CHINA CIVIL ENGINEERING CONSTRUCTION PRE & POST BLAST CLEANING INSPECTION Form: RQC-PBSI Rev: 0

CORPERATION Job No.: Report No.: Report Date:

O.D.: Wall: Length: Steel Pipe No.: Substrate Temp: Dew Point:
INSPECTION FOR PHYSICAL DAMAGE AND SURFACE DEFECTS ON BODY AND WELD
1st Insp. Date Defect Type Location Measurement Pass/Rework 2nd Insp. Date Measurement after rework Pass/Reject

EXTERNAL WATER BREAK FREE TEST FOR PRESENCE OF OIL AND GREASE INTERNAL WATER BREAK FREE TEST FOR PRESENCE OF OIL AND GREASE
1stTest Date Pass Y/N 2ndTest Date Pass Y/N 3rd Test Date Pass Y/N 1stTest Date Pass Y/N 2ndTest Date Pass Y/N 3rd Test Date Pass Y/N

EXTERNAL SOLUBLE SALTS TEST SPEC: ISO8502-6 LIMIT: 100mg/m² INTERNAL SOLUBLE SALTS TEST SPEC: ISO8502-6 LIMIT: 100mg/cm²
1stTest Date mg/m² 2ndTest Date mg/m² 3rd Test Date mg/m² 1stTest Date mg/m² 2ndTest Date mg/m² 3rd Test Date mg/cm²

SURFACE CLEANLINESS Spec ISO 8501-1 SURFACE BLAST PROFILE Spec ISO8503-5 Instrument Elcometer 124
Surface Reqd. 1stTest Date Time Result 2ndTest Date Time Result Surface Reqd. 1stTest Date Time Result 2ndTest Date Time Result
Internal SA2.5 Internal 50-100
External SA2.5 External 40-110
Class 2 or
RESIDUAL　DUST TEST SPEC: ISO 8502-3 INTERNAL LIMIT: Class 1 EXTERNAL LIMIT: INSTRUMENT: Elcometer 142
better
Int. Result 1 Date: Time: Ext. Result 1 Date: Time:
Internal Test 1 External Test 1

Int. Result 2 Date: Time: Ext. Result 2 Date: Time:

Internal Test 2 External Test 2

Organisation Name Signature Date Organisation Name Signature Date

QC Inspector Third Party

CCECC
(QC-ABC) Inspector