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ALMANSOORI INSPECTION SERVICES

RIG EQUIPMENT INSPECTION REPORT

CUSTOMER Advance Energy Systems REPORT NO. 5010050776-SC-001 DATE 22-Feb-2022 PAGE 1

LOCATION ADES-158 WORK ORDER NO./PURCHASE ORDER NO 5010050776


INSPECTION CATEGORY ACCEPTANCE API RP 7L/ OEM/CLIENT PN 88003-D -
INSPECTION STANDARD ASTM E 709/API RP 7L OEM PROC. NO. Revision: 011
Cat.lll Cat.lV X Client NA STANDARD

TYPE OF INSPECTION X MAGNETIC PARTICLE INSPECTION X DIMENSIONAL INSPECTION X VISUAL INSPECTION

DESCRIPTION OF ITEM FORUM Safety Clamp IDENTIFICATION NUMBER 316295

MEASURED ACCEPT.LIMIT
PART / SECTION RESULT/ COMMENT
VALUE MIN/MAX
HINGE PIN CLEARANCE (A) 0.04" 0,05” Max Accepted
CLEARANCE BETWEEN INSERT
No Gap 0,07” Max Accepted
AND SLOT (B)
HINGE BORE DIA (C) 1.1" 1,3” Max Accepted

Manufacturer : FORUM Size & Model: Type MP Capacity: N/A INSPECTION RESULT/ COMMENTS
NB: Reported values are maximum of measured values.
Photo of item section with ID No.
Cat 4 inspection has been carried out as per API RP 7L & OEM

INSPECTED AREA HIGHLIGHTED AS; Full Body NO RELEVANT INDICATION FOUND AT THE TIME OF INSPECTION
EQUIPMENT & TECHNICAL DETAILS PERSONNEL DETAILS
WHITE MAG.PARTICLE INSPECTOR
MOHAMED YASIR
EQUIPMENT AC YOKE CONT.MODEL MR72 MODEL # MR76S NAME: CUSTOMER NAME:
W.CONTRAST MAG.PARTICLE
QUALIFICATION: NDT LEVEL II
MODEL Ferrous Probe BATCH # 72/2103 BATCH # 768/3102 SIGN:

SER.NO. ACY-039 CALIPER SER.NO. VCG-1043 SIGNATURE & DATE:


INSPECTION TECHNIQUE Wet Visible Magnetic Particles Inspection STAMP
Abbreviations: SER.No= Serial Number,CONT= Contrast,MAG.PARTICLE= Magnetic Particle,W.CONTRAST= White Contrast
P.O. Box 109442 - Abu Dhabi - U.A.E. - Tel: +971-2-5543602 |Fax: +971-2-5543718 | E- Mail: mis@almansoori.biz

F.1461
Rev.0
05.06.2017
ALMANSOORI INSPECTION SERVICES
RIG EQUIPMENT INSPECTION CHECKLIST
EQUIPMENT NAME Safety Clamp

CUSTOMER : ADES REPORT REF NO : 5010050776-SC-001

LOCATION : ADES-158 DATE : 22-Feb-2022

EQUIPMENT MODEL , CAPACITY & SIZE : FORUM Safety Clamp

IDENTIFICATION NO. : 316295

COMPLIANCE TO THE
SR# INSPECTION CHECK POINTS STANDARDS/PROCEDURE VALUES / DESCRIPTION
YES NO N/A OBS

Documentation Review

1 Do we have access to review Documentation delivered by the OEM? YES

2 Do we have OEM Manual to locate Wear data dimensional tolerance? YES

3 Do we have a Critical area diagram or instructions to locate critical areas? YES

4 Do we have OEM Manual to locate to General visual inspection requirements ? YES

Activity Records (Previous inspection records)

1 Have you verified the Records of previous CAT III and CAT IV inspection? YES

2 Have you checked for significant defects recorded in the drawing or the previous inspection? YES
3 Have you checked for any actions recommended in the previous report? YES
4 Have you checked the location and extent of the repairs given in the previous report? YES
5 Have you checked for NDT inspection performed and the results of the inspection? YES

6 Have you checked for the records if there is any Primary load-carrying components replaced or manufactured? YES

General Visual Inspection

1 Have you identified the Identification number and OEM Identification on the equipment? YES

2 Have you identified the Size, Capacity & Model using COC or marking on the Equipment? YES

3 Have you identified the category of inspection to be carried out based on previous inspection? YES

4 Have you checked the Adequate dismantling to access all critical areas for CAT III as per OEM Manual? YES

5 Have you checked the Adequate dismantling to access all critical areas for CAT IV as per OEM Manual? YES

6 Have you checked for any Visual Cracks, loose fits or connections & elongation? YES

7 Have you checked for any Signs of wear, corrosion, over loading & evidence of unauthorized field welding? YES

8 Have you checked for any Potential dropped objects or damaged missing retention devices? YES

9 Have you checked for the Missing components, deterioration & Lubrication? YES

Magnetic Particle Inspection

1 Have you verified the surface to confirm adequate paint and foreign material removal? YES
2 Have you taken the photo as evidence of proper surface preparation? YES

Dimensional inspection

MIN MAX Measured Dimensions

1 HINGE PIN CLEARANCE (A) 0,05” Max 0.04"


2 CLEARANCE BETWEEN INSERT AND SLOT (B) 0,07” Max No Gap
3 HINGE BORE DIA (C) 1,3” Max 1.1"
4

10

11

Others ( Specify the method)

1 Did you notify the customer when the equipment rejected? N/A
2 Have you received the client acknowledgement particularly for the rejected equipment? N/A

COMMENTS :

NEAR MISS OBSERVATION ,IF ANY:

INSPECTOR NAME & SIGNATURE DATE: 22-Feb-22

Mohamed Yasir

F.1620
Rev.0
AlMansoori Inspection Services ,P.O.Box: 3599 ,Al Khobar 31952 ,KSA, Email:mis@almansoori.biz, Web: www.almansoori.biz
28.05.2020
ALMANSOORI INSPECTION SERVICES
RIG EQUIPMENT INSPECTION REPORT

CUSTOMER Advance Energy Systems REPORT NO. 5010050776-SC-002 DATE 22-Feb-2022 PAGE 1

LOCATION ADES-158 WORK ORDER NO./PURCHASE ORDER NO 5010050776


INSPECTION CATEGORY ACCEPTANCE API RP 7L/ OEM/CLIENT PN 88003-D -
INSPECTION STANDARD ASTM E 709/API RP 7L OEM PROC. NO. Revision: 011
Cat.lll Cat.lV X Client NA STANDARD

TYPE OF INSPECTION X MAGNETIC PARTICLE INSPECTION X DIMENSIONAL INSPECTION X VISUAL INSPECTION

DESCRIPTION OF ITEM FORUM Safety Clamp IDENTIFICATION NUMBER 265974

MEASURED ACCEPT.LIMIT
PART / SECTION RESULT/ COMMENT
VALUE MIN/MAX
HINGE PIN CLEARANCE (A) 0.041" 0,05” Max Accepted
CLEARANCE BETWEEN INSERT
No Gap 0,07” Max Accepted
AND SLOT (B)
HINGE BORE DIA (C) 1.15" 1,3” Max Accepted

Manufacturer : FORUM Size & Model: Type MP Capacity: N/A INSPECTION RESULT/ COMMENTS
NB: Reported values are maximum of measured values.
Photo of item section with ID No.
Cat 4 inspection has been carried out as per API RP 7L & OEM

INSPECTED AREA HIGHLIGHTED AS; Full Body NO RELEVANT INDICATION FOUND AT THE TIME OF INSPECTION
EQUIPMENT & TECHNICAL DETAILS PERSONNEL DETAILS
WHITE MAG.PARTICLE INSPECTOR
MOHAMED YASIR
EQUIPMENT AC YOKE CONT.MODEL MR72 MODEL # MR76S NAME: CUSTOMER NAME:
W.CONTRAST MAG.PARTICLE
QUALIFICATION: NDT LEVEL II
MODEL Ferrous Probe BATCH # 72/2103 BATCH # 768/3102 SIGN:

SER.NO. ACY-039 CALIPER SER.NO. VCG-1043 SIGNATURE & DATE:


INSPECTION TECHNIQUE Wet Visible Magnetic Particles Inspection STAMP
Abbreviations: SER.No= Serial Number,CONT= Contrast,MAG.PARTICLE= Magnetic Particle,W.CONTRAST= White Contrast
P.O. Box 109442 - Abu Dhabi - U.A.E. - Tel: +971-2-5543602 |Fax: +971-2-5543718 | E- Mail: mis@almansoori.biz

F.1461
Rev.0
05.06.2017
ALMANSOORI INSPECTION SERVICES
RIG EQUIPMENT INSPECTION CHECKLIST
EQUIPMENT NAME Safety Clamp

CUSTOMER : ADES REPORT REF NO : 5010050776-SC-002

LOCATION : ADES-158 DATE : 22-Feb-2022

EQUIPMENT MODEL , CAPACITY & SIZE : FORUM Safety Clamp

IDENTIFICATION NO. : 265974

COMPLIANCE TO THE
SR# INSPECTION CHECK POINTS STANDARDS/PROCEDURE VALUES / DESCRIPTION
YES NO N/A OBS

Documentation Review

1 Do we have access to review Documentation delivered by the OEM? YES

2 Do we have OEM Manual to locate Wear data dimensional tolerance? YES

3 Do we have a Critical area diagram or instructions to locate critical areas? YES

4 Do we have OEM Manual to locate to General visual inspection requirements ? YES

Activity Records (Previous inspection records)

1 Have you verified the Records of previous CAT III and CAT IV inspection? YES

2 Have you checked for significant defects recorded in the drawing or the previous inspection? YES
3 Have you checked for any actions recommended in the previous report? YES
4 Have you checked the location and extent of the repairs given in the previous report? YES
5 Have you checked for NDT inspection performed and the results of the inspection? YES

6 Have you checked for the records if there is any Primary load-carrying components replaced or manufactured? YES

General Visual Inspection

1 Have you identified the Identification number and OEM Identification on the equipment? YES

2 Have you identified the Size, Capacity & Model using COC or marking on the Equipment? YES

3 Have you identified the category of inspection to be carried out based on previous inspection? YES

4 Have you checked the Adequate dismantling to access all critical areas for CAT III as per OEM Manual? YES

5 Have you checked the Adequate dismantling to access all critical areas for CAT IV as per OEM Manual? YES

6 Have you checked for any Visual Cracks, loose fits or connections & elongation? YES

7 Have you checked for any Signs of wear, corrosion, over loading & evidence of unauthorized field welding? YES

8 Have you checked for any Potential dropped objects or damaged missing retention devices? YES

9 Have you checked for the Missing components, deterioration & Lubrication? YES

Magnetic Particle Inspection

1 Have you verified the surface to confirm adequate paint and foreign material removal? YES
2 Have you taken the photo as evidence of proper surface preparation? YES

Dimensional inspection

MIN MAX Measured Dimensions

1 HINGE PIN CLEARANCE (A) 0,05” Max 0.041"


2 CLEARANCE BETWEEN INSERT AND SLOT (B) 0,07” Max No Gap
3 HINGE BORE DIA (C) 1,3” Max 1.15"
4

10

11

Others ( Specify the method)

1 Did you notify the customer when the equipment rejected? N/A
2 Have you received the client acknowledgement particularly for the rejected equipment? N/A

COMMENTS :

NEAR MISS OBSERVATION ,IF ANY:

INSPECTOR NAME & SIGNATURE DATE: 22-Feb-22

Mohamed Yasir

F.1620
Rev.0
AlMansoori Inspection Services ,P.O.Box: 3599 ,Al Khobar 31952 ,KSA, Email:mis@almansoori.biz, Web: www.almansoori.biz
28.05.2020
ALMANSOORI INSPECTION SERVICES
RIG EQUIPMENT INSPECTION REPORT

CUSTOMER Advance Energy Systems REPORT NO. 5010050776-SC-003 DATE 22-Feb-2022 PAGE 1

LOCATION ADES-158 WORK ORDER NO./PURCHASE ORDER NO 5010050776


INSPECTION CATEGORY ACCEPTANCE API RP 7L/ OEM/CLIENT PN 88003-D -
INSPECTION STANDARD ASTM E 709/API RP 7L OEM PROC. NO. Revision: 011
Cat.lll Cat.lV X Client NA STANDARD

TYPE OF INSPECTION X MAGNETIC PARTICLE INSPECTION X DIMENSIONAL INSPECTION X VISUAL INSPECTION

DESCRIPTION OF ITEM FORUM Safety Clamp IDENTIFICATION NUMBER 266400

MEASURED ACCEPT.LIMIT
PART / SECTION RESULT/ COMMENT
VALUE MIN/MAX
HINGE PIN CLEARANCE (A) 0.039" 0,05” Max Accepted
CLEARANCE BETWEEN INSERT
No Gap 0,07” Max Accepted
AND SLOT (B)
HINGE BORE DIA (C) 1.10" 1,3” Max Accepted

Manufacturer : FORUM Size & Model: Type MP Capacity: N/A INSPECTION RESULT/ COMMENTS
NB: Reported values are maximum of measured values.
Photo of item section with ID No.
Cat 4 inspection has been carried out as per API RP 7L & OEM

INSPECTED AREA HIGHLIGHTED AS; Full Body NO RELEVANT INDICATION FOUND AT THE TIME OF INSPECTION
EQUIPMENT & TECHNICAL DETAILS PERSONNEL DETAILS
WHITE MAG.PARTICLE INSPECTOR
MOHAMED YASIR
EQUIPMENT AC YOKE CONT.MODEL MR72 MODEL # MR76S NAME: CUSTOMER NAME:
W.CONTRAST MAG.PARTICLE
QUALIFICATION: NDT LEVEL II
MODEL Ferrous Probe BATCH # 72/2103 BATCH # 768/3102 SIGN:

SER.NO. ACY-039 CALIPER SER.NO. VCG-1043 SIGNATURE & DATE:


INSPECTION TECHNIQUE Wet Visible Magnetic Particles Inspection STAMP
Abbreviations: SER.No= Serial Number,CONT= Contrast,MAG.PARTICLE= Magnetic Particle,W.CONTRAST= White Contrast
P.O. Box 109442 - Abu Dhabi - U.A.E. - Tel: +971-2-5543602 |Fax: +971-2-5543718 | E- Mail: mis@almansoori.biz

F.1461
Rev.0
05.06.2017
ALMANSOORI INSPECTION SERVICES
RIG EQUIPMENT INSPECTION CHECKLIST
EQUIPMENT NAME Safety Clamp

CUSTOMER : ADES REPORT REF NO : 5010050776-SC-003

LOCATION : ADES-158 DATE : 22-Feb-2022

EQUIPMENT MODEL , CAPACITY & SIZE : FORUM Safety Clamp

IDENTIFICATION NO. : 266400

COMPLIANCE TO THE
SR# INSPECTION CHECK POINTS STANDARDS/PROCEDURE VALUES / DESCRIPTION
YES NO N/A OBS

Documentation Review

1 Do we have access to review Documentation delivered by the OEM? YES

2 Do we have OEM Manual to locate Wear data dimensional tolerance? YES

3 Do we have a Critical area diagram or instructions to locate critical areas? YES

4 Do we have OEM Manual to locate to General visual inspection requirements ? YES

Activity Records (Previous inspection records)

1 Have you verified the Records of previous CAT III and CAT IV inspection? YES

2 Have you checked for significant defects recorded in the drawing or the previous inspection? YES
3 Have you checked for any actions recommended in the previous report? YES
4 Have you checked the location and extent of the repairs given in the previous report? YES
5 Have you checked for NDT inspection performed and the results of the inspection? YES

6 Have you checked for the records if there is any Primary load-carrying components replaced or manufactured? YES

General Visual Inspection

1 Have you identified the Identification number and OEM Identification on the equipment? YES

2 Have you identified the Size, Capacity & Model using COC or marking on the Equipment? YES

3 Have you identified the category of inspection to be carried out based on previous inspection? YES

4 Have you checked the Adequate dismantling to access all critical areas for CAT III as per OEM Manual? YES

5 Have you checked the Adequate dismantling to access all critical areas for CAT IV as per OEM Manual? YES

6 Have you checked for any Visual Cracks, loose fits or connections & elongation? YES

7 Have you checked for any Signs of wear, corrosion, over loading & evidence of unauthorized field welding? YES

8 Have you checked for any Potential dropped objects or damaged missing retention devices? YES

9 Have you checked for the Missing components, deterioration & Lubrication? YES

Magnetic Particle Inspection

1 Have you verified the surface to confirm adequate paint and foreign material removal? YES
2 Have you taken the photo as evidence of proper surface preparation? YES

Dimensional inspection

MIN MAX Measured Dimensions

1 HINGE PIN CLEARANCE (A) 0,05” Max 0.039"


2 CLEARANCE BETWEEN INSERT AND SLOT (B) 0,07” Max No Gap
3 HINGE BORE DIA (C) 1,3” Max 1.10"
4

10

11

Others ( Specify the method)

1 Did you notify the customer when the equipment rejected? N/A
2 Have you received the client acknowledgement particularly for the rejected equipment? N/A

COMMENTS :

NEAR MISS OBSERVATION ,IF ANY:

INSPECTOR NAME & SIGNATURE DATE: 22-Feb-22

Mohamed Yasir

F.1620
Rev.0
AlMansoori Inspection Services ,P.O.Box: 3599 ,Al Khobar 31952 ,KSA, Email:mis@almansoori.biz, Web: www.almansoori.biz
28.05.2020

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