FORM # G-005 (7/19/22) SHT 1 of 1 SAUDI ARAMCO PRE-COMMISSIONING FORM CENTRIFUGAL PUMPS EQUIPMENT TYPE: USER REFERENCE: EQUIPMENT TAG NO.: DESCRIPTION: BI/JO NO.: PLANT NO. / LOCATION: REF. DRAWINGS & DOCUMENTS: MANUFACTURER: MODEL NO.: SERIAL NO.: COMMISSIONING DATE: 1. BASEPLATE LEVELED AND PROPERLY GROUTED. YES ___ NO ___ 2. JACKSCREWS REMOVED AND FOUNDATION BOLTS TIGHTENED. YES ___ NO ___ 3. SUCTION SCREEN INSTALLED. YES ___ NO ___ 4. PIPING STRAIN CHECKED. YES ___ NO ___ 5. FINAL COLD ALIGNMENT TO MANUFACTURER'S TOLERANCE. YES ___ NO ___ 6. PUMP AND DRIVER CHECKED FOR FREEDOM OF MOVEMENT. YES ___ NO ___ 7. DRIVER CHECKED FOR CORRECT ROTATION (UNCOUPLED) YES ___ NO ___ 8. BEARING HOUSING FLUSHED AND RE LUBRICATED. YES ___ NO ___ LUBRICATOR FILLED AND OPERABLE. LUBRICANT ___________ 9. MOTOR BEARING LUBRICATION CHECKED YES ___ NO ___ 10. MECHANICAL SEAL OR PACKING INSTALLED. TYPE_______ YES ___ NO ___ 11. COUPLING INSTALLED. YES ___ NO ___ 12. GUARD IN PLACE AND SECURED. YES ___ NO ___ 13. PUMP AND DRIVER DOWELED (WHEN SPECIFIED). YES ___ NO ___ 14. COOLING WATER PIPING INSTALLED (WHEN SPECIFIED). YES ___ NO ___ 15. SEAL FLUSH PIPING INSTALLED. 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 SAPMT INSPECTION OTHER DEPT. OPERATIONS Signature & Date Copyright©Saudi Aramco 2009. All rights reserved.

SA-G-005

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CENTRIFUGAL PUMPS

FORM # G-005 (5/09)SHT 1 of 1SAUDI ARAMCO PRE-COMMISSIONING FORMCENTRIFUGAL PUMPS

EQUIPMENT TYPE:USER REFERENCE:

EQUIPMENT TAG NO.:DESCRIPTION:

BI/JO NO.:PLANT NO. / LOCATION:

REF. DRAWINGS & DOCUMENTS:

MANUFACTURER:

MODEL NO.:SERIAL NO.:

COMMISSIONING DATE:

1.BASEPLATE LEVELED AND PROPERLY GROUTED.YES ___ NO ___2.JACKSCREWS REMOVED AND FOUNDATION BOLTS TIGHTENED.YES ___ NO ___3.SUCTION SCREEN INSTALLED. YES ___ NO ___4.PIPING STRAIN CHECKED.YES ___ NO ___5.FINAL COLD ALIGNMENT TO MANUFACTURER'S TOLERANCE.YES ___ NO ___6.PUMP AND DRIVER CHECKED FOR FREEDOM OF MOVEMENT.YES ___ NO ___7.DRIVER CHECKED FOR CORRECT ROTATION (UNCOUPLED)YES ___ NO ___8.BEARING HOUSING FLUSHED AND RE LUBRICATED.YES ___ NO ___LUBRICATOR FILLED AND OPERABLE.LUBRICANT ___________9.MOTOR BEARING LUBRICATION CHECKED YES ___ NO ___10.MECHANICAL SEAL OR PACKING INSTALLED. TYPE_______YES ___ NO ___11.COUPLING INSTALLED.YES ___ NO ___12.GUARD IN PLACE AND SECURED.YES ___ NO ___13.PUMP AND DRIVER DOWELED (WHEN SPECIFIED). YES ___ NO ___14.COOLING WATER PIPING INSTALLED (WHEN SPECIFIED).YES ___ NO ___15.SEAL FLUSH PIPING INSTALLED.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.APPROVALSSAPMTINSPECTIONOTHER DEPT.OPERATIONS

Signature & Date