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FIELD TEST/INSPECTION REPORTWELDING PROCEDURE SPECIFICATION (WPS)

COMPANY NAME WELDING PROCEDURE SPECIFICATION NO. DATE SUPPORTING PQR NO. REVISIONS

WELDING PROCESS(ES) TYPE(S)PROCEDURE QUALIFICATION RECORD NO. (S) JOINTS(QW-402)

GROOVE DESIGN

BACKING : YES NO

BACKING MATERIAL(TYPE)

POSTWELD HEAT TREATMENT (QW-407)

TEMPERATURE

TIME RANGE

OTHER

OTHER GAS (QW-408)

SHIELDING GAS(ES)

BASE METALS (QW-403)

P.NO. TO P.NO.

THICKNESS RANGE

PIPE DIA. RANGE

OTHER

PERCENT COMPOSITION(MIXTURES)

FLOW RATE

GAS BACKING

TRAILING SHIELDING GAS COMPOSITION

FILLER METALS (QW-404)

F. NO. OTHER OTHER

A. NO. OTHER

SPEC. NO.(SFA)

AWS NO. (CLASS)

SIZE OF ELECTRODE OR

ELECTRICAL CHARACTERISTIC (QW-409)

CURRENT AC OR DC POLARITY

AMPS(RANGE) VOLTS(RANGE)

OTHERS

SIZE OF FILLER

ELECTRODE-FLUX(CLASS)

CONSUMABLE INSERT

OTHER

TECHNIQUE (QW-410)

STRING OR WEAVE BEAD

ORIFICE OR GAS CUP SIZE

Initial & Interpass Cleaning (Brushing, Grinding, etc.)

POSITION (QW-405)

POSITION OF GROOVE

WELDING PROGRESSION : UP DOWN METHOD OF RACK GOUGING

OTHER OSCILLATION

PREHEAT (QW-406)

PREHEAT TEMP.

INTERPASS TEMP.

PREHEAT MAINTENANCE

OTHER

CONTACT TUBE TO WORK DISTANCE

MULTIPLE OR SINGLE PASS(PER SIDE)

MULTIPLE OR SINGLE ELECTRODES

TRAVEL SPEED(RANGE)

OTHER

WELD FILLER METAL CURRENT VOLT

LAYER (S) CLASS DIAMETER RANGEAMPERE

RANGE

TYPE POLARITY

TRAVEL

SPEEDOTHERPROCESS

Page | 8

GROOVE DESIGN USED

60

3

10

PROCEDURE QUALIFICATION RECORD (PQR)

COMPANY NAME PROCEDURE QUALIFICATION RECORD NO. DATE WPS NO.WELDING PROCESS(ES)TYPE(MANUAL AUTOMATIC, SEMI-AUTOWELDING PROCEDURE SPECIFICATION NO.

JOINT (QW-402

BASE METALS (QW-403)MATERIAL SPEC. TYPE OR GRADE P NO. TO P NO. THICKNESSDIAMETER

POSTWELD HEAT TREATMENT (QW-407)TEMPERATURE TIME OTHER

OTHER GAS (QW-408)TYPE OF GAS (ES)COMPOSITION OF GAS. MIXTUREOTHER

FILLER METALS (QW-404)WELD METAL ANALYSIS A NO.SIZE OF ELECTRODEFILTER METAL F NO.SFA SPECIFICATIONAWS CLASSIFICATIONOTHER

ELECTRICAL CHARACTERISTICS (QW-409)CURRENTPOLARITYAMPS VOLTS OTHER

POSITION (QW-405)POSITION OF GROOVEWELD PROGRESSION (UPHILL, DOWNHILL) TECHNIQUE(QW-410)OTHER TRAVEL SPEED

STRING OR WEAVE BEADPREHEAT (QW-406)PREHEAT TEMP.INTERPASS TEMP.OTHER

OSCILLATIONMULTIPASS OR SINGLE PASS(PER SIDE)MULTIPLE OR SINGLE ELECTRODESOTHER

NOTE :

Page | 9

FIELD TEST/INSPECTION REPORTPROCEDURE QUALIFICATION RECORD (PQR)

TENSILE TEST (QW-150)

SPECIMENNO

WIDTHmm

THICKNESS mm

AREAmm2

ULTIMATETOTAL LOAD

kg

ULTIMATEUNIT STRESS

kg/cm2

CHARACTER OF FAILURE &

LOCATION

GUIDED BENDED TESTS (QW-160)TYPE AND FIGURE NO. RESULT

BENDBENDBENDBEND

TOUGHNESS TESTS (QW-170)SPECIMEN NOTCH NOTCH TEST. IMPACT LATERAL EXP. DROP WEIGHT

LOCATION TYPE TEMP. VALUES % SHEAR MILS BREAK NO BREAK

FILLET WELD TEST (QW-180)RESULT-SATISFACTORY: YES NO PENETRATION INTO PARENT METAL: YES

NOTYPE AND CHARACTER OF FAILURE MACRO-RESULTS

OTHER TESTSTYPE OF TESTDEPOSIT ANALYSISOTHER

CERTIFICATE OF COMPLIANCE

WELDERS NAME CLOCK NO. STAMP NO.TESTS CONDUCTED BY LABORATORY TEST NO.WE CERTIFY THAT THE STATEMENTS IN THIS RECORD ARE CORRECT AND THAT THE TEST WELDS WERE PREPARED WELDED AND TESTED IN ACCORDANCE WITH THE REQUIREMENTS OF SECTION IX OF THE ASME CODE.

MANUFACTURERDATE BY

CHIEF OF INSPECTION SECTION(DETAIL OF RECORD OF TESTS ARE ILLUSTRATIVE ONLY AND MAY BE MODIFIED TO CONFORM TO THE TYPE AND NUMBER OF TESTS REQUIRED BY THE CODE.)

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FIELD TEST/INSPECTION REPORT

LIQUID PENETRANT EXAMINATION

APPLICABLE CODE STAGE OF EXAMINATION

MATERIALPREPARED EDGE AFTER P.W.H.T OTHERS

AS WELDED AFTER HYDROTEST

SURFACE PREPARATION GRINDING MACHINING OTHERS

TYPE COLOR CONTRAST FLUORESCENT

PENETRANT APPLICATION BRUSHING SPRAYING

TEMPERATURE PENETRANT TIME MINUTES

WATER-WASHABLE PENETRANTS DRY DEVELOPERREMOVAL POST-EMULSIFYING PENETRANTS

SOLVENT-REMOVABLE PENETRANTSDEVELOPING

WET DEVELOPERLOCATION EXAMINED

REFER TO ATTACHED TEST LOG

JUDGMENTSATISFACTORY

UNSATISFACTORY

ATTACHED REPORT

SIGNATURE : Witnessed/Reviewed by SIGNATURE: LG E&C SIGNATURE: CUSTOMER

( ICIIC ) ( LG E&C ) (CONTRACTOR)

DATE DATE DATE

Page | 12

FIELD TEST LOG - LIQUID PENETRANT EXAMINATION

LG E&C JOB NO. REPORT NO.

CONTRACT NO. AREA

LINE NO. R 1 R 2 R 3

& WELD WELDER DATE PASSED WELDER PASSED WELDER PASSED WELDER PASSED

SHEET NO. NO. SYMB. YES NO SYMB. YES NO SYMB. YES NO SYMB. YES NO

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ULTRASONIC EXAMINATION

LG E&C JOB NO. REPORT NO. PROJECT NAME DATE NAME OF EQUIPMENT AND IDENTIFICATION NO.

APPLICABLE CODE STAGE OF EXAMINATION

MATERIAL AS WELDED AFTER HYDROTESTAFTER P.W.H.T OTHERS

METHOD STRAIGHT BEAM ANGLETYPE OF EQUIPMENT

COUPLANT WATER MOTOR OIL CMC GLYCERINEDETECTING DIRECTION AXIAL RADIAL CIRCUMFERENTIAL OTHERS

TYPE FREQUENCY MHzTRANSDUCER NORMAL STRAIGHT

ANGLE 45Deg 60Deg 70DegSENSITIVITY STANDARD TEST BLOCK

STETTING SENSITIVITYSCANNING

LOCATION EXAMINED

REFER TO ATTACHED TEST LOG

JUDGMENT SATISFACTORYUNSATISFACTORY

ATTACHED REPORT

SIGNATURE : Witnessed/Reviewed by SIGNATURE: SIGNATURE:

( ICIIC ) ( LG E&C ) (CONTRACTOR)

DATE DATE DATE

Page | 15


FIELD TEST LOG - ULTRASONIC EXAMINATION

LG E&C JOB NO. REPORT NO. CONTRACT NO. AREA

LINE NO. R 1 R 2 R 3& WELD WELDER DATE PASSED WELDER PASSED WELDER PASSED WELDER PASSED

SHEET NO. NO. SYMB. YES NO SYMB. YES NO SYMB. YES NO SYMB. YES NO

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INSPECTION & TEST PROGRAM FOR SITE DISCIPLINE: BUILDING DESCRIPTION OF WORK: BUILDING

ITP NO.: 602C-000-QA-QA-031-D00 REV.: 0 PAGE: 4 OF 9

NO. DESCRIPTION OF INSPECTION/TEST APPLICABLE SEPEC. OR

PROCEDURE

REPORTING FORMAT

PARTICIPATION BY REMARK

SUBCON. OTC/TPA COMPANY

1

2 3 4 5

PLUMBING SYSTEM SERVICE PRESSURE TEST TEST /DRAINAGE EXPOSED CONDUIT PAINTING FINAL VISUAL INSPECTION PUNCH LIST

VISUAL

VISUAL ELECTRICAL SPEC

PAINTING SPEC VISUAL

FORM:QA-QA-31-01

FORM:QA-QA-31-01 FORM:QA-QA-65-01 FORM:QA-QA-81-01 FORM:QA-QA-65-01

H

H H H H

W

W W W W

H

H W H H

LEGEND: R: Review SW: Spot Witness W: Witness H: Hold

FORM NO.: QA-PR-001-03 REV.:01

FIELD INSPECTION REPORT ITP NO. :

REPORT NO. :

DATE :

INSPECTION TYPE: WORK NO.:

FINAL VISUAL INSPECTION (PUNCH LIST) ITEM NO. :

LOCATION :

SIGNATURE

INSPECTION NOTICE NO. : COMPANY CONTRACTOR SUBCONTR.

COMPANY'S INSPECTOR : / / / / / /

CONTRACTOR INSPECTOR :

SUBCONTRACTOR'S INSPECTOR :

DRAWING NO (S).: ACCEPTANCE CRITERIA :

NO. NON-CONFORMANCE AND REFERENCE REMEDIAL ACCEPTANCE

INITIAL DATE ACC REJ

COMMENTS

LEGEND: N/A: Not Applicable FORM:QA-QA-65-05 Rev. 00

FIELD INSPECTION REPORT ITP NO. : REPORT NO. : DATE :


INSPECTION EXPOSED CONDUIT ITEM NO. : LOCATION :

SIGNATURE INSPECTION NOTICE NO. : COMPANY CONTRACTOR SUBCONTR. COMPANY'S INSPECTOR : / / / / / / CONTRACTOR INSPECTOR :

SUBCONTRACTOR'S INSPECTOR : DRAWING NO (S). : INSPECTIONCRITERIA :

YES NO

Support and spacing as per specification and drawing Support adjacent to terminal fitting Conduits clean, Stub-ups protected, Open ends plugged, not damaged during construction period Field bend radius correct per specification and cod, bends free of deformities Expansion joint as shown on drawing Installed neat and evenly spaced Spacing between instrument and power conduit as per specification Spacing from hot pipes and from hot surface maintained Conduit permanently and effectively grounded Proper fitting installed with threads fully engaged, proper sealing compound used, no wrench cuts, conduit ends have bushing and covers installed

Seals and drains installed per drawing Aluminum, PVC or PVC coated conduits installed where specified on drawings Flexible conduit installed with proper bending radius and with standard fitting Metal junction boxes leveled and supported per drawing with proper hubs, locknuts and bushing installed

Seals poured

Remarks and Deviation:

LEGEND: N/A: Not Applicable FORM:QA-QA-65-01 Rev. 00


REPORT NO. :

DATE :


PAINTING APPLICATION ITEM NO. :

LOCATION :

SIGNATURE





HUMIDITY%: Dew Point Temp: Paint Material/Manufacturer:

PAINTING: Intermediate Final Touch-up

ROOM NO SURFACE CONDITION PAINT SYSTEM NO.

RESULT

ACC

REJ

COMMENTS

LEGEND: ACC: ACCEPT REJ: REJECT N/A: Not Applicable FORM:QA-QA-81-01 Rev. 00


REPORT NO. :

DATE :


WATER TEST ITEM NO. :

LOCATION:

SIGNATURE





LOCATION PRESSURE TIME

ACC REJ ACC REJ ACC REJ START END

COMMENTS

LEGEND: ACC.: ACCEPT REJ.: REJECT N/A: Not Applicable FORM:QA-QA-31-01 Rev. 00

INSPECTION & TEST PROGRAM FOR SITE DISCIPLINE: PIPING DESCRIPTION OF WORK: A/G PIPING WORK

ITP NO.: SPY-3-0000-CM-PR-051 REV.: 4 PAGE: 4 OF 22

NO. DESCRIPTION OF INSPECTION/TEST APPLICABLE SPEC.

OR PROCEDURE REPORTING

FORMAT



1 1.1

1.2

1.3

1.4

2 2.1 2.2 2.3 2.4 2.5 2.6 2.7

MATERIAL RECEIVING INSPECTION Verify the material Classification, grade, identified condition, size and quantity Check physical condition for damage, dent, corrosion, etc. Review receiving inspection report & mill certificate Inspection piping materials in storage

WELDING, WELDER & WELDING OPERATOR QUALIFICATION

WPS/PQR Preparation of preliminary WPS Confirm the preparation condition of PQ test Monitoring welding parameters Visual inspection NDT/PWHT repot Laboratory test Qualification documents (WPS/PQR)

602-000-PI-SP-001

602-000-PI-SP-001 & 602-000-PI-SP-008

602-000-PI-SP-010 & 017 ASME Sec. IX

QA-G-03

QA-G-03

QA-G-02

(Related Procedure Issued later)

QA-QA-51-03 QA-QA-51-04 & 08

Lab. Report Issued later

H

H

R

H

R H H H W

SW H

H

H

R

H

R H H H H H H

W

SW

R

SW

R W W W

SW/R W H







FORMAT



3 3.1 3.2 3.3 3.4 3.5

4 4.1 4.2 4.3

5 5.1

5.2

Welder / Welding operator qualification Confirm the preparation condition of test Welding test Visual Inspection NDT or Bend test Welders Qualification document

FABRICATION AND ERECTION Material verification Material classification and grade Size, thickness and color coding Physical classification

Identification Material classification and heat number traceability Spool identification (Dwg. No. / spool No.)

602-000-PI-SP-010 & 017 & ASME Sec. IX

602-000-PI-SP-010 & 602-000-PI-SP-001 & 602-000-PI-SP-008

(Related Procedure Issued later)

QA-G-03

H H -

-

H

H H H

H

H

H H H H H

W W W

W

W

W H W W H

W W W

SW

SW





NO. DESCRIPTION OF INSPECTION/TEST APPLICABLE

SPEC. OR PROCEDURE

REPORTING FORMAT



6 6.1

6.2

6.3 6.4

7

8 9

10 10.1 10.2 10.3 10.4

Fit-up Applicable WPS/welder/welding consumable / WPS and welder ID Fit-up condition (alignment, root gap, cleaning, etc.) Spool configuration and dimension Pipe inside cleaning

Preheating (if required) Welding Final visual Inspection for welded joint

NON-DESTRUCTIVE EXAMINATION Radiographic examination Magnetic particle examination Ultrasonic examination Liquid penetration examination

ASME B31.3

ASME B31.3

ASME Sec. V ASME Sec. V ASME Sec. V ASME Sec. V

QA-QA-51-01 QA-QA-51-02

QA-QA-51-03

QA-QA-51-04 QA-QA-51-05 QA-QA-51-06 QA-QA-51-07

H

H

H H

H W H

W W W W

H

W

W W

W SW W

W/R W W W

SW

W

W SW

SW SW SW

W/R SW/R SW/R SW/R





NO. DESCRIPTION OF INSPECTION/TEST APPLICABLE

SPEC. OR PROCEDURE

REPORTING FORMAT



11 11.111.2 11.3

12

12.1 12.2 12.3 12.4

13 13.1 13.2 13.3 13.4 13.5

PWHT Preparation condition of heat treatment Hardness test PWHT report and chart

SPOOL RELEASE AND STORAGE (ONLY FOR SHOP FABRICATION) Spool release Inside Cleaning and end capping Spool identification Storage

PRESSURE TEST Test Package Walk down Punch clear Flushing before test Pressure gauge calibration

ASME B31.3 ASTM A833

ISO Dwg.

As per PWHT procedure, Doc. No.

SPY-3-000-CM-PR-218

QA-QA-51-09 QA-QA-51-02

QA-QA-51-10 QA-QA-51-11

Certificate

W H H

H H H W

H H H H H

W W/R W/R

W W W W

R H H H W

W SW/R SW/R

W SW SW SW

R H H W W







FORMAT



13.6 13.7

14

Pressure/Leak test and visual inspection Drain and/or drying

PAINTING (it shall be done according to Painting & Coating ITP , ITP NO.: SPY-3-0000-CM-PR-081)

602-000-PI-SP-017

QA-QA-51-12

H H

-

H W

-

H W

-




REPORT NO. :

DATE :


VISUAL INSPECTION (GENERAL) ITEM NO. :

LOCATION :

SIGNATURE1





DRAWING NO (S).: ACCEPTANCE CRITERIA :

NO. NON-CONFORMANCE AND REFERENCE REMEDIAL ACCEPTANCE DATE AND INITIAL

COMMENTS2

1- To be signed if Accepted by all parties 2- Reason of Rejection and to be Signed by Refuser LEGEND: N/A: Not Applicable FORM:QA-G-02 Rev. 01


REPORT NO. :

DATE :

INSPECTION TYPE: WORK NO :

GOODS INWARDS INSPECTION ITEM NO. :

LOCATION :

SIGNATURE1




SUBCONTRACTOR INSPECTOR :

DESCRIPTION :

SUPPLIER :

DRAWING NO.(S) : ACCEPTANCE CRITERIA :

Q'TY ITEMS RECEIVED : CONTRACT NO. :

Q'TY ITEMS INSPECTED: SUPPLIERS REF.:

Q'TY ITEMS ACCEPTED : CERTIFICATION :

Q'TY ITEMS REJECTED : COLOUR CODE :

COMMENTS2

TO BE COMPLETED BY THE CONTRACTOR Q.C.M BELOW THIS LINE

RECOMMENDATIONS

SIGNED _ CONTRACTOR Q.C.M

DISTRIBUTION ORIGINAL FILE CONSTRUCTION MANAGER MATERIAL CONTROLLER PLAAING ENGINEER

1- To be signed if Accepted by all parties 2- Reason of Rejection and to be Signed by Refuser LEGEND: Q'TY: Quantity N/A: Not Applicable REF.: Reference FORM: QA-G-03 Rev. 01

FIELD INSPECTION REPORT FIT-UP CHECK

ITP NO. :

REPORT NO.:

DATE :

NO. ISO NO. SPOOL JOINT NO. SIZE SCH. HEAT NO.

PIPE CLASS TYPE S/F SUBCON.

INSPECTION RESULT REMARKS

ACC REJ

PREPARED BY SUBCON. QC INSPECTED BY QC APPROVED BY COMPANY

LEGEND: S/F: Shop/Field Type: BW(Butt Weld) / FL(Fillet weld) / SW: Socket Weld N/A: Not Applicable FORM:QA-QA-51-01 Rev. 01


REPORT NO. :

DATE :


PIPE INTERNAL CLEANING ITEM NO. :

LOCATION :

SIGNATURE1





ACTIVITY ISO NO. SPOOL NO. ACC

BEFORE FABRICATION

REMOVAL OF MILL SCALER / LACQUER (IF APP.)

AFTER FABRICATION

SPOOL FREE FROM DEBRIS, SAND, WELD SLAG, OXIDATION, WATER etc.& DRIED IF NECESSARY

ALL SPOOL CLOSED WITH PLASTIC SHEETING AND FANGES COVERED WITH PLYWOOD AFTER CLEANING

STICKER AFFIXED AND SIGNED/PIPE TAG STAPED

AFTER INSTALLATION

ALL ERECTED SECTIONS CLOSED AT ALL TIMES- FLANGES SEALED, THREADED CONNS, PLUGED

LINE FREE FROM DEBRIS etc. AFTER WELDING

STICKER SIGNED/PIPE TAG STAMPED

VERIFY ALL SECTIONS COVERED BY MARKED UP

ISO SHEET DULY SIGNED AND DATED

COMMENTS2

1- To be signed if Accepted by all parties 2- Reason of Rejection and to be Signed by Refuser LEGEND: ACC.: ACCEPT REJ.: REJECT N/A: Not Applicable FORM:QA-QA-51-02 Rev. 01

FIELD INSPECTION REPORT WELD VISUAL INSPECTION

ITP NO. :

REPORT NO.:

DATE :

NO. ISO NO. SPOOL JOINT NO. SIZE SCH. MATERIAL

CLASS TYPE S/F WPS SUBCON. WELDER

NO.

INSPECTION RESULT REMARKS

ACC REJ





RADIOGRAPHIC EXAMINATION ITEM NO. : LOCATION :

SIGNATURE1

INSPECTION NOTICE NO. : COMPANY CONTRACTOR SUBCONTR. COMPANY'S INSPECTOR : / / / / / / CONTRACTOR INSPECTOR :


PROCEDURE METHOD : TECHNIQUE: SWSI DWSI DWDI PANORAMIC ACCEPTANCE CRITERIA : IQI: SFD: MATERIAL : UG: SENSITIVITY:

SOURCE : DENSITY:

FILM TYPE :

MAKER & TYPE OF MACHINE:

ISO No. LINE N0. SHEET

NO. SPOOL

NO. JOINT NO. SIZE

THK. WELDER

ID RT NO. SEG. DEFECT ACC REP C-O R/S R/T

ABBREVIATIONS PG : PIPING EP : EXCESS PENETRATION S : SLAG INCLUSION IP : INCOMPLETED PENETRATION P : POROSITY LF : LACK OF FUSION C : CRACK ND : NO DEFECT T : TUNGESTEN INCLUSION ACC : ACCEPT C-O : CUT-OUT REP : REPAIR R/S: Re-Shoot R/T: Re-Take

1- To be signed if Accepted by all parties LEGEND: ACC.: ACCEPT REJ.: REJECT N/A: Not Applicable FORM:QA-QA-51-04 Rev. 02



MAGNETIC PARTICLE EXAMINATION ITEM NO. : LOCATION :

SIGNATURE1



PROCEDURE METHOD :

ACCEPTANCE CRITERIA :

TYPE OF POWDER : ABBREVIATIONS

L : LINEAR INDICATIONS ACC : ACCEPT R : ROUNDED INDICATION REP : REPAIR ND :NO DEFFECT C-O : CUT-OUT

DWG N0. JOINT NO. WELDER NO. RESULT ACC REP C-O

COMMENTS2




ULTRASONIC EXAMINATION ITEM NO. : LOCATION :

SIGNATURE1



PROCEDURE METHOD :


MATERIAL : THICKNESS:

METHOD : PROBE SIZE:

MEDIUM : FREQUENCY: ANGLE: MAKER & TYPE OF MACHINE:


ABBREVIATIONS ACC : ACCEPT EP : EXCESS PENETRATION REP : REPAIR IP : INCOMPLETED PENETRATION C-O : CUT-OUT LF : LACK OF FUSION C : CRACK S : SLAG INCLUSION P : POROSITY ND : NO DEFECT * SEE ATTACHED SHEET (DETAILED ULTRASONIC EXAMINATION RECORD)

1- To be signed if Accepted by all parties LEGEND: ACC.: ACCEPT REJ.: REJECT N/A: Not Applicable FORM:QA-QA-51-06 1/2 Rev. 01


DETAILED ULTRASONIC EXAMINATION REPORT

DWG NO. JOINT NO t DISTANCE W L D d LENGTH OF INDICATION

COMMENTS2

2- Reason of Rejection and to be Signed by Refuser LEGEND: ACC.: ACCEPT REJ.: REJECT N/A: Not Applicable FORM:QA-QA-51-06 2/2 Rev. 01



DYE PENETRATION EXAMINATION ITEM NO. : LOCATION :

SIGNATURE1



PROCEDURE METHOD :


TYPE OF PENETRANT : ABBREVIATIONS

L : LINEAR INDICATIONS ACC : ACCEPT R : ROUNDED INDICATION REP : REPAIR ND :NO DEFFECT C-O : CUT-OUT


COMMENTS2


FIELD INSPECTION REPORT RELEASED SPOOL LIST

ITP NO. :

REPORT NO.:

DATE :

NO. ISO NO. SPOOL SHOP JOINT RELEASED NO. RELEASED

DATE S/F WPS SUBCON. WELDER INSPECTION

RESULT REMARKS ACC REJ



FIELD INSPECTION REPORT PUNCH LIST (FOR A/G PRESSURE TEST)

ITP NO. : Walk Down Date: Issued by: REPORT NO.: Sub-Sys : Page : / DATE : TEST TYPE: Hydro test Pneumatic test Visual test

NO. DATA NO. DESCRIPTION RESULT PUNCH

TYPE CATEGORY ACTION

BY ISSUED DATE

CLEARED DATE

COMPANY APPROVED REMARKS ACC REJ

FLANGE RATING(S) CORRECT

GASKET INSTALLED

NUTS AND BOLTS TORQUE TIGHTENED

VALVES TAG NO(S). CORRECT

FLOW DIRECTION OF VALVE(S) CORRECT

VALVE STEM ORIENTATION CORRECT

VALVE OPERATION

VENT(S) AND DRAIN(S) CORRECT

BLINDS INSTALLED CORRECT

SUPPORT CORRECT TO DRAWING(S)

ANCHORS FIXED CORRECTLY

GUIDES INSTALLED CORRECTLY

SHOES INSTALLED CORRECTLY

SPRING HANGERS/SUPPORTS INSTALLED

LINE SPACING CORRECT

INSTALLED TO DRAWING

OTHER

NOTE: Important: Punch description shall be described in detail Type: Support, NDT, PWHT, Valve, FDN Category A: Before Pressure Test Action by: Each Discipline Category B: Before Pre-commissioning Data No.: for DB control only Category C: Before Commissioning SUBCON QC CONTRACTOR QC COMPANY



REPORT NO. :

DATE :


FLUSHING REPORT ITEM NO. :

LOCATION :

SIGNATURE1





LINE NUMBER FLUSHING TIME

ACC. REJ. ACC. REJ. ACC. REJ. MEDIA RATE START END

COMMENTS2



REPORT NO. :

DATE :


PRESSURE TEST A/G PIPING

ITEM NO. :

LOCATION :

SIGNATURE1





1. FABRICATION AND INSTALLATION

NO. DESCRIPTION VERIFY BY PIPING REMARKS

1.1 Piping material

1.2 In-line items/Valve/Supports

1.3 Punch clear before pressure test (Cat. A only) 1.4 Documents completed

NOTE:

PREPARED BY PIPING INSPECTED BY Q/C APPROVED BY COMPANY

2. PRESSURE TEST

2.1 Type of test 2.2 Test Date

2.3 Design Pressure 2.4 Test Media

2.5 Test Pressure (requirement) 2.6 Holding Time 2.7 Examined Pressure 2.8 Gauge No. Cal. Date

2.9 Test Result 1

2.10 Draining & Drying 2

COMMENTS2



INSPECTION & TEST PROGRAM FOR SITE DISCIPLINE: MECHANICAL DESCRIPTION OF WORK: PAINTING & COATING




FORMAT



1 1.1

1.2

2 2.1 2.2 2.3

3 3.1 3.2 3.3

MATERIAL RECEIVING INSPECTION Check the material physical condition for damage, corrosion, etc. Review Receiving Inspection Report & Mill Certificate

SURFACE PREPARATION (BLASTING) Check surface cleanliness Check the Roughness temperature

-Surface temperature: 3C above dew point and not exceed of 38C -Temperature more than 10C or Relative Humidity less than 85%

PAINTING Verify the manufacturer painting material Verify the painting system Check the Humidity and Dew point temperature

602-000-PI-SP-014

602-000-PI-SP-014

602-000-PI-SP-014

QA-G-03

QA-QA-81-03

W

R

H H H

H H H

W

W

SW W W

H H W

SW

SW

SW SW SW

SW SW SW



INSPECTION & TEST PROGRAM FOR SITE DISCIPLINE: MECHANICAL DESCRIPTION OF WORK: PAINTING & COATING




FORMAT



3.4 3.5 3.6 3.7 3.8 3.9

4 4.1 4.2 4.3

5

-Surface temperature: more than 3C above dew point or not exceed of 38C -Temperature more than 10C or Relative Humidity less than 85%

Primer coat Application Surface Cleaning Surface Preparation Painting each coat. Check Dry Film Thickness Check the Adherence (for Final Coating only)

COATING In Process Inspection-Field Joint Preparation In Process Inspection-Field Joint Wrapping Holiday test-Installed Underground Pipework

Final Visual Inspection Punch list

602-000-PI-SP-014

602-000-PI-SP-014 & Vendor Procedure

NACE RP0188

QA-QA-81-03

QA-QA-81-01 QA-QA-81-01 QA-QA-81-01 QA-QA-81-01

QA-QA-81-04

QA-QA-81-02

H H H H H H

H H H

H

W SW W

SW H H

SW SW H

H

SW SW SW SW W H

SW SW H

H

(For Underground Piping)

(only for Wrapping)




REPORT NO. :

DATE :



LOCATION :

SIGNATURE1





DESCRIPTION :

SUPPLIER :






COMMENTS2


RECOMMENDATIONS


DISTRIBUTION ORIGINAL FILE CONSTRUCTION MANAGER MATERIAL CONTROLLER PLANING ENGINEER



REPORT NO. :

DATE :


PAINTING APPLICATION ITEM NO. :

LOCATION :

SIGNATURE1





HUMIDITY%: Dew Point Temp: Paint Material/Manufacturer:

PAINTING: Intermediate Final Touch-up

ITEM NO. OR LINE NO.

SURFACE CONDITION

PAINT SYSTEM

NO.

FINAL DRY FILM THICKNESS ADHERENCE TEST

(for final only) RESULT

SPECIFIED D.F.T

MEASURED VALUE

1 2 3 AVE. ACC REJ ACC REJ

COMMENTS2

1- To be signed if Accepted by all parties 2- Reason of Rejection and to be Signed by Refuser LEGEND: ACC: ACCEPT REJ: REJECT N/A: Not Applicable FORM:QA-QA-81-01 Rev. 01


REPORT NO. :

DATE :

INSPECTION TYPE: WORK NO. :

FINAL VISUAL INSPECTION PUNCH LIST (PAINTING)

ITEM NO. :

LOCATION :

SIGNATURE1





DRAWING NO (S) : ACCEPTANCE CRITERIA :


COMMENTS2

1- To be signed if Accepted by all parties 2- Reason of Rejection and to be Signed by Refuser LEGEND: N/A: Not Applicable FORM:QA-QA-81-02 Rev. 01


REPORT NO. :

DATE :


BLASTING / PRIMER REPORT ITEM NO. :

LOCATION :

SIGNATURE1





1. BLASTING

Humidity / Dew point temp. / Cleaning condition Accept Reject Roughness Others

2. PRIMER

Paint system No. Paint material / Manufacturer

Humidity / Dew point temp. Surface condition Accept Reject Dry film thickness Others

3. ITEMS

COMMENTS2


FIELD INSPECTION REPORT

JOINT COATING LOG

ITP NO. : SPY-3-0000-CM-PR-081

REPORT NO. :

DATE :

UNIT: ISO / LINE: FROM: TO:

Joint Reference Relative Humidity (%) Surface Cleaning Roughness

Dry Film Thickness (Microns)

Holiday Detection Adhesion Check

Result Remarks

ACC REJ

PREPARED BY SUBCONTRACTOR

INSPECTED BY CONTRACTOR

APPROVED BY COMPANY

LEGEND: N/A: Not Applicable ACC: ACCEPT REJ: REJECT FORM:QA-QA-81-04 Rev. 00

INSPECTION & TEST PROGRAM FOR SITE DISCIPLINE: MECHANICAL DESCRIPTION OF WORK: INSULATION




FORMAT



1 1.1 1.2 1.3

2 2.1 2.2

3 3.1 3.2 3.3 3.4

4 4.1 4.2 4.3 4.4

Material Verification Verify the material/size/quantity Check the damage Review the Certificate Material Test Report

Surface Preparation Check surface cleanliness Repairs(To apply touch-up paint, If required)

Insulation Work Check Support Ring & Clip Check Insulation & Thickness Check Banding Check Vapor Barrier Mastic

Jacketing Work Check Jacketing Check Straps & Screwing Works Check Water or Weatherproofing Check Expansion Joint(If required)

602-000-PI-SP-015 & 016

602-000-PI-SP-015 & 016

602-000-PI-SP-015 & 016

602-000-PI-SP-015 & 016

QA-G-03

QA-QA-81-01

QA-QA-82-01

QA-QA-82-01

H H H

H H

H H H H

H H H H

W W H

W W

W W

SW W

SW SW W

SW

W W R

SW SW

SW SW SW SW

SW SW SW SW



INSPECTION & TEST PROGRAM FOR SITE DISCIPLINE: MECHANICAL DESCRIPTION OF WORK: INSULATION




FORMAT



5 5.1

Final Inspection Visual Inspection

602-000-PI-SP-015 & 016

QA-QA-82-02

H

H

H




REPORT NO. :

DATE :



LOCATION :

SIGNATURE1





DESCRIPTION :

SUPPLIER :






COMMENTS:2


RECOMMENDATIONS


DISTRIBUTION ORIGINAL FILE CONSTRUCTION MANAGER MATERIAL CONTROLLER PLANING ENGINEER



REPORT NO. :

DATE :


INSULATION INSTALLATION ITEM NO. :

LOCATION :

SIGNATURE1





DWG. NO.: Description:

NO. DESCRIPTION RESULT

REMARK

ACEEPT REJECT N/A

1 Material Verification

2 Surface Preparation

1) Cleaning 2) Touch-up Paint(If required)

3

Insulation Work 1) Support Ring & Pin 2) Banding 3) Insulation & Thickness Check 4) Vapour Barrier Mastic

4

Jacketing / Final Inspection 1) Jacketing 2) Scrap & Screw Works 3) Sealing / Water Proofing 4) Expansion Joint

5 Final Inspection Visual Inspection

COMMENTS2

1- To be signed if Accepted by all parties 2- Reason of Rejection and to be Signed by Refuser LEGEND: N/A: Not Applicable FORM: QA-QA-82-01 Rev. 01


REPORT NO. :

DATE :

INSPECTION TYPE: WORK NO. :

FINAL VISUAL INSPECTION PUNCH LIST (INSULATION)

ITEM NO. :

LOCATION :

SIGNATURE1





DRAWING NO (S) : ACCEPTANCE CRITERIA :


COMMENTS2


OTC

National Iranian Gas Company

IGAT V Booster Gas Compressor Stations

Document Title Document No. Page 17 of 73 Site Materials

Control Procedure PHASE AREA TRAIN/UNIT DIS DOC SEQ REV

SPY 3 0000 CM PR 203 03

Description

Storage Location

Remarks Open Storage WARE HOUSE

Air Conditioned

Room Yard Weathering Protection

b Electric process heaters and furnaces O

c Large automatic control valves O

d Large pressure relief and safety valves O

e Cable on Drum / Conduit O

f Electric Wire O

g Lighting Fixtures O

h Distribution Panels and Control Panels O

i Transformer *O O *Designated for outdoor installation

j Motors *O O *Designated for outdoor installation

k Instruments O *O *Based on Vendor's instruction. l Meters O

m Materials for Electrical & instrument work O

3 ROATING EQUIPMENT (Pumps, motors & etc.)

a Pump O Vendor's Preservation Procedure shall be followed.

b Compressors Large Processing machinery O

4 STATIC EQUIPMENT a Stainless Steel equipment O

b Vessels, Drums and Heat Exchanger, Stacks and Others O

c Small items and accessories O

5 OIL AND GASSES

a Gasoline, Thinner O

b Paint, Oil O

c Gases O

d Chemicals O Stored Separately in Warehouse. 6 CATALYST & PACKING

a Catalyst O *O *If requested by VENDORS manual b Packing Materials O

OTC





SPY 3 0000 CM PR 203 03

Description

Storage Location

Remarks Open Storage WARE HOUSE

Air Conditioned

Room Yard Weathering Protection

7 Insulation and Fire Proofing

a Heat Insulation Materials O

*O

*After unpacking (Based on Vendor's recommendation)

b Fire Proofing Materials O

*O

*Powder Type Mat'ls. (Based on Vendor's recommendation)

8 PRECIOUS METAL O Special Secured Store

9 SPARE PARTS O

Stored separately to all other MATERIALS Area clearly marked "SPARE PARTS/EQUIP NO.''

5.3. Storing in Open Storage Area All MATERIALS stored in the OPEN STORAGE AREA shall be on pallets or sleepers, and shall be tagged or marked for easy identification. The detailed methods of storing in the OPEN STRORAGE AREA are described for respective categories of MATERIALS in ATTACHMENT 3:''Method for Storing" hereto.

5.4 Storing in Warehouse All MATERIALS stored in the WAREHOUSE shall be landed on pallets, on shelves, on racks, or in bins, and shall be tagged or marked for easy identification. Pallets, racks, shelves, and bins must be designed to carry the MATERIALS envisaged, in respect of size, weight and quantity.

OTC





SPY 3 0000 CM PR 203 03

Reference No.: 5GCS PROJECT

CARGO DELIVERY REPORT

IGAT V Booster Gas Compressor Stations Contract No.: 180502

Date:

Page No.: of Latest Version Of MR: L/C No. :

Site Name:

Remarks Storage Location B/L No. Truck No. Receiving Date Weight (Kg) Description Package List No.

No.

MC Representative (observation only):

Checked and Controlled by

OTC-C:

Subcontractor:

OTC C Material

Controller:

OTC EP Material Controller:

Distribution: Original to OTC EP, Copy to OTC-C, Copy to MC

OTC





SPY 3 0000 CM PR 203 03

Reference No.: 5GCS PROJECT

UNPACKING INSPECTION REPORT

IGAT V Booster Gas Compressor Stations Contract No.: 180502 Date:

I.D/TAG No.: Description of Goods: Dates Goods inspected: Dates Goods received::

Item No. : Package No.: Requisition No.: Vendor / Supplier:

Visual Inspections(describe in detail any visual signs of damage) Packing condition:

NOT GOOD GOOD

Note:

Condition of Contents:

NOT GOOD GOOD

Note:

Quantities SHORTAGE OVERAGE CORRECT

OVERAGE/ SHORTAGE details

OVERAGE/ SHORTAGE / Damage Report required? Yes No

OTC- C Subcontractor : OTC- C Material Controller: OTC-EP Material Controller:

Distribution: Original to OTC EP , Coy to OTC-C and OTC C Subcontractor

OTC IGAT V Booster Gas Compressor Stations

Document Title Site Materials

Control Procedure PHASE

SPY

IGAT V Booster Gas Compressor Stations Contract No.:180502 OVERAGE/SHORTAGE/DAMAGE REPORT

Site Name: CDR No.&Date:

Vendor/Supplier: Requisition No.:Copy of Unpacking Inspection Report Attached? Yes No

Photographs Attached? Yes No

No. Description Item No. Unit Q'ty Packing list

Recommended Action: A. Repair in Field B. Return to Vendor for Repair

Reason:

Claim against : Contractor Vendor

OTC-EP Material Controller: OTC-

Distribution: Original to OTC-EP Copy to OTC-C and OTC



Document No. Page AREA TRAIN/UNIT DIS DOC SEQ REV

3 0000 CM PR 203 03

5GCS PROJECT Reference No.:

OVERAGE/SHORTAGE/DAMAGE REPORT Date:

CDR No.&Date: UIR No.& Date:

Requisition No.: Package No.:Copy of Unpacking Inspection Report Attached? Yes No

Attached? Yes No

Q'ty Packing list

Q'ty Received Overage Shortage Damage

Recommended

Return to Vendor for Repair C. Replace D. Advise Vendor/Supplier of Overage/Shortage

Other

-C Material Controller: Subcontractor:

OTC-C Subcontractor

Page 39 of 73

Reference No.:

Date:

Package No.:

Recommended Action Remark

Advise Vendor/Supplier of Overage/Shortage E. None

OTC IGAT V Booster Gas Compressor Stations

Document Title Site Materials

Control Procedure PHASE

SPY

IGAT V Booster Gas Compressor Stations Contract No.:180502

Site Name:

OSD No.&Date:

Vendor/Supplier:

Copy of Unpacking Inspection Report Attached? Yes No

Photographs Attached? Yes No

No. Description Item No.

OTC-EP Material Controller:

Distribution: Original to OTC-EP Copy to OTC-C and OTC



Document No. Page AREA TRAIN/UNIT DIS DOC SEQ REV

3 0000 CM PR 203 03

5GCS PROJECT

SHORTAGE/DAMAGE COMPENSATION

UIR No. & Date:

Copy of Unpacking Inspection Report Attached? Yes No

Attached? Yes No

Item No. Unit Q'ty

Packing list

Q'ty Received Shortage Compensation

OTC-C Material Controller: Subcontractor:

C and OTC-C Subcontractor

Page 40 of 73

Reference No.:

SHORTAGE/DAMAGE COMPENSATION Date:

CDR No.& Date:

Package No.:

Compensation Remark

Subcontractor:

OTC





SPY 3 0000 CM PR 203 03

OSD/RUP SUMMARY REPORT PREPARED BY OTC-EP (MR-005) OSD NO. RUP NO. ISSUE

DATE

DESCRIPTION UNIT

NO.

REMARKS STATUS

CC:OTC-MC PREPARED BY:OTC-EP MC SIGNE:

THE COLUMN OF RUP NO.SHALL BE KEPT BLANK IF RUP IS ISSUED WITHOUT OSD, THE COLUMN OF OSD NO.SHALL BE KEPT BLANK.

IF RUP is issued without OSD The column of OSD NO. Shall be kept blank

OTC





SPY 3 0000 CM PR 203 03

RUP STATUS REPORTS (MR-006)

RUP NO. ISSUE DATE WORK CATEGORY UNIT NO ITEM NO E.T.A ACTUAL DATE ISSUED

(Y/N) REMARKS

PREPARED BY OTC-EP (MC) CC: TO OTC-C (MC)

OTC





SPY 3 0000 CM PR 203 03

STOCK BOOK (MR-007) WORK NO----------------

REQ NO PACKAGE NO UNIT

NO ITEM

NO TAGE

NO DESCRIPTION

SIZE

PLACE OF

STOCK

RECEIVED ISSIUED BLANCE QTY

REMA

RKS DATE QTY DATE QTY

TO BE USED BY OTC-C SUBCONTRACTOR

OTC





SPY 3 0000 CM PR 203 03

National Iranian Gas Company South Pars Gas Field Development Phases6,7&8 IGAT V Booster Gas Compressor Stations Contract No.:180502

5GCS PROJECT Material Issue Voucher

Reference No.:

Date:

No. Tag No. Description Unit Quantity DWG/ISO

No. Sheet No. Remark Requested Issued

Requested by Subcontractor Confirmed by Subcontractor Technical Office

Approved by OTC-C Discipline Supervisor

Approved by OTC-C Material Controller

Received by

Distribution: Original to Warehouse, Copy to OTC-C Material Controller and OTC-C Subcontractor

OTC





SPY 3 0000 CM PR 203 03

National Iranian Gas Company South Pars Gas Field Development Phases6,7&8 IGAT V Booster Gas Compressor Stations Contract No.:180502

5GCS PROJECT Material Return Voucher

Reference No.:

Date:

No. Tag No. Description Unit Quantity MIV

No. DWG/ISO

No. Remark Issued Returned Balance

Requested by Subcontractor Confirmed by Subcontractor Technical Office

Approved by OTC-C Discipline Supervisor

Approved by OTC-C Material Controller

Received by

Distribution: Original to Warehouse, Copy to OTC-C Material Controller and OTC-C Subcontractor

OTC





SPY 3 0000 CM PR 203 03

IGAT V Booster Gas Compressor Contract No. : 180502

5GCS PROJECT MATERIAL TRANSFER VOUCHER

M.T.V No:

Date:

S-CDR No: S-CRR No: S-CRR Date: MR No.: Letter Req. No. :

Sender (Site): Receiver (Site): Vendor: Page Of No. Package No. Description Weight (Kg) Unit QTY Req. QTY Rev. Remark

Sender Receiver OTC-C (Material Controller):

OTC-EP (Material Controller):

Subcontractor: MC Representative (Observation Only)

OTC-C (Material Controller):

OTC-EP (Material Controller):

Subcontractor: MC Representative (Observation Only)

Distribution: Original to OTC-EP, copy to OTCC, copy to MC

OTC





SPY 3 0000 CM PR 203 03

MONTHLY REPORT FOR STORING TO BE USED BY OTC-C SUBCONTRACTOR (MR-011)

WORK NO. ------------------

ISSUED DATE: ----------- 1. RECIVING WORKS

CONTENTS OF WORK EQUIPMENT PIPING INST ELEC OTHER TOTAL REMARKS NO.OF PACKAGES

NET WEIGHT(TON) MEASUREMENT(M3) MANHOURS

2. UNPACKING INSPECTION&STORING WORKS NO OF PACKAGE

TYPE OF PACKAGE

1)CASE 2)CRATE 3)SKID 4)BUNDEL 5)SHRINK 6)DRUM 7)BARE NET WEIGHT(TON) MEASUREMENT(M3) MANHOURS(M/H)

SIGNATURE

WAREHOUSE SUPERVISOR

CC: OTC-C (MC)

OTC





SPY 3 0000 CM PR 203 03

SPA

RE

PAR

TS C

ON

TRO

L SH

EET

TO BE

U

SED

BY

O

TC-EP

STA

TI

ON

INV

: In

voic

e

STK

: St

ock

ISS

SLIP

NO

.

STK

BOX

LOC

ATI

ON

CASE

INV

MRR

BAL

RC

VD

QTY

PO

QTY

PAR

T

N

O.

SIZE

DES

CR

IPTI

ON

BA

L: B

alan

ce

MR

R:

Mat

eria

l Rec

eivin

g R

eport

ITEM

TAG

#

PUR

CH

ASE

OR

DE

NO .

OTC





SPY 3 0000 CM PR 203 03

BIN CARD-MC-013 SITE NAME UNIT NO PKG NO. WORK NO

TAG NO STORE LOCATION

DESCRIPTION

LEDGER

DATE QUTY REC QUATY ISSUED

BALANCE

REMARKS: TO BE USED BY OTC-C SUBCONTRACTOR

OTC





SPY 3 0000 CM PR 203 03

MATERIAL PRORESS REPORT IGATV BGCS

STATION NO.

ITEM TAG NO DESCRIPTION ETA AT

SITE

SIZE VOL WEIGHT

OTC



Document Title Document No. Page 18 of 29 Work Procedure for

Pressure Test PHASE AREA TRAIN/UNIT DIS DOC SEQ REV

SPY 3 0000 CM PR 219 02

Form No.: CM-PR-219-01

HYDROSTATIC OR PNEUMATIC LEAK TEST RECORD LOG 1. SERIAL

NO. 2. TEST

NO. 3. DESCRIPTION 4. TEST

PRESSURE 5. EXAMINATION

PRESSURE 6. TEST START

7.TEST COMPLETED

8.T/O DATE 9. REMARK

OTC





SPY 3 0000 CM PR 219 02

FIELD INSPECTION REPORT PUNCH LIST (FOR A/G PRESSURE TEST)

ITP NO. : Walk Down Date: Issued by: REPORT NO.: Sub-Sys : Page : / DATE : TEST TYPE: Hydro test Pneumatic test Visual test NO. DATA NO. DESCRIPTION

RESULT PUNCH TYPE CATEGORY

ACTION BY

ISSUED DATE

CLEARED DATE

COMPANY APPROVED REMARKS ACC REJ

FLANGE RATING(S) CORRECT GASKET INSTALLED NUTS AND BOLTS TORQUE TIGHTENED VALVES TAG NO(S). CORRECT FLOW DIRECTION OF VALVE(S) CORRECT VALVE STEM ORIENTATION CORRECT VALVE OPERATION VENT(S) AND DRAIN(S) CORRECT BLINDS INSTALLED CORRECT SUPPORT CORRECT TO DRAWING(S) ANCHORS FIXED CORRECTLY GUIDES INSTALLED CORRECTLY SHOES INSTALLED CORRECTLY SPRING HANGERS/SUPPORTS INSTALLED LINE SPACING CORRECT INSTALLED TO DRAWING OTHER

NOTE: Important: Punch description shall be described in detail Type: Support, NDT, PWHT, Valve, FDN Category A: Before Pressure Test Action by: Each Discipline Category B: Before Pre-commissioning Data No.: for DB control only Category C: Before Commissioning SUBCON QC CONTRACTOR QC COMPANY


OTC





SPY 3 0000 CM PR 219 02

TEST PACKAGE SUMMERY

Test Package

No. Flu

id

Serv

ice

Line No. Train Sheet Joint

No. Size Sch Thk.

Mat. 1

of Joint

Mat. 2

of Joint

PWHT

Rep.

NDT Before PWHT NDT After PWHT

RT UT MT PT RT UT MT PT

PREPARED BY

(SUB-CON.) APPROVEDBY

(OTCC) APPROVED BY

(COMPANY)

LEGEND: ACC: ACCEPT REJ: REJECT N/A: Not Applicable FORM No.: CM-PR-219-09

OTC





SPY 3 0000 CM PR 219 02

INITIAL SERVICE LEAK TEST REQUEST SERIAL NO. SUB-SCOPE FLOW SHEET TEST PACKAGE NO. REMARK

PREPARED BY:

DATE

FIELD ENGINEER DATE

PACKAGE NO. LINE NO. OPERATING PRESSURE

DATE TO TEST

REMARKS

APPROVED BY COMPANY / START UP ENGINEER

SIGN DATE

FORM NO.: CM-PR-219-02

OTC





SPY 3 0000 CM PR 219 02

DANGER HYDROSTATIC PRESSURE

TEST IN PROGRESS DO NOT OPERATE

COLOUR: RED

DANGER HYDROSTATIC PRESSURE

TEST IN PROGRESS DO NOT OPERATE

SYSTEM:

SYSTEM:

COMPONENT ID:

COMPONENT ID:

CON/POSITION:

CON/POSITION:

DATE:

DATE:

TEST ENGINEER:

TEST ENGINEER:

TEST NO.:

TEST NO.:



OTC





SPY 3 0000 CM PR 219 02

PIPING REINSTATEMENT CHECK LIST

PIPEWORK

Acce

pt

Rejec

t

Date

REMARK SUB-TEST PACKAGE NO. :

SUB-SYSTEM NO. :

ITEM CHECK LIST

1 Check pipe cleanliness.(As required)

2 Verify piping anchor locations are as per project specifications.(Punch List)

3 Check that pipe supports and clamps comply with project specifications.(Punch List)

4 Check that pipe guides are correctly aligned.(Punch List)

5 Verify that pipe check valves operate freely before installation.

6 Check valves for correct direction, lubrication, spindle, packing and free operation.

7 Check the pipe flanges are mounted square to each other with correct bolting and gaskets.

8 Update construction punch list.

REMARKS: PUNCH LIST ITEMS

Name Date Signature

Carried out by

Acce

pte

d by

Contractor

Company

Commissioning

Certifying Authority

FORM NO. CM-PR-219-07

OTC





SPY 3 0000 CM PR 219 02


REPORT NO. :

DATE :


FLUSHING REPORT ITEM NO. :

LOCATION :

SIGNATURE1





LINE NUMBER FLUSHING TIME

ACC. REJ. ACC. REJ. ACC. REJ. MEDIA RATE START END

COMMENTS2


OTC





SPY 3 0000 CM PR 219 02



PRESSURE TEST A/G PIPING

ITEM NO. :

LOCATION :

SIGNATURE1





1. FABRICATION AND INSTALLATION

NO. DESCRIPTION VERIFY BY PIPING REMARKS

1.1 Piping material

1.2 In-line items/Valve/Supports

1.3 Punch clear before pressure test (Cat. A only) 1.4 Documents completed

NOTE:


2. PRESSURE TEST

2.1 Type of test 2.2 Test Date

2.3 Design Pressure 2.4 Test Media

2.5 Test Pressure (requirement) 2.6 Holding Time 2.7 Examined Pressure 2.8 Gauge No. Cal. Date

2.9 Test Result 1

2.10 Draining & Drying 2

COMMENTS2

PREPARED BY PIPING INSPECTED BY Q/C APPROVED BY COMPANY 1- To be signed if Accepted by all parties 2- Reason of Rejection and to be Signed by Refuser LEGEND: ACC.: ACCEPT REJ.: REJECT N/A: Not Applicable FORM:QA-QA-51-12 Rev. 01

03-Reporting & Record Keeping

Documents

Transcript of 03-Reporting & Record Keeping