SIA-Report——模板资料文档.docx
System Impact Assessment Report of XXX PlantXXX车间系统影响评估报告Report Approval 报告批准Company/Title 公司/职务Name 姓名Signature 签名Date日期Written by 编写Reviewed by审核Approved by 批准Rev .版本Date日期Revision Reasons 修订原因00Initial issuance 新制订Content 目录1 Purpose 目的3Scope 范围32 Responsibility职责33 Conclusions 结论3第2页，共5页Purpose 目的This document summarizes the activities of System Impact Assessment (SIA) for the xxx Plant of XXX. The System Impact Assessment is used to assess the impacts of equipment and utilities on products. Systems or equipment having direct impact on product quality are subject to qualification in addition to being designed under Good Engineering Practices (GEP). Systems designated as 'Indirect Impacf and “No Impacf are subject to GEP requirements for design, installation and commissioning.本文件对xxx公司XXX车间的系统影响评估活动进行了总结。系统影响评估过程评估了设备和公用工 程对于产品的影响。对产品质量有直接影响的系统或设备除根据良好的工程管理规范(GEP)设计外, 还需要进行确认。对“间接影响”和“无影响”的系统，需要根据良好的工程管理规范设计、安装和调试。1 Scope范围The scope of work includes the assessment of equipment (including automation equipment), utilities and systems (collectively referred to as System) related to the xxx Plant of XXX.本活动适用于评估所有与XXX公司XXX车间相关的设备(包括自控设备)、公用工程和系统(统称为 “系统”)。2 Responsibility 职责/ Information collection信息的收集/ System Impact Assessment execution进行系统影响性评估/ Supply all procedure, data, manuals, drawing and documentation necessary for the completion of final report提供为报告编写所需要的所有的规程、数据、手册、图纸和文件/ System Impact Assessment Report compilation系统影响评估报告的编写/ Review and approve the report报告的审核和批准3 Conclusions 结论The impact of a system is assessed based on its influences to the safety, properties, potency, purity, efficacy or quality of the product. This SIA was performed by a team consisting of engineers from第3页，共5页XXX from x xx, 20xx to x xx, 20xx.通过对产品的安全性、特性、效价、纯度、有效性、或质量对系统进行影响评估。影响评估由包括XXX 工程师的团队来执行，执行时间是20xx年 月 日到20xx年 月 日。System boundaries are defined for the equipment and systems of the xxx Plant on the relevant P&IDs. These system boundaries definition results were documented in the System Impact Assessment Summary Form (see Appendix 1).xxx车间的设备和系统，在P&ID图上进行了系统划分。系统划分结果记录在系统汇总表中(见附录1)。It should be noted that if the detailed design changes following the assessment, the systems and components must be re-evaluated for the system impact assessment in order to ensure that systems previously judged to be Indirect Impact or No Impact have not acquired a critical function. 应注意，如果在评估之后详细设计发生了变更，必须重新对系统和部件进行系统影响性评估，以保证 之前被判定为间接影响或无影响的系统没有新获得任何关键功能。The systems were defined as being 'DIRECT, INDIRECT, or 'NO IMPACT. This is summarized in Tables 1,2 and 3.系统划分为“直接”“间接”“无影响”，总结在表格1、2、3中。第4页，共5页TABLE 1: 'DIRECT IMPACT' SYSTEMS表1：直接影响系统Item序号Area区域Number of System系统数量1.TABLE 2: INDIRECT IMPACT' SYSTEMS表2：间接影响系统Item序号Area区域Number of System系统数量1.TABLE 3: 'NO IMPACT' SYSTEMS表3：无影响系统Item序号Area区域Number of System系统数量1.第5页，共5页
