释放装置在线功能检查报告(中英文).doc

Relief Device In-Place Function Inspection and Test Report
释放装置在线功能检查及测试报告

IDENTIFICATION 认证
Registration Number
注册号码

Equipment Tag Number:
设备标签号码：

Date of Inspection: 检查日期

Work Order Number: 工作单号码：

Plant Code/ Name: /
工厂代号/名字：
Owner:所有者

Employee Number: 员工号

Phone: 电话

Initiator: 发起人

Employee Number: 员工号

Phone: 电话

Comments: 备注

DEVICE TYPE 设备类型
Pressure Safety Valve (PSV) Pressure Vacuum Relief Valves/Vents (PVRV)
安全阀 真空排放阀/通风口
Emergency Relief Valve (ERV) Pressure Relief Vent (Open Vents, Liquid Seal Vents) (PRV)
紧急排放阀 压力排放通风口（开口通风口，液体密封通风口）
PURPOSE OF INSPECTION 检查目的
Scheduled Inspection 计划内的检查 Inspection after Activation 激活操作后的检查 Other 其他
Comments: 备注：
INSPECTION RESULTS COMMON TO BOTH PSV’S, PRV’S, ERV’s, AND PVRV’S
对PSV, PRV, ERV以及 PVRV的共同的检查结果
Correct relief device is installed and tagged
安装的排放装置正确且有标签
Yes/是 No/否 N/A 不适用
Remarks
备注
Not obstructions exist in the discharge line such as birds or wasp nests, leaves or other debris that may restrict the discharge.
排放管线中不存在堵塞，如鸟类或黄蜂巢，叶子或其他可能阻塞排放的碎落物
Yes/是 No/否 N/A 不适用
Remarks
备注
Not gags, blinds, closed valves, or piping would prevent the relief device from functioning properly.
没有塞口物，障蔽物，关闭的阀门或管道会阻碍排放装置正常工作
Yes/是 No/否 N/A 不适用
Remarks
备注
Upstream and downstream block valves are sealed or chained in the proper position.
上流及下流阻塞阀有铅封或在合适的位置被锁住
Yes/是 No/否 N/A 不适用
Remarks
备注
Vent stacks, discharge piping and small nipples are properly supported.
通风烟囱，排放管道及小的接口均被合适支撑
Yes/是 No/否 N/A 不适用
Remarks
备注
Relief device drains and vent stack drains are open.
排放装置排放手阀及通风排管均被打开
Yes/是 No/否 N/A 不适用
Remarks
备注
Any heat tracing, insulation, or purge that is critical to the proper operation of the relief system is intact and operating properly.
任何对生产来说很重要的伴热，保温或吹扫都完好并能正常工作。
Yes/是 No/否 N/A 不适用
Remarks
备注
Seals installed to protect the spring setting and ring pin have not been broken.
所安装的用于保护弹簧装置的封条及环行针未破损
Yes/是 No/否 N/A 不适用
Remarks
备注
Relief device does not leak. (Consider use of ultrasonic detection for leak through).
排放装置没有泄漏处（考虑使用超声进行探测）
Yes/是 No/否 N/A 不适用
Remarks
备注
Any lifting lever is operable and positioned properly
所有举重杠杆均可工作且安置合适
Yes/是 No/否 N/A 不适用
Remarks
备注
INSPECTION AND TEST RESULTS FOR PSV’S
为PSV进行检查与测试
All gauges or pressure sensing devices installed as part of a combination rupture disk and relief device system is serviceable.
作为爆破片和释放装置组合的一部分，所有的压力表或压力感应装置都工作正常
Yes/是 No/否 N/A 不适用
Remarks
备注
Pressure buildup does not exist between disk and relief device. (Record pressure in remarks)
在爆破片与排放设备间不存在压力累积（在备注栏中记录下压力值）

Yes/是 No/否 N/A 不适用
Remarks
备注
Check orientation of any installed rupture disk.
检查任何安装好的爆破片的方向
Yes/是 No/否 N/A 不适用
Remarks
备注
Set Pressure PSIG Initial Test: Pops at PSIG
整定压力 最初测试：起跳压力为
Adjustment Required Yes/是 No/否 N/A 不适用
需要调整
Adjustments completed Yes/是 No/否
完成调整
Final Test: Pops at PSIG
最终测试： 起跳压力为

Registration Number (GEMTS or MMS Equivalent):
注册号码（相当于GEMTS或者MMS）

Equipment Tag Number:
设备标签号：

QUALIFIED RELIEF DEVICE INSPECTOR
有资质的排放设备检查员
Remarks:
备注

· If equipment is determined to be unacceptable for continued use and an in place repair can not be made, the qualified inspector shall notify the equipment owner and initiate a work request to have the device repaired or replaced as appropriate.
如果设备已被判定不能继续被使用或在线修理不适用，有资质的检查员应当通知设备所有者并填写工作单要求设备进行合适的修理及替换。
· If conditions were noted that could impact the reliability of the device these should be reported to the equipment owner and the inspection interval be reduced to one half the original interval. If the equipment owner conducts a RCI and determines the cause(s) and the cause(s) are corrected he may request returning to the original or other appropriate interval by contacting the Mechanical Integrity Equipment File Administrator.
如果有可能影响到设备可靠性的情况出现，应报告给设备所有者，检查间隔期应当被减少到原时间间隔的一半。如果设备所有者进行RCI检查并确定了设备故障的起因且进行了修正，那么应该通过联系机械完整性（Mechanical Integrity）设备文件管理人员来要求恢复原来的检查间隔或决定其他合适的检查时间间隔。
Qualified Inspector:
有资质的检察员：
Employee Number:
员工号码：
Date:
日期：
Note: Send this form to either the Maintenance Representative or Mechanical Integrity Equipment File Administrator, consistent with site work process.
备注：将该表格交至维护代表或是机械完整性设备文件管理人员处，与现场工作过流程一致。

INSPECTION RESULTS FOR PRV’S, ERV’s AND PVRV’S
对PRV, ERV 和PVRV的检查结果
Does the weight stamped on the pallet(s) agree with the registration form
配重块上标示的重量与注册表上的值是否一致
Yes/是 No/否 N/A 不适用
Remarks
备注
The protective cover(s) is in good condition and hold down nuts are free of rust and corrosion
保护外套情况良好，固定螺母未生锈或被腐蚀
Yes/是 No/否 N/A 不适用
Remarks
备注
With the cover removed， pallets, diaphragms and all moving parts are free to move.
移去外套后，配重块、隔膜及其他可移动部件均能被灵活移动
Yes/是 No/否 N/A 不适用
Remarks
备注
Pallet(s) or diaphragm(s) are in clean condition and there is not signs of damage or tampering that may alter the relieving pressure.
配重块及隔膜保持干净，没有可能改变排放压力的受损或改动的迹象
Yes/是 No/否 N/A 不适用
Remarks
备注
Gasket(s) in seating area(s) is in good condition and shows not signs of damage such as abrasion or pitting, or leakage.
密封区域的垫圈情况良好，没有诸如磨损、凹痕或泄漏的迹象
Yes/是 No/否 N/A 不适用
Remarks
备注
Rippling or tearing of the diaphragms
隔膜弄皱或被撕裂
Yes/是 No/否 N/A 不适用
Remarks
备注
QUALIFIED RELIEF DEVICE INSPECTOR
有资质的排放设备检查员
Remarks:
备注

· If equipment is determined to be unacceptable for continued use and an in place repair can not be made, the qualified inspector shall notify the equipment owner and initiate a work request to have the device repaired or replaced as appropriate.
如果设备已被判定不能继续被使用或在线修理不适用，有资质的检查员应当通知设备所有者并填写工作单要求设备进行合适的修理及替换。
· If conditions were noted that could impact the reliability of the device these should be reported to the PCE Focal Point or equipment owner and the inspection interval be reduced to one half the original interval. If the equipment owner conducts an RCI and determines the cause(s) and the cause(s) are corrected he may request returning to the original or other appropriate interval by contacting the Mechanical Integrity Equipment File Administrator.
如果有可能影响到设备可靠性的情况出现，应报告给设备所有者，检查间隔期应当被减少到原时间间隔的一半。如果设备所有者进行RCI检查并确定了设备故障的起因且进行了修正，那么应该通过联系GMISS文件管理人员来要求恢复原来的检查间隔或决定其他合适的检查时间间隔。
Qualified Inspector:
有资质的检查员：
Employee Number:
员工号：
Date:
日期：
No te: Send this form to either the Maintenance Representative or Mechanical Integrity Equipment File Administrator, consistent with site work process.

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Form Page 4 of 2
Revised: 11/10/2004