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SIF Proof Test Record Template

Record the proof test of a safety instrumented function (SIF): measured trip point against the set point, response time against the required safety time, and every test step, with an automatic overall result and next test date.

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
  • 28 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 sif proof test record looks.

SIF numberSIF 101
DescriptionHigh high steam pressure: trip burner
SILSIL 2
ArchitectureSensors 2oo3, valves 1oo2
Proof test interval (months)12
Test date14 Oct 2026
Next test due14 Oct 2027
Test procedurePT PROC 101 rev B
Proof test resultPASS
Dangerous failures foundNone

Measured values

ItemRequiredTolerance (±)As foundResultUnit
PT 1101 A trip point14.50.1514.56PASSbar g
PT 1101 B trip point14.50.1514.41PASSbar g
PT 1101 C trip point14.50.1514.62PASSbar g
Measured items failed:0

Response time

Final elementRequired max (s)Measured (s)ResultRemarks
XV 1101 fuel gas SDV32.1PASSFull stroke, limit switch OK
XV 1102 fuel gas SDV32.4PASS
Response times failed:0

Test steps

NoCheck itemStatusRemarks
1Permit and bypass authorised; operations informedPASS
2Initiator isolated and test equipment connectedPASS
3Trip simulated at the initiator (or process taken to trip)PASSSimulated with hand pump at transmitter
4Logic solver trip and alarm received in DCSPASS
5Final element moved to safe positionPASS
6Valve stroke observed full travel and limit switch feedback receivedPASS
7Tight shut off checked (where required)NANot required for this SIF
8Reset and restore to normal; bypass removedPASS
9Initiator returned to service and reading compared with other sensorsPASS
Steps failed:0
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About the SIF Proof Test Record

IEC 61511 requires every safety instrumented function to be proof tested at the interval used in its SIL calculation, and the results recorded. A good record shows the as found trip values and response times, not just a tick, so dangerous failures and drift can be tracked and the assumed failure rates checked against reality.

How to fill in this template

  1. Fill in the SIF details and the proof test interval from the safety requirements specification.
  2. Record each measured trip point with its required value and tolerance.
  3. Measure the response time of each final element with a stopwatch or the DCS sequence of events.
  4. Mark each test step PASS, FAIL or NA, and remark on anything abnormal.
  5. A dangerous failure found during the test must be reported, repaired and the SIF retested before being returned to service.

What the formulas do

  • Trip point result = PASS if |as found − required| ≤ tolerance.
  • Response time result = PASS if measured ≤ required maximum.
  • Select the overall result FAIL if any item or step failed.
  • Next test due = test date + proof test interval.

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Frequently Asked Questions

What is a proof test?

A periodic test that reveals dangerous undetected failures of a safety instrumented function, so it can be repaired and its PFDavg kept within the SIL target.

Why record as found values?

As found results show the condition the SIF was really in. They are needed to calculate failure rates and to justify test intervals.

What if a proof test fails?

Treat it as a dangerous failure: apply compensating measures, repair, retest and report it in the SIS performance records.

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