AREA: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SYSTEM : CONTRACT NO: CP / 13 - 001 / L

EQUIPMENT NO: DRAWING NO: REV:

SWITCHBOARD NO: LOCATION:

DUTY: COMPARTMENT NO:

Associated Tests YES N/A NO

1. Compartment checks completed (area Illumination values Form PLPL.EA. F4036).

Operation of the following has been verified YES N/A NO YES N/A NO

2. Stop buttons 13. Vendor package interface.

3. Start buttons. 14. Alarm annunciation.

4. Inch button. 15. Indicator lamps.

5. Reset buttons. 16. Metering.

6. Duty - standby selector. 17. Main contactor.

7. Hand - Off - Auto selector. 18. Control relays.

8. On-Off switches. 19. Auxiliary contacts.

9. Limit switches. 20. Electrical interlocks.

10. Interface relays. 21. Timers.

11. ACMV master trip relay panel interface. 22. Tested tags fitted.

12. Instrument interface.

Operational Verification

23. Circuit operation as per process description and schematic diagram. Yes No

Setting and Rating

Trip and Interlock System YES N/A NO

24. Has the shutdown system been tested.

Remarks :

COMPLETED BY

COMPANY

SIGNATURE

NAME

DATE

PLPL.EA. F4035

If NO Remarks Enter NONE Initial and Date

SHELL MARINA LOBP -GMP PROJECT

Page:

E/F PU Relay SettingE/F Relay Timer Setting

CONTROL CIRCUIT FUNCTION TEST REPORT

Motor FLC Motor Fuse Rating Overload Setting Control Fuse Rating

EXECUTED BY VERIFIED BY VERIFIED / REVIEWED BY

Control Fuse Rating