PETRONAS CARIGALI SDN. BHD.
INSPECTION TEST RECORD (ITR) - B
SAFETY SHOWER / EYEWASH S02-B
Project No.
Project Title
INFORMATION
Tag no. System no.
Area Location
Ref. Drawing nos.
INSPECTION / TEST OK N/A P/L No
Ensure A check list and A punch list items completed & no subsequent
1
damage occurred.
2 Check portable eye wash stations are filed with sterilized water.
Check water quality (cleanliness) of the shower/ eyewash station
3
(piped).
4 Test the functioning of each shower station.
5 Test the functioning of eye wash stations.
COMMENT(S) AND ADDITIONAL INFORMATION:
COMPLETED BY VERIFIED BY ACCEPTED
Designation Contractor Representative PMT Inspector Commissioning Engineer
Company PCSB PCSB
Name
Signature
Date
Page 1 of 1
PETRONAS CARIGALI SDN. BHD.
INSPECTION TEST RECORD (ITR) - B
SURVIVAL EQUIPMENT S03-B
Project No.
Project Title
INFORMATION
Tag no. System/Subsyste
m No.
INSPECTION / TEST OK N/A P/L No
Ensure A check list and A punch list items completed & no subsequent
1
damage occurred.
Conduct thorough visual inspection of survival equipment, checking
2 for damage, deterioration and deficiencies since onshore
certification.
Confirm that all loose item supplied with the survival equipment is in
3 accordance with the equipment drawing as detailed in the O & M
Manual
COMMENT(S) AND ADDITIONAL INFORMATION:
COMPLETED BY VERIFIED BY ACCEPTED BY
Designation Contractor Representative PMT Inspector Commissioning Engineer
Company PCSB PCSB
Name
Signature
Date
Page 1 of 1
PETRONAS CARIGALI SDN. BHD.
INSPECTION TEST RECORD (ITR) - B
FIREWATER/ FOAM SYSTEM S10-B
Project No.
Project Title
INFORMATION
Tag no. System no.
Area Location
Ref. Drawing nos
INSPECTION / TEST OK N/A P/L No
Ensure A check list and A punch list items completed & no subsequent
1
damage occurred.
Check location / quantities of firefighting equipment is as per Escape
2 Route, Fire Fighting, Safety and Life Saving Equipment layout
drawings.
FIREWATER PUMP
Ref. Specification/ Datasheet No.:
3 Ensure Mechanical ITR-B for Diesel Engine Fire Pump is completed.
Name plate/tag details correct & in accordance with approved design
4 data sheet. Manufacturers test certificates & SAT documentation
available.
FIREWATER RING MAIN
Ref. Specification/ Datasheet No.:
5 Ensure Piping ITR B for Firewater Ring Main is completed.
6 Check piping/ ring main for signs of damage.
Ensure system flushing is conducted as per flushing procedures.
7 (Ensure gauges liable to be damaged at test pressure and during
flushing operations are removed and stored in instrument store).
8 Check flow at drains and any test connections.
9 Complete Certificate of Flushing after performing flushing operation.
Conduct hydrostatic testing as per approved project specifications and
record details of the hydrostatic test report. Attach copies of:
- Isometric sketch showing as built condition, test limits and
scope
10
- Test equipment calibration certificates
- Certificate of pressure test
- Pressure chart and temperature chart
- Test report
COMMENT(S) AND ADDITIONAL INFORMATION
(List the approved specification and datasheet reference number)
Page 1 of 2
PETRONAS CARIGALI SDN. BHD.
INSPECTION TEST RECORD (ITR) - B
FIREWATER/ FOAM SYSTEM S10-B
COMPLETED BY VERIFIED BY ACCEPTED BY
Designation Contractor Representative PMT Inspector Commissioning Engineer
Company PCSB PCSB
Name
Signature
Date
Page 2 of 2
PETRONAS CARIGALI SDN. BHD.
INSPECTION TEST RECORD (ITR) - B
FIRE SUPPRESSION SYSTEM/ TOTAL FLOODING S11-B
SYSTEM
Project No.
Project Title
INFORMATION
Tag no. System no.
Area Location
Ref. Drawing nos
INSPECTION / TEST OK N/A P/L No
Ensure A check list and A punch list items completed & no subsequent
1
damage occurred.
Check fire suppression/ total flooding system is connected to the fire
2
panel (including status display).
COMMENT(S) AND ADDITIONAL INFORMATION:
COMPLETED BY VERIFIED BY ACCEPTED BY
Designation Contractor Representative PMT Inspector Commissioning Engineer
Company PCSB PCSB
Name
Signature
Date
Page 1 of 1
PETRONAS CARIGALI SDN. BHD.
INSPECTION TEST RECORD (ITR) - B
DECK INTEGRATED FIRE FIGHTING SYSTEM S15-B
Project No.
Project Title
INFORMATION
Tag no. System no.
Area Location
Ref. Drawing nos
INSPECTION / TEST OK N/A P/L No
Ensure A check list and A punch list items completed & no subsequent
1
damage occurred.
Ensure Fire and Gas Device Loop Test (Instrument ITR I16-B) is
2
completed for DIFFS
COMMENT(S) AND ADDITIONAL INFORMATION:
COMPLETED BY VERIFIED BY ACCEPTED BY
Designation Contractor Representative PMT Inspector Commissioning Engineer
Company PCSB PCSB
Name
Signature
Date
Page 1 of 1
