SAUDI ARAMCO ID/PID - 24-Mar-2016 - REV. 2015.09.01 (Standards Cutoff - September 6, 2015) Rev. 2015.09.

01 6-Sep-15

SAUDI ARAMCO INSPECTION CHECKLIST SAIC NUMBER DATE APPROVED QR NUMBER

HDPE Liner Material Receiving & Storage Inspection SAIC-A-1015 24-Mar-16 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 Material Receiving Inspection

SAES-A-104,
A minimum of 60mil rough surface High Density Polyethylene (HDPE-UV)
A1 Section 8.1.7 &
resistant liner shall be used for the waste water pond.
Table 6

A2 Test Certificate to be checked Method Statement

Check for damage during Transportation (damaged portion need to be cut

A3 Method Statement
and segregate, but extra area of cut pieces can be utilized for small areas)

Labels on each roll shall identify the thickness of the material, the length
A4 and width of the roll, batch numbers, manufacturing date and name of Method Statement
manufacturer.

Material check at site (check mechanical damage such as puncture, cuts,

A5 Method Statement
severe scratches etc. 1st few layers to be unrolled and throughly checked)

Material Storage Condition & Protection (Stock pile is acceptable approx 2

A6 to 3m from grade and protect from direct sunlight as much as possible Method Statement
during storage)

B Material Storage Area

Liner Materials should be stored on a smooth surface free of rocks or

B1 Method Statement
other objects which might damage the material

REMARKS:

REFERENCE DOCUMENTS:
1- SAES-A-104 -- Waste Water 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