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RBI Screening Assessment Form

Inspectors use a risk-based inspection screening assessment form to conduct qualitative assessments and identify the elements that significantly impact the level of risk. This form allows detailed RBI audits to be conducted that focus on these elements.

  • Easily conduct RBI audits for different purposes, such as offshore installations, storage tanks, pressure vessels and pipelines
  • Document risk identification on a system-by-system or equipment item basis
  • Set scoring metrics to help you easily know the completion status of RBI screenings
  • Assign medium and high-risk items for detailed evaluation to a responsible person
  • Review the collected inspection data in the analysis dashboard and initiate actions as needed
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General Information
General Information
Type of Installation
System No.
Rev
Description
Function & Boundaries
Dependent Systems
Process & Materials Information
Type of Material
Product Service Code
Op. Temperature (in Celsius)
Op. Press Barg
Chemical Information/Comment/Reference
Consequence Evaluation
Safety
Evaluation Rating
Justification/Reasoning/Reference
Economic
Evaluation Rating
Justification/Reasoning/Reference
Environmental
Evaluation Rating
Justification/Reasoning/Reference
Evaluation Rating
Probability Evaluation
Internal
Evaluation Rating
Model (s)
Justification/Reasoning/Reference
External
Evaluation Rating
Model (s)
Justification/Reasoning/Reference
Fatigue
Evaluation Rating
Model (s)
Justification/Reasoning/Reference
Results
Notes/Comments
Actions To Be Taken
Agreement to Evaluation
Team Representative
Date
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Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.