| # | Item | Checked | Comments |
|---|---|---|---|
| 1 | All instruments installed and identified | ||
| 2 | Loop check completed | ||
| 3 | Calibration records available | ||
| 4 | As-built drawings provided | ||
| 5 | Instrument data sheets included | ||
| 6 | Junction boxes labeled | ||
| 7 | Wiring checked and terminated | ||
| 8 | Earthing verified |
| Name | Position | Company | Date | Signature |
|---|---|---|---|---|