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Inspection Notification Form_Mero 3

Supplier Name: AIS Innergy Solutions Sub-Supplier Name (if applicable): N/A
Project Title: Thermal Insulation for Rigid Spools and Subsea Structures - Mero 3

NOI Number: MERO3-AIS-NOI-004 Rev 1 Issuance Date: 19/09/2023

Inspection Details
Equipment: Production PLET / RIGID SPOOLS Production / RIGID SPOOLS Injection - WAG

Component: Thermal Insulation Contratherm® C25-770-01 - QUALIFICATION

Process: N/A

TAG/ Serial Number: N/A

Main Project ITP Number: I-PR-3A46.03-1519-970-SYB-121

Sub-Supplier ITP Number: N/A CIT Code: CSC-002 to CSC-010

Inspection Start Date: 9-Oct-23 Duration (days/hours): 39 days

Inspection Start Time: 08:00 h

Forecast of Activities during Night Forecast of Activities on


No No
Shifts: Weekends or Holidays:

Inspection Location
ELEMENT MATERIALS TECHNOLOGY HITCHIN LTD - WILLBURY WAY, HITCHIN, HERFORDSHIRE, SG4 0TW, UK
(Address):

Sub-Supplier PO Number
PO Number: CONTRACT N° WA0061
(if applicable):
Petrobras Contact Name: FABIANO BECHTLUFFT PEDRO Subsea 7 Contact Name: BRUNA RIVELLI

Petrobras Contact Title: QUALITY MANAGER Subsea 7 Contact Title: QUALITY ENGINEER

Petrobras Contact E-mail: fabiano.pedro@petrobras.com.br Subsea 7 Contact E-mail: bruna.rivelli@subsea7.com

Activities
Participation Level (if applicable)
ITP Number Item Number / Description
Petrobras Subsea 7 Supplier Third Party
I-PR-3A46.03-1519-970-SYB-121 7.12 SST HP WP W1 HP WP W1 HP WP W1 HP WP W1

Tri-axial compression and Creep Test HP WP W1 HP WP W1 HP WP W1 HP WP W1


I-PR-3A46.03-1519-24A-SYB-950
Procedure

HP WP W1 HP WP W1 HP WP W1 HP WP W1

HP WP W1 HP WP W1 HP WP W1 HP WP W1

HP WP W1 HP WP W1 HP WP W1 HP WP W1

HP WP W1 HP WP W1 HP WP W1 HP WP W1

HP WP W1 HP WP W1 HP WP W1 HP WP W1

HP WP W1 HP WP W1 HP WP W1 HP WP W1

HP WP W1 HP WP W1 HP WP W1 HP WP W1

Contact Details
Supplier Sub-Supplier (if applicable)
Name: Kevin McCrea Name: Sam Ward

Title: Project Engineer Title: Engineering Support Supervisor

Telephone Number: t +44 1452 889313 / m +44 7408 885910 Telephone Number: t +44 1462 427 777 / m +44 7776 777 066

E-mail: kevin.mccrea@aisltd.com E-mail: sam.ward@element.com

Remarks & HSE Instructions

Point of contact at AIS Innergy Solution Brazil - Paulo Morais/Project Manager m +55 19 9 9631-7186 / e-mail: paulo.morais@aisltd.com

Waiver Declaration (To be completed only if a company involved decides to waive the Hold Point)
Company: ITP Item Waived:

Reason for waiver:

Company's Representative Name & Title: Date:

Sub-Supplier Representative
Subsea 7 Representative Petrobras Representative Suplier Representative
(if applicable)

Paulo Assinado de forma


digital por Paulo Morais

Morais Dados: 2023.09.19


13:29:26 -03'00'

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