Form 5M - QC Checklist For Control System Architecture Drawings Rev 1 (3!5!2018)
Form 5M - QC Checklist For Control System Architecture Drawings Rev 1 (3!5!2018)
Form 5M – QC Checklist
for Control System Architecture Drawings
Effective Date: 3/5/2018, Rev: 1.0
Title Block:
Is the document titled “Control -
☐ Yes / ☐ No If no:
Diagram”? (first portion of the title)
Is the second line of the document
☐ Yes / ☐ No If no:
titled “Control System Architecture”?
Is the Facility Name provided? (third
☐ Yes / ☐ No If no:
portion of the title)
Are the fields for Drawing Number,
Revision Number, and Sheet Number ☐ Yes / ☐ No If no:
populated?
Is the drawing revision history shown,
with Revision Numbers, dates, and
boxes for “Drawn by” (DWN),
☐ Yes / ☐ No If no:
“Checked by” (CHKD) “Supervised
by” (SUPV), and “Approved by”
(APVD BY)?
Is the latest revision titled “ISSUED
☐ Yes / ☐ No If no:
FOR USE - AS FOUND”?
Is the Project Number inserted in the
☐ Yes / ☐ No If no:
GM/Spec box correct for the facility?
Is the box “Supersedes” filled out with ☐ Yes / ☐
If no:
the superseded Drawing Number? No / ☐ N/A
Is there a place for a PE stamp?. ☐ Yes / ☐ No If no:
Page 1 of 5
Critical Documents
Form 5M – QC Checklist
for Control System Architecture Drawings
Effective Date: 3/5/2018, Rev: 1.0
Page 2 of 5
Critical Documents
Form 5M – QC Checklist
for Control System Architecture Drawings
Effective Date: 3/5/2018, Rev: 1.0
Page 3 of 5
Critical Documents
Form 5M – QC Checklist
for Control System Architecture Drawings
Effective Date: 3/5/2018, Rev: 1.0
☐ Yes / ☐
Are all model/type numbers listed? If no:
No / ☐ N/A
☐ Yes / ☐ No
Is the RTU address listed? If no:
/ ☐ N/A
Comments or Requested Changes:
References:
Is a List of References provided, and
is each Reference Number and ☐ Yes / ☐ No If no:
Reference Title Name provided?
Is the List of References organized
☐ Yes / ☐ No If no:
numerically by Reference Number?
Is the List of References placed on
the right side of the drawing, above ☐ Yes / ☐ No If no:
the Title Block?
Are references made to the
☐ Yes / ☐ No If no:
appropriate Connection Diagrams?
Comments or Requested Changes:
Closing:
Have all redline changes denoted in ☐ Yes / ☐ No
If no:
green ink been removed? /☐ N/A
Have all redline changes denoted in ☐ Yes / ☐ No
If no:
red ink been changed? /☐ N/A
Have all redline comments denoted in ☐ Yes / ☐ No
If no:
blue ink been addressed? /☐ N/A
Has the status in the CD SharePoint
been changed to Drawing QC ☐ Yes / ☐ No If no:
Complete?
Comments or Requested Changes:
Signature
Page 4 of 5
Critical Documents
Form 5M – QC Checklist
for Control System Architecture Drawings
Effective Date: 3/5/2018, Rev: 1.0
Add electronic signature, to confirm all critical documents have been completely verified.
Please do not print unnecessary copies.
Drawing QC Person:
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