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PROJECT QUALITY ASSURANCE & CONTROL WI-QC-FRM-07-A PAGE of

UNIT: REV.

FORM PENGAJUAN PELAKSANAAN NDT


NDT REQUEST FORM

REQUEST FORM NO.


: / / NDT / 2011 /
Note: Nomer Request Form diatas harap dituliskan pada lembar NDT Report & Time Sheet terkait untuk Traceability.

Kontraktor : Jenis Pemeriksaan / Type of Examination*


Contractor Radiographic Test (RT)
Areal Kerja : Vacuum Test (VT)
Working Area Magnetic Test (MT)
Tanggal Pelaksanaan : Ultrasonic Test (UT)
Inspection Date Other:
Pemeriksa : * Pilih sesuai kebutuhan / pick as needed.
Examiner Cautions :
: Joints ( Sheets) Request Form ini harap diserahkan maks
TOTAL
pukul 12:00 WIB kepada QC

WELDING DETAILS MATERIAL


S/N Remarks
Line / Item No. Joint Position Welder Size Sch. Mat.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
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Requested by: Verified by: Approved by:

Contractor Site Engineer QC Inspector Site Coordinator Project QA/QC

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