STANDARD CUT OFF MAY 31 2016 REV.

SAUDI ARAMCO CONSORTIUM INSPECTION CHECKLIST SACIC NUMBER DATE APPROVED QR NUMBER

Review Qualifications - Hot & Cold Insulation Installer &

SACIC-N-2002
Inspector
PROJECT TITLE WBS / BI / JO NUMBER CONTRACTOR / SUBCONTRACTOR
25-00053-0004, 0005, CONSORTIUM of BRANCH OF SINO
KING SALMAN INTERNATIONAL COMPLEX FOR MARITIME INDUSTRIES
0006,0007 HYDRO CORPORATION COMPANY LTD.
AND SERVICES (MYP)
/6600042823 (IK) and SEPCO ARABIA COMPANY
EQUIPMENT ID NUMBER(S) EQUIPMENT DESCRIPTION EQPT CODE SYSTEM ID. PLANT NO.

LAYOUT DRAWING NUMBER REV. NO. PURCHASE ORDER NUMBER EC / PMCC / MCC NO.

SCHEDULED INSPECTION DATE & TIME ACTUAL INSPECTION DATE & TIME QUANTITY INSP. MH's SPENT TRAVEL TIME
SAUDI ARAMCO USE ONLY
SAUDI ARAMCO CONSORTIUM TIP NUMBER SAUDI ARAMCO CONSORTIUM TIP ACTIVITY NUMBER WORK PERMIT REQUIRED?

SAUDI ARAMCO INSPECTION LEVEL CONTRACTOR INSPECTION LEVEL

ITEM
ACCEPTANCE CRITERIA REFERENCE PASS FAIL N/A RE-INSP DATE
No.

A. General Requirements

Insulation Installers shall have a relevant knowledge of health and safety

Project spec, RE-
hazard, use of protection equipment, insulation materials, application of
A1 631005, Para
insulation materials, insulation systems surface requirements, and how to
3.2.7.2
avoid corrosion under insulation.

Project spec, RE-

Supervisors and foreman shall be qualified to tradesman level and shall
A2 631005, Para
have documented minimum 3 years experience with insulation work.
3.2.7.2

QC Inspector has the qualification and experience required by Schedule Sch Q,

Q, Attachment 1, Para 3.3 & 3.3.2. Att. I, Para.
A3
3.3 & Para.3.3.2.
(f)

Sch Q,
Quality Personnel Requirements: EXHIBIT I
A4 Inspectors Ratio to Insulation workers satisfies the requirements of OF
Schedule Q Attachment VI Table 2. ATTACHMENT VI
TO SCHEDULE Q

REMARKS:

REFERENCE DOCUMENTS:
1. Schedule Q, Contractor's Quality Requirements, (Contract Edition)
2. Project Specification RE-631005 (SPECIFICATION FOR INSULATION)

ATTACHMENTS: None
NOTES: None

Contractor / Third-Party Saudi Aramco

Construction Representative* PMT Representative
Work is Complete and Ready for Inspection: T&I Witnessed QC Record Reviewed Work Verified
Name, Initials and Date: Name, Initials and Date:

QC Inspector PID Representative

Performed Inspection Work / Rework May Proceed T&I Witnessed QC Record Reviewed Work Verified
Name, Initials and Date: Name, Initials and Date:

QC Supervisor Proponent and Others

Quality Record Approved: T&I Witnessed QC Record Reviewed Work Verified
Name, Organization,
Name, Sign and Date:
Initials and Date:

*Person Responsible for Completion of Quality Work / Test Y = YES N = NO F = FAILED