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Hvac Protocol

Description : Protocol heat ventilation air cond

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HVAC Installation Qualification Protocol Protocol No. Installation Qualification Protocol Title: HVAC Company X $%%ecti"e ate !e"ision &  APPROVAL  APPROVAL PAGE System Locat Locatio ion n HVAC Comp Company any X, X, Inc. Inc.,, Addr Addres esss Protocol Prepared By:  Name/Title Signature ate Signature ate Protocol !e"ie#ed By:  Name/Title ' Protocol Tec(nical !e"ie#ed By:  Name/Title Signature ate Signature ate Protocol Appro"ed By:  Name/Title Table Of Contents 1.0 SYSTEM OVERVIEW  2.0 SYSTEM BOUNDARY  3.0 OBJECTIVE .0 SCOE !.0 !UA"I#ICATION STUDY OVERVIEW  ".0 RESONSIBI"ITY  #.0 RERE!USITES $.0 ACRONYM $.0 ACRONYMS S Protocol Tec(nical !e"ie#ed By:  Name/Title Signature ate Signature ate Protocol Appro"ed By:  Name/Title Table Of Contents 1.0 SYSTEM OVERVIEW  2.0 SYSTEM BOUNDARY  3.0 OBJECTIVE .0 SCOE !.0 !UA"I#ICATION STUDY OVERVIEW  ".0 RESONSIBI"ITY  #.0 RERE!USITES $.0 ACRONYM $.0 ACRONYMS S %.0 DE#INITIONS 10.0 $ENERA" DOCUMENTATION RE!UIREMENTS 11.0 DATA CO""ECTION AND DOCUMENTATION ROCEDURES 12.0 INSTA""ATION !UA"I#ICATION TEST RE!UIREMENT& RE!UIREMENT & 13.0 RE#ERENCES In'e( Of Attac)*ents  ATTAC+,E-T  ATTAC+,E-T 1 % 1 % e&'onnel I(enti)i*ation I(enti)i*ation "i't  ATTAC+,E-T  ATTAC+,E-T 2 % 2 % Te't E+,ipment I(enti)i*ation-Cali.&ation I(enti)i*ation-Cali.&ation  ATTAC+,E-T  ATTAC+,E-T 3 % 3 % Te't E+,ipment Ope&ation  ATTAC+,E-T  ATTAC+,E-T  %  % E+,ipment - Component Ve&i)i*ation  ATTAC+,E-T  ATTAC+,E-T ! % Utilitie' Ve&i)i*ation  ATTAC+,E-T  ATTAC+,E-T " % S,ppo&t Do*,mentation / E+,ipment-Sy'tem Spe*i)i*ation'  ATTAC+,E-T  ATTAC+,E-T # % # % S,ppo&t Do*,mentation Do*,mentation / S,.mittal'  ATTAC+,E-T  ATTAC+,E-T $ % S,ppo&t Do*,mentation % ,&*0a'e O&(e&'  ATTAC+,E-T  ATTAC+,E-T % % % % S,ppo&t Do*,mentation % E+,ipment Man,al'  ATTAC+,E-T  ATTAC+,E-T 10 % 10 % S,ppo&t Do*,mentation / E+,ipment-Sy'tem D&a1in2'  ATTAC+,E-T  ATTAC+,E-T 11 % 11 % S,ppo&t Do*,mentation / E+,ipment-Sy'tem E+,ipment-Sy'tem Stan(a&( Ope&atin2 &o*e(,&e'  ATTAC+,E-T  ATTAC+,E-T 12 % 12 % S,ppo&t Do*,mentation Do*,mentation / E+,ipment-Sy'tem E+,ipment-Sy'tem Cali.&ation &o*e(,&e'  ATTAC+,E-T  ATTAC+,E-T 13 % 13 % S,ppo&t Do*,mentation / E+,ipment-Sy'tem Cali.&ation &o2&am  ATTAC+,E-T  ATTAC+,E-T 1 % 1 % Maintenan*e / Spa&e a&t' "i't  ATTAC+,E-T  ATTAC+,E-T 1! % 1! % Maintenan*e Maintenan*e / ",.&i*ant Ve&i)i*ation Ve&i)i*ation 1.0 &&TE, OVERVIE/  +istor  T0e AHU/3 an( MAU/4 HVAC 'y'tem in*l,(e' Ai& Han(lin2 Unit 5AHU/36 an( Ma7e Up Ai& Unit 5MAU/468 AHU/3 1a' p,&*0a'e( )&om Yo&7 Inte&national in O*to.e& O*to.e& 4998  AHU/3 1a' (e'i2ne( (e'i2ne( an( in'talle( in'talle( to ',pply ',pply &e*i&*,latin2 &e*i&*,latin2 ai& to &oom': &oom': 4;<%4;=8 MAU/ 4 1a' p,&*0a'e( a' pa&t o) t0e .,il(in2 an( ope&ate( to ',pply ma7e ,p ai& to t0e AHU/ 3 an( &oom' 4;>/4;=? 444? 44/4;= ,tiliFin2 4>> o,t'i(e ai&8 It i' e+,ippe( 1it0 one 546 &e0eat *oil *oil an( t1o 5;6 *oolin2 *oil'8 It 0a' <= e))i*ien*y p&e/)ilte&' an( 9= e))i*ien*y .a2 )ilte&'? it al'o ,tiliFe' eleen 5446  Va&ia.le Ai& Vol,me Vol,me *ont&olle&' *ont&olle&' VAV/A? VAV/A? B? C? D? E? #? $? H an( an( VAV/? G an( "8 "8 one 546 Steam H,mi(i)ie& H/4 lo*ate( in t0e ',pply ai& (,*t (o1n't&eam )&om MAU/4 p&oi(e' 0,mi(i)i*ation T0e 'y'tem i' (e'i2ne( to p&oi(e pe&'onnel *om)o&t8 *om)o&t8 e&)o&man*e *&ite&ia )o& t0e 'y'tem a&e: Tempe&at,&e: Tempe&at,&e: @>#  =# H,mi(ity: ;>/> R8H8 Rationale T0i' p&oto*ol 1ill .e pe&)o&me( ,tiliFin2 ,tiliFin2 ;4 C#R ;4>  ;44? ICH !/@A $oo( Man,)a*t,&in2 &a*ti*e $,i(an*e )o& A*tie 0a&ma*e,ti*al In2&e(ient'? A,2,'t ;>>4?8 Upon )inal app&oal o) t0i' I! &oto*ol an( S,mma&y Repo&t it 1ill &epla*e t0e p&eio,' I! 't,(y an( &en(e& it o.'olete8 T0e 'y'tem 1ill al'o .e pla*e( ,n(e& )o&mal *0an2e *ont&ol in a**o&(an*e 1it0 Company XC0an2e Cont&ol &o2&am ',mma&iFe( in Stan(a&( Ope&atin2 &o*e(,&e DNA-!M->4; entitle( KC0an2e Cont&ol Sy'temL8 2.0 &&TE, O4-AR  T0e 'y'tem .o,n(a&y i' (e)ine( a' t0e ',pply ,tility 'e&i*e )i&'t point o) *onta*t 1it0 t0e 'y'tem-e+,ipment .ein2 in'tallation +,ali)ie(8 In mo't *a'e' t0i' i' inte&p&ete( a' t0e )i&'t inlet man,al ale o& moto& *ont&ol-ele*t&i*al panel p&oi(in2 ',pply o) 'ai( ,tility8 Sup uppl pliied Uti Utiliti lities es ID Numb Number er Desc Descri ript ptiion Compressed Instrument Air  Inlet at respecti"e "al"e Supply air to all applica)le  pneumatic "al"es on t(e A*+- Compressed Instrument Air  Inlet at respecti"e "al"e Supply air to all applica)le  pneumatic "al"es on t(e A+'. Lo# Pressure Steam Inlet at respecti"e "al"e Supply to appropriate inlets o% *' Compressed Instrument Air  Inlet at respecti"e "al"e Supply air to all applica)le  pneumatic "al"es on all A )o0es: ' 1,'12'. C(illed 3ater In A*+- C*3S'4 Supply to Cooling Coil C(illed 3ater 5ut A*+- C*3!'1 !eturn %rom Cooling Coil *ot 3ater InA*+- *3S2 Supply to (ot #ater coil *ot 3ater 5utA*+- *3!2 !eturn %rom (ot #ater coil Lo# Pressure Steam 5utA+' To Be 6ield eri%ied !eturn %rom steam re(eat coil Lo# Pressure Steam InA+' To Be 6ield eri%ied Supply to steam re(eat coil C(illed 3ater 5ut A+' To Be 6ield eri%ied !eturn %rom cooling coil *ot 3ater In!*C' To Be 6ield eri%ied Supply to (ot #ater coil *ot 3ater 5ut!*C' To Be 6ield eri%ied !eturn %rom (ot #ater coil *ot 3ater In!*C2 Supply to (ot #ater coil To Be 6ield eri%ied *ot 3ater 5ut!*C2 To Be 6ield eri%ied !eturn %rom (ot #ater coil *ot 3ater In!*C7 Supply to (ot #ater coil To Be 6ield eri%ied *ot 3ater 5ut!*C7 To Be 6ield eri%ied !eturn %rom (ot #ater coil *ot 3ater In!*C8 Supply to (ot #ater coil To Be 6ield eri%ied *ot 3ater 5ut!*C8 To Be 6ield eri%ied !eturn %rom (ot #ater coil *ot 3ater In!*C9 Supply to (ot #ater coil To Be 6ield eri%ied *ot 3ater 5ut!*C9 To Be 6ield eri%ied !eturn %rom (ot #ater coil *ot 3ater In!*C- Supply to (ot #ater coil To Be 6ield eri%ied *ot 3ater 5ut!*C- To Be 6ield eri%ied !eturn %rom (ot #ater coil *ot 3ater In!*C To Be 6ield eri%ied Supply to (ot #ater coil *ot 3ater 5ut!*C To Be 6ield eri%ied !eturn %rom (ot #ater coil *ot 3ater In!*C4 Supply to (ot #ater coil To Be 6ield eri%ied *ot 3ater 5ut!*C4 To Be 6ield eri%ied !eturn %rom (ot #ater coil *ot 3ater In!*C1 Supply to (ot #ater coil To Be 6ield eri%ied *ot 3ater 5ut!*C1 To Be 6ield eri%ied !eturn %rom (ot #ater coil *ot 3ater In!*C'1 To Be 6ield eri%ied Supply to (ot #ater coil *ot 3ater 5ut!*C '1 !eturn %rom (ot #ater coil To Be 6ield eri%ied *ot 3ater In!*C2; To Be 6ield eri%ied Supply to (ot #ater coil *ot 3ater 5ut!*C 2; !eturn %rom (ot #ater coil To Be 6ield eri%ied *ot 3ater In!*C2' To Be 6ield eri%ied Supply to (ot #ater coil *ot 3ater 5ut!*C 2' To Be 6ield eri%ied !eturn %rom (ot #ater coil C(iller' To Be 6ield eri%ied 5utlet to respecti"e al"e C(iller2 To Be 6ield eri%ied 5utlet to respecti"e al"e C(iller7 To Be 6ield eri%ied 5utlet to respecti"e al"e *ot 3ater Boilers <= To Be 6ield eri%ied 5utlet to respecti"e al"es Lo# pressure Steam Boilers <';= To Be 6ield eri%ied 5utlet to respecti"e al"es $lectrical A*+- ain Brea>er Supply to +nit $lectrical A+' ain Brea>er Supply to +nit 3.0 O5ECTIVE T0e intent o) t0i' In'tallation !,ali)i*ation 5I!6 i' to p&oi(e a *omplete inento&y o) mao& e+,ipment an(-o& *omponent' in'talle( on t0e HVAC AHU/3 an( MAU/4 'y'tem an( to en',&e t0at: • • Mao& *omponent' a&e t0o'e a' 'pe*i)ie( in 'y'tem man,al'? *ont&a*to&' ',.mittal'? o&i2inal p,&*0a'e o&(e&' o& app&oe( e+,ialent'8 T0e'e mao& *omponent'  1ill .e e&i)ie( (,&in2 ee*,tion o) t0i' p&oto*ol8  All *&iti*al in't&,ment' a&e *ali.&ate( an( pla*e( 1it0in t0e *ali.&ation p&o2&am a' (e)ine( in M#-SO-4@8 • Ope&ation man,al' )o& t0e 'y'tem o& e+,ipment a&e i(enti)ie( an( aaila.le8 • Re+,i&e( 'pa&e pa&t' a&e i(enti)ie( • • • • Sy'tem o& e+,ipment maintenan*e &e+,i&ement' a&e *lea&ly (e)ine( an( (o*,mente( an( a&e pla*e( in t0e &eentatie Maintenan*e &o2&am a' (e)ine( in M#-SO-4@98 Sy'tem o& e+,ipment *leanin2 p&o*e(,&e' a&e e'ta.li'0e( an( *,&&ent8 ",.&i*ant' 1ill .e i(enti)ie( an( eal,ate( )o& a**epta.ility (,&in2 ee*,tion o) t0i' p&oto*ol8  A'/.,ilt (&a1in2' &e)le*t t0e a*t,al in'tallation o) t0e 'y'tem o& e+,ipment in'talle( on 5HVAC AHU/3 an( MAU/4 'y'tem68 .0 &COPE T0i' p&oto*ol 1ill .e limite( to t0e HVAC AHU/3  MAU/4 Sy'tem at Company X? In*8?  A((&e'' !.0 Q4ALI6ICATIO- &T4 OVERVIE/  D,&in2 t0e ee*,tion o) t0i' p&oto*ol? (ete&mination o) t0e *ali.&ation )&e+,en*ie' an( )o&maliFe( p&o*e(,&e' 1ill .e p&oi(e( to AAC Con',ltin2 $&o,p? In*8 5AAC6 .y Company X? In*8 Company X 1ill *ali.&ate all in't&,mentation &e+,i&in2 *ali.&ation  1it0 t&a*ea.ility to NIST an( *e&ti)i*ate' o) *ali.&ation p&oi(e( to AAC )o& in*l,'ion in t0e appli*a.le 'e*tion o) t0i' p&oto*ol8 T0e ope&ation o) AHU/3 an( MAU/4 a&e *ont&olle( .y Jo0n'on Cont&ol' Meta'y' Ai& Han(lin2 Unit Cont&olle&' 1it0 'en'o&' monito&in2 ai&-1ate& tempe&at,&e? 0,mi(ity an( ai&-1ate& p&e'',&e8 T0e ope&ation i' monito&e( t0&o,20 t0e ,'e o) t0e Meta*omm 'y'tem a' a B,il(in2 Mana2ement Sy'tem 5BMS68 Meta'y' VAV Cont&olle&' a&e p&oi(e( )o& t0e *ont&ol o) ea*0 VAV .o8 T0e BMS *ont&ol 'y'tem 1ill .e +,ali)ie( in a 'epa&ate p&oto*ol? a' pa&t o) t0e Comp,te& Sy'tem Vali(ation 5CSV68 T0e Ope&ational !,ali)*ation o) t0i' 'y'tem 1ill .e pe&)o&me( in a**o&(an*e 1it0 p&oto*ol  M#-VA"-O!->4<-RO entitle( KOpe&ational !,ali)i*ation o) HVAC AHU/3 an( MAU/4 Sy'tem8 ".0 RE&PO-&IILIT  ".1 Vali'ation eart*ent7 38484 &epa&e an( ',.mit t0e p&oto*ol )o& app&oal in a**o&(an*e 1it0 *,&&ent in(,'t&y 'tan(a&('? &e2,lato&y &e+,i&ement'? an( app&oe( Stan(a&( Ope&atin2 &o*e(,&e'8 3848; e&)o&m an( *oo&(inate t0e ee*,tion o) t0e p&oto*ol an( &e*o&(in2 o) all &a1 (ata8 3848< Reie1 (eiation' an( ',ppo&t t0e p&epa&ation o) all *o&&e*tie a*tion &epo&t' t0at may .e &e+,i&e( to &e'ole (i'*&epant 'it,ation'8 3848 &epa&e an(-o& *oo&(inate t0e p&epa&ation o) a )inal te't &epo&t analyFin2 an( ',mma&iFin2 t0e (ata an( ',.mit )o& &eie1 an( app&oal8 ".2 AAC Consultin8 Grou7 38;84 &oi(e te*0ni*al inp,t into t0e p&epa&ation o) t0e te't p&oto*ol in a**o&(an*e 1it0 *$M'? in(,'t&y? US#DA 'tan(a&(' an( 2,i(eline'? an( Company Xapp&oe( Stan(a&( Ope&atin2 &o*e(,&e'8 &oi(e epe&t &eie1 o) t0e )ini'0e( p&oto*ol an( p&o*e(,&e'8 38;8; A''i't in t0e pe&)o&man*e o) t0e ee*,tion o) t0e te't p&oto*ol an( &e*o&(in2-analy'i' o) t0e te't &e',lt'8 38;8< A''i't in t0e p&epa&ation o) (eiation &epo&t' an( &e*ommen( *o&&e*tie a*tion' to &e'ole (i'*&epant 'it,ation' t0at may a&i'e (,&in2 ee*,tion o) t0e te't p&oto*ol8 38;8 A''i't in t0e p&epa&ation o) a )inal &epo&t an( p&oi(e inp,t a' to t0e *on*l,'ion' ',mma&iFin2 t0e 't,(y an( ',.mit to Company Xmana2ement )o& &eie1 an( app&oal8 ".3 ,anufacturin87 38<84 Reie1 an( app&oe t0e te't p&oto*ol8 38<8; &oi(e +,ali)ie( pe&'onnel to a''i't 1it0 t0e ee*,tion o) t0e p&oto*ol an( t0e *olle*tion o) 'ample'8 38<8< A''i't in p&epa&ation o) (eiation &epo&t' an( &e*ommen( *o&&e*tie a*tion to &e'ole (i'*&epant 'it,ation' t0at may a&i'e (,&in2 ee*,tion o) t0e p&oto*ol8 38<8 Reie1 an( app&oe t0e )inal &epo&t8 ". En8ineerin8 an'9or 6acilities eart*ent7 3884 Reie1 an( app&oe t0e te't p&oto*ol8 388; &oi(e (o*,mentation &e+,i&e( )o& t0e 2ene&ation an( ee*,tion o) t0e p&oto*ol8 388< &oi(e e+,ipment t0at 0a' .een *ommi''ione( an( ),n*tional a' 'pe*i)ie( .y Site  A**eptan*e Te't Repo&t8 388 &oi(e a''i'tan*e in eal,atin2 an( &e'olin2 e+,ipment mal),n*tion' t0at may  .e en*o,nte&e( (,&in2 ee*,tion o) t0e p&oto*ol8 ".! Qualit Assurance7 38=84 Reie1 an( app&oe t0e te't p&oto*ol in a**o&(an*e 1it0 t0e app&oe( SO'? *$M'? an( *,&&ent in(,'t&y 2,i(eline'8 38=8; Reie1 (eiation' an( ',ppo&t p&epa&ation o) *o&&e*tie a*tion &epo&t' t0at may  .e &e+,i&e( to &e'ole (i'*&epant 'it,ation'8 38=8< Reie1 an( app&oe t0e )inal &epo&t8 #.0 PREREQ4&ITE&  All Stan(a&( Ope&atin2 &o*e(,&e' &e+,i&e( )o& t0e ee*,tion o) t0i' I! ',*0 a' maintenan*e an( *ali.&ation o) t0e e+,ipment ,n(e&2oin2 I! m,'t .e app&oe( .e)o&e t0e I! #inal Repo&t *an .e app&oe(8 $.0 ACRO-,& A*+ Air *andling +nit AL Airloc>   C?P current ?ood anu%acturing Practice CP* C(anges per (our   CA Control Air olume Bo0es $3T $ntering 3ater Temperature ?P ?allons Per inute *$PA *ig( $%%iciency Particulate Air   *AC *eating, entilating, and Air Conditioning I3? Inc(es o% 3ater ?age LAT Lea"ing Air Temperature L3T Lea"ing 3ater Temperature A+ a>e+p Air +nit  N$BB National $n"ironmental Balancing Bureau  NLT Not Less T(an  NT Not ore T(an I@ Installation @uali%ication PSI Pound per Suare Inc( P Pre"enti"e aintenance PI Piping and Instrumentation iagram !P !e"olutions Per inute S5Ps Standard operating Procedures !*C !e *eat Coils TAB Testing, Adusting, and Balancing A aria)le Air olume <ampers or Bo0es= !.0 E6I-ITIO-&  A**eptan*e C&ite&ia T0e 'y'tem 'pe*i)i*ation' an( a**ept-&ee*t *&ite&ia t0at a&e ne*e''a&y )o& ma7in2 a (e*i'ion to a**ept o& &ee*t t0e 'y'tem an(-o& *omponent .ein2 +,ali)ie(8 S,mma&y o) Re',lt'  A 1&itten ',mma&y o) t0e +,ali)i*ation poli*ie'? p&o*e(,&e'? an( &e',lt' t0at may in*l,(e 2&ap0' an( ta.le' to ',ppo&t *on*l,'ion' an( )inal a**eptan*e8 Al'o in*l,(e( in t0i' ',mma&y 1o,l( .e (o*,mentation o) (eiation'? t0ei& ine'ti2ation? an( )inal *o&&e*tie a*tion implemente( to p&oi(e )inal *lo',&e8 Sy'tem T0e te&m K'y'temL a' ,'e( in t0i' p&oto*ol &e)e&' to t0e 'e&ie' o) *omponent'? mea',&in2 o& *ont&ol (ei*e' an(-o& e+,ipment? t0at 10en 1o&7in2 to2et0e& pe&)o&m a ),n*tion *on'i(e&e( *&iti*al to t0e man,)a*t,&in2 o) a p&o(,*t inten(e( )o& me(i*inal ,'e8 Wit0in t0e '*ope o) t0i' p&o*e(,&e? t0e te&m K'y'temL e+,ally applie' to *omp,te&iFe( 'y'tem'? p&o*e'' *ont&ol 'y'tem'? ,tilitie'? 'e&i*e'? an( e+,ipment 'et/,p' 5e828? a &ea*to&/ *on(en'e&/moto&/a2itato& 'et/,p68 10.0 GE-ERAL OC4,E-TATIO- REQ4IRE,E-T& 4>84 e&'onnel I(enti)i*ation "i't 4>8484 All pe&'onnel inole( in t0e ee*,tion o) t0e p&oto*ol m,'t &eie1 an( *omplete  Atta*0ment 48 4>848; C,&&i*,l,m Vitae )o& all *ont&a*t pe&'onnel 0ae .een ',.mitte( to t0e Vali(ation Depa&tment? (o*,mente( in t0e App&oe( e&'onnel "i't maintaine( .y t0e Do*,ment Cont&ol Depa&tment at Company X? In*8 4>8; Te't E+,ipment I(enti)i*ation-Cali.&ation 4>8;84 Do*,ment on Atta*0ment ; t0e te't e+,ipment t0at i' ,'e( (,&in2 ee*,tion o) t0i' p&oto*ol8 4>8;8; All te't e+,ipment (e'*&iption' 0ae .een ',.mitte( to t0e Vali(ation Depa&tment? (o*,mente( in t0e app&oe( Te't In't&,ment "i't maintaine( .y t0e Do*,ment Cont&ol Depa&tment at Company X? In*8 4>8;8< All te't e+,ipment m,'t .e *ali.&ate( a2ain't 'tan(a&(' t0at a&e NIST t&a*ea.le8 Copie' o) all *ali.&ation *e&ti)i*ate' )o& t0e te't e+,ipment m,'t .e in*l,(e( in t0i' atta*0ment8 4>8< Te't E+,ipment Ope&ation 4>8<84 Do*,ment on Atta*0ment < t0e SO' an(-o& Ope&ation Man,al' t0at a&e &e+,i&e( )o& t0e te't e+,ipment ,'e( in t0e ee*,tion o) t0i' p&oto*ol8 4>8 &oto*ol Co&&e*tion' 4>884 &oto*ol *o&&e*tion' m,'t .e (o*,mente( .y t0e i'',an*e o) a p&oto*ol amen(ment p&oi(in2 t0e *o&&e*t in)o&mation8 4>8= Ra1 Data Co&&e*tion' 4>8=84 Co&&e*tion' to t0e &a1 (ata m,'t .e pe&)o&me( ,'in2 a 'in2le line *&o'' o,t an( eplanation 1it0 t0e pe&'on' initial' an( (ate8 4>83 &oto*ol Deiation' 4>8384 A p&oto*ol (eiation in(i*ate' t0e (i'*oe&y o) (i'*&epant &e',lt'? met0o('? in)o&mation? o& p&o*e(,&e' &e',ltin2 )&om t0e ee*,tion o) t0i' p&oto*ol8 4>838; A (i'*&epan*y in(i*ate' t0e (i'*oe&y o) (i'*&epant &e',lt'8 4>838< All p&oto*ol (eiation'? (i'*&epan*ie'? an( in*i(ent' m,'t .e (o*,mente( in a**o&(an*e 1it0 t0e *,&&ent Company X Stan(a&( Ope&atin2 &o*e(,&e  M#-SO->9@? entitle( KSO )o& t0e Repo&tin2 an( Ine'ti2ation o) Ine'ti2ation on In*i(ent'? Di'*&epan*ie' an( Deiation'L8 4>8@ Wo&7'0eet' 4>8@84 Data? ot0e& t0an la.o&ato&y (ata? m,'t .e (o*,mente( on one o) t0e )ollo1in2 type' o) 1o&7'0eet' (,&in2 t0e ee*,tion o) t0e p&oto*ol: 4>8@8; &oto*ol 'pe*i)i* (ata 1o&7'0eet'? p&oi(e( in t0e atta*0ment'? a&e to .e ,'e( to &e*o&( (ata a' &e+,i&e(8 4>8@8< T0e $ene&al Data Wo&7'0eet p&oi(e( in t0e atta*0ment'? may .e *,'tomiFe( )o& a((itional (ata *olle*tion o& *la&i)i*ation8 4>8@8 Copie' o) &a1 (ata )&om note.oo7 pa2e' o& la.o&ato&y te't &e',lt' may .e atta*0e( to t0i' ',mma&y pa*7a2e8 11. ATA COLLECTIO- A- OC4,E-TATIO- PROCE4RE& 4484 In'tallation !,ali)i*ation Wo&7'0eet' 448484 Ea*0 I! 1o&7'0eet m,'t .e *omplete( a' (i&e*te( on t0e in(ii(,al 1o&7'0eet8 44848; T0e ee*,te( I! 1o&7'0eet &a1 (ata '0o,l( .e *ompa&e( a2ain't t0e a**eptan*e *&ite&ia? eal,ate(? an( initiale(-(ate(8 In t0e eent t0e a**eptan*e *&ite&ia a&e not met? a (eiation &epo&t m,'t .e p&epa&e(? &eie1e( an( app&oe(? an( &e*o&(e( on t0e (eiation &epo&t lo2 )o& ea*0 o**,&&en*e8 44848< All (ata an( &e',lt' a&e to .e &e*o&(e( on app&oe( *opie' o) I! 1o&7'0eet'8 44848 Initial an( (ate ea*0 ent&y an( 'i2n an( (ate ea*0 1o&7'0eet8 44848= Ea*0 pa2e o) any atta*0ment' to t0e p&oto*ol m,'t &e)e&en*e t0e p&oto*ol ? 'e*tion an( pa2e ? an( m,'t .e initiale( an( (ate(8 448483 A ',mma&y o) &e',lt' &e)le*tin2 *on*l,'ion' )o& all e&i)i*ation' '0o,l( .e p&epa&e( an( t0i' (o*,ment in'e&te( at t0e .e2innin2 o) t0e (ata pa*7a2e8 44848@ T0e a**eptan*e *&ite&ia a' in(i*ate( )o& ea*0 I! 1o&7'0eet m,'t .e met8 44848 All 'pe*i)ie( (ata aaila.le at t0e time o) p&oto*ol 2ene&ation '0o,l( .e ente&e( on ea*0 1o&7'0eet p&io& to app&oal o) t0e p&oto*ol8 T0e 'o,&*e o) ea*0 'pe*i)ie( al,e ente&e( '0o,l( .e &e)e&en*e( in t0e *omment 'e*tion o) ea*0 I! 1o&7'0eet8 All 'pe*i)ie( (ata t0at *annot .e (ete&mine( at t0e time o) p&oto*ol 2ene&ation 1ill .e &e*o&(e( a' KNot 'pe*i)ie(L an( t0e a*t,al al,e )&om )iel( e&i)i*ation 1ill .e &e*o&(e(8 In t0e eent a 'pe*i)ie( *annot .e )iel( e&i)ie( a &ea'on '0o,l( .e ente&e( in t0e *omment 'e*tion o) t0e )o&m8 12. I-&TALLATIO- Q4ALI6ICATIO- TE&T REQ4IRE,E-T& 4;84 O.e*tie 448484 To e&i)y t0at t0e HVAC 'y'tem an( it' *omponent' 0ae .een in'talle( in a**o&(an*e 1it0 t0e &e+,i&ement' a' in(i*ate( in t0e en2inee&in2 'pe*i)i*ation' an( 'y'tem (&a1in2'8 4;8; A**eptan*e C&ite&ia 448;84 T0e a**eptan*e *&ite&ia a' in(i*ate( on ea*0 p&oto*ol atta*0ment m,'t .e met o&  1&itten eplanation p&oi(in2 &e'ol,tion m,'t .e (o*,mente(8 4;8< &o*e(,&e 4;8<84 Complete ea*0 p&oto*ol atta*0ment a' (i&e*te( on t0e in(ii(,al atta*0ment ma7in2 ',&e all &e+,i&e( (ata i' p&ope&ly &e*o&(e(? initiale(? an( (ate(8 4;8 Met0o(' o) Data Analy'i' 4;884 Reie1 all *omplete( atta*0ment' an( *ompa&e a2ain't t0e a**eptan*e *&ite&ia to a'',&e t0at all *&ite&ia 0ae .een met8 13. RE6ERE-CE& 4<84 ISO-14644-1? Clean&oom' an( A''o*iate( Cont&olle( Eni&onment'? a&t 4: Cla''i)i*ation o) Ai& Cleanline''? #i&'t E(ition? 4999/>=/>48 4<8; ISO-14644/;? Clean&oom' an( A''o*iate( Cont&olle( Eni&onment'? a&t ;: Spe*i)i*ation' )o& Te'tin2 an( Monito&in2 to &oe Complian*e 1it0 ISO 43/4? #i&'t E(ition? ;>>>/>9/4=8 4<8< ISO-14644/? Clean&oom' an( A''o*iate( Cont&olle( Eni&onment'? a&t : De'i2n? Con't&,*tion? an( Sta&t/,p ? #i&'t E(ition? ;>>>/>/>48 4<8 ISO-14644/@? Clean&oom' an( A''o*iate( Cont&olle( Eni&onment'? a&t @: Sepa&atie En*lo',&e' 5Clean Ai& Hoo('? $loe.oe'? I'olato&'? Mini/Eni&onment'? D&a)t8 4<8= Title ;4? Co(e o) #e(e&al Re2,lation'? a&t' ;4> an( ;44 4<83 ICH? !@A $oo( Man,)a*t,&in2 &a*ti*e $,i(an*e )o& A*tie 0a&ma*e,ti*al In2&e(ient'? A,2,'t ;>>48 4<8@ Stan(a&( Ope&atin2 &o*e(,&e' )o& Repo&tin2 an( Ine'ti2ation o) Deiation'? Met&olo2y Se&i*e'? &eentie Maintenan*e? C0an2e Cont&ol Sy'temL8 General ata /or:s)eet  Attac)*ent ;<< U'e t0i' 1o&7'0eet )o& a((itional (ata 2at0e&in2 o& (ata *la&i)i*ation8 In*l,(e in appli*a.le 'e*tion o) ',mma&y pa*7a2e8 NOTE: Make copies of this worksheet as necessary. Completed  )y: !e"ie#ed  )y: @A Appro"al: ate: ate: ate:  ATTAC+,E-T ;1 = Personnel I'entification List Ea*0 pe&'on 10o 1ill .e ee*,tin2 t0e p&oto*ol m,'t *omplete an ent&y on t0i' pa2e8 Si2nat,&e' 'i2ni)y t0at t0ey 0ae .een t&aine( in t0e p&oto*ol an( ,n(e&'tan( t0e p&oto*ol &e+,i&ement'8 NOTE: Make copies of this attachment as necessary.  Name Title Signatures Initials ate !e"ie#ed  )y: ate : @A Appro"al: ate :  ATTAC+,E-T 2 = Test E>ui*ent I'entification9Calibration Do*,ment te't e+,ipment not in'talle( on t0e e+,ipment-'y'tem .ein2 +,ali)ie( t0at a&e &e+,i&e( )o& ee*,tion o) t0i' p&oto*ol8  NOTE: Make copies of this attachment as necessary. Test $uipment Cali)ration escription odel Serial & Tag & & Last Cal Initials Cal ue ate ate ate Criteria etD Initials ui*ent Oeration Do*,ment SO' an(-o& Ope&ation Man,al' t0at a&e &e+,i&e( )o& ope&ation o) t0e te't e+,ipment ,'e( in t0e ee*,tion o) t0i' p&oto*ol an( e&i)y t0ey a&e *,&&ent8  NOTE:  Make copies of this attachment as necessary. ocumen t& Title Current and $%%ecti" ocumented Initial/at e ate D e ui*ent 9 Co*onent Verification 5one pe& ea*0 main *omponent in*l,(in2 in't&,mentation-Cont&ol'6 escription   AI! *ANLIN? +NIT A*+- Speci%ied' Type ASeries Location eFFanine a)o"e !oom '28 I & A*+- anu%acture Eor> International r  odel & AP4;6S6C'2X' 2 Serial & CA;;9192 Capacity !ating 78;; C6 Actual Initial/at e imensions '2-H0 97H0 87H en %rom #g & *;8re" 2, Comments P5 & 7;9-7;9, Eor> International I/5/ anual, ';;.;1nom'. ' Completed  )y: !e"ie#ed  )y: @A Appro"al: ate: ate: ate:  ATTAC+,E-T ! = 4tilities Verification Do*,ment Hot Wate& &e+,i&ement' )o& t0e appli*a.le e+,ipment-'y'tem ,n(e&2oin2 I!8 Al'o (o*,ment 'pe*i)i* *onne*tion' to t0e )a*ility 'team ',pply8 "i't 'o,&*e' )o& any  'pe*i)ie( in)o&mation &e*o&(e( on t0i' pa2e in *omment'8 All in)o&mation &e*o&(e( a' a*t,al i' )&om )iel( e&i)i*ation ,nle'' &e*o&(e( a' ot0e&1i'e in *omment'8 NOTE:  A*t,al in)o&mation? ',*0 a' p&e'',&e? '0o,l( .e mea',&e( 10e&e po''i.le8 escription / Type < X = Plant < = Clean Purpose Item Source Speci%ied' Boiler <= *ydroT(erm Actual Initial/ate ultiTemp !egulated Pressure '4 PSI Temp '7 J6 et(od o% oining To )e %ield "eri%ied Acceptance Criteria Actual "alues con%orm to speci%ied "alues. usti%ications are pro"ided %or actual "alues t(at cannot )e %ield "eri%ied. ielectric +nions are present )et#een  piping o% dissimilar metals. Comments Criteria etD Initial/ ui*ent9&ste* &ecifications Do*,ment a''o*iate( e+,ipment-'y'tem 'pe*i)i*ation' in*l,(in2? man,)a*t,&in2 'pe*i)i*ation'? en(o& a,(it'? #a*to&y A**eptan*e Te'tin2? an( in'pe*tion &epo&t' )o& t0e e+,ipment-'y'tem ,n(e&2oin2 I!8 Al'o? (o*,ment t0e e+,ipment-'y'tem lo2.oo7 e'ta.li'0e( )o& t0e e+,ipment-'y'tem ,n(e&2oin2 I!8  NOTE: Make copies of this attachment as necessary. NOTE: #o& *omp,te& &elate( 'y'tem'? (o*,ment a''o*iate( 'pe*i)i*ation' in*l,(in2 *omp,te& 'y'tem ali(ation plan? p&o*e'' (e'*&iption 5,'e& &e+,i&ement'6? ),n*tional &e+,i&ement'? (e'i2n 'pe*i)i*ation? 'o)t1a&e (e'*&iption an( *0an2e *ont&ol 0i'to&y8 Type Title/escription oc. Location Initial/ate & Acceptance Criteria Copies o% t(e manu%acturing speci%ications %or t(e euipment/system are attac(ed. Installed conditions (a"e )een "eri%ied to re%lect %unctional speci%ications. $uipment/system log)oo> esta)lis(ed. 6ilter speci%ications and manu%acturing "alidation guides are a"aila)le. *$PA %ilter speci%ications are a"aila)le. Computer related systems (a"e speci%ications a"aila)le. Criteria etD ui*ent ,anuals  Ve&i)y t0at pe&tinent e+,ipment (o*,mentation ei't' an( &e)e&en*e t0e lo*ation 10e&e t0e (o*,ment i' 7ept8 Title Location Initials/ate Acceptance Criteria T(e manu%acturers euipment manuals are descri)ed a)o"e and t(e location o% eac( manual is documented. Comments Criteria etD Initials/ate ui*ent9&ste* ra@in8s Do*,ment a''o*iate( p&o*e'' )lo1 (&a1in2'? ID'? layo,t (&a1in2'? '0op (&a1in2'? an( any ot0e& pe&tinent (&a1in2'? in*l,(in2 all a''o*iate( e+,ipment? )a*ility? an( ,tility (&a1in2' )o& t0e e+,ipment-'y'tem ,n(e&2oin2 I!8 Ve&i)y t0at t0e (&a1in2' a&e a**,&ate an( ',))i*ient to *0a&a*te&iFe t0e e+,ipment-'y'tem8 Ve&i)y t0at *omponent' a&e p0y'i*ally la.ele( in a**o&(an*e 1it0 (&a1in2'8 Hi20li20t t0e e&i)ie( po&tion' o) t0e (&a1in2' an( &e(line *0an2e' a' ne*e''a&y8 All (&a1in2' m,'t .e e&i)ie(? 'i2ne(? an( (ate(8 S,.mit any &e(line( (&a1in2' to t0e Do*,ment Cont&ol $&o,p )o& &ei'ion8 In*l,(e *opie' o) t0e 0i20li20te(? e&i)ie( (&a1in2'? &e(line( *opie'? an( appli*a.le Do*,ment Cont&ol #o&m' 1it0 t0i' ',mma&y pa*7a2e8  NOTE: Make copies of this attachment as necessary. NOTE: Cont&olle& (ia2&am' an( 1i&in2 (ia2&am' 1ill .e (o*,mente( on 'epa&ate atta*0ment'8 ra#ing & Title !e". !e". Initial/ate ate Acceptance Criteria ra#ing list includes associated euipment, %acility, and utility dra#ings. ra#ings, #it( redlines i% applica)le, are su%%icient to c(aracteriFe euipment/system. $uipment/system installation corresponds to dra#ings, #it( redlines i% applica)le. Components including euipment, "al"es, and instruments are p(ysically la)eled and la)els correspond to dra#ings, #it( redlines i% applica)le. Copies o% "eri%ied dra#ings and redline copies are included #it( t(is summary pac>age. ra#ings (a"e )een "eri%ied, signed, and dated. !edlined dra#ings su)mitted %or Criteria etD Initial/ age. T(e ocument Control ?roup controls original dra#ing %iles. Comments Completed  )y: !e"ie#ed  )y: ate: ate: @A Appro"al: ate:  ATTAC+,E-T 11 = &uort ocu*entation ? E>ui*ent9&ste* &tan'ar' Oeratin8 Proce'ures Do*,ment ope&atin2 SO' 5e828 ope&ation? maintenan*e? *leanin2 an( 'anitiFation6 a''o*iate( 1it0 t0e e+,ipment-'y'tem? in*l,(in2 *ont&ol'? ,n(e&2oin2 I!8  NOTE:  Make copies of this attachment as necessary. NOTE: #o& *omp,te& &elate( 'y'tem'? SO' '0o,l( in*l,(e )ail,&e-.a*7,p-&e*oe&y? 'e*,&ity? 'y'tem monito&in2 an( maintenan*e8 ocument & Title Acceptance Criteria !e". !e". Initial/ate ate Criteria etD Initial/ ui*ent9&ste* Calibration Proce'ures Pa8e <<<<<< of <<<<<<< Do*,ment t0e *ali.&ation SO' a''o*iate( 1it0 t0e *&iti*al in't&,ment' on e+,ipment-'y'tem? in*l,(in2 *ont&ol'? ,n(e&2oin2 I!8  NOTE: Make copies of this attachment as necessary. ocument & Title !e". !e". Initial/ate ate Acceptance Criteria All cali)ration procedures associated #it( t(e critical instruments on t(e euipment/system undergoing are appro"ed and current. Comments Criteria etD Initial/ ui*ent9&ste* Calibration Pro8ra* Pa8e <<<<<< of <<<<<<< Do*,ment t0e e+,ipment-'y'tem *omponent' 5e828? in't&,ment'? *ont&ollin2-monito&in2 '1it*0e'6 ,n(e&2oin2 I! t0at &e+,i&e *ali.&ation8 Ve&i)y t0at t0e'e *omponent' a&e ente&e( into *ali.&ation p&o2&am .y &eie1in2 *opie' o) t0e *ali.&ation &epo&t' o.taine( )&om t0e Met&olo2y Depa&tment8 En',&e t0at all *omponent' &e+,i&in2 *ali.&ation 0ae .een *ali.&ate( an( a&e t&a*ea.le to National In'tit,te o) Stan(a&(' an( Te*0nolo2y 5NIST6? t0e Ame&i*an So*iety o) Te'tin2 an( Mate&ial' 5ASTM6? o& ot0e& appli*a.le 'tan(a&(8 A((itionally? e&i)y t0at all *ali.&ate( in't&,ment' 0ae a *ali.&ation ta28 In*l,(e *opie' o) t0e *ali.&ation &epo&t' 1it0 t0i' ',mma&y pa*7a2e8  NOTE: Make copies of this attachment as necessary. NOTE: In't&,ment e&i)i*ation? p&o*e'' in't&,ment mate&ial' o) *on't&,*tion  e&i)i*ation? an( (i2ital 'en'o&' an( *ont&ollin2-monito&in2 '1it*0e' li't 1ill .e (o*,mente( on 'epa&ate atta*0ment'8 Compone Las Associat Associat !e nt Asset & Cal t Initia ed Cal ed Cal !e ". and 6reuen Cal l/ Procedur  Procedur  ". at escripti cy at ate e& e Title e on e Acceptance Criteria Components t(at reuire cali)ration are entered into t(e cali)ration program. Components are tracea)le to applica)le standard. Components (a"e a tag indicating last cal date and cal due date. Components are cali)rated )y t(e conclusion o% protocol e0ecution. Copies o% t(e cali)ration reports are included #it( t(is summary pac>age. Comments Criteria etD International 5/ anual A+' 8/9/19 ammot( 5/ anual Initial/ ate Acceptance Criteria Criteria etD Initial/