www.Azimuth-iq.

com
AZIMUTH GROUP Info@azimuth-iq.com
INTERNATIONAL LTD. contact:009647503090755.
Villa177, Pank City,
AZIMUTH CO. Old Baharka Road,
INSPECTION DEPARTMENT Erbil, KRG, Iraq

MISCELLANEOUS INSPECTION REPORT

Client Certificate No.
Location / Rig DATE OF MANFUCTURE

Inspection Date Due Date

Ref Std / Code

Equipment Name
Part Name
P Visual Inspection
Type of P Magnetic Particle Inspection
Inspection Dye Penetrant Inspection
Load Test
Equipment Traceability
EEquipment Detail Serial No. Calibration Date Calibration Due Date

Consumable Traceability
Consumables Make Batch No. Expiry Date

Inspection Detail

Digital Picture(s)

Remarks

I certify that the item(s) described above were examined in the prescribed manner.
The inspection parameters mentioned above were found satisfactory at the time of inspection. This
inspectionreport does not relieve the contractor/user from his obligations to keep the equipment maintained and used safely.

Person undertaking the test and examination

Inspected by Supervisor
Position ASNT Level II Inspector

Signature Signature