FORM # G-006 (7/19/22) SHT 1 of 1 SAUDI ARAMCO PRE-COMMISSIONING FORM POSITIVE DISPLACEMENT PUMPS (RECIPROCATING) 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 LEVEL AND PROPERLY GROUTED. JACKSCREWS YES ___ NO ___ REMOVED AND FOUNDATION BOLTS TIGHTENED. 2. SUCTION SCREEN INSTALLED. YES ___ NO ___ 3. PIPING STRAIN CHECKED. YES ___ NO ___ 4. FINAL COLD ALIGNMENT TO MANUFACTURER'S TOLERANCE. YES ___ NO ___ 5. PUMP AND DRIVER CHECKED FOR FREEDOM OF MOVEMENT. YES ___ NO ___ 6. DRIVER CHECKED FOR CORRECT ROTATION (UNCOUPLED) YES ___ NO ___ 7. GEAR UNIT CHECKED PER GEAR UNIT CHECK LIST (WHEN APPLICABLE). YES ___ NO ___ 8. BEARING HOUSING FLUSHED AND RE LUBRICATED. YES ___ NO ___ LUBRICATOR FILLED AND OPERABLE. LUBRICANT ___________ 9. MOTOR BEARING LUBRICATION CHECKED. YES ___ NO ___ 10. PACKING INSTALLED. TYPE_________ YES ___ NO ___ 11. COUPLING OR BELT INSTALLED. YES ___ NO ___ 12. BELT OR COUPLING GUARD IN PLACE AND SECURED. YES ___ NO ___ 13. PUMP AND DRIVER DOWELED (WHEN SPECIFIED). 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-006

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RECIPROCATING PUMPS

FORM # G-006 (5/09)SHT 1 of 1SAUDI ARAMCO PRE-COMMISSIONING FORMPOSITIVE DISPLACEMENT PUMPS (RECIPROCATING)

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 LEVEL AND PROPERLY GROUTED. JACKSCREWSYES ___ NO ___REMOVED AND FOUNDATION BOLTS TIGHTENED.2.SUCTION SCREEN INSTALLED.YES ___ NO ___3.PIPING STRAIN CHECKED.YES ___ NO ___4.FINAL COLD ALIGNMENT TO MANUFACTURER'S TOLERANCE.YES ___ NO ___5.PUMP AND DRIVER CHECKED FOR FREEDOM OF MOVEMENT.YES ___ NO ___6.DRIVER CHECKED FOR CORRECT ROTATION (UNCOUPLED)YES ___ NO ___7.GEAR UNIT CHECKED PER GEAR UNIT CHECK LIST (WHEN APPLICABLE).YES ___ NO ___8.BEARING HOUSING FLUSHED AND RE LUBRICATED.YES ___ NO ___LUBRICATOR FILLED AND OPERABLE.LUBRICANT ___________9.MOTOR BEARING LUBRICATION CHECKED. YES ___ NO ___10.PACKING INSTALLED. TYPE_________YES ___ NO ___11.COUPLING OR BELT INSTALLED.YES ___ NO ___12.BELT OR COUPLING GUARD IN PLACE AND SECURED.YES ___ NO ___13.PUMP AND DRIVER DOWELED (WHEN SPECIFIED).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