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SAIC NUMBER
DATE APPROVED
QR NUMBER
SAIC-N-2002
WBS / BI / JO NUMBER
25-May-05
INSL-
CONTRACTOR / SUBCONTRACTOR
EQUIPMENT ID NUMBER(S) LAYOUT DRAWING NUMBER SCHEDULED INSPECTION DATE & TIME SAUDI ARAMCO TIP NUMBER SAUDI ARAMCO INSPECTION LEVEL
EQPT CODE
SYSTEM ID.
PLANT NO.
ACTUAL INSPECTION DATE & TIME SAUDI ARAMCO ACTIVITY NUMBER CONTRACTOR INSPECTION LEVEL
ITEM No. A.
ACCEPTANCE CRITERIA
REFERENCE
PASS
FAIL
N/A
RE-INSP DATE
General Requirements Installer has previous commercial experience with Cold Insulation systems & work references to support his experience. Installer's work history (with references) has been submitted to SA for review & authorization before any cold insulation work begins. Cold Insulation Installer has received SA authorization to perform work. SAES-N-001 Section 6 SAES-N-001 Section 6 SAES-N-001 Section 6
A1
A2
A3
REMARKS: REFERENCE DOCUMENTS: 1. SAES-N-001 -- Basic Criteria, Industrial Insulation 30 July, 2003 ATTACHMENTS: None NOTES: None
Contractor / Third-Party
Construction Representative*
Work is Complete and Ready for Inspection: Name, Initials and Date: Name, Initials and Date:
Saudi Aramco
PMT Representative
T&I Witnessed QC Record Reviewed Work Verified
QC Inspector
Performed Inspection Name, Initials and Date: Work / Rework May Proceed
PID Representative
T&I Witnessed Name, Initials and Date: QC Record Reviewed Work Verified
QC Supervisor
Quality Record Approved: Name, Sign and Date: *Person Responsible for Completion of Quality Work / Test
Y = YES
N = NO F = FAILED
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