FORM # G-005 (5/18/15)

SHT 1 of 1

SAUDI ARAMCO PRE-COMMISSIONING FORM

CENTRIFUGAL PUMPS

EQUIPMENT TYPE:
EQUIPMENT TAG NO.:
BI/JO NO.:
REF. DRAWINGS & DOCUMENTS:
MANUFACTURER:
MODEL NO.:
COMMISSIONING DATE:
1.
___
2.
___
3.
___
4.
___
5.
___
6.
___
7.
___
8.
___
9.
___
10.
___
11.
___
12.
___
13.
___
14.
___
15.
___

USER REFERENCE:
DESCRIPTION:
PLANT NO. / LOCATION:
SERIAL NO.:

BASEPLATELEVELEDANDPROPERLYGROUTED.

YES___NO

JACKSCREWSREMOVEDANDFOUNDATIONBOLTSTIGHTENED.

YES___NO

SUCTIONSCREENINSTALLED.

YES___NO

PIPINGSTRAINCHECKED.

YES___NO

FINALCOLDALIGNMENTTOMANUFACTURER'STOLERANCE.

YES___NO

PUMPANDDRIVERCHECKEDFORFREEDOMOFMOVEMENT.

YES___NO

DRIVERCHECKEDFORCORRECTROTATION(UNCOUPLED)

YES___NO

BEARINGHOUSINGFLUSHEDANDRELUBRICATED.

YES___NO

LUBRICATORFILLEDANDOPERABLE.
LUBRICANT___________
MOTORBEARINGLUBRICATIONCHECKED

YES___NO

MECHANICALSEALORPACKINGINSTALLED.TYPE_______

YES___NO

COUPLINGINSTALLED.

YES___NO

GUARDINPLACEANDSECURED.

YES___NO

PUMPANDDRIVERDOWELED(WHENSPECIFIED).

YES___NO

COOLINGWATERPIPINGINSTALLED(WHENSPECIFIED).

YES___NO

SEALFLUSHPIPINGINSTALLED.

YES___NO

NOTE: This non-mandatory form may be used as the starting point to assemble a pre-commissioning checklist.
Entries should be revised, added and deleted and approvals adjusted to reflect the needs of the Project
Acceptance Committee.

APPROVALS
Signature & Date

SAPMT

INSPECTION

CopyrightSaudi Aramco 2009. All rights reserved.

OTHER DEPT.

OPERATIONS