Professional Documents
Culture Documents
Owner’s reply on
Approved
Approved with comments
Comments
D I S TR I .
OWNER E
PM
CM/CE
QA/QC
COST
R SCH
E
V C 08.07.2021
PROCESS
OWNER INST
PROJECT TEAM: GPUFP
CIVIL
APPROVED Bangladesh Chemical Industries Corporation
CONST
CONTRACTOR
PROCURE
Mitsubishi Heavy Industries, Ltd
SECTION QA/QC Gr. SUBCONT
CHINA NATIONAL CHEMICAL ENGINEERING & CONSTRUCTION
APPROVED CORPORATION SEVEN, LTD
PROJECT
MHI E
SITE
Ghorasal Polash Urea Fertilizer Project
JAPAN EXPORT On the Not on the CONTRACTOR DWG. No. REV.
CONTROL Control List Control List SPARE
6488C AA80-000-00-00200 C
DRAWN DATE 08-July-2021 TOTAL
Ghorasal Polash Urea Fertilizer Doc. No.
CC7-GF-QAC-
Project BD-ITP-001-00
Inspection and Testing Plan Rev. No. 02
for Building Rev. Date. 08.July.2021
REVIEW GRADE
A Accepted
Acceptance in any of these categories in no way relieves the Contractor/Supplier of its responsibility for
the due & proper performance of the Works in accordance with the Contract/Purchase Order
NAME DATE:
CONTENT
1. SCOPE ........................................................................................................1
2. DEFINITIONS ............................................................................................1
3. REFERENCE ..............................................................................................1
5. RESPONSIBILITY .....................................................................................2
9. INSPECTION RECORD..............................................................................6
12.APPENDIX ................................................................................................8
Ghorasal Polash Urea Fertilizer Doc. No.
CC7-GF-QAC-
Project BD-ITP-001-00
Inspection and Testing Plan Rev. No. 02
for Building Rev. Date. 08.July.2021
1. SCOPE
This procedure is provided for control of the construction of Field work inspection
and test (hereafter called 'Inspection') to verify that building works are being located,
and the building works must in compliance with the latest construction drawings,
instructions, procedures and other applicable documents for Ghorasal Polash Urea
Fertilizer project.
2. DEFINITIONS
3. REFERENCE
1 / 51
Ghorasal Polash Urea Fertilizer Doc. No.
CC7-GF-QAC-
Project BD-ITP-001-00
Inspection and Testing Plan Rev. No. 02
for Building Rev. Date. 08.July.2021
HOLD point.
5. RESPONSIBILITY
5.1.3 Submitting the inspection records and results required to verify conformance to
specified requirements.
2 / 51
Ghorasal Polash Urea Fertilizer Doc. No.
CC7-GF-QAC-
Project BD-ITP-001-00
Inspection and Testing Plan Rev. No. 02
for Building Rev. Date. 08.July.2021
5.1.5 Control of the inspection, measuring and test equipment used for inspection.
5.1.6 CC7 shall be responsible for supervision and management of Construction teams.
among the MHI、BCIC and CC7 for control of witness inspection and for evaluating
The Quality Inspector of CC7 shall be responsible for witnessing the inspection
6.1 CC7 shall establish the inspection plan, which must conform to requirements specified
in the Construction Quality Requirements and shall specify the inspection items
described in the list of Field inspection items into the quality plan depending on
6.2 CC7 shall submit the inspection plan to MHI&BCIC for review and formal approval
6.3 During the construction phase, additional plans may be made if necessary, CC7 and
MHI shall jointly review the additional submitted plans for new inspection item.
3 / 51
Ghorasal Polash Urea Fertilizer Doc. No.
CC7-GF-QAC-
Project BD-ITP-001-00
Inspection and Testing Plan Rev. No. 02
for Building Rev. Date. 08.July.2021
6.4 The main activities for building to be controlled on field are as follow:
* Masonry Works
* Plastering Works
* Fire Caulking
* Painting Works
* Tile Work
* Millwork
* Toilet Accessories
* Floor Inspection
* Punch close
The purpose of each individual ITP is to define and specify the required level of
Quality Control for the involved work main steps and related involvement of
4 / 51
Ghorasal Polash Urea Fertilizer Doc. No.
CC7-GF-QAC-
Project BD-ITP-001-00
Inspection and Testing Plan Rev. No. 02
for Building Rev. Date. 08.July.2021
concerned parties, the above list may not be exhaustive and could be added to in
6.5 Any deviations or exceptions to any of the inspection and test points of the ITP
7. INSPECTION FLOW
8.1 The QA/QC department will collect the RFI prepared by all engineers and send it to
8.2 Document no. of Request for Inspection (RFI) shall be controlled as following.
5 / 51
Ghorasal Polash Urea Fertilizer Doc. No.
CC7-GF-QAC-
Project BD-ITP-001-00
Inspection and Testing Plan Rev. No. 02
for Building Rev. Date. 08.July.2021
GPUFP-XX-XX-XXXX
① ② ③
① Area
Code Area Code Area
00 Common Area/System AM Ammonia Area/System
UR Urea synthesis Area/System UG Urea granulation Area/System
CO CO2 Recovery Area/System UT Utility Area/System
OF Offsite Area/System
② Work Code:
Code Description Code Description Code Description
CVS Civil Works BD Building IN Instrument
ME Mechanical EL Electric PA Painting
PI Piping IS Insulation FI Fire Proofing
TK Tank PR Pre-commissioning MI Miscellaneous
③ Serial No.–0001~9999
9. INSPECTION RECORD
QC inspector shall prepare and maintain the records of inspected items. Inspection
* Date of inspection
* Type of inspection
6 / 51
Ghorasal Polash Urea Fertilizer Doc. No.
CC7-GF-QAC-
Project BD-ITP-001-00
Inspection and Testing Plan Rev. No. 02
for Building Rev. Date. 08.July.2021
Professional engineer and quality inspector shall evaluate the inspection results
requirements, and sign and date on the records for an acceptable item. For an
unacceptable item, Subcontractor shall re-inspect after solving the causes of un-
acceptance.
10.1.1 Only for inspection items requiring document review, the QC inspector shall file
and store the inspection records within one working day after the inspection.
10.1.2 QC Inspector shall evaluate the inspection records and certificates against
10.2.1 Professional engineer shall prepare the inspection report of each inspection and
10.2.2 QC Inspector shall file and maintain the approved inspection report.
7 / 51
Ghorasal Polash Urea Fertilizer Doc. No.
CC7-GF-QAC-
Project BD-ITP-001-00
Inspection and Testing Plan Rev. No. 02
for Building Rev. Date. 08.July.2021
11.1 QC inspector shall establish the control status of inspection and test with indicators
such as marking, stamps, tags, labels or records to the product of service that has
passed the required inspection and test, is released for next processing.
11.2 The procedure for identification established by Subcontractor should specify the
12. APPENDIX
8 / 51
REQUEST FOR INSPECTION
Inspection Date:
Precise Unit/Location:
Noted:
If it is related, the “√”will be marked.
No Item No./Description Insp. Scope Area/ Location Date, Start Time Duration
Attachment Required
Name
Position
Signature
Date
9 / 51
Civil/Structure
Mechanical/Rotating
SUMMARY OF FIELD INSPECTION (DAILY BASIS)
Piping
Instrument
Inspection Points
No. Items to Be Inspected Q’ty Area/Block Location Time Person in Charge Remarks
CC7 MHI BCIC 3rdP
Prepared by CC7:
Date:
10 / 51
Test & Witness Requirement
Tolerance or Check
No. Work Category Quality Control Item Inspection Frequency Report
Point
Method CC7 MHI Owner
1.4 Electrical conduit As per Drawing Visual 100% As per Drawing ○ △ △ FBI000
2 Masonry Works
As per
As per Drawing Method All As per Drawing ○ △ △ FBI002
Statement
3 Waterproof and Damp Proof
As per
As per Drawing Method Each Building As per Drawing ○ ○ ○ FBI003
Statement
4 Plastering Works
As per
As per Drawing Method Each Building As per Drawing ○ △ △ FBI004
Statement
5 Wall &Roof Sheeting
Materials, As per As per Approved
5.1 Wall Sheeting Installation Attachment, and Method All Drawing & ○ △ △ FBI005
Alignment Statement Specification
11 / 51
Test & Witness Requirement
Tolerance or Check
No. Work Category Quality Control Item Inspection Frequency Report
Point
Method CC7 MHI Owner
As per As per Approved
Materials, Alignment,
5.2 Roof Sheeting Installation Method All Drawing & ○ △ △ FBI005
End & Side Lap
Statement Specification
As per Approved
5.3 Waterproof Test Leakage and drain Visual All Drawing & ○ △ △ FBI005A
Specification
6 Metal, Studs, Drywall & Ceilings
Material Delivery
Per Approved As per Approved
6.1 Inspection, Metal Studs & Visual All Deliveries ○ △ R FBI006
Submittal Submittal
Drywall
Material Delivery
Per Approved As per Approved
6.2 Inspection-ceiling Grid & Visual All Deliveries ○ △ R FBI006
Submittal Submittal
Ceiling Tiles
Metal Stud Track
6.3 Location Measurement All Walls As per Drawing ○ △ △ FBI006
Installation
Stud Spacing
Partial Wall Farming (one Measurement All
6.4 Electrical/Plumbing As per Drawing ○ △ △ FBI006
side drywall) Visual Walls/Rooms
Rough, in Plumbness
Final Wall Framing & All
6.5 As per Drawing Visual As per Drawing ○ △ △ FBI006
Drywall Walls/Rooms
Grid &Wall Mould All
6.6 As per Drawing Visual As per Drawing ○ △ △ FBI006
Installation Walls/Rooms
Acoustical Ceiling Tile All
6.7 As per Drawing Visual As per Drawing ○ △ △ FBI006
Installation Walls/Rooms
7 Fire Caulking
12 / 51
Test & Witness Requirement
Tolerance or Check
No. Work Category Quality Control Item Inspection Frequency Report
Point
Method CC7 MHI Owner
Surface Condition,
8.1 Painting First Coat Visual All As per Drawing ○ △ △ FBI008
Paint Type
Surface Condition,
8.2 Painting Second Coat Second Coat Applied, Visual All As per Drawing ○ △ △ FBI008
Type of Surface
Surface Condition,
8.3 Painting Final Coat Second Coat Applied, Visual All As per Drawing ○ △ ○ FBI008
Type of Surface
9 Doors, Windows,Frames & Hardware ,Windows
Material Delivery
Per Approved As per Approved
9.1 Inspection-doors, Frames & Visual All Deliveries ○ △ △ FBI009
Submittal Submittal
Hardware、glass
13 / 51
Test & Witness Requirement
Tolerance or Check
No. Work Category Quality Control Item Inspection Frequency Report
Point
Method CC7 MHI Owner
11 Millwork
Material Delivery
Per Approved As per Approved
11.1 Inspection - millwork& Visual All Deliveries ○ △ R FBI011
Submittal Submittal
Counter tops
11.2 Millwork Installation As per Drawing Visual All Rooms As per Drawing ○ △ △ FBI011
12 Toilet Accessories
Material Delivery
Per Approved
12.1 Inspection-toilet Visual All Deliveries As per Drawing ○ △ R FBI012
Submittal
Accessories & Partitions
Mounting Height and
Toilet Accessories
12.2 Location, Proper Visual All Rooms As per Drawing ○ △ △ FBI012
Installation
Attachment
As per
Per IFC and Standard
12.3 Sanitary and Piping System Method Each Area As per Drawing ○ △ △ FBI012
Drawing
Statement
As per
Plumbing/Piping System
12.4 As per Drawing Method Each Area As per Drawing ○ △ △ FGP001
Leak Test
Statement
Pressure Test Required for As per
12.5 Supply Line(Demi, As per Drawing Method Each Area As per Drawing ○ △ △ FGP001
Portable Water) Statement
As per
Flushing for Supply Line
12.6 As per Drawing Method Each Area As per Drawing ○ △ △ FBI012
after Pressure Test
Statement
As per
Operation Test in Case of
12.7 As per Drawing Method Each Area As per Drawing ○ △ △ FBI012
Electrical Water Heater
Statement
13 Floor Inspection
As per
13.1 Raised Floor As per Drawing Each Area As per Drawing ○ △ △ FBI013
Method
14 / 51
Test & Witness Requirement
Tolerance or Check
No. Work Category Quality Control Item Inspection Frequency Report
Point
Method CC7 MHI Owner
Statement
As per
Per IFC and Standard
13.2 Epoxy Floor Method Each Area As per Drawing ○ △ △ FBI013
Drawing
Statement
14 Fire Detection and Protection Inspection
14.1 Portable Fire Extinguishers As per Drawing Visual Each Area As per Drawing ○ △ △ FBI014
As per
14.2 Hose Reels Inspection As per Drawing Method Each Area As per Drawing ○ △ △ FBI014
Statement
As per
Hydrants/Monitors and
14.3 As per Drawing Method Each Area As per Drawing ○ △ △ FBI014
Cabinets
Statement
As per
14.4 Fire Detection As per Drawing Method Each Area As per Drawing ○ △ △ FBI014
Statement
As per
CO2 Fire Suppression
14.5 As per Drawing Method Each Area As per Drawing ○ △ △ FBI014
System
Statement
Breathing Apparatus
14.6 As per Drawing Visual Each Area As per Drawing ○ △ △ FBI014
Checklist
Safety Shower/Eye Bath
14.7 As per Drawing Visual Each Area As per Drawing ○ △ △ FBI014
Inspection
Escape Routes and
14.8 As per Drawing Visual Each Area As per Drawing ○ △ △ FBI014
Unit/Area Signage
15 Fence and Gate works
15 / 51
Test & Witness Requirement
Tolerance or Check
No. Work Category Quality Control Item Inspection Frequency Report
Point
Method CC7 MHI Owner
Package/
Completeness Visual Package No Outstanding Items ○ ○ ○
punch list
17 Punch close
19. Plumbing
Full Water
17.3 Drain Leakage All No Leakage ○ ○ ○ FCV037
Test
20. HVAC
Performance
18.1 Temperature / Each Room ±2℃ ○ ○ ○ FCV038
Test
Performance
18.2 Air Volume / Each Room ≧Design Air Volume ○ ○ ○ FCV038
Test
As per
18.3 Duct, Damper, Diffuser Installation All Connection ○ △ - FCV039
Drawing
16 / 51
Test & Witness Requirement
Tolerance or Check
No. Work Category Quality Control Item Inspection Frequency Report
Point
Method CC7 MHI Owner
As per
18.4 Refrigeration piping Installation All Pressure Test ○ △ - FCV040
Drawing
As per
18.5 Indoor & Outdoor Unit Installation All Stability ○ △ - FCV041
Drawing
Visual
Inspection/
18.6 Exposure Test Installation All Leakage Property ○ △ - FCV042
Insulation or
Exposed Duct
As per
18.7 Ventilation Installation All Stability ○ △ - FCV043
Drawing
17 / 51
Test & Witness Requirement
Tolerance or Check
No. Work Category Quality Control Item Inspection Frequency Report
Point
Method CC7 MHI Owner
As per
19.5 Voltage and Phase Check Voltage & Phase All Performance ○ △ - FCV056
Specified
As per
19.6 Function Test Function All Performance ○ △ - FCV038
Specified
Prepared by (CC7): Approved by (MHI): Approved by (OWNER): Rev. No.& Date: R: Review
○: Every Time
△: Discretion
―: None
18 / 51
Ghorasal Polash Urea Fertilizer Project (GPUFP)
Project GPUFP
19 / 51
Installation/Testing of HVAC
23 FCV039 0
Accessories
Refrigerant Piping Layout and Support
24 FCV040 0
Installation
25 FCV041 Indoor & Outdoor Unit Inspection 0
20 / 51
QUALITY CONTROL FORM
Report No.
Report Date
Signature
CC7 MHI BCIC
Name
Dept.
Signature
Date
21 / 51
QUALITY CONTROL FORM
RFI No.
Inspection Record
Report No.
Report Date
Signature
CC7 MHI BCIC
Name
Dept.
Signature
Date
22 / 51
QUALITY CONTROL FORM
Inspection/Test Stage: Area/Location
Form No. FBI002 Rev. 0
Signature
CC7 MHI BCIC
Name
Dept.
Signature
Date
23 / 51
QUALITY CONTROL FORM
Report Date
Comments:
Signature
Name
Dept.
Signature
Date
24 / 51
QUALITY CONTROL FORM
Report No.
Report Date
Comments:
Signature
Name
Dept.
Signature
Date
25 / 51
QUALITY CONTROL FORM
Signature
Name
Dept.
Signature
Date
26 / 51
QUALITY CONTROL FORM
Note: No Leakage is Found and Water can be Drained Smoothly and Successfully.
Comments:
Signature
Name
Dept.
Signature
Date
27 / 51
QUALITY CONTROL FORM
Report No.
Report Date
Building Name &
Location/Area
No.
Related Drawing No.
Comments:
Signature
Name
Dept.
Signature
Date
28 / 51
QUALITY CONTROL FORM
Report No.
Report Date
Comments:
Signature
Name
Dept.
Signature
Date
29 / 51
QUALITY CONTROL FORM
Report Date
Comments:
Signature
Name
Dept.
Signature
Date
30 / 51
QUALITY CONTROL FORM
Report Date
5 Glass Well Bedded and Putty Neatly Trimmed □ACC □REJ □N/A
Operation of Overhead or Telescoping Doors/
6 □ACC □REJ □N/A
Windows (controls, smoothness and speed)
Telescoping Doors Guides Installed, Secured
7 □ACC □REJ □N/A
and Aligned Properly
8 Installation of Hardware Accepted □ACC □REJ □N/A
Signature
Name
Dept.
Signature
Date
31 / 51
QUALITY CONTROL FORM
Report No.
Report Date
Signature
Name
Dept.
Signature
Date
32 / 51
QUALITY CONTROL FORM
Report No.
Report Date
Comments:
Signature
Name
Dept.
Signature
Date
33 / 51
QUALITY CONTROL FORM
Comments:
Signature
Name
Dept.
Signature
Date
34 / 51
QUALITY CONTROL FORM
Inspection / Test Stage:
Area/Location
General Pressure Test Form No. FGP001 Rev. 0
Inspection Record
RFIN No.
Report No.
Report Date
5 Water source, water quality and air source meet the requirements
Comments:
Signature
Name
Dept.
Signature
Date
35 / 51
QUALITY CONTROL FORM
Report No.
Report Date
Signature
Name
Dept.
Signature
Date
36 / 51
QUALITY CONTROL FORM
Report Date
Comments:
Signature
Name
Dept.
Signature
Date
37 / 51
QUALITY CONTROL FORM
Report Date
Comments:
Signature
Name
Dept.
Signature
Date
38 / 51
QUALITY CONTROL FORM
Report No.
Report Date
7. Piping
8. Joints
9. Valves
10.Fixtures
11.Hydrotesting
Notes:
Signature
CC7 MHI BCIC
Name
Dept.
Signature
Date
39 / 51
QUALITY CONTROL FORM
Inspection / Test Stage: Area/Location
Form No. FCV036 Rev. 0
Pressure Test Report RFIN No.
Report No.
Report Date
Test Package No.: Description:
P. &I.D. No.(s) R P. &I.D. No.(s) R P. &I.D. No.(s) R P. &I.D. No.(s) R
Test Condition
Test Medium Chlorine Content
Test Media/Metal Temp Min. Max. Actual
Ambient Temp. Min. Actual
Test Pressure Min. Max. Test Pressure Min. Max.
Holding Time: Min. Actual
Test Gage M.T.E. Date Last Test Gage Low High
Number: M.T.E. Calibrated: Range: Low High
CC7 MHI BCIC
Signature Date Signature Date Signature Date
Pre-Test Walkdown Complete:
NDE, PWHT, PMI (if required)
Complete/Accepted:
Verification of Satisfactory Test Results
Verification of Line Restoration
Picture as evidence during inspection
40 / 51
QUALITY CONTROL FORM
Inspection / Test Stage: Area/Location
Form No. FCV037 Rev. 0
Plumbing/Piping System Leak Test RFIN No.
(Building Works) Report No.
Report Date
Work Scope
□ Plumbing □ Down Pipe
□ Drainpipe □ Other
Test Method
Test Medium Test Pressure Duration Remarks
□ Leak Test
□ Full Water Test
□ Flow Test
□ Ball Test
□ Other
Check List
Inspection ACC REJ Remarks
A. Leak/Full Water Test
1.Joint sealing and other requirements completed.
2.Leak test carried-out as per above method and result is acceptable
3.Drain out completed as necessary.
4.Cleaning of internal is carried-out satisfactorily after test.
5.Protection/cover provided (temporary or permanent) as precaution.
(Check if cover may be required to be installed for open ends)
B. Flow or Ball Test
1.Sealing and other required works completed
2.Flow direction is as per requirement
3.No blockage observed along the flow path
4.Cleaning of internal is carried-out satisfactorily after test.
5. Protection/cover provided(temporary or permanent) as precaution.
(Check if cover may be required to be installed for open ends)
Remarks:
Signature
CC7 MHI BCIC
Name
Dept.
Signature
Date
41 / 51
QUALITY CONTROL FORM
Inspection / Test Stage: Area/Location
Form No. FCV038 Rev. 0
RFIN No.
HVAC Functional Test Checklist
Report No.
Report Date
No. Description ACC REJ Remarks
1 Specified equipment installed in accordance with
manufacturer’s drawings and specifications.
2 Blowers/Fan/Ventilators working properly
3 Electrical/Instruments
4 Filters are cleaned and free of damage
5 Heating/Cooling Temperature measured and tested
6 Dryers are working properly
7 Compressor functioning properly
8 Outdoor/Indoor unit operational
9 Thermostat functioning
10 Drain pan and connection
11 Dampers working properly
12 Duct supports installed per specifications.
13 Balancing and adjusting completed and controls systems
adjusted.
14 Ceiling diffusers checked.
15 Systems checked for completeness
16 Controls and switches in working condition
17 Unit vibration control
18 CFM of Unit maintained as per required capacity and space
19 Measured & record flow
20 Check proper operation of humidifier
21 All the connection to unit installed
22 Check full load appears (FLA) as per manufacture required.
Remarks:
Signature
CC7 MHI BCIC
Name
Dept.
Signature
Date
42 / 51
QUALITY CONTROL FORM
Inspection / Test Stage:
Area/Location
Report No.
Report Date
2 Check the support are properly fixed and level as per drawing
Remarks:
Signature
CC7 MHI BCIC
Name
Dept.
Signature
Date
43 / 51
QUALITY CONTROL FORM
Inspection / Test Stage: Area/Location
Form No. FCV040 Rev. 0
RFIN No.
Refrigerant Piping Layout and Support
Installation Report No.
Report Date
No. Description ACC REJ Remarks
1 All duct work completed &connections sealed properly
2 Check search light required powered (min 500 watts)
3 Light test should be done proper darkness
4 Duct entire surface free of debris and dust
5 Duct leak test method
6 Duct leak test conducted and find: Accepted/Rejected
7 Check smoke fan housing proper fixed.
8 Identify ductwork section to be tested.
Signature
Name
Dept.
Signature
Date
44 / 51
QUALITY CONTROL FORM
Report No.
Report Date
Signature
Name
Dept.
Signature
Date
45 / 51
QUALITY CONTROL FORM
Report No.
Report Date
Signature
CC7 MHI BCIC
Name
Dept.
Signature
Date
46 / 51
QUALITY CONTROL FORM
Signature
CC7 MHI BCIC
Name
Dept.
Signature
Date
47 / 51
QUALITY CONTROL FORM
Inspection / Test Stage:
Area/Location
Report Date
1
Check the insulation materials are in accordance with the
approved material for types, thickness, density and finish
2
Ensure all material are free from damages, debris and
dust
3
Ensure all material is stored properly in dry condition and
dust free
4
Check the insulation is applied in accordance with the
approved MS and drawing details
5
Check the insulation is correctly aligned, lapped and
adequately bonded
6 Check the vapor sealing has been correctly applied
7 Check the vapor seal around the support and anchor
8 Check the field applied jacket is properly done
9 Duct joints shall be sealed prior to insulation.
Exterior insulated ductwork shall be provided with
10 aluminum jacketing manufactured in accordance with
ASTM B209/B209M.
Signature
Name
Dept.
Signature
Date
48 / 51
QUALITY CONTROL FORM
Inspection / Test Stage:
Area/Location
Report No.
Report Date
8 Walkdown is complete.
Remarks:
Signature
Name
Dept.
Signature
Date
49 / 51
QUALITY CONTROL FORM
Report No.
Report Date
Cable No.
Drawing No.
Comments:
Signature
CC7 MHI BCIC
Name
Dept.
Signature
Date
50 / 51
QUALITY CONTROL FORM
Signature
CC7 MHI BCIC
Name
Dept.
Signature
Date
51 / 51
QUALITY CONTROL FORM
Comments:
Signature
CC7 MHI BCIC
Name
Dept.
Signature
Date
52 / 51
QUALITY CONTROL FORM
Inspection / Test Stage: Area/Location
Form No. FCV049 Rev. 0
Comments:
Signature
CC7 MHI BCIC
Name
Dept.
Signature
Date
53 / 51
QUALITY CONTROL FORM
No. Verify the following are acceptable in accordance with design documents: Result Remark
Front to Rear
Comments:
Signature
CC7 MHI BCIC
Name
Dept.
Signature
Date
54 / 51