Blue Paper: Contractors Original copy

GOGAS LOG0 Company Ltd Pink Paper: ADGAS copy

Red Paper: Subcontractors Copy
PROJECT NAME
Project Milestone No:
DISTRIBUTION TEL NO SHEET NO. :
CUSTOMER ORIGINATOR :
PRIME CONTRACTOR DATE :
SUBCONTRACTOR

QC APPLICATION FOR INSPECTION

Construction Discipline::(A) Civil (B) Mechanical (C) Welding (D)Electrical (E)Instrumentation

INSPECTION DATE : TIME: Use Prefix XX for Punch List Items

Inspection and Test Plan no: Rev no: Activity No:
NO Place of Inspection
ITEM TO BE INSPECTED QUANTITY RESULT OF INSPECTION

Accept:
1
Reject:

Reinspect:

Inspection not ready:

See Comment Box:

2 Accept:

Reject:

Reinspect:

Inspection not ready:

See Comment Box:

3
Accept:

Reject:

Reinspect:

Inspection not ready:

See Comment Box:

4
Accept:

Reject:

Reinspect:

Inspection not ready:

See Comment Box:

FOR ADGAS INSPECTORS COMMENTS ONLY:

Print name: Sign name: QC Discipline: Date:

Note:
On-site Applicatiion for Inspections to be received by ADGAS by 3 pm the day befor the inspection.
Emergency (on-site) Inspections to be notified to ADGAS QA/QC department.
(Off-site) Appilcation for inspections to be notifed to ADGAS Three (3) days in advance.
Weekly Application for Inspections to be held on the Suppliers Data Base,sorted by construction discipline and forwarded to ADGAS.

AM-J0-01 Rev 0