PIPE SANDBLASTING &

PRIMING INSPECTION REPORT

PROJECT NO. : QA/QC FORM FORM NO. : QC-03
PROJECT NAME : DATE :
SITE INSPECTION & TEST REPORT
REPORT NO. : SHEET :

SI. LINE ISO . ISO. SIZE PRIM . RELEASE SP NO. LENGTH SURFACE
PCS SANDB.
NO. NO . NO SH . CODE REP.NO. (METER) PRIMING(m2)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
APPROVED BY :
CONTRACTOR : INSPECTOR : TEST EQUIPMENT (thickness gage) :
SANDBLASTING : SANDBLASTING :
PRIMING : PRIMING : TEMPERATURE °C : ----------- MIN. -------------- MAX . ------------
NAME : NAME :
DATE / SIGN. : DATE / SIGN. : HUMIDITY % : ------------- MIN. ----------------- MAX. ------------
O. : QC-03

OF :

REMARK

age) :

------------- MAX . ------------

----------- MAX. ------------