Project Name

PN: XXXXX
RECORD OF REPAIRS

System / Package No. Testpack No.

P&ID/Dwg No. Room No.

Equipment Name / Tag

No.

NOTE: If a section is NOT relevant enter N/A

Welder On
T2
ISO No. /Line Weld Size & Welders Piping Date Date T1 Accept T3 Accept T4 Accept 100% R.T.
Type of Defects Accept
No No. Wt. Ident. Class Reported Accept YES/NO YES/NO YES/NO or
YES/NO
Dismissed

XXXXX 3 CON 8749 REC 76 –Record Of Repairs

Prepared By: Amalina Kamal Revision Date: 16-Mar-2020 Page 1 of 2
Create Date: 22-Dec-2011 Revision: 2
Project Name
PN: XXXXX
RECORD OF REPAIRS

Comments: (If there are NO ADDITIONAL remarks enter NONE, initial and date)
Reason to be written in comments section and, where applicable, raised as an exception or outstanding issue as part of the system handover. If resolved prior to handover
comments to be marked appropriately and signed of accordingly.

Completed by Witnessed by Approved by Accepted by

Company
Signature
Print Name
Date

XXXXX 3 CON 8749 REC 76 –Record Of Repairs

Prepared By: Amalina Kamal Revision Date: 16-Mar-2020 Page 2 of 2
Create Date: 22-Dec-2011 Revision: 2