SALALAH LPG PROJECT, OMAN

REQUEST FOR INSPECTION

PROJECT No: JI-2033/04-001 Discipline: Mechanical RFI No: IOSS-TNK-ME-06

Sub-Contractor: IOSS LLC Area/Location: Dhofar Sub System No: N/A

Intervention SC WIN PEC CPY TPI

Date of Inspection: -APR-2019 Time of Inspection: 09.00 AM
Points H W W M (S)

ITP No: SLPG-Q-0000-04001-243-

ITP Item No: 6.1 & 6.4 ITR/ACS No: Blasting Inspection Report
001-4

Inspection Activity/Description: Surface Preparation Inspection of Pontoon Stiffener for T-23010, PCS11A

Inspection Item/Tag Number: T-23010

Drawing & Rev No : SLPG-S-2307-04001-007-001-3, Rev B

CHECKED & READY FOR INSPECTION

Submitted by
Sub supplier- Construction PEC- Construction

Name JOSEPH / SAJI CHACKO KAMAL / CHOLLA / YOUSUF

Contact Mobile No: 094628748 / 95125831 79079360564 / 7936075217452
Signature

Date & Time -APR-2019 10.30 AM -APR-2019 10.30 AM

FOR QUALITY CONTROL DEPARTMENT USE ONLY
Sub supplier QC Supplier QC PEC QC CPY QC
Received and Checked by
RECEIVED BY CHECKED BY QCI RECEIVED BY RECEIVED BY
Name RAJKUMAR A CIJO JOSE
Contact Mobile No: 79427437 91272645
Signature

Date &Time -APR-2019

RFI on HOLD Report: YES □ NO □ Date: Action: YES □ NO □ Date:

INSPECTION RESULTS (Tick as applicable)

ACCEPTABLE (A) □ PARTIALLY ACCEPTABLE (PA)□ RFI on HOLD (H)□

CANCELLED (C) □ REJECTED (R) □ NOT READY FOR INSPECTION (NR) □

REASON FOR CANCELLATION/NOT READY FOR INSPECTION/REJECTION
1-Incomplete Work 2-Insufficient documents attached 3- Repeated/unnecessary RFI

4-No action for RFI on Hold 5-No Power Supply available at site 6-PTW not available

7- Safety Issues 8- Test Crew not available 9- Test Equipment not available

10- Material not as per data sheet/drawing 11-Unacceptable Test Procedure/Result 12-Violation of ITP

13-Poor Workmanship 14-Spec. Violation 15-Installation not as per drawing

16- Other Comments/Remarks:

Punch List Number (if any):

Inspected By Sub Supplier QC Supplier QC Petrofac QC Company QC

Name

Signature

RFI Closed on
ITR/ACS Can be signed off or not? C-Complete □ P-Partial □ N/A: Not Applicable □
Total No. of ITR/ACS: No. of ITR/ACS Signed off: ITR/ACS Signed off on: