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Instrument Loop Check Sheet Template

A complete loop check record for analog input loops: mechanical and wiring pre checks, a 5 point injection test compared with the DCS or PLC display, and alarm and trip verification.

Excel (.xlsx)Printable PDFFilled exampleFree, no sign up

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  • How to Use sheet with steps
  • Template sheet, blank and ready
  • Example sheet, filled in
  • 50 built in formulas
  • A4 portrait print setup
  • Works in Excel, Google Sheets and LibreOffice

Preview of the Filled Example

This is the Example sheet from the download, so you can see exactly how the completed instrument loop check sheet looks.

Loop number1101
Tag numberPT 1101
ServiceSteam header pressure
Instrument typePressure transmitter, 2 wire HART
Range LRV0
Range URV16
Unitbar g
I/O typeAI
System / controllerDCS controller CP 01
Card / channelAI 03 / CH 05
Junction boxJB 11
Field cable / multipairIC 1101 / MP 11 01 pair 5
P&ID numberP&ID 100 02
Loop drawing numberLD 1101
Loop tolerance (± % span)0.5
Test date12 Oct 2026

Pre checks

NoCheck itemStatusRemarks
1Instrument installed as per hook up drawing and tag plate fittedOK
2Process connection, impulse lines and manifold leak testedOK
3Cable glanded, terminated and ferruled as per termination scheduleOK
4Insulation resistance of loop cable checked (≥ 100 MΩ at 500 V DC, instrument disconnected)OK
5Continuity and polarity checked field to marshalling to I/O cardOK
6Shield earthed at one end only (control room side)OK
7IS barrier / isolator type matches the loop drawing (if IS loop)NANon IS loop
8Instrument range and configuration match the data sheetOK

Loop test: signal injected at the field, reading checked on DCS / PLC display

Injected (%)Injected (mA)Expected readingDCS / PLC readingError (% span)ResultRemarks
04.000.000.000.00PASS
258.004.004.010.06PASS
5012.008.008.020.12PASS
7516.0012.0012.010.06PASS
10020.0016.0016.000.00PASS
Loop test result:PASS

Alarm and trip check

AlarmSet pointActivated atDeviationShown on HMI and logged?Remarks
L4.004.000.00Yes
H13.0013.000.00Yes
HH14.5014.500.00YesTrips boiler feed via SIS (tested separately)
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About the Instrument Loop Check Sheet

A loop check proves that a field instrument, its cable, junction box, marshalling, I/O card and the DCS or PLC configuration all work together before the plant starts up. A complete loop check sheet is a key commissioning record: it is signed by the contractor, the client and often the system vendor, and is part of the mechanical completion and handover dossier.

How to fill in this template

  1. Fill the loop details from the loop drawing, I/O list and data sheet. Range and tolerance drive the test calculations.
  2. Complete the pre checks before powering the loop. Do not inject signals into a loop with incomplete wiring checks.
  3. Disconnect the transmitter (or use it in loop test mode) and inject 4, 8, 12, 16 and 20 mA at the field end; record what the DCS or PLC displays.
  4. Simulate each alarm and trip point and confirm the alarm appears on the HMI and in the event log.
  5. All parties sign the sheet. Attach it to the loop folder for handover.

What the formulas do

  • Injected mA = 4 + 16 × % ÷ 100.
  • Expected reading = LRV + span × % ÷ 100.
  • Error = (DCS reading − expected) ÷ span × 100; PASS within the loop tolerance.
  • Deviation = alarm activation value − set point.

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Frequently Asked Questions

What is the difference between a cold loop and a hot loop check?

A cold loop checks wiring continuity and insulation without power. A hot loop (this sheet) injects real signals with the system powered and checks the reading, ranging and alarms end to end.

Where should the signal be injected?

At the field end, as close to the instrument as possible, so the whole loop including the cable and junction box is proven.

What tolerance is acceptable for a loop check?

Typically ± 0.5 % of span, covering the I/O card accuracy and the injection source.

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