Action Items List

TR-80-FRM-00-102-01
End-User Project Name: Vertical Pressure Vessel Purchase Order No.: 001
QSR Name: 6Ty 9Ers Welding INC Surveillance Date: Jun 03, 2022
Supplier: Peter Piper Built a Pressure Vessel Inc. Report No: 003
Location: Calgary, AB

Date Inspector
Description Resolution Action By
Closed Initials
• Misalignment on the shell • Correction actions were recommended to BM June 03, 22 BM
• Undercut inside SO flange. fix the undercut.
• Excessive penetration and incomplete • Back welding and grinding are required in RZ July 22, 22 MH
penetration were found in some spots on order to pass internal inspection.
the roots.
• Lack of fusion, Excessive reinforcement • Back welding, grinding and repeat SAW BM August 13, 2022
and burn through on Cir. Seams. operation is required.

• Saddles were not totally welded to the • Saddles must be welded to the vessel in BM August 13, 2022
Vessel. order to pass final inspection.

• Lifting lugs weren’t totally welded to the • Lifting lugs must be welded to the vessel in BM August 13, 2022
vessel. order to pass final inspection.

January 2013 Page 1 of 2 TR-80-FRM-00-102-01 Rev 1

 Action Items List
TR-80-FRM-00-102-01

Representative Print Name Signature Date

Supplier Representative Sunny Dhillon SD Jun 03,2022
QSR Brian Marin BM Jun 03,2022
End-User

Notes:

If any item on the Action Item List is open and equipment / material / commodity needs to be shipped in order to
meet the schedule requirement at Site; the Action Item List shall be attached to the Quality Surveillance Release
Certificate.

If all the items on the Action Item List are closed, no signature is required from any of the parties as indicated
above. The items are considered closed when the actual execution has been done on the agreed upon resolution.

January 2013 Page 2 of 2 TR-80-FRM-00-102-01 Rev 1