+ All Categories
Home > Documents > 6416001 IQ Purified Water

6416001 IQ Purified Water

Date post: 30-Sep-2015
Category:
Upload: doan-chi-thien
View: 68 times
Download: 5 times
Share this document with a friend
Description:
IQ Purified Water
Popular Tags:
127
INSTALLATION QUALIFICATION PROTOCOL For the NEW PURIFIED WATER SYSTEM Prepared by ____________________________________
Transcript
  • INSTALLATION QUALIFICATION PROTOCOL

    For the

    NEW PURIFIED WATER SYSTEM

    Prepared by

    ____________________________________

  • TABLE OF CONTENTS 1.0 PURPOSE AND OBJECTIVE(S) .................................................................................................................................... 4

    2.0 BACKGROUND .............................................................................................................................................................. 4

    3.0 SCOPE ........................................................................................................................................................................... 4

    4.0 REFERENCES ............................................................................................................................................................... 4

    5.0 RESPONSABILITIES ...................................................................................................................................................... 5

    5.1 Validation Specialist ................................................................................................................................................... 5

    5.2 Quality Dept. ............................................................................................................................................................... 5

    5.3 Facility Dept. ............................................................................................................................................................... 5

    6.0 METHODOLOGY ............................................................................................................................................................ 6

    6.1 Verification Data Sheet ............................................................................................................................................... 6

    6.2 Deviation Report ......................................................................................................................................................... 6

    6.3 Signature Log Sheet ................................................................................................................................................... 6

    6.4 Test Instruments Calibration ....................................................................................................................................... 6

    7.0 EQUIPMENT/PROCESS DESCRIPTION ....................................................................................................................... 7

    7.1 Water Softener ........................................................................................................................................................... 7

    7.2 Ozone Generator ........................................................................................................................................................ 7

    7.3 Reverse Osmosis ....................................................................................................................................................... 7

    7.4 Mixed Bed................................................................................................................................................................... 7

    7.5 Ozone Destructor ....................................................................................................................................................... 7

    7.6 De-gasifier .................................................................................................................................................................. 8

    7.7 UV light ....................................................................................................................................................................... 8

    7.8 Filter ........................................................................................................................................................................... 8

    APPENDIX I: DEVIATION REPORT .......................................................................................................................................... 11

    APPENDIX II: SIGNATURE IDENTIFICATION LOG SHEET .................................................................................................... 12

    APPENDIX III: TESTING INSTRUMENTS LOG SHEET ........................................................................................................... 13

    IQ-01 EQUIPMENT VERIFICATION .......................................................................................................................................... 15

    IQ-02 DOCUMENT INVENTORY VERIFICATION .................................................................................................................... 37

    IQ-03 DRAWING VERIFICATION .............................................................................................................................................. 56

    IQ-04 SYSTEM DESIGN VERIFICATION .................................................................................................................................. 58

    IQ-05 PLACEMENT VERIFICATION ......................................................................................................................................... 60

    IQ-06 UTILITY VERIFICATION .................................................................................................................................................. 67

    IQ-07 INSTRUMENTATION VERIFICATION ............................................................................................................................. 86

    IQ-08 MAINTENANCE VERIFICATION ..................................................................................................................................... 88

    IQ-09 SAFETY & ERGONOMICS VERIFICATION .................................................................................................................. 107

    IQ-10 PROCEDURE VERIFICATION ...................................................................................................................................... 109

    IQ CHECKLIST VERIFICATION .............................................................................................................................................. 127

  • REVISION HISTORY

    Revision Description of change Date

  • 1.0 PURPOSE AND OBJECTIVE(S) This protocol (___) intends to provide documented evidence that the new Purified Water System was installed according to manufacturers specifications and ___ ___ requirements.

    This Installation Qualification will provide documented evidence that all key aspects of the Purified Water System equipments assembly and its auxiliary systems is as intended by manufacturer design and in accordance to ___s requirements.

    At the end of the execution activities, a final report will be developed with a summary of the executed tests results and the recommendation(s) necessary for the Installation Qualification.

    Potential risks involved with the new Purified Water System installation when connected to the manufacturing processes has already being evaluated by Risk Assessment PLS 0410.

    2.0 BACKGROUND In order to meet the new purified water utility demands at ___ I in ___ ___, ___ ___, a new purified water system was purchased to replace the existing system. It is expected that this new purified water system will increase the supply to up to 100 GPM. Additionally, it is intended to produce a water quality that meets or exceeds current Purified Water USP and EP standards.

    3.0 SCOPE This protocol applies to the new equipment and auxiliary components that constitute the Purified Water System, installed at ___ in ___ ___, ___ ___

    4.0 REFERENCES

    FDAs Office of Regulatory Affairs: Guide To Inspections of High Purity Water Systems

  • 5.0 RESPONSABILITIES 5.1 Validation Specialist

    Prepare the documents that are applicable to the Validation exercise Coordinate efforts and resources, along with Facilities Dept., to perform the Validation

    exercise Execute and collect the verification data for the Validation protocol Verify data against Acceptance Criteria and initiate deviation, as applicable Investigate, justify, and correct any deviation encountered during Validation execution Prepare validation Final Report

    5.2 Quality Dept. Evaluate with the originator the extent of the validation required Review and approve documents for the validation exercise Review and approve validation activities for compliance and adherence to ___s policies,

    practices, and procedures Check that the collected data meets the acceptance criteria and that all the deviations (if

    applicable) are properly resolved Once executed, review any deviations generated to confirm that investigation and

    resolutions are complete Cooperate with Validation Specialist to investigate, justify, and correct any deviation

    encountered during Validation execution Review and approve Final Report Maintain original validation documentation, except for drawings and equipment manuals

    that will remain in the equipment information files Store the Validation Package in a designated filing area

    5.3 Facility Dept. Review and approve documents for the validation exercise Coordinate efforts and resources to perform the validation activities Supply documentation and tools needed for the protocol execution Provide training in this protocol to all employees involved (internal and external) during the

    execution of this protocol and ensure that all signatures are collected on Signature Log Sheet

    Assist to document, investigate, justify, and correct any deviation encountered during the IQ protocol execution

    Review and approve validation Final Report Provide technical support for trouble shooting during the execution

  • 6.0 METHODOLOGY 6.1 Verification Data Sheet

    All data resulting from test execution will be entered in Verification Data Sheets that will pre-define the objective(s) to be attained with the verification, the procedure that will be followed to reach such objective(s), the reference material to be used, and the criteria to evaluate as to accept or not the testing results. All data entry will be properly signed and dated by the executor in the Performed By and Date spaces. In cases where a Field Verification is requested, a Fail condition will be applied to unverifiable information. The comments/observations section included in each Data Collection Form will be used to describe any additional information considered of importance for describing the validated condition and/or discrepancies and resolution activities produced during the execution. The comments/observations included must be signed or initialed and dated. When the test execution is finished, a subject matter expert will sign and date on the Reviewed by and Date spaces respectively, to state the completeness and correctness of the data.

    6.2 Deviation Report The following deviations must be documented using the Deviation Report Form attached to this protocol: Results invalidated and/or not in compliance with their pre-established Acceptance Criteria Testing procedure and/or sampling plan not followed or that could not be completed as

    planned These deviations will be handled as per ___ ___ PR

    The investigation process due to deviated sampling results will be handled by contract laboratory, following their own investigation procedures. These incidents will be informed to who oversees the validation project in ___ ___, ___ PR, which in turn will open a deviation report to follow the lifecycle of the investigation and to implement any possible changes due to investigation resolution. Typographic, text edit and syntax errors will be documented as such in the Comments section under the corresponding test script, and considered as a minor issue that may not invalidate a test or become cause for writing a deviation report. These will be explained in the Final Report.

    6.3 Signature Log Sheet Each individual who signs or initials any page included in this protocol shall be identified using the Signature Log Sheet by type/printed name, full signature, written initials and department represented.

    6.4 Test Instruments Calibration All testing equipment used during for the execution shall be currently calibrated with documented evidence of its up to date calibration status. Copies of the calibration certificates shall be attached to the protocol and referred to the applicable test script.

  • 7.0 EQUIPMENT/PROCESS DESCRIPTION Purified Water is water obtained by distillation, ion-exchange treatment, reverse osmosis, and other suitable processes. It is prepared from water complying with the regulations of U.S. Environmental Protection Agency (EPA) with respect to drinking water. It contains no added substances.

    The Purified Water system includes the following equipment, along with associated components:

    30 um filters (2) 6, 000 and 8, 000 Gal. Tanks

    1 um filters (4) Distribution Pumps (4)

    0.2 um filters (4) Dual Reverse Osmosis unit

    Dual Softener unit Dual Mix Bed unit

    Ozone Generator UV lamps (4)

    Ozone Destructor Degasification unit

    Microza filters (18)

    7.1 Water Softener The Water Softener reduces the levels of calcium and other scale creating elements from the process stream. Water softeners also remove aluminum, copper and other trace metals. The removal process occurs by ion exchange. The softener vessel is filled with sodium form cation resin. The calcium, magnesium, barium, strontium, and other ions removed by the resin are replaced with sodium ions. The cation resin has a fixed capacity for ion removal and must be regenerated when that capacity has been exhausted.

    7.2 Ozone Generator The Ozone Generator is employed to produce the Ozone used to sanitize the Softened Water that passes through to the 6,000 Gallon Tank.

    7.3 Reverse Osmosis The Reverse Osmosis unit processes water by means of semi-permeable membranes, which allow pressurized water to freely pass through the membranes, but almost totally reject dissolved and suspended substances in the feed water.

    7.4 Mixed Bed The Mixed Bed de-mineralizes water by using the ion exchange process. The influent water passes through a bed of Cation and Anion resin that are intimately mixed. The mixed bed configuration functions similarly to a two-bed configuration in regards to the ion exchange process; however, it is much more efficient and therefore produces water of much greater purity.

    7.5 Ozone Destructor The Ozone Destructor employs ultraviolet light to reduce the ozone level to a safe preset level before exiting the skid to the Service Points of Use. Ozone reduction is done by breakage of the O3 bonds at the ultraviolet spectrum.

    As per United States Pharmacopeia (USP) standards

  • 7.6 De-gasifier De-gasifier membranes are employed to reduce the oxygen level of the water. Membrane contactors make it possible to transfer gas from an aqueous stream without dispersion. By virtue of surface tension, the water on one side of the membrane is exposed to the gas side of the membrane with no liquid transfer, providing a large surface area for gas/liquid contact and transfer. Dissolved O2 passes from the water surface into the gas side by diffusion and is swept out by a combined vacuum/air flow.

    7.7 UV lights Ultraviolet lamps produce UV-C (germicidal UV), which is a radiation that when harmful microbes are exposed to the UV rays, scrambles the DNA structure of the organism, rendering it sterile and can no longer reproduce. Almost all of a UV lamps output is concentrated in the 254 nanometers (nm) region in order to take full advantage of the germicidal properties of this wavelength. The lamp is mounted such that water passing through a flow chamber is exposed to the UV-C light rays.

    7.8 Filters At the first stage, the raw water enters a 30 m pre-filter to trap any heavy sediment before it enters the softeners. The 1 m filters will act as a resin trap and removes suspended from the softeners. The absolute 0.2 micron rated filters significantly enhances the water quality with its capacity to remove the majority of microorganisms. The Microza ultra filters that are at the end of the purified water system uses fiber hollow technology that will remove endotoxins and viruses.

    7.9 Distribution Pumps Two pairs of distribution pumps will provide constant flow of the processed water throughout the Purified Water System pipelines. Although its functionality will not contribute directly to the processing of Purified Water, by providing a constant flow will indeed significantly reduce the chances of microbial growth due to stagnant water.

    7.10 Tanks Two storage tanks will provide storage capacity to the Purified Water System. A 6,000 gallon tank will store ozone-treated softened water that will supply constant feed to the dual R.O. unit, while an 8,000 gallon tank will store water post reverse osmosis and de-ozonization treatment, which will supply constant feed to the main loop.

  • With this configuration in place, a Purified Water (USP, EP) quality is intended to be achieved through the following processes: Filtration (by means of 30 um filters, 1 um filters, 0.2 um filters, and R.O. Unit, and Microza filters) Ion exchange (by means of Softener and Mix Bed) Sanitation (by means of Ozone Injection and UV light radiation) Degasification (by means of a de-gasifier unit)

  • APPENDICES

  • DEVIATION DESCRIPTION

    Deviation reported by:_________________________________ Date: _________________

    ENGINEERING INVESTIGATION

    Attach additional pages, if necessary Root Cause: Manpower Methods Equipment Materials Environment

    CORRECTIVE / PREVENTIVE ACTION

    Evaluation performed by:____________________________________ Date: _________________ Testing required after Corrective action implemented? (YES/NO) ______________ Test results (PASS/FAIL/NA) ________________ Performed by: _______________________________________ Date: _______________________ Comments:

    Reviewed by ______________________________________ Date: ____________________________

    APPENDIX I: DEVIATION REPORT

    Deviation Number: _________________

    Test Description/Test Number:

    Deviation Area: I/Q O/Q P/Q

  • APPENDIX II: SIGNATURE IDENTIFICATION LOG SHEET

    This sheet is intended to record each individual who takes part of the execution process and is not included in the front page. The scope of this sheet applies to anyone who signs or initials any page included in the attached qualification documents. Each person shall be identified by typed or printed name, full signature, written initials, and department represented.

    NAME SIGNATURE INITIALS DEPARTMENT

  • APPENDIX III: TESTING INSTRUMENTS LOG SHEET

    This sheet is intended to record all field test instrument that assists in the execution process.

    INSTRUMENT ID DESCRIPTION TEST ID CALIBRATION DATE/DUE DATE

    COPY OF CERTIFICATE ATTACHED?

    (YES/NO)

    PERFORMED BY/DATE

  • VERIFICATION DATA SHEETS INSTALLATION QUALIFICATION

  • MAIN COMPONENT VERIFICATION IQ-01 Objective:

    Assure that all main and auxiliary components of the Purified Water System are as per manufacturer/vendor specifications (Manuals, Spec sheets, P & IDs, etc.)

    Pr

    a. Per equipment, collect and document the required information thru physical inspection (tag, engrave, plate, sticker, etc)

    ocedure:

    b. Evaluate findings against specifications

    References Required:

    Note: Vendor/Manufacturer documentation (Manuals, Spec sheets, P & IDs, etc.) does not count as Actual Result reference

    Acceptance Criteria:

    Actual results match expected results as per manufacturer written specifications

  • MAIN COMPONENT VERIFICATION IQ-01

    Filter set 1A & 1B

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED

    BY/DATE

    1A

    Tag ID

    Cartridge Manufacturer

    Cartridge Part No.

    Housing Manufacturer

    Housing Part No.

    Quantity

    1B

    Tag ID

    Cartridge Manufacturer

    Cartridge Part No.

    Housing Manufacturer

    Housing Part No.

    Quantity

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAIN COMPONENT VERIFICATION IQ-01

    Filter set 2A & 2B

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED

    BY/DATE

    2A

    Tag ID

    Cartridge Manufacturer

    Cartridge Part No.

    Housing Manufacturer

    Housing Part No.

    Quantity

    2B

    Tag ID

    Cartridge Manufacturer

    Cartridge Part No.

    Housing Manufacturer

    Housing Part No.

    Quantity

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAIN COMPONENT VERIFICATION IQ-01

    Filter set 3A & 3B

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED

    BY/DATE

    3A

    Tag ID

    Cartridge Manufacturer

    Cartridge Part No.

    Housing Manufacturer

    Housing Part No.

    Quantity

    3B

    Tag ID

    Cartridge Manufacturer

    Cartridge Part No.

    Housing Manufacturer

    Housing Part No.

    Quantity

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAIN COMPONENT VERIFICATION IQ-01

    Filter set 4A & 4B

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED

    BY/DATE

    4A

    Tag ID

    Cartridge Manufacturer

    Cartridge Part No.

    Housing Manufacturer

    Housing Part No.

    Quantity

    4B

    Tag ID

    Cartridge Manufacturer

    Cartridge Part No.

    Housing Manufacturer

    Housing Part No.

    Quantity

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAIN COMPONENT VERIFICATION IQ-01

    Filter set 5A & 5 B

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED

    BY/DATE

    5A

    Tag ID

    Cartridge Manufacturer

    Cartridge Part No.

    Housing Manufacturer

    Housing Part No.

    Quantity

    5B

    Tag ID

    Cartridge Manufacturer

    Cartridge Part No.

    Housing Manufacturer

    Housing Part No.

    Quantity

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAIN COMPONENT VERIFICATION IQ-01

    Ozone Generator

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED

    BY/DATE

    Tag ID

    Manufacturer

    Model

    Serial No.

    Boo

    ster

    pum

    p

    Tag ID

    Manufacturer

    Model

    Serial No.

    Rec

    ircul

    atio

    n pu

    mp Tag ID

    Manufacturer

    Model

    Serial No.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAIN COMPONENT VERIFICATION IQ-01

    Ozone Destructor

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED

    BY/DATE

    Tag ID

    Manufacturer

    Model

    Serial No.

    UV

    light

    Tag ID

    Manufacturer

    Model

    Serial No.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAIN COMPONENT VERIFICATION IQ-01

    Dual Softener unit

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED

    BY/DATE

    Uni

    t A

    Tag ID

    Manufacturer

    Model

    Serial No.

    Uni

    t B

    Tag ID

    Manufacturer

    Model

    Serial No.

    Con

    trol

    Pan

    el Manufacturer

    Model

    Res

    in

    Type

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAIN COMPONENT VERIFICATION IQ-01

    Dual Softener unit (Brine Tank)

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED

    BY/DATE

    Tag ID

    Manufacturer

    Model

    Serial No.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAIN COMPONENT VERIFICATION IQ-01

    6,000 Gal. Tank

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED

    BY/DATE

    Tag ID

    Manufacturer

    Description

    Vent

    Filt

    er

    Cartridge Manufacturer

    Cartridge Part No.

    Housing Manufacturer

    Housing Part No.

    Leve

    l Manufacturer

    Part No.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAIN COMPONENT VERIFICATION IQ-01

    Distribution Pumps (1A, 1B)

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED

    BY/DATE

    1A

    Tag ID

    Manufacturer

    Model

    Serial No.

    2A

    Tag ID

    Manufacturer

    Model

    Serial No.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAIN COMPONENT VERIFICATION IQ-01

    8,000 Gal. Tank

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED

    BY/DATE

    Tag ID

    Manufacturer

    Description

    Vent

    Filt

    er

    Cartridge Manufacturer

    Cartridge Part No.

    Housing Manufacturer

    Housing Part No.

    Leve

    l Manufacturer

    Part No.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAIN COMPONENT VERIFICATION IQ-01

    Distribution Pumps (2A, 2B)

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED

    BY/DATE

    2A

    Tag ID

    Manufacturer

    Model

    Serial No.

    2B

    Tag ID

    Manufacturer

    Model

    Serial No.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAIN COMPONENT VERIFICATION IQ-01

    UV lamps (1A, 1B)

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED

    BY/DATE

    1A

    Tag ID

    Manufacturer

    Model

    Serial No.

    1B

    Tag ID

    Manufacturer

    Model

    Serial No.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • EQUIPMENT VERIFICATION IQ-01

    UV lamps (2A, 2B)

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED

    BY/DATE

    2A

    Tag ID

    Manufacturer

    Model

    Serial No.

    2B

    Tag ID

    Manufacturer

    Model

    Serial No.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAIN COMPONENT VERIFICATION IQ-01

    Dual Reverse Osmosis (Service unit A)

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    Tag ID

    Manufacturer

    Model

    Serial No.

    Feed

    Pum

    p

    Tag ID

    Manufacturer

    Model

    Serial No.

    Ant

    isca

    lant

    Dos

    ing

    Syst

    em

    Tag ID

    Manufacturer

    Model

    Serial No.

    Con

    trol

    Pan

    el

    Manufacturer

    Model

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAIN COMPONENT VERIFICATION IQ-01

    Dual Reverse Osmosis (Service unit B)

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    Tag ID

    Manufacturer

    Model

    Serial No.

    Feed

    Pum

    p

    Tag ID

    Manufacturer

    Model

    Serial No.

    Ant

    isca

    lant

    Dos

    ing

    Syst

    em

    Tag ID

    Manufacturer

    Model

    Serial No.

    Con

    trol

    Pan

    el

    Manufacturer

    Model

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAIN COMPONENT VERIFICATION IQ-01

    Dual R.O. unit (Cleaning Skid)

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    Tag ID

    Manufacturer

    Model

    Serial No.

    Cle

    anin

    g Pu

    mp

    Tag ID

    Manufacturer

    Model

    Serial No.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAIN COMPONENT VERIFICATION IQ-01

    De-gasification unit

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED

    BY/DATE

    Tag ID

    Manufacturer

    Model

    Serial No.

    Pum

    p

    Tag ID

    Manufacturer

    Model

    Serial No.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAIN COMPONENT VERIFICATION IQ-01

    Dual Mixed Bed unit

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED

    BY/DATE

    Uni

    t A

    Tag ID

    Manufacturer

    Model

    Serial No.

    Uni

    t B

    Tag ID

    Manufacturer

    Model

    Serial No.

    Con

    trol

    Pan

    el Manufacturer

    Model

    Aci

    d &

    C

    aust

    ic

    Type

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAIN COMPONENT VERIFICATION IQ-01

    Microza ultra filtration filters

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED

    BY/DATE

    Tag ID

    Manufacturer

    Part No.

    Serial No.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • DOCUMENT INVENTORY VERIFICATION IQ-02 Objective:

    Assure that all the basic literature required for the system operation/maintenance of the Purified Water system is available and properly stored

    Pr

    a. Per equipment, collect all related documentation

    ocedure:

    b. Document all relevant information according to Document Info column

    c. If any of the document type is not applicable, write an Not Apply to the Document Info

    column and explain in the Comments/Observations section References Required:

    Manufacturers Documentation - Installation and Operational Manuals, Wiring Diagrams, Spare Parts List, P & IDs, etc.

    Vendors Documentation - Purchase Order, etc.

    Acceptance Criteria:

    At least the basic literature (see document type) was found for all equipment and was found to be properly stored

    Not applicable document type was properly explained

  • DOCUMENT INVENTORY VERIFICATION IQ-02

    Filter set 1A & 1B

    DOCUMENT TYPE

    DOCUMENT INFO (DOC #, TITLE, REV., LOCATION)

    DOCUMENT STORAGE (LOCATION)

    PERFORMED BY/DATE

    Installation and Operation Manual

    Purchase Order

    Drawings

    P & IDs

    Other Documents

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) ________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • DOCUMENT INVENTORY VERIFICATION IQ-02

    Filter set 2A & 2B

    DOCUMENT TYPE

    DOCUMENT INFO (DOC #, TITLE, REV., LOCATION)

    DOCUMENT STORAGE (LOCATION)

    PERFORMED BY/DATE

    Installation and Operation Manual

    Purchase Order

    Drawings

    P & IDs

    Other Documents

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) ________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • DOCUMENT INVENTORY VERIFICATION IQ-02

    Filter set 3A & 3B

    DOCUMENT TYPE

    DOCUMENT INFO (DOC #, TITLE, REV., LOCATION)

    DOCUMENT STORAGE (LOCATION)

    PERFORMED BY/DATE

    Installation and Operation Manual

    Purchase Order

    Drawings

    P & IDs

    Other Documents

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) ________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • DOCUMENT INVENTORY VERIFICATION IQ-02

    Filter set 3A & 3B

    DOCUMENT TYPE

    DOCUMENT INFO (DOC #, TITLE, REV., LOCATION)

    DOCUMENT STORAGE (LOCATION)

    PERFORMED BY/DATE

    Installation and Operation Manual

    Purchase Order

    Drawings

    P & IDs

    Other Documents

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) ________ If NO, refer to Deviation # __________

    Reviewed by: Date:

    DOCUMENT INVENTORY VERIFICATION IQ-02

  • Filter set 4A & 4B

    DOCUMENT TYPE

    DOCUMENT INFO (DOC #, TITLE, REV., LOCATION)

    DOCUMENT STORAGE (LOCATION)

    PERFORMED BY/DATE

    Installation and Operation Manual

    Purchase Order

    Drawings

    P & IDs

    Other Documents

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) ________ If NO, refer to Deviation # __________

    Reviewed by: Date:

    DOCUMENT INVENTORY VERIFICATION IQ-02

  • Filter set 5A & 5B

    DOCUMENT TYPE

    DOCUMENT INFO (DOC #, TITLE, REV., LOCATION)

    DOCUMENT STORAGE (LOCATION)

    PERFORMED BY/DATE

    Installation and Operation Manual

    Purchase Order

    Drawings

    P & IDs

    Other Documents

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) ________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • DOCUMENT INVENTORY VERIFICATION IQ-02

    Dual Softener unit

    DOCUMENT TYPE

    DOCUMENT INFO (DOC #, TITLE, REV., LOCATION)

    DOCUMENT STORAGE (LOCATION)

    PERFORMED BY/DATE

    Installation and Operation Manual

    Purchase Order

    Electrical Drawings

    Mechanical Drawings

    P & IDs

    PLC Software Backup &

    Report

    MSDS

    Other Documents

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) ________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • DOCUMENT INVENTORY VERIFICATION IQ-02

    6,000 Gal. Tank

    DOCUMENT TYPE

    DOCUMENT INFO (DOC #, TITLE, REV., LOCATION)

    DOCUMENT STORAGE (LOCATION)

    PERFORMED BY/DATE

    Installation and Operation Manual

    Purchase Order

    Drawings

    P & IDs

    Other Documents

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) ________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • DOCUMENT INVENTORY VERIFICATION IQ-02

    Distribution Pumps (1A, 1B)

    DOCUMENT TYPE

    DOCUMENT INFO (DOC #, TITLE, REV., LOCATION)

    DOCUMENT STORAGE (LOCATION)

    PERFORMED BY/DATE

    Installation and Operation Manual

    Purchase Order

    Electrical Drawings

    Mechanical Drawings

    P & IDs

    Other Documents

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) ________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • DOCUMENT INVENTORY VERIFICATION IQ-02

    8,000 Gal. Tank

    DOCUMENT TYPE

    DOCUMENT INFO (DOC #, TITLE, REV., LOCATION)

    DOCUMENT STORAGE (LOCATION)

    PERFORMED BY/DATE

    Installation and Operation Manual

    Purchase Order

    Drawings

    P & IDs

    Other Documents

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) ________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • DOCUMENT INVENTORY VERIFICATION IQ-02

    Distribution Pumps (2A, 2B)

    DOCUMENT TYPE

    DOCUMENT INFO (DOC #, TITLE, REV., LOCATION)

    DOCUMENT STORAGE (LOCATION)

    PERFORMED BY/DATE

    Installation and Operation Manual

    Purchase Order

    Electrical Drawings

    Mechanical Drawings

    P & IDs

    Other Documents

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) ________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • DOCUMENT INVENTORY VERIFICATION IQ-02

    Ozone Generator

    DOCUMENT TYPE

    DOCUMENT INFO (DOC #, TITLE, REV., LOCATION)

    DOCUMENT STORAGE (LOCATION)

    PERFORMED BY/DATE

    Installation and Operation Manual

    Purchase Order

    Electrical Drawings

    Mechanical Drawings

    P & IDs

    PLC Software Backup &

    Report

    Other Documents

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) ________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • DOCUMENT INVENTORY VERIFICATION IQ-02

    Ozone Destructor

    DOCUMENT TYPE

    DOCUMENT INFO (DOC #, TITLE, REV., LOCATION)

    DOCUMENT STORAGE (LOCATION)

    PERFORMED BY/DATE

    Installation and Operation Manual

    Purchase Order

    Electrical Drawings

    P & IDs

    PLC Software Backup &

    Report

    Other Documents

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) ________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • DOCUMENT INVENTORY VERIFICATION IQ-02

    UV lamps (1A, 1B, 2A, 2B)

    DOCUMENT TYPE

    DOCUMENT INFO (DOC #, TITLE, REV., LOCATION)

    DOCUMENT STORAGE (LOCATION)

    PERFORMED BY/DATE

    Installation and Operation Manual

    Purchase Order

    Electrical Drawings

    P & IDs

    Other Documents

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) ________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • DOCUMENT INVENTORY VERIFICATION IQ-02

    Dual Reverse Osmosis unit

    DOCUMENT TYPE

    DOCUMENT INFO (DOC #, TITLE, REV., LOCATION)

    DOCUMENT STORAGE (LOCATION)

    PERFORMED BY/DATE

    Installation and Operation Manual

    Purchase Order

    Electrical Drawings

    Mechanical Drawing

    P & IDs

    PLC Software Backup &

    Report

    MSDS

    Other Documents

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) ________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • DOCUMENT INVENTORY VERIFICATION IQ-02

    Degasification unit

    DOCUMENT TYPE

    DOCUMENT INFO (DOC #, TITLE, REV., LOCATION)

    DOCUMENT STORAGE (LOCATION)

    PERFORMED BY/DATE

    Installation and Operation Manual

    Purchase Order

    Electrical Drawings

    Mechanical Drawings

    P & IDs

    Other Documents

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) ________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • DOCUMENT INVENTORY VERIFICATION IQ-02

    Dual Mixed Bed unit

    DOCUMENT TYPE

    DOCUMENT INFO (DOC #, TITLE, REV., LOCATION)

    DOCUMENT STORAGE (LOCATION)

    PERFORMED BY/DATE

    Installation and Operation Manual

    Purchase Order

    Electrical Drawings

    P & IDs

    PLC Software Backup &

    Report

    Other Documents

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) ________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • DOCUMENT INVENTORY VERIFICATION IQ-02

    Microza ultra filtration filters

    DOCUMENT TYPE

    DOCUMENT INFO (DOC #, TITLE, REV., LOCATION)

    DOCUMENT STORAGE (LOCATION)

    PERFORMED BY/DATE

    Installation and Operation Manual

    Purchase Order

    Electrical Drawings

    P & IDs

    Other Documents

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) ________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • DRAWING VERIFICATION IQ-03 Objective:

    Assure concordance between drawings (P & I Ds and Electrical Schematics, etc.) and field installation of the Purified Water System

    Pr

    a. Collect and document the drawings found thru IQ - 02: Document Inventory Verification

    ocedure:

    b. Verify against field installation by performing a physical inspection and redline drawings, if

    discrepancy occurs

    c. Sign, date & submit discrepancies to Facilities Dept. for review

    d. Upon review, determine if drawings and/or field installation needs to be updated

    e. Attach verified drawings to this protocol References Required:

    Process and Instrument Diagrams (P & I Ds)

    Electrical Schematics

    Acceptance Criteria:

    Drawings match field installation and vice versa Discrepancies between drawings and field installation were satisfactorily resolved by submitting

    changes and updating drawings and/or field installation

  • DRAWING VERIFICATION IQ-03

    Sheet ______ of ______

    Use additional pages as necessary DRAWING TYPE & ID TITLE & REVISION

    REDLINED? (YES/NO)

    UPDATE? (DWG, FLD, NA)

    PERFORMED BY/DATE

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • SYSTEM DESIGN VERIFICATION IQ-04 Objective:

    Assure that the installation design is in compliance with the specified requirements for systems capable of producing Purified Water

    Pr

    Verify system installation as per specifications by performing a physical verification and/or providing documented evidence

    ocedure:

    Document findings and evaluate against expected results

    Note: This verification is best performed during Drawing Verification

    References Required:

    P & IDs Material Safety Data Sheets Chemical Analysis Sheets

    Acceptance Criteria:

    Actual results match expected results as per Purified Water specifications

  • SYSTEM DESIGN VERIFICATION IQ-04

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    Feed water The raw water source supplied to the system must be from Well or City Water

    Processing The system contains equipment capable of performing Deionization and Reverse Osmosis or Distillation.

    Piping

    Piping will provide constant circulation of Purified water.

    Piping does not have an unused portion greater in length than six diameters of the unused pipe measured from the axis of the pipe in use (dead leg).

    Contact material

    All material in direct contact shall be non-reactive to Purified Water.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • PLACEMENT VERIFICATION IQ-05 Objective:

    Assure that the equipments have the appropriate conditions to perform setup and maintenance and to operate accordingly.

    Pr

    Per equipment, verify field conditions by performing a physical inspection as per expected results

    ocedure:

    Document and evaluate findings against expected results

    References Required:

    Skid Drawings

    Acceptance Criteria:

    Actual results match expected results as per ___ requirements

  • PLACEMENT VERIFICATION IQ-05

    SKID #1 - Filter Set 1A, 1B

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    Position The equipment shall

    be located along open type waste drains.

    Environment The equipment is not

    placed on direct sunlight or other sources of heat.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • PLACEMENT VERIFICATION IQ-05

    SKID #2 - Filter set 2A, 2B

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    Position The equipment shall

    be located along open type waste drains.

    Environment The equipment is not

    placed on direct sunlight or other sources of heat.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • PLACEMENT VERIFICATION IQ-05

    SKID #3 - Distribution Pumps 1A, 1B; UV lamps 1A, 1B & Filter set 3A, 3B

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    Position The equipment shall

    be located along open type waste drains.

    Environment The equipment is not

    placed on direct sunlight or other sources of heat.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • PLACEMENT VERIFICATION IQ-05

    SKID #4 - R. O. Piping/Valves

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    Position The equipment shall

    be located along open type waste drains.

    Environment The equipment is not

    placed on direct sunlight or other sources of heat.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • PLACEMENT VERIFICATION IQ-05

    SKID 5 - Pumps 2A, 2B

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    Position The equipment shall

    be located along open type waste drains.

    Environment The equipment is not

    placed on direct sunlight or other sources of heat.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • PLACEMENT VERIFICATION IQ-05

    SKID 6 - UV lamps 2A, 2B & Filter 4A, 4B

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    Position The equipment shall

    be located along open type waste drains.

    Environment The equipment is not

    placed on direct sunlight or other sources of heat.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • PLACEMENT VERIFICATION IQ-05

    SKID 7 - Filter set 5A, 5B

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    Position The equipment shall

    be located along open type waste drains.

    Environment The equipment is not

    placed on direct sunlight or other sources of heat.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

    PLACEMENT VERIFICATION IQ-05

  • Water Softener Skid

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    Position The equipment shall

    be located along open type waste drains.

    Environment The equipment is not

    placed on direct sunlight or other sources of heat.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

    PLACEMENT VERIFICATION IQ-05

  • Ozone Generator Skid

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    Position The equipment shall

    be located along open type waste drains.

    Environment The equipment is not

    placed on direct sunlight or other sources of heat.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • PLACEMENT VERIFICATION IQ-05

    Ozone Destructor Skid

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    Position The equipment shall

    be located along open type waste drains.

    Environment The equipment is not

    placed on direct sunlight or other sources of heat.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

    PLACEMENT VERIFICATION IQ-05

  • R.O. Skid

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    Position The equipment shall

    be located along open type waste drains.

    Environment The equipment is not

    placed on direct sunlight or other sources of heat.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

    PLACEMENT VERIFICATION IQ-05

  • R.O. Cleaning Skid

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    Position The equipment shall

    be located along open type waste drains.

    Environment The equipment is not

    placed on direct sunlight or other sources of heat.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

    UTILITY VERIFICATION IQ-06 Objective:

  • Assure that the installed utility meets the Purified Water System requirements

    Pr

    Utility Verification

    ocedure:

    a. Per equipment, perform utility verification as per expected results by using a calibrated test

    instrument (when required), and document results

    b. Attach copy of instrument calibration certificate and ensure it is up to date

    c. Ensure that each utility connection is properly labeled

    Electrical Verification

    a. Perform verification as per Utility Verification thru a certified electrician

    b. Attach copy of Electricians license and ensure it is up to date

    Note: All readings will apply a 10% tolerance References Required:

    Test Instruments calibration certificates

    Copy of Electricians license Acceptance Criteria:

    Utilities comply with expected results (manufacturer specifications)

    All calibrations/certifications are up to date

  • UTILITY VERIFICATION IQ-06

    Dual Softener unit

    ELECTRICAL SPECS EXPECTED RESULT ACTUAL RESULT PASS/FAIL

    PERFORMED BY/DATE

    Voltage

    Phase

    Amperage

    Frequency

    Panel ID To be filled by a licensed electrician or electrical engineer with PE license Does electrical installation comply with NEC standards? (YES/NO) _______________

    Electrician signature: ____________________________ License Number: ____________________________

    OTHER SPECS EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    Compressed Air

    Chemical

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • UTILITY VERIFICATION IQ-06

    Ozone Generator

    ELECTRICAL SPECS

    EXPECTED RESULT ACTUAL RESULT PASS/FAIL

    PERFORMED BY/DATE

    OZ-

    1

    Voltage Phase

    Amperage Frequency Panel ID

    P-O

    Z1

    Voltage Phase

    Amperage Frequency Panel ID

    P-O

    Z2

    Voltage Phase

    Amperage Frequency Panel ID

    Tran

    sfor

    mer

    Voltage Phase

    Amperage Frequency Panel ID

    To be filled by a licensed electrician or electrical engineer with PE license Does electrical installation comply with NEC standards? (YES/NO) _______________

    Electrician signature: ___________________________ License Number: ___________________________

    OTHER SPECS EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED

    BY/DATE

    Compressed Air 90-110 psig

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • UTILITY VERIFICATION IQ-06

    Ozone Destructor

    ELECTRICAL SPECS EXPECTED RESULT ACTUAL RESULT PASS/FAIL

    PERFORMED BY/DATE

    Voltage

    Phase

    Amperage

    Frequency

    Panel ID

    Bulb installation

    To be filled by a licensed electrician or electrical engineer with PE license Does electrical installation comply with NEC standards? (YES/NO) _______________

    Electrician signature: ____________________________ License Number: ____________________________

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • UTILITY VERIFICATION IQ-06

    UV lamps (1A, 1B)

    ELECTRICAL SPECS EXPECTED RESULT ACTUAL RESULT PASS/FAIL

    PERFORMED BY/DATE

    Voltage

    Phase

    Amperage

    Frequency

    Panel ID

    Bulb installation

    To be filled by a licensed electrician or electrical engineer with PE license Does electrical installation comply with NEC standards? (YES/NO) _______________

    Electrician signature: ____________________________ License Number: ____________________________ Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • UTILITY VERIFICATION IQ-06

    UV lamps (2A, 2B)

    ELECTRICAL SPECS EXPECTED RESULT ACTUAL RESULT PASS/FAIL

    PERFORMED BY/DATE

    Voltage

    Phase

    Amperage

    Frequency

    Panel ID

    Bulb installation

    To be filled by a licensed electrician or electrical engineer with PE license Does electrical installation comply with NEC standards? (YES/NO) _______________

    Electrician signature: ____________________________ License Number: ___________________________

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • UTILITY VERIFICATION IQ-06

    Distribution Pumps (1A, 1B)

    ELECTRICAL SPECS EXPECTED RESULT ACTUAL RESULT PASS/FAIL

    PERFORMED BY/DATE

    Voltage

    Phase

    Amperage

    Frequency

    Panel ID

    To be filled by a licensed electrician or electrical engineer with PE license Does electrical installation comply with NEC standards? (YES/NO) _______________

    Electrician signature: ____________________________ License Number: ___________________________ Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • UTILITY VERIFICATION IQ-06

    Distribution Pumps (2A, 2B)

    ELECTRICAL SPECS EXPECTED RESULT ACTUAL RESULT PASS/FAIL

    PERFORMED BY/DATE

    Voltage

    Phase

    Amperage

    Frequency

    Panel ID

    To be filled by a licensed electrician or electrical engineer with PE license Does electrical installation comply with NEC standards? (YES/NO) _______________

    Electrician signature: ____________________________ License Number: ___________________________ Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • UTILITY VERIFICATION IQ-06

    Dual Reverse Osmosis unit

    ELECTRICAL SPECS

    EXPECTED RESULT ACTUAL RESULT PASS/FAIL

    PERFORMED BY/DATE

    Uni

    t A

    Voltage1

    Voltage2

    Phase1

    Phase2

    Amperage1

    Amperage2

    Frequency

    Panel ID

    Uni

    t B

    Voltage1 Voltage2

    Phase1 Phase2

    Amperage1

    Amperage2 Frequency Panel ID

    To be filled by a licensed electrician or electrical engineer with PE license Does electrical installation comply with NEC standards? (YES/NO) _______________

    Electrician signature: ____________________________ License Number: _____________________________

    OTHER SPECS EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    Compressed Air 80-110 psig

    Comments/Observations: 1Assembly power to assembly panel (PLC) 2Plant power to assembly power

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • UTILITY VERIFICATION IQ-06

    Dual Reverse Osmosis unit (Cleaning Skid)

    ELECTRICAL SPECS EXPECTED RESULT ACTUAL RESULT PASS/FAIL

    PERFORMED BY/DATE

    Voltage

    Phase

    Amperage

    Frequency

    Panel ID To be filled by a licensed electrician or electrical engineer with PE license Does electrical installation comply with NEC standards? (YES/NO) _______________

    Electrician signature: ____________________________ License Number: _________________________

    OTHER SPECS EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    Chemicals

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • UTILITY VERIFICATION IQ-06

    Dual Reverse Osmosis unit (pumps)

    ELECTRICAL SPECS EXPECTED RESULT ACTUAL RESULT PASS/FAIL

    PERFORMED BY/DATE

    R.O

    Fee

    d Pu

    mp

    Voltage

    Phase

    Amperage

    Frequency

    Panel ID

    R.O

    . Cle

    anin

    g Pu

    mp

    Voltage

    Phase

    Amperage

    Frequency

    Panel ID

    AD

    S Pu

    mp

    Voltage

    Phase

    Amperage

    Frequency

    Panel ID

    To be filled by a licensed electrician or electrical engineer with PE license Does electrical installation comply with NEC standards? (YES/NO) _______________ Electrician signature: ____________________________ License Number: ____________________________ Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

    UTILITY VERIFICATION IQ-06

  • Degasification unit

    ELECTRICAL SPECS

    EXPECTED RESULT ACTUAL RESULT PASS/FAIL

    PERFORMED BY/DATE

    Deg

    as P

    anel

    Voltage

    Phase

    Amperage

    Frequency

    Panel ID

    Vacu

    um P

    ump

    Voltage

    Phase

    Amperage

    Frequency

    Panel ID

    To be filled by a licensed electrician or electrical engineer with PE license Does electrical installation comply with NEC standards? (YES/NO) _______________ Electrician signature: ___________________________ License Number: _____________________________

    OTHER SPECS EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED

    BY/DATE

    Compressed Air

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • UTILITY VERIFICATION IQ-06

    Dual Mixed Bed unit

    ELECTRICAL SPECS EXPECTED RESULT ACTUAL RESULT PASS/FAIL

    PERFORMED BY/DATE

    Voltage

    Phase

    Amperage

    Frequency

    Panel ID

    To be filled by a licensed electrician or electrical engineer with PE license Does electrical installation comply with NEC standards? (YES/NO) _______________

    Electrician signature: ___________________________ License Number: ____________________________

    OTHER SPECS EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    Compressed Air (control panel)

    Clean Compressed Air

    (MB column)

    Chemicals

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • INSTRUMENTATION VERIFICATION IQ-07 Objective:

    Assure that all the instrumentation installed in the Purified Water System that requires calibration are added to a calibration program

    Pr

    a. Inspect all instruments evaluated with the Calibration Program Addition Form and verify that all instruments installed at the Purified Water System were included

    ocedure:

    b. Record instruments (ID & type) that requires calibration according to the Calibration Program

    Addition Form

    c. Verify if the instrument that requires calibration is currently calibrated and record finding

    d. Attach calibration certificate of all calibrated instruments References Required: Acceptance Criteria:

    Instruments that required calibration were included in site calibration program

    Instruments are currently calibrated

  • INSTRUMENTATION VERIFICATION IQ-07

    Sheet ______ of ______ Use additional pages as necessary

    INSTRUMENT ID INSTRUMENT TYPE

    IT IS CURRENTLY CALIBRATED? (YES/NO/NA)

    CALIBRATION DUE DATE

    PERFORMED BY/DATE

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAINTENANCE VERIFICATION IQ-08 Objective:

    Assure that the Purified Water System is included in a Preventive Maintenance Program and a spare parts list exists

    Pr

    a. Per equipment, verify and document the required information by collecting documented evidence (i.e. PM checklist, PM schedule) of the inclusion of the Purified Water System components into ___s Preventive Maintenance Program

    ocedure:

    b. Collect the Spare Parts list; verify & document the required information

    c. Collect the Lubricants list; verify & document the required information

    d. If lubricant specifications is not applicable, write a Not Apply to the Actual Result column and

    explain in the Comments/Observations section

    References Required:

    Evidence of PMP inclusion - PM checklist, PM schedule, PM program printouts, etc.

    Spare Parts list

    Lubricants list

    FOP 4.1 Scheduled Preventive Maintenance Acceptance Criteria:

    All equipment is included in a PM schedule

    All equipment has spare part list

    Not applicable lubricant requirements were properly explained

  • MAINTENANCE VERIFICATION IQ-08

    Filter set 1A &1B

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    PMP

    A PM checklist, schedule or similar is available as evidence of inclusion into the

    PM program.

    Spare Parts

    Spare parts inventory is available for the

    equipment.

    Lubricants Lubricants inventory is

    available for the equipment.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAINTENANCE VERIFICATION IQ-08

    Filter set 2A & 2B

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    PMP

    A PM checklist, schedule or similar is available as evidence of inclusion into the

    PM program.

    Spare Parts

    Spare parts inventory is available for the

    equipment.

    Lubricants Lubricants inventory is

    available for the equipment.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAINTENANCE VERIFICATION IQ-08

    Filter set 3A & 3B

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    PMP

    A PM checklist, schedule or similar is available as evidence of inclusion into the

    PM program.

    Spare Parts

    Spare parts inventory is available for the

    equipment.

    Lubricants Lubricants inventory is

    available for the equipment.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAINTENANCE VERIFICATION IQ-08

    Filter set 4A & 4B

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    PMP

    A PM checklist, schedule or similar is available as evidence of inclusion into the

    PM program.

    Spare Parts

    Spare parts inventory is available for the

    equipment.

    Lubricants Lubricants inventory is

    available for the equipment.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAINTENANCE VERIFICATION IQ-08

    Filter set 5A & 5B

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    PMP

    A PM checklist, schedule or similar is available as evidence of inclusion into the

    PM program.

    Spare Parts

    Spare parts inventory is available for the

    equipment.

    Lubricants Lubricants inventory is

    available for the equipment.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAINTENANCE VERIFICATION IQ-08

    Dual Softener unit

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    PMP

    A PM checklist, schedule or similar is available as evidence of inclusion into the

    PM program.

    Spare Parts

    Spare parts inventory is available for the

    equipment.

    Lubricants Lubricants inventory is

    available for the equipment.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAINTENANCE VERIFICATION IQ-08

    Ozone Generator

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    PMP

    A PM checklist, schedule or similar is available as evidence of inclusion into the

    PM program.

    Spare Parts

    Spare parts inventory is available for the

    equipment.

    Lubricants Lubricants inventory is

    available for the equipment.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAINTENANCE VERIFICATION IQ-08

    Ozone Destructor

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    PMP

    A PM checklist, schedule or similar is available as evidence of inclusion into the

    PM program.

    Spare Parts

    Spare parts inventory is available for the

    equipment.

    Lubricants Lubricants inventory is

    available for the equipment.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAINTENANCE VERIFICATION IQ-08

    6,000 Gal. Tank

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    PMP

    A PM checklist, schedule or similar is available as evidence of inclusion into the

    PM program.

    Spare Parts

    Spare parts inventory is available for the

    equipment.

    Lubricants Lubricants inventory is

    available for the equipment.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAINTENANCE VERIFICATION IQ-08

    8,000 Gal. Tank

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    PMP

    A PM checklist, schedule or similar is available as evidence of inclusion into the

    PM program.

    Spare Parts

    Spare parts inventory is available for the

    equipment.

    Lubricants Lubricants inventory is

    available for the equipment.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAINTENANCE VERIFICATION IQ-08

    Distribution Pumps (1A, 1B)

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    PMP

    A PM checklist, schedule or similar is available as evidence of inclusion into the

    PM program.

    Spare Parts

    Spare parts inventory is available for the

    equipment.

    Lubricants Lubricants inventory is

    available for the equipment.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

    MAINTENANCE VERIFICATION IQ-08

  • Distribution Pumps (2A, 2B)

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    PMP

    A PM checklist, schedule or similar is available as evidence of inclusion into the

    PM program.

    Spare Parts

    Spare parts inventory is available for the

    equipment.

    Lubricants Lubricants inventory is

    available for the equipment.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

    MAINTENANCE VERIFICATION IQ-08

  • UV lamps (1A, 1B)

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    PMP

    A PM checklist, schedule or similar is available as evidence of inclusion into the

    PM program.

    Spare Parts

    Spare parts inventory is available for the

    equipment.

    Lubricants Lubricants inventory is

    available for the equipment.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAINTENANCE VERIFICATION IQ-08

    UV lamps (2A, 2B)

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    PMP

    A PM checklist, schedule or similar is available as evidence of inclusion into the

    PM program.

    Spare Parts

    Spare parts inventory is available for the

    equipment.

    Lubricants Lubricants inventory is

    available for the equipment.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAINTENANCE VERIFICATION IQ-08

    Dual Reverse Osmosis unit

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    PMP

    A PM checklist, schedule or similar is available as evidence of inclusion into the

    PM program.

    Spare Parts

    Spare parts inventory is available for the

    equipment.

    Lubricants Lubricants inventory is

    available for the equipment.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAINTENANCE VERIFICATION IQ-08

    De-gasification unit

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    PMP

    A PM checklist, schedule or similar is available as evidence of inclusion into the

    PM program.

    Spare Parts

    Spare parts inventory is available for the

    equipment.

    Lubricants Lubricants inventory is

    available for the equipment.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAINTENANCE VERIFICATION IQ-08

    Dual Mixed Bed unit

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    PMP

    A PM checklist, schedule or similar is available as evidence of inclusion into the

    PM program.

    Spare Parts

    Spare parts inventory is available for the

    equipment.

    Lubricants Lubricants inventory is

    available for the equipment.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • MAINTENANCE VERIFICATION IQ-08

    Microza ultra filtration filters

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED BY/DATE

    PMP

    A PM checklist, schedule or similar is available as evidence of inclusion into the

    PM program.

    Spare Parts

    Spare parts inventory is available for the

    equipment.

    Lubricants Lubricants inventory is

    available for the equipment.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • SAFETY & ERGONOMICS VERIFICATION IQ-09 Objective:

    Assure that the Purified Water System complies with ___s EHS Safety and Ergonomics requirements

    Pr

    Collect documented evidence (i.e. EHS checklist) of EHS evaluation of the Purified Water System

    ocedure:

    Document evaluation results and compare against expected results

    References Required:

    Evidence of EHS evaluation - EHS checklist, etc. Acceptance Criteria:

    EHS checklist is approved by EHS representative

  • SAFETY & ERGONOMICS VERIFICATION IQ-09

    SPEC EXPECTED RESULT ACTUAL RESULT PASS/FAIL PERFORMED

    BY/DATE

    PWS Safety & Ergonomics Compliance

    EHS Change Management AWO column checklist was completed and approved.

    EHS found Purified Water System to be in compliance.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • PROCEDURE VERIFICATION IQ-10 Objective:

    Assure written procedures for the operation and maintenance of the Purified Water System Pr

    a. Per equipment, collect and evaluate written procedures (i.e. operating, maintenance, cleaning) and document findings

    ocedure:

    b. If any of the specifications is not applicable, write a Not Apply to the Actual Result column and

    explain in the Comments/Observations section

    c. Evaluate findings against expected results References Required:

    SOPs (at least in DRAFT form) Acceptance Criteria:

    Draft procedures are available for each main component of the Purified Water System.

  • PROCEDURE VERIFICATION IQ-10

    Filter set 1A & 1B

    SOP EXPECTED RESULT ACTUAL RESULT

    (DOC. NO., REV. NO., TITLE, STATUS) PASS/FAIL PERFORMED

    BY/DATE

    Operating Procedure

    A procedure exists at least in

    Draft form.

    Maintenance Procedure

    A procedure exists at least in

    Draft form.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • PROCEDURE VERIFICATION IQ-10

    Filter 2A & 2B

    SOP EXPECTED RESULT ACTUAL RESULT

    (DOC. NO., REV. NO., TITLE, STATUS) PASS/FAIL PERFORMED

    BY/DATE

    Operating Procedure

    A procedure exists at least in

    Draft form.

    Maintenance Procedure

    A procedure exists at least in

    Draft form.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • PROCEDURE VERIFICATION IQ-10

    Filter set 3A & 3B

    SOP EXPECTED RESULT ACTUAL RESULT

    (DOC. NO., REV. NO., TITLE, STATUS) PASS/FAIL PERFORMED

    BY/DATE

    Operating Procedure

    A procedure exists at least in

    Draft form.

    Maintenance Procedure

    A procedure exists at least in

    Draft form.

    Comments/Observations:

    Conformance to the acceptance criteria was evaluated and the final determination is as follows: Acceptance Criteria met? (YES/NO) __________ If NO, refer to Deviation # __________

    Reviewed by: Date:

  • PROCEDURE VERIFICATION IQ-10

    Filter set 4A & 4B

    SOP EX


Recommended