Page : 1 of 5 .

ACTIVITY WISE CHECKLIST

Job No. : KIOS/R820 Job Description : Repair of Hot Oil Tank 2-411-VA-01
Customer : KPO B.V Inspection By : Authorised Inspector
QAP No. : KIOS / R820 Rev.0 Drawing No. : R820-001 Rev.0

Sr. KIOS AI / TPI

ACTIVITY DESCRIPTION
No. SIGN DATE SIGN

1.0 Quality Assurance Plan H H

3.0 Construction Drawing(s) H R

Weld Plan
4.0 Welding Procedure Specifications H R
Procedure Qualification Records
Welder / Welding Operator Performance
5.0 H R
Qualification Records

6.0 NDT Personnel Qualification H R

NDE Procedures
7.0 H R
PT, RT
Procedure of Hydrostatic Test /
8.0 H R
Pneumatic test
Materials H W
- Pressure parts
Materials
9.0 H R
- Non-Pressure parts
Materials H R
- Welding
Fit-up Consumables
Inspection
See Seam Wise Check List
11.0 H R

12.0 Radiographic Examination of Butt Welds H R

13.0 Pneumatic Test of M1,N4, N6 & J1A RF Pad H R

14.0 Visual Inspection ( Inside / Outside ) H W

15.0 Final Dimension check H R

16.0 Disposition of NCR H H

17.0 Hydrostatic Test of Vessel H H

18.0 Name Plate Verification & Code Stamping H H

19.0 Form R-1 - Report of Repair H H

PREPARED BY APPROVED BY

Exhibit Sr. No 10-4 rev. 0

 Page : 2 of 5 .

ACTIVITY WISE CHECKLIST

Job No. : KIOS/R820 Job Description : Repair of Hot Oil Tank 2-411-VA-01
Customer : KPO B.V Inspection By : Authorised Inspector
QAP No. : KIOS / R820 Rev.0 Drawing No. : R820-001 Rev.0

Sr. KIOS AI / TPI

ACTIVITY DESCRIPTION
No. SIGN DATE SIGN
QC INSPECTOR QUALITY MANAGE

Exhibit Sr. No 10-4 rev. 0

 Page : 3 of 5 .

CTIVITY WISE CHECKLIST

Job Description : Repair of Hot Oil Tank 2-411-VA-01

AI / TPI
DATE

APPROVED BY

Exhibit Sr. No 10-4 rev. 0

 Page : 4 of 5 .

CTIVITY WISE CHECKLIST

Job Description : Repair of Hot Oil Tank 2-411-VA-01

AI / TPI
DATE
QUALITY MANAGER

Exhibit Sr. No 10-4 rev. 0

 Page : 5 of 5 .

ACTIVITY WISE CHECKLIST

Job No. : KIOS/U103 Job Description : Sub-assmbly for Hot Oil Tank 2-411-VA-01
Customer : KPO B.V Inspection By : Authorised Inspector
QAP No. : KIOS / U103 Rev.1 Drawing No. : U103-001 TO 004 Rev.0

Sr. KIOS AI / TPI

ACTIVITY DESCRIPTION
No. SIGN DATE SIGN DATE
1.0 Quality Assurance Plan H H

2.0 Construction Drawing(s) H R

Weld Plan
3.0 Welding Procedure Specifications H R
Procedure Qualification Records
Welder / Welding Operator
4.0 H R
Performance Qualification Records

5.0 NDT Personnel Qualification H R

NDE Procedures
6.0 H R
PT, RT
Materials H W
- Pressure parts
Materials
7.0 H R
- Non-Pressure parts
Materials
Fit-up Inspection
- Welding Consumables
H R
See Seam Wise Check List
8.0 H R

Radiographic Examination of Butt

9.0 H R
Welds
10.0 Visual Inspection ( Inside / Outside ) H W

11.0 Final Dimension check H R

12.0 Disposition of NCR H H

Name Plate Verification & Code

13.0 H H
Stamping
Form U-2A - Mfgr's Partial Data
14.0 H H
Report

PREPARED BY APPROVED BY

QC INSPECTOR QUALITY MANAGER

Exhibit Sr. No 10-4 rev. 0