Multipage SATR Page 1SAUDI ARAMCO ID/PID - 6/30/2008 - REV 3 (Standards Cutoff - June 2008)REV 330-Jun-08SAUDI ARAMCO TEST REPORTSATR NUMBERDATE APPROVEDQR NUMBEREmergency Eyewash/Shower Functional Test ReportSATR-B-400115-Dec-09PLUMBPROJECT TITLEWBS / BI / JO NUMBERCONTRACTOR / SUBCONTRACTOR

EQUIPMENT ID NUMBER(S)EQUIPMENT DESCRIPTIONEQPT CODESYSTEM ID.PLANT NO.

LAYOUT DRAWING NUMBERREV. NO.PURCHASE ORDER NUMBEREC / PMCC / MCC NO.

SCHEDULED TEST DATE & TIMEACTUAL TEST DATE & TIMEQUANTITY INSP.MH's SPENTTRAVEL TIMESAUDI ARAMCO USE ONLYSAUDI ARAMCO TIP NUMBERSAUDI ARAMCO ACTIVITY NUMBERWORK PERMIT REQUIRED?

SAUDI ARAMCO INSPECTION LEVELCONTRACTOR INSPECTION LEVEL

ITEM No.TEST PROCEDURE ACCEPTANCE CRITERIAREFERENCEPASSFAILN/ARE-TEST DATE

A. TEST PROCEDURE AND CHECKLISTA1With the unit Correctly connected to the water sources and valve(s) closed, visually check the piping connections for leaks (ANSI Para 4.6.5.1) SAES-B-069Section 7A2Open the valve to the full open position. The valves shall remain open without requiring further use of the operator's hand (ANSI 4.6.5.2) SAES-B-069Section 7A3Measure The face of the shower head from the surface on which the user stands. (ANSI 4.6.5.3)(Applicable to Emergency showers only) SAES-B-069Section 7A4With the valve in the " full on" position, measure the diameter of the sprays pattern. (ANSI 4.6.5.4) (Applicable to emergency showers only) SAES-B-069Section 7A5The fluid used in the system for flushing injurious materials from the eye, face and body shall be potable water or otherwise water certified for the purpose by Saudi Aramco Environmental Compliance Division / Environmental Protection Department.SAES-B-069Para 5.1.1A6The flushing fluid in self contained units shall use an isotomic saline solution 0.85% to 1.0% NaCl buffered to a pH from 7.3 to 7.4 and preserved with a suitable anti-bacterial agent.SAES-B-069Para 5.1.3A7Water supply shall be capable of providing flow for a duration of at least 15 minutes to the involved eyewashes and showers at the flow rates and pressures specified herein.SAES-B-069Para 5.2.1A8Measure the water temperature at the discharge point.(SAES-B-069 Para 5.3) SAES-B-069Section 7 B. TEST EQUIPMENT AND MATERIALS CRITERIASee SATR-A-2003 (Calibration Test Report-Temperature Gauge) C. TEST RESULTS

Measured value from the face of the shower head to the surface on which the user stands CMMeasured diameter of the spray pattern CMMeasured water temperature C

Multipage SATR Pages 2,3,4...SAUDI ARAMCO ID/PID - 6/30/2008 - REV 3 (Standards Cutoff - June 2008)REV 330-Jun-08SAUDI ARAMCO TEST REPORTSATR NUMBERDATE APPROVEDQR NUMBEREmergency Eyewash/Shower Functional Test ReportSATR-B-400115-Dec-09PLUMBPROJECT TITLEWBS / BI / JO NUMBERCONTRACTOR / SUBCONTRACTOR

D. CONCLUSIONSITEM No.TEST RESULTS ACCEPTANCE CRITERIAREFERENCEPASSFAILN/ARE-TEST DATE

D1The face of the shower head from the surface on which the user stands is between 208.3 cm (82 inches) and 243.8 cm (96 inches) (ANSI 4.6.5.3) Note: Applicable to Emergency showers only SAES-B-069Section 7D2With the valve in the " full on" position, measured diameter of the sprays pattern is a minimum of 50.8 cm (20 inch) at 152.4 cm (60 inch) above the standing surface. The center of the spray shall be at least 40.6 cm (16 inches) from any obstruction. (ANSI 4.6.5.4)(Applicable to emergency showers only)SAES-B-069Section 7D3 Measured water temperature shall not exceed 38C at any time. SAES-B-069Para 5.3.1D4Test results are acceptable and in accordance with Saudi Aramco Engineering Standards and contractural requirements.N/A

REMARKS:

REFERENCE DOCUMENTS:1-SAES-B-069 -- Emergency Eyewash and Showers, 5 September 20062-ANSI Z358.1 -- American National Standard for Emergency and Shower Equipment, 2004

Contractor / Third-PartySaudi AramcoTechnician Performing Test* PMT Representative

Name, Title, Department,Company, Initials and Date:Test Performed Successfully and Results are Acceptable:Name, Initials and Date:T&I WitnessedQC Record ReviewedWork Verified

QC InspectorPID RepresentativeName, Initials and Date:Witnessed TestWork / Rework May ProceedName, Initials and Date:T&I WitnessedQC Record ReviewedWork Verified

QC SupervisorProponent and OthersName, Sign and Date: Quality Record Approved:Name, Organization,Initials and Date:T&I WitnessedQC Record ReviewedWork Verified

*Person Responsible for Implementation of Test and Analysis of ResultsY = YES N = NO F = FAILED