SAUDI ARAMCO ID/PIEU - 30-Apr-2017 - REV. 2015.03.00 (Standards Cutoff - March 2015) Rev. 2015.03.

00 31-Mar-15
SAIC NUMBER DATE APPROVED QR NUMBER
SAUDI ARAMCO INSPECTION CHECKLIST
HDPE Liner Final Inspection SAIC-A-1017 30-Apr-17 Civil-
PROJECT TITLE WBS / BI / JO NUMBER CONTRACTOR / SUBCONTRACTOR

EQUIPMENT ID NUMBER(S) EQUIPMENT DESCRIPTION EQPT CODE SYSTEM ID. PLANT NO.

LAYOUT DRAWING NUMBER REV. NO. PURCHASE ORDER NUMBER EC / PMCC / MCC NO.

SCHEDULED INSPECTION DATE & TIME ACTUAL INSPECTION DATE & TIME QUANTITY INSP. MH's SPENT TRAVEL TIME
SAUDI ARAMCO USE ONLY
SAUDI ARAMCO TIP NUMBER SAUDI ARAMCO ACTIVITY NUMBER WORK PERMIT REQUIRED?

SAUDI ARAMCO INSPECTION LEVEL CONTRACTOR INSPECTION LEVEL

ITEM
ACCEPTANCE CRITERIA REFERENCE PASS FAIL N/A RE-INSP DATE
No.

A Final Inspection

Visually inspect each seam and each connection of the liner. Method
A1
Suspected areas, breaks or holes shall be marked and repaired. Statement

All field seams shall be tested either by Air Pressure testing or Spark Method
A2
testing or Vacuum testing as applicable, to ensure water tight sealing. Statement

Defective / failed seams shall be marked, repaired and retested using

any one method of testing. Testing procedure is elaborately Method
A3
discussed in attached " Construction Quality Assurance Inspection Statement
Testing Plan"

An inspection shall be conducted to make sure that no damages are Method

A4
left after installation Statement

REMARKS:

REFERENCE DOCUMENTS:
1- SAES-A-104 -- Wastewater Treatment, Reuse and Disposal, 28 December 2011

Contractor / Third-Party Saudi Aramco

Construction Representative* PMT Representative
Work is Complete and Ready for Inspection: T&I Witnessed QC Record Reviewed Work Verified
Name, Initials and Date: Name, Initials and Date:

QC Inspector PID Representative

Performed Inspection Work / Rework May Proceed T&I Witnessed QC Record Reviewed Work Verified
Name, Initials and Date: Name, Initials and Date:

QC Supervisor Proponent and Others

Quality Record Approved: T&I Witnessed QC Record Reviewed Work Verified
Name, Organization,
Name, Sign and Date:
Initials and Date:

*Person Responsible for Completion of Quality Work / Test Y = YES N = NO F = FAILED

Saudi Aramco: Company General Use