:
37.3. Release of construction
present:
37.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

38. Visual Inspection
Test result Remarks
P / F / NA
P F NA
38.1. Labelling correct
38.2. Construction / flow direction
o.K.
38.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

185 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

38.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

39. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
39.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
39.3.1.3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
39.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

40. Test Results
Test result Remarks
P / F / NA
P F NA
40.1. Loop Text :
40.2. Interlocks :
40.3. Location in Software Display:
40.4. Alarm settings:
40.5. Switch points:
40.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

186 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

40.7. Colour settings :
41. End of Test
41.1. Is everything from the loop
recovered and acknowledged?
42. Status of Loop
Status Date Remarks
42.1. Issued to checkout crew
42.2. Issued to repair crew
42.3. Issued to construction for repair
42.4. Issued to prog. for repair
42.5. Issued to engineering
42.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

187 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

43. General
43.1. Plant: CGC01 Unit / Module: TC01 Assembly: BP010 Component:
43.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
43.3. Tagnumber: CGC01-TC01-BP010 Tag-Description: droplet eliminator inlet
43.4. Function : PI Instrument used SIL IPL
as: non IPL or SIL
43.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
43.7. Hardware Loop: Labelling Hardware Loop
43.8. Device X
Manufacture:
43.9. Device Type: pressure
43.10. Measurement pressure transmitter
Technique: In accordance to the order specification
43.11. Measurement X
Range: In accordance to the order specification
43.12. Measurement X
Units:
44. Documents
Test result Remarks
P / F / NA
P F NA
44.1. Instrument Certificates present :
44.2. Wiring Diagram present:
44.3. Release of construction
present:
44.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

45. Visual Inspection
Test result Remarks
P / F / NA
P F NA
45.1. Labelling correct
45.2. Construction / flow direction
o.K.
45.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

188 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

45.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

46. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
46.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
46.3.1.3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
46.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

47. Test Results
Test result Remarks
P / F / NA
P F NA
47.1. Loop Text :
47.2. Interlocks :
47.3. Location in Software Display:
47.4. Alarm settings:
47.5. Switch points:
47.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

189 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

47.7. Colour settings :
48. End of Test
48.1. Is everything from the loop
recovered and acknowledged?
49. Status of Loop
Status Date Remarks
49.1. Issued to checkout crew
49.2. Issued to repair crew
49.3. Issued to construction for repair
49.4. Issued to prog. for repair
49.5. Issued to engineering
49.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

190 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

50. General
50.1. Plant: CGC01 Unit / Module: TC01 Assembly: BT003 Component:
50.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
50.3. Tagnumber: CGC01-TC01-BT003 Tag-Description: droplet eliminator outlet
50.4. Function : TI Instrument used SIL IPL
as: non IPL or SIL
50.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
50.7. Hardware Loop: Labelling Hardware Loop
50.8. Device X
Manufacture:
50.9. Device Type: temperature
50.10. Measurement temperature transmitter
Technique: In accordance to the order specification
50.11. Measurement X
Range: In accordance to the order specification
50.12. Measurement X
Units:
51. Documents
Test result Remarks
P / F / NA
P F NA
51.1. Instrument Certificates present :
51.2. Wiring Diagram present:
51.3. Release of construction
present:
51.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

52. Visual Inspection
Test result Remarks
P / F / NA
P F NA
52.1. Labelling correct
52.2. Construction / flow direction
o.K.
52.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
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The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

52.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

53. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
53.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
53.3.1.3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
53.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

54. Test Results
Test result Remarks
P / F / NA
P F NA
54.1. Loop Text :
54.2. Interlocks :
54.3. Location in Software Display:
54.4. Alarm settings:
54.5. Switch points:
54.6. Display dynamics:
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192 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

54.7. Colour settings :
55. End of Test
55.1. Is everything from the loop
recovered and acknowledged?
56. Status of Loop
Status Date Remarks
56.1. Issued to checkout crew
56.2. Issued to repair crew
56.3. Issued to construction for repair
56.4. Issued to prog. for repair
56.5. Issued to engineering
56.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

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193 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

57. General
57.1. Plant: CGC01 Unit / Module: TC01 Assembly: BT003 Component:
57.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
57.3. Tagnumber: CGC01-TC01-BT003 Tag-Description: SO2-Gas from Otovent
57.4. Function : TI Instrument used SIL IPL
as: non IPL or SIL
57.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
57.7. Hardware Loop: Labelling Hardware Loop
57.8. Device X
Manufacture:
57.9. Device Type: temperature
57.10. Measurement temperature transmitter
Technique: In accordance to the order specification
57.11. Measurement X
Range: In accordance to the order specification
57.12. Measurement X
Units:
58. Documents
Test result Remarks
P / F / NA
P F NA
58.1. Instrument Certificates present :
58.2. Wiring Diagram present:
58.3. Release of construction
present:
58.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

59. Visual Inspection
Test result Remarks
P / F / NA
P F NA
59.1. Labelling correct
59.2. Construction / flow direction
o.K.
59.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

194 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

59.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

60. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
60.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
60.3.1.3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
60.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

61. Test Results
Test result Remarks
P / F / NA
P F NA
61.1. Loop Text :
61.2. Interlocks :
61.3. Location in Software Display:
61.4. Alarm settings:
61.5. Switch points:
61.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

195 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

61.7. Colour settings :
62. End of Test
62.1. Is everything from the loop
recovered and acknowledged?
63. Status of Loop
Status Date Remarks
63.1. Issued to checkout crew
63.2. Issued to repair crew
63.3. Issued to construction for repair
63.4. Issued to prog. for repair
63.5. Issued to engineering
63.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

196 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

64. General
64.1. Plant: CGC01 Unit / Module: TC01 Assembly: BT004 Component:
64.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
64.3. Tagnumber: CGC01-TC01-BT004 Tag-Description: SO2-Gas from Otovent
64.4. Function : TI Instrument used SIL IPL
as: non IPL or SIL
64.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
64.7. Hardware Loop: Labelling Hardware Loop
64.8. Device X
Manufacture:
64.9. Device Type: temperature
64.10. Measurement temperature transmitter
Technique: In accordance to the order specification
64.11. Measurement X
Range: In accordance to the order specification
64.12. Measurement X
Units:
65. Documents
Test result Remarks
P / F / NA
P F NA
65.1. Instrument Certificates present :
65.2. Wiring Diagram present:
65.3. Release of construction
present:
65.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

66. Visual Inspection
Test result Remarks
P / F / NA
P F NA
66.1. Labelling correct
66.2. Construction / flow direction
o.K.
66.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

197 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

66.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

67. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
67.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
67.3.1.3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
67.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

68. Test Results
Test result Remarks
P / F / NA
P F NA
68.1. Loop Text :
68.2. Interlocks :
68.3. Location in Software Display:
68.4. Alarm settings:
68.5. Switch points:
68.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

198 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

68.7. Colour settings :
69. End of Test
69.1. Is everything from the loop
recovered and acknowledged?
70. Status of Loop
Status Date Remarks
70.1. Issued to checkout crew
70.2. Issued to repair crew
70.3. Issued to construction for repair
70.4. Issued to prog. for repair
70.5. Issued to engineering
70.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

199 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

71. General
71.1. Plant: CGC01 Unit / Module: TC02 Assembly: BF001 Component:
71.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
71.3. Tagnumber: CGC01-TC02-BF001 Tag-Description: process water to PGCT
71.4. Function : TI Instrument used SIL IPL
as: non IPL or SIL
71.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
71.7. Hardware Loop: Labelling Hardware Loop
71.8. Device X
Manufacture:
71.9. Device Type: flow
71.10. Measurement flow transmitter
Technique: In accordance to the order specification
71.11. Measurement X
Range: In accordance to the order specification
71.12. Measurement X
Units:
72. Documents
Test result Remarks
P / F / NA
P F NA
72.1. Instrument Certificates present :
72.2. Wiring Diagram present:
72.3. Release of construction
present:
72.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

73. Visual Inspection
Test result Remarks
P / F / NA
P F NA
73.1. Labelling correct
73.2. Construction / flow direction
o.K.
73.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

200 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

73.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

74. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
74.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
74.3.1.3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
74.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

75. Test Results
Test result Remarks
P / F / NA
P F NA
75.1. Loop Text :
75.2. Interlocks :
75.3. Location in Software Display:
75.4. Alarm settings:
75.5. Switch points:
75.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

201 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

75.7. Colour settings :
76. End of Test
76.1. Is everything from the loop
recovered and acknowledged?
77. Status of Loop
Status Date Remarks
77.1. Issued to checkout crew
77.2. Issued to repair crew
77.3. Issued to construction for repair
77.4. Issued to prog. for repair
77.5. Issued to engineering
77.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

202 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

78. General
78.1. Plant: CGC01 Unit / Module: TC02 Assembly: BL001 Component:
78.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
78.3. Tagnumber: CGC01-TC02-BL001 Tag-Description: PCGT sump
78.4. Function : LI Instrument used SIL IPL
as: non IPL or SIL
78.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
78.7. Hardware Loop: Labelling Hardware Loop
78.8. Device X
Manufacture:
78.9. Device Type: level
78.10. Measurement level transmitter
Technique: In accordance to the order specification
78.11. Measurement X
Range: In accordance to the order specification
78.12. Measurement X
Units:
79. Documents
Test result Remarks
P / F / NA
P F NA
79.1. Instrument Certificates present :
79.2. Wiring Diagram present:
79.3. Release of construction
present:
79.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

80. Visual Inspection
Test result Remarks
P / F / NA
P F NA
80.1. Labelling correct
80.2. Construction / flow direction
o.K.
80.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

203 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

80.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

81. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
81.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
81.3.1.3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
81.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

82. Test Results
Test result Remarks
P / F / NA
P F NA
82.1. Loop Text :
82.2. Interlocks :
82.3. Location in Software Display:
82.4. Alarm settings:
82.5. Switch points:
82.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

204 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

82.7. Colour settings :
83. End of Test
83.1. Is everything from the loop
recovered and acknowledged?
84. Status of Loop
Status Date Remarks
84.1. Issued to checkout crew
84.2. Issued to repair crew
84.3. Issued to construction for repair
84.4. Issued to prog. for repair
84.5. Issued to engineering
84.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

205 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

85. General
85.1. Plant: CGC01 Unit / Module: TC02 Assembly: BP001 Component:
85.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
85.3. Tagnumber: CGC01-TC02-BP001 Tag-Description: gas from PGCT
85.4. Function : PI Instrument used SIL IPL
as: non IPL or SIL
85.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
85.7. Hardware Loop: Labelling Hardware Loop
85.8. Device X
Manufacture:
85.9. Device Type: pressure
85.10. Measurement pressure transmitter
Technique: In accordance to the order specification
85.11. Measurement X
Range: In accordance to the order specification
85.12. Measurement X
Units:
86. Documents
Test result Remarks
P / F / NA
P F NA
86.1. Instrument Certificates present :
86.2. Wiring Diagram present:
86.3. Release of construction
present:
86.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

87. Visual Inspection
Test result Remarks
P / F / NA
P F NA
87.1. Labelling correct
87.2. Construction / flow direction
o.K.
87.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

206 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

87.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

88. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
88.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
88.3.1.3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
88.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

89. Test Results
Test result Remarks
P / F / NA
P F NA
89.1. Loop Text :
89.2. Interlocks :
89.3. Location in Software Display:
89.4. Alarm settings:
89.5. Switch points:
89.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

207 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

89.7. Colour settings :
90. End of Test
90.1. Is everything from the loop
recovered and acknowledged?
91. Status of Loop
Status Date Remarks
91.1. Issued to checkout crew
91.2. Issued to repair crew
91.3. Issued to construction for repair
91.4. Issued to prog. for repair
91.5. Issued to engineering
91.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

208 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

92. General
92.1. Plant: CGC01 Unit / Module: TC02 Assembly: BP005 Component:
92.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
92.3. Tagnumber: CGC01-TC02-BP005 Tag-Description: PGCT heat exchanger 1
Inlet
92.4. Function : PI Instrument used SIL IPL
as: non IPL or SIL
92.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
92.7. Hardware Loop: Labelling Hardware Loop
92.8. Device X
Manufacture:
92.9. Device Type: pressure
92.10. Measurement pressure transmitter
Technique: In accordance to the order specification
92.11. Measurement X
Range: In accordance to the order specification
92.12. Measurement X
Units:
93. Documents
Test result Remarks
P / F / NA
P F NA
93.1. Instrument Certificates present :
93.2. Wiring Diagram present:
93.3. Release of construction
present:
93.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

94. Visual Inspection
Test result Remarks
P / F / NA
P F NA
94.1. Labelling correct
94.2. Construction / flow direction
o.K.
94.3. Do the instruments conform to
the circuit diagrams (loop
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

209 (244)
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Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

diagrams, Hook-up’s)
94.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

95. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
95.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
95.3.1.3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
95.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

96. Test Results
Test result Remarks
P / F / NA
P F NA
96.1. Loop Text :
96.2. Interlocks :
96.3. Location in Software Display:
96.4. Alarm settings:
96.5. Switch points:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

210 (244)
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Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

96.6. Display dynamics:
96.7. Colour settings :
97. End of Test
97.1. Is everything from the loop
recovered and acknowledged?
98. Status of Loop
Status Date Remarks
98.1. Issued to checkout crew
98.2. Issued to repair crew
98.3. Issued to construction for repair
98.4. Issued to prog. for repair
98.5. Issued to engineering
98.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

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211 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

99. General
99.1. Plant: CGC01 Unit / Module: TC02 Assembly: BP006 Component:
99.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
99.3. Tagnumber: CGC01-TC02-BP006 Tag-Description: PGCT heat exchanger 1
Outlet
99.4. Function : PI Instrument used SIL IPL
as: non IPL or SIL
99.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
99.7. Hardware Loop: Labelling Hardware Loop
99.8. Device X
Manufacture:
99.9. Device Type: pressure
99.10. Measurement pressure transmitter
Technique: In accordance to the order specification
99.11. Measurement X
Range: In accordance to the order specification
99.12. Measurement X
Units:
100. Documents
Test result Remarks
P / F / NA
P F NA
100.1. Instrument Certificates present :
100.2. Wiring Diagram present:
100.3. Release of construction
present:
100.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

101. Visual Inspection
Test result Remarks
P / F / NA
P F NA
101.1. Labelling correct
101.2. Construction / flow direction
o.K.
101.3. Do the instruments conform to
the circuit diagrams (loop
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

212 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

diagrams, Hook-up’s)
101.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

102. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
102.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
102.3.1.
3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
102.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

103. Test Results
Test result Remarks
P / F / NA
P F NA
103.1. Loop Text :
103.2. Interlocks :
103.3. Location in Software Display:
103.4. Alarm settings:
103.5. Switch points:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

213 (244)
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Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

103.6. Display dynamics:
103.7. Colour settings :
104. End of Test
104.1. Is everything from the loop
recovered and acknowledged?
105. Status of Loop
Status Date Remarks
105.1. Issued to checkout crew
105.2. Issued to repair crew
105.3. Issued to construction for repair
105.4. Issued to prog. for repair
105.5. Issued to engineering
105.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

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214 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

106. General
106.1. Plant: CGC01 Unit / Module: TC02 Assembly: BP007 Component:
106.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
106.3. Tagnumber: CGC01-TC02-BP007 Tag-Description: PGCT heat exchanger 2
Inlet
106.4. Function : PI Instrument used SIL IPL
as: non IPL or SIL
106.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
106.7. Hardware Loop: Labelling Hardware Loop
106.8. Device X
Manufacture:
106.9. Device Type: pressure
106.10.Measurement pressure transmitter
Technique: In accordance to the order specification
106.11.Measurement X
Range: In accordance to the order specification
106.12.Measurement X
Units:
107. Documents
Test result Remarks
P / F / NA
P F NA
107.1. Instrument Certificates present :
107.2. Wiring Diagram present:
107.3. Release of construction
present:
107.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

108. Visual Inspection
Test result Remarks
P / F / NA
P F NA
108.1. Labelling correct
108.2. Construction / flow direction
o.K.
108.3. Do the instruments conform to
the circuit diagrams (loop
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

215 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

diagrams, Hook-up’s)
108.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

109. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
109.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
109.3.1.
3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
109.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

110. Test Results
Test result Remarks
P / F / NA
P F NA
110.1. Loop Text :
110.2. Interlocks :
110.3. Location in Software Display:
110.4. Alarm settings:
110.5. Switch points:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

216 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

110.6. Display dynamics:
110.7. Colour settings :
111. End of Test
111.1. Is everything from the loop
recovered and acknowledged?
112. Status of Loop
Status Date Remarks
112.1. Issued to checkout crew
112.2. Issued to repair crew
112.3. Issued to construction for repair
112.4. Issued to prog. for repair
112.5. Issued to engineering
112.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

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217 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

113. General
113.1. Plant: CGC01 Unit / Module: TC02 Assembly: BP008 Component:
113.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
113.3. Tagnumber: CGC01-TC02-BP008 Tag-Description: PGCT heat exchanger 2
Outlet
113.4. Function : PI Instrument used SIL IPL
as: non IPL or SIL
113.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
113.7. Hardware Loop: Labelling Hardware Loop
113.8. Device X
Manufacture:
113.9. Device Type: pressure
113.10.Measurement pressure transmitter
Technique: In accordance to the order specification
113.11.Measurement X
Range: In accordance to the order specification
113.12.Measurement X
Units:
114. Documents
Test result Remarks
P / F / NA
P F NA
114.1. Instrument Certificates present :
114.2. Wiring Diagram present:
114.3. Release of construction
present:
114.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

115. Visual Inspection
Test result Remarks
P / F / NA
P F NA
115.1. Labelling correct
115.2. Construction / flow direction
o.K.
115.3. Do the instruments conform to
the circuit diagrams (loop
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

218 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

diagrams, Hook-up’s)
115.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

116. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
116.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
116.3.1.
3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
116.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

117. Test Results
Test result Remarks
P / F / NA
P F NA
117.1. Loop Text :
117.2. Interlocks :
117.3. Location in Software Display:
117.4. Alarm settings:
117.5. Switch points:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

219 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

117.6. Display dynamics:
117.7. Colour settings :
118. End of Test
118.1. Is everything from the loop
recovered and acknowledged?
119. Status of Loop
Status Date Remarks
119.1. Issued to checkout crew
119.2. Issued to repair crew
119.3. Issued to construction for repair
119.4. Issued to prog. for repair
119.5. Issued to engineering
119.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

220 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

120. General
120.1. Plant: CGC01 Unit / Module: TC02 Assembly: BP009 Component:
120.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
120.3. Tagnumber: CGC01-TC02-BP009 Tag-Description: PGCT heat exchanger 3
Inlet
120.4. Function : PI Instrument used SIL IPL
as: non IPL or SIL
120.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
120.7. Hardware Loop: Labelling Hardware Loop
120.8. Device X
Manufacture:
120.9. Device Type: pressure
120.10.Measurement pressure transmitter
Technique: In accordance to the order specification
120.11.Measurement X
Range: In accordance to the order specification
120.12.Measurement X
Units:
121. Documents
Test result Remarks
P / F / NA
P F NA
121.1. Instrument Certificates present :
121.2. Wiring Diagram present:
121.3. Release of construction
present:
121.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

122. Visual Inspection
Test result Remarks
P / F / NA
P F NA
122.1. Labelling correct
122.2. Construction / flow direction
o.K.
122.3. Do the instruments conform to
the circuit diagrams (loop
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

221 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

diagrams, Hook-up’s)
122.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

123. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
123.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
123.3.1.
3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
123.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

124. Test Results
Test result Remarks
P / F / NA
P F NA
124.1. Loop Text :
124.2. Interlocks :
124.3. Location in Software Display:
124.4. Alarm settings:
124.5. Switch points:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

222 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

124.6. Display dynamics:
124.7. Colour settings :
125. End of Test
125.1. Is everything from the loop
recovered and acknowledged?
126. Status of Loop
Status Date Remarks
126.1. Issued to checkout crew
126.2. Issued to repair crew
126.3. Issued to construction for repair
126.4. Issued to prog. for repair
126.5. Issued to engineering
126.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

223 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

127. General
127.1. Plant: CGC01 Unit / Module: TC02 Assembly: BP010 Component:
127.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
127.3. Tagnumber: CGC01-TC02-BP010 Tag-Description: PGCT heat exchanger 3
Outlet
127.4. Function : PI Instrument used SIL IPL
as: non IPL or SIL
127.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
127.7. Hardware Loop: Labelling Hardware Loop
127.8. Device X
Manufacture:
127.9. Device Type: pressure
127.10.Measurement pressure transmitter
Technique: In accordance to the order specification
127.11.Measurement X
Range: In accordance to the order specification
127.12.Measurement X
Units:
128. Documents
Test result Remarks
P / F / NA
P F NA
128.1. Instrument Certificates present :
128.2. Wiring Diagram present:
128.3. Release of construction
present:
128.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

129. Visual Inspection
Test result Remarks
P / F / NA
P F NA
129.1. Labelling correct
129.2. Construction / flow direction
o.K.
129.3. Do the instruments conform to
the circuit diagrams (loop
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

224 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

diagrams, Hook-up’s)
129.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

130. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
130.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
130.3.1.
3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
130.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

131. Test Results
Test result Remarks
P / F / NA
P F NA
131.1. Loop Text :
131.2. Interlocks :
131.3. Location in Software Display:
131.4. Alarm settings:
131.5. Switch points:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

225 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

131.6. Display dynamics:
131.7. Colour settings :
132. End of Test
132.1. Is everything from the loop
recovered and acknowledged?
133. Status of Loop
Status Date Remarks
133.1. Issued to checkout crew
133.2. Issued to repair crew
133.3. Issued to construction for repair
133.4. Issued to prog. for repair
133.5. Issued to engineering
133.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

226 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

134. General
134.1. Plant: CGC01 Unit / Module: TC02 Assembly: BP005 Component:
134.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
134.3. Tagnumber: CGC01-TC02-BP005 Tag-Description: PGCT heat exchanger 1
Inlet
134.4. Function : PI Instrument used SIL IPL
as: non IPL or SIL
134.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
134.7. Hardware Loop: Labelling Hardware Loop
134.8. Device X
Manufacture:
134.9. Device Type: pressure
134.10.Measurement pressure transmitter
Technique: In accordance to the order specification
134.11.Measurement X
Range: In accordance to the order specification
134.12.Measurement X
Units:
135. Documents
Test result Remarks
P / F / NA
P F NA
135.1. Instrument Certificates present :
135.2. Wiring Diagram present:
135.3. Release of construction
present:
135.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

136. Visual Inspection
Test result Remarks
P / F / NA
P F NA
136.1. Labelling correct
136.2. Construction / flow direction
o.K.
136.3. Do the instruments conform to
the circuit diagrams (loop
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

227 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

diagrams, Hook-up’s)
136.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

137. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
137.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
137.3.1.
3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
137.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

138. Test Results
Test result Remarks
P / F / NA
P F NA
138.1. Loop Text :
138.2. Interlocks :
138.3. Location in Software Display:
138.4. Alarm settings:
138.5. Switch points:
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Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

138.6. Display dynamics:
138.7. Colour settings :
139. End of Test
139.1. Is everything from the loop
recovered and acknowledged?
140. Status of Loop
Status Date Remarks
140.1. Issued to checkout crew
140.2. Issued to repair crew
140.3. Issued to construction for repair
140.4. Issued to prog. for repair
140.5. Issued to engineering
140.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

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Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

141. General
141.1. Plant: CGC01 Unit / Module: TC02 Assembly: BP005 Component:
141.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
141.3. Tagnumber: CGC01-TC02-BP005 Tag-Description: PGCT heat exchanger 1
Inlet
141.4. Function : PI Instrument used SIL IPL
as: non IPL or SIL
141.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
141.7. Hardware Loop: Labelling Hardware Loop
141.8. Device X
Manufacture:
141.9. Device Type: pressure
141.10.Measurement pressure transmitter
Technique: In accordance to the order specification
141.11.Measurement X
Range: In accordance to the order specification
141.12.Measurement X
Units:
142. Documents
Test result Remarks
P / F / NA
P F NA
142.1. Instrument Certificates present :
142.2. Wiring Diagram present:
142.3. Release of construction
present:
142.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

143. Visual Inspection
Test result Remarks
P / F / NA
P F NA
143.1. Labelling correct
143.2. Construction / flow direction
o.K.
143.3. Do the instruments conform to
the circuit diagrams (loop
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

230 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

diagrams, Hook-up’s)
143.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

144. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
144.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
144.3.1.
3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
144.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

145. Test Results
Test result Remarks
P / F / NA
P F NA
145.1. Loop Text :
145.2. Interlocks :
145.3. Location in Software Display:
145.4. Alarm settings:
145.5. Switch points:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

231 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

145.6. Display dynamics:
145.7. Colour settings :
146. End of Test
146.1. Is everything from the loop
recovered and acknowledged?
147. Status of Loop
Status Date Remarks
147.1. Issued to checkout crew
147.2. Issued to repair crew
147.3. Issued to construction for repair
147.4. Issued to prog. for repair
147.5. Issued to engineering
147.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

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232 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

148. General
148.1. Plant: CGC01 Unit / Module: TC02 Assembly: BT001 Component:
148.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
148.3. Tagnumber: CGC01-TC02-BT001 Tag-Description: gas from PGCT
148.4. Function : PI Instrument used SIL IPL
as: non IPL or SIL
148.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
148.7. Hardware Loop: Labelling Hardware Loop
148.8. Device X
Manufacture:
148.9. Device Type: temperature
148.10.Measurement temperature transmitter
Technique: In accordance to the order specification
148.11.Measurement X
Range: In accordance to the order specification
148.12.Measurement X
Units:
149. Documents
Test result Remarks
P / F / NA
P F NA
149.1. Instrument Certificates present :
149.2. Wiring Diagram present:
149.3. Release of construction
present:
149.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

150. Visual Inspection
Test result Remarks
P / F / NA
P F NA
150.1. Labelling correct
150.2. Construction / flow direction
o.K.
150.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

233 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

150.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

151. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
151.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
151.3.1.
3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
151.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

152. Test Results
Test result Remarks
P / F / NA
P F NA
152.1. Loop Text :
152.2. Interlocks :
152.3. Location in Software Display:
152.4. Alarm settings:
152.5. Switch points:
152.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

234 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

152.7. Colour settings :
153. End of Test
153.1. Is everything from the loop
recovered and acknowledged?
154. Status of Loop
Status Date Remarks
154.1. Issued to checkout crew
154.2. Issued to repair crew
154.3. Issued to construction for repair
154.4. Issued to prog. for repair
154.5. Issued to engineering
154.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

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235 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

155. General
155.1. Plant: CGC01 Unit / Module: TC02 Assembly: BT002 Component:
155.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
155.3. Tagnumber: CGC01-TC02-BT002 Tag-Description: weak acid return from
PGCT
155.4. Function : TI Instrument used SIL IPL
as: non IPL or SIL
155.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
155.7. Hardware Loop: Labelling Hardware Loop
155.8. Device X
Manufacture:
155.9. Device Type: temperature
155.10.Measurement temperature transmitter
Technique: In accordance to the order specification
155.11.Measurement X
Range: In accordance to the order specification
155.12.Measurement X
Units:
156. Documents
Test result Remarks
P / F / NA
P F NA
156.1. Instrument Certificates present :
156.2. Wiring Diagram present:
156.3. Release of construction
present:
156.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

157. Visual Inspection
Test result Remarks
P / F / NA
P F NA
157.1. Labelling correct
157.2. Construction / flow direction
o.K.
157.3. Do the instruments conform to
the circuit diagrams (loop
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

236 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

diagrams, Hook-up’s)
157.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

158. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
158.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
158.3.1.
3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
158.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

159. Test Results
Test result Remarks
P / F / NA
P F NA
159.1. Loop Text :
159.2. Interlocks :
159.3. Location in Software Display:
159.4. Alarm settings:
159.5. Switch points:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

237 (244)
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Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

159.6. Display dynamics:
159.7. Colour settings :
160. End of Test
160.1. Is everything from the loop
recovered and acknowledged?
161. Status of Loop
Status Date Remarks
161.1. Issued to checkout crew
161.2. Issued to repair crew
161.3. Issued to construction for repair
161.4. Issued to prog. for repair
161.5. Issued to engineering
161.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

238 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

162. General
162.1. Plant: CGC01 Unit / Module: TC02 Assembly: BT003 Component:
162.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
162.3. Tagnumber: CGC01-TC02-BT003 Tag-Description: weak acid to PGCT
162.4. Function : TI Instrument used SIL IPL
as: non IPL or SIL
162.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
162.7. Hardware Loop: Labelling Hardware Loop
162.8. Device X
Manufacture:
162.9. Device Type: temperature
162.10.Measurement temperature transmitter
Technique: In accordance to the order specification
162.11.Measurement X
Range: In accordance to the order specification
162.12.Measurement X
Units:
163. Documents
Test result Remarks
P / F / NA
P F NA
163.1. Instrument Certificates present :
163.2. Wiring Diagram present:
163.3. Release of construction
present:
163.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

164. Visual Inspection
Test result Remarks
P / F / NA
P F NA
164.1. Labelling correct
164.2. Construction / flow direction
o.K.
164.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

239 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

164.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

165. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
165.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
165.3.1.
3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
165.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

166. Test Results
Test result Remarks
P / F / NA
P F NA
166.1. Loop Text :
166.2. Interlocks :
166.3. Location in Software Display:
166.4. Alarm settings:
166.5. Switch points:
166.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

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The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

166.7. Colour settings :
167. End of Test
167.1. Is everything from the loop
recovered and acknowledged?
168. Status of Loop
Status Date Remarks
168.1. Issued to checkout crew
168.2. Issued to repair crew
168.3. Issued to construction for repair
168.4. Issued to prog. for repair
168.5. Issued to engineering
168.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

241 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

169. General
169.1. Plant: CGC01 Unit / Module: TC02 Assembly: BT004 Component:
169.2. Purpose: Loop check after installation Phase Precommissioning
Remark: This check is performed / documented after successful point-to-point wiring check and
base software implementation. Changes in installation or software functionally require recheck.
169.3. Tagnumber: CGC01-TC02-BT004 Tag-Description: weak acid to PGCT
169.4. Function : TI Instrument used SIL IPL
as: non IPL or SIL
169.5. DCS / BPCS / PLC: Address Controller: Number Rack: Input Channel:
(in accordance with I/O
list) OK - Not OK OK - Not OK OK - Not OK
169.7. Hardware Loop: Labelling Hardware Loop
169.8. Device X
Manufacture:
169.9. Device Type: temperature
169.10.Measurement temperature transmitter
Technique: In accordance to the order specification
169.11.Measurement X
Range: In accordance to the order specification
169.12.Measurement X
Units:
170. Documents
Test result Remarks
P / F / NA
P F NA
170.1. Instrument Certificates present :
170.2. Wiring Diagram present:
170.3. Release of construction
present:
170.4. Test-Sheet Software-FAT
present:
Checked

Name/Company Date Name Signature

171. Visual Inspection
Test result Remarks
P / F / NA
P F NA
171.1. Labelling correct
171.2. Construction / flow direction
o.K.
171.3. Do the instruments conform to
the circuit diagrams (loop
diagrams, Hook-up’s)
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

242 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

171.4. Individual configuration of
card’s, transmitters etc.
complete?
Checked

Name/Company Date Name Signature

172. Process Values and Setpoints of Alarms / Switches
Measurement Min.: X Max.: Y Accepted error of 1%
Span: span (%):
Measurement Min.: X Max.: Y Accepted error of 1%
Range: measure (%):
172.1. Calibration Value Accepted Indicator
device (accordance to error Field DCS / Panel Result
the range) SIS P F NA
172.3.1.
3,5mA Failure
measurement
4 mA
12 mA
20 mA
22 mA Failure
measurement
172.4. Alarm Switch Setpoints for Alarm / Result Tripping
Switch P F NA
(Measurement Units)
AHH SHH
AH SH
AL SL
ALL SLL
Checked

Name/Company Date Name Signature

173. Test Results
Test result Remarks
P / F / NA
P F NA
173.1. Loop Text :
173.2. Interlocks :
173.3. Location in Software Display:
173.4. Alarm settings:
173.5. Switch points:
173.6. Display dynamics:
Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

243 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902
 Global Form GF 202
Loop Check Analogue Input

Item Test sheet for individual loop evaluation Analogue Input

173.7. Colour settings :
174. End of Test
174.1. Is everything from the loop
recovered and acknowledged?
175. Status of Loop
Status Date Remarks
175.1. Issued to checkout crew
175.2. Issued to repair crew
175.3. Issued to construction for repair
175.4. Issued to prog. for repair
175.5. Issued to engineering
175.6. Loop filed and complete
Comments when not OK

Test Procedure realized by:

Released

Name/Company Date Name Signature

Project ID: Plant Code: Plant Unit Code: Document Type: Running No: Revision: Sheet of Sheets:

244 (244)
The contents of this document are the sole property of Outotec Oyj. Any rights not expressly granted herein are reserved. Outotec Document ID:
Reproduction, transfer or distribution of part or all of the contents in any form without the prior written permission of Outotec is
prohibited. OU110125902