INSPECTION & TESTING REQUIREMENTS

SAUDI ARAMCO FORM-175

SCOPE: ACTUATOR, VALVE, HYDRAULIC: With Integral or

Remote Power Unit for Rising Stem and Quarter Turn
Valves. Excluded are Actuators for Offshore Well
Platforms and Wellhead Valves.
TEST and INSPECTION PER: 34-SAMSS-717 and
Specifications As Noted Below.

REVISION:
REPLACES:

03/00
06/99

CODE NUMBER:

341001

PAGE:

1 of 2

PURCHASE ORDER NUMBER:

ITEM NUMBER(s):

(1) VISUAL INSPECTION / WITNESSING BY BUYER REPRESENTATIVE (Note 1)

(2) CERTIFICATES / RECORDS TO BE CHECKED BY BUYER REPRESENTATIVE
LINE
NO

(3) CERTIFICATES / DATA TO BE PROVIDED BY VENDOR / SUPPLIER/ MANUFACTURER

Pre-fabrication / Pre-production Requirements

Specification Details / Notes:

01
02

Applicable Instrument Specification Sheets (If applicable)

03
04
05
06

X
X
X

Emergency Shut Down (ESD) Actuators (If applicable)

NEMA Frame Motors
Instrument Control Panel-Outdoor

a) Form 8020-717-ENG for Hydraulic Actuators.

b) Form 8020-825-ENG for Electromechanical Relays.
Shall comply with the requirements of SAES-B-058 and SAES-J-601.
17-SAMSS-503 and SA-175 form 170200.
34-SAMSS-821 and SA-175 form 343100.

In-Process Inspection & Testing Requirements

07
08

09

10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

X
X
X
X
X
X

Workmanship Components and Dimensions:

Interposing Relays Wiring
Electrical Components or Devices In Classified Locations
That May Produce Arcs, Sparks or High Temperatures
Conductor Color Coding and Grounding
Hydraulic Power Unit Assembly
Pressure Containing Tanks ( 15 Psig)
Flanged Pipe Connections
Threaded Pipe Connections
Aluminum Instrument Enclosures

X
X
X
X

Functional & Performance Tests:

a) Actuator Stem Travel / Shaft Rotation
b) Stroking Speed
c) Fail Safe Operation
d) Operation of All Accessories At Load and No Load

Hydrostatic Testing

Shall be in accordance with AA-036331.

If applicable: Shall be listed or labeled by UL, FM, CSA or other approved third
party testing laboratory indicating that they are suitable for the intended hazardous
area.
Per NEC.
Confirm type of assembly per ISS for driver and verify compliance.
Confirm design, fabrication and stamping per ASME Section VIII, Division 1.
Shall meet ASME B16.5.
ASME B1.20.1.
Verify that material does not contain more than .05% copper.

All tubing, piping, and accessories at 1.5 x MAOP.

Final Inspection & Testing Requirements

26
27

Marking / Identification Verification

28

Actuator Identification Plate

29
30
31
32

X
X

Motor Nameplate
Accessories Nameplates

Shall be AISI Series 300 type stainless steel, attached securely by similar material
fasteners.
NEMA MG1 or IEC 34.1
Those accessories that are supplied but not mounted to the actuator.

Notes:
(1) May only be waived by the responsible Saudi Aramco, ASC, AOC Inspection Offices.
(2) See form SA175 000003 (page 2 of 2) for instructions on using this form.