Republic Of Iraq

Ministry Of OIL
South Refineries company

DAILY INSULATION REPORT

PROJECT NO. : 25/2015 QA/QC FORM FORM NO . : QC-02

DATE :
PROJECT NAME :
SITE INSPECTION & TEST REPORT
Rehabilitation Paint & Insulation for Operation Units
REPORT NO. :
TECHNICAL SHOP :
INSPECTION FIELD :

Removal Thick. Insulation

ITEM

LINE NO. Aluminium

Dia (in) Dia (mm) Length (m) Insulation Insulation Assemble Remarks
Sheet (m)
(m) (cm) (m)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

No. Of pipes : Total Length Rockwool:

Total length (removal insulation) : Total Length Aluminium sheet:

APPROVED BY :

AL-KHALAB AL- FAISAL South Refineries (S.G)

NAME : NAME: NAME:

DATE: DATE: DATE:

SIGN. : SIGN. : SIGN. :