INSPECTION AND TEST REPORT REPORT NO.

:
FOR PAD LEVEL
PAGE : OF
(VERTICAL EQUIPMENT)

PROJECT: JOB NO.:

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Tolerance :
0o

8
8 1
Anchor bolt Projection Pad Elev.: Dwg
Dwg :
2
Actual : See table
below 7
270o
90o
Actual : See table
below
3

6
Foundation 4
5
Pad Elevation
No Elevation No Elevation BCD: 180o
1 16 Dwg:
2 17 Actual:
3 18
4 19 Bolt Dimension Check
5 20 No Projection No Projection
6 21 1 11
7 22 2 12
8 23 3 13
9 24 4 14
10 25 5 15
11 26 6 16
12 27 7 17
13 28 8 18
14 29 9 19
15 30 10 20

Note : Anchor Box Dimension (If applicable)

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name

Signature

Date
Form No.: ITR-MSE-001
 INSPECTION AND TEST REPORT REPORT. NO. :
FOR ANCHOR BOLT
(VERTICAL EQUIPMENT) PAGE : OF

PROJECT: JOB NO.:

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

1 Checkpoint Dwg. Actual Remarks

0o 2
12 1-7
2-8
3-9
3 BCD
11 4-10
5-11
6-12
10 4 1-2
90 o 2-3
3-4
4-5
9 5 5-6
Bolt
6-7
Pitch
7-8
8 6 8-9
7 9-10
11-12
12-1

BCD Pitch Dwg. Actual Remark

Tolerance Bolt Dia
±3 ±3
Bolt Projection
No. of bolts

Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name

Signature

Date
Form No. : ITR-MSE-002
 INSPECTION AND TEST REPORT REPORT. NO. :
FOR PAD
(HORIZONTAL EQUIPMENT) PAGE : OF

PROJECT: JOB NO.:

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Fixed Side Tolerance : ±3mm Unit : mm

"A"
Bolt No. "B"Pad Result Remarks
A 1 B 2 3 Pad
1
2
3
4 5 6 4
5
6

Sliding Side Tolerance : ±3mm Unit : mm

"A"
Bolt No. "B"Pad Result Remarks
1 2 3 Pad
1
2
3
4 5 6 4
5
6

Elevation : Dwg : Dwg. Actual Remark

Actual : See table Bolt Dia
Bolt Projection
No. of bolts

Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name

Signature

Date
Form No. : ITR-MSE-003
 INSPECTION AND TEST REPORT REPORT. NO. :
FOR PAD LEVEL
(HORIZONTAL EQUIPMENT) PAGE : OF

PROJECT: JOB NO.:

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Pad Elev.: Dwg Dwg:

Act.:
Anchor bolt Projection Actual: See table
Dwg.: below
Actual: See table
below Dwg:
Act.:

Dwg:
Act.:
Pad Elevation
No Elevation No Elevation
1 16
2 17
3 18
4 19 Bolt Dimension Check
5 20 No Projection No Projection
6 21 1 11
7 22 2 12
8 23 3 13
9 24 4 14
10 25 5 15
11 26 6 16
12 27 7 17
13 28 8 18
14 29 9 19
15 30 10 20

Tolerance :
Note : Anchor Box Dimension (If applicable)
Inspection Result : □ Accept □ Conditionally Accept □ Reject
Inspection by Subcontractor Contractor Client

Name

Signature

Date
Form No. : ITR-MSE-004
 INSPECTION AND TEST REPORT REPORT. NO. :
FOR ANCHOR BOLT
(HORIZONTAL EQUIPMENT) PAGE : OF

PROJECT: JOB NO.:

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Fixed Side

C/Point Drawing Actual Result Remarks

A B
A
B
C
D
E E G E
F
G

C D
C/Point Drawing Actual Result Remarks
Sliding Side F
A B A
B
C
D
E
E E G F
G

Dwg. Actual Result

Bolt Dia
C D Bolt Projection
No. of bolts
Tolerance :

Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name

Signature

Date
Form No. : ITR-MSE-005
 INSPECTION AND TEST REPORT REPORT. NO. :
FOR ELEVATION OF HORIZONTAL
VESSEL PAGE : OF

PROJECT: JOB NO.:

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

LEVELING WORK

00
Elevation 'X'
Elevation 'X1' Elevation 'X'
Dwg.
Actual: See table
270 900 below

1800

Elevation (Unit: mm)

Location Dwg. Actual Deviation
90-X
90-X1
270-X
270-X1
Tolerance : ±3mm

Fdn bolts, bolt torque value: N/Mtr

Sliding plate clearance for movement. As per dwg. mm. Actual mm

Note : 1. Check nozzle orientation is correct as per the drawing.

2. Check washer wedding is correct as per the drawing.

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name

Signature

Date
Form No. : ITR-MSE-006
 INSPECTION AND TEST REPORT REPORT. NO. :
FOR ELEVATION OF H/EXCHANGER PAGE : OF

PROJECT: JOB NO.:

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

LEVELING WORK

Ele.'X3' 0° Elecation'X2-X2'
Ele.'X2' Dwg
Actual:See table
270° 90° below
Elecation'X2-X2'
Ele.'X1' Dwg
Ele.'X' Actual:See table
270° 90° below

180°

Fdn Bolts, bolt torque value: N / Mtr

Sliding plate clearance for movement. As per dwg.: mm. Actual : mm
Elevation
Location Dwg. Actual Deviation Result
90-X
90-X1
270-X
270-X1
90-X2
90-X3
270-X2
270-X3
Tolerance : ±3mm

Note :
1. Check nozzle orientation is correct as per the drawing.
2. Check washer wedding is correct as per the drawing.
Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name

Signature

Date
Form No. : ITR-MSE-007
 INSPECTION AND TEST REPORT REPORT. NO. :
FOR PLUMB OF VERTICAL
EQUIPMENT PAGE : OF

PROJECT: JOB NO.:

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

LEVELING PLUMBING WORK

0°

270°
90°

(-) (+) 180°

Deviation of Vertically (Unit: mm)

Position Top Middle Middle Result
0 0
90 0
180 0
270 0
Tolerance : 0.6/1000 (20m & longer shall not exceed ±12 mm)

Fdn bolts, bolt torque value: N / Mtr.

Note :
1. Check nozzle orientation is correct as per the drawing.
2. Check washer wedding is correct as per the drawing.

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name

Signature

Date
Form No. : ITR-MSE-008
 INSPECTION AND TEST REPORT REPORT. NO. :
FOR PLUMB OF VERTICAL VESSEL
(LUG TYPE) PAGE : OF

PROJECT: JOB NO.:

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Top Reference Point

N
0˚

Base Elevation (BEL)

EL = ( )

h 270˚ 90˚

Datum Line (DEL) H

EL = ( )
180˚
a
a

* Tolerance : Bottom Reference Point

1. Equipment Base Elevation: Specified EL. ± 3 mm
2. Vertical Inclination (Lean): 1) 0.6mm/1m
2) 25 mm (Maximum for Tall Tower)

1. Equipment Base Elevation (Unit: mm)

Specified Elevation (BEL) Measuring EL. (DEL+h) Deviation:BEL-(DEL+h) Result Remarks
EL+ EL+
2. Vertical Inclination. (Unit: mm)
No. Direction of View Measuring (a) Direction of Top Inclination Result Remarks
1 View From : ( o) Top Toward to: ( o)-Dir.
2 View From : ( o) Top Toward to: ( o)-Dir.

Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name

Signature

Date
Form No. : ITR-MSE-009
 INSPECTION AND TEST REPORT REPORT. NO. :
FOR ELEVATION OF
MISCELLANEOUS EQUIPMENT PAGE : OF

PROJECT: JOB NO.:

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Foundation bolts, bolt torque value N / Mtr

Tolerance :

Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name

Signature

Date
Form No. : ITR-MSE-010
 INSPECTION AND TEST REPORT REPORT. NO. :
FOR EQUIPMENT INTERNAL PAGE : OF

PROJECT: JOB NO.:

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Results
NO Items to be checked Remarks
Accept Reject

Position of spiders / support correct

1
(Ring levelness per attached check sheets)

Check of trays correct

2
(per attached check-off sheet)

Type of trays correct

3
(per attached check-off sheet)
4 Seal pans, Draw-off tray correct

5 correct fasteners used

6 Visual inspection of welding (if any)

7 Internal pipes installed with correct bolts and gaskets

Baffles,dividers,impingement plate etc

8
(per drawing)

9 Demister pads installed

10 Internal lining sound as per drawings (if applicable)

Check internal Installation as per Drawing

11
(per attached check-off sheet)

12 Setting of any Instrumentation (If applicable)

Note :

Tolerance :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name

Signature

Date
Form No. : ITR-MSE-011
 INSPECTION AND TEST REPORT REPORT. NO. :
FOR FINAL INSPECTION
(STATIONARY EQUIPMENT) PAGE : OF

PROJECT: JOB NO.:

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Results
No Items to be Checked Remarks
Accept Reject
Check the name plate
1 a. Proper ASME stamped
b. Property attached to the equipment

2 Check the foundation bolts are torque as required

3 Check the orientations and level and plumb

4 Check the Washer Plate Welding Shown in the drawing

5 Completion of Inside Tray fixing work.(If applicable)

6 Check the visual condition

7 Check Whether the specified grouting is used and property applied

8 Grouting sample cube test is acceptable

9 Check the insulation and/or fire proofing condition(If applicable)

10 Check the Internal Coating of Fire Proofing (If applicable)

Check the welding, PWHT,NDE have been carried out property and
11
fully documented (If applicable)

12 Check the alignment of flanges on process connection is corrected

13 Check installation of instruments

Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name

Signature

Date
Form No. : ITR-MSE-012A
 INSPECTION AND TEST REPORT REPORT. NO. :
FOR FINAL INSPECTION
(STATIONARY EQUIPMENT) PAGE : OF

PROJECT: JOB NO.:

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Results
No Items to be Checked Remarks
Accept Reject

14 Check the equipment for internal per check list and drawing

Check the earth bosses are connected and in electrical contract with
15
the shell

Check all the attacked items (ladders, stairways, platforms and

16
manways etc)are correctly installed

17 Check the hydrostatic test equipment (If applicable)

18 External paint acceptable / Touch up done

19 Compliance with Vendor recommendation

20 Internal cleaning is acceptable

21 Check the Vessel Drain Lines Orientation

22 Check the Manholes as per Drawing

23 Check the Drain lines Shown in the Drawing

24 Allowed for the box-up

Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name

Signature

Date
Form No. : ITR-MSE-012B
 INSPECTION AND TEST REPORT REPORT. NO. :
FOR GROUTING WORK PAGE : OF

PROJECT: JOB NO.:

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Results
No Items to be Checked Remarks
Accept Reject
1 Foundation Chipping Condition

2 Foundation Chipping Condition

3 Formworks

4 Foundation Wet Condition

5 Grouting Works

a.) Grout Material and Water Ratio

b.) Mixed Grout Temperature

c.) Casting Method

d.) Finishing Works

6 Curing of Grout at site

7 Cube sample

a.) 3 Days

b.) 7 Days

c.) 28 Days

Tolerance :

Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name

Signature

Date
Form No. : ITR-MSE-013
 INSPECTION AND TEST REPORT REPORT. NO. :
FOR FIRE PROOFING PAGE : OF

PROJECT: JOB NO.:

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Results
No. Description Remark
Accept Reject
1 Material Verification

- remove grease.oil,scale
Surface
2 -wire mesh
Preparation
-intervals between pins

3 Key coat

4 Thickness & finish condition of surface

5 Sealer application of the top position

6 Top coating

7 Others

Tolerance :

Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name

Signature

Date
Form No. : ITR-MSE-014
 INSPECTION AND TEST REPORT REPORT. NO. :
FOR TRAY SUPPORT RING
(ONE-PASS TRAY) PAGE : OF

PROJECT: JOB NO.:

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

One-pass Tray
One-Pass Tray
case 1 Downcomer
Downcomer case 2 case 3
Measurement
Measurement Point
Point

Unit : mm
Measurement Measurement
Measure Deviation Measure Deviation
Point Point
1 6
2 7
3 8
4 9
5 10

Tolerance (mm) :
Inside Diameters of column Accep.Tolerance Inside Diameters of column Accep.Tolerance
2.5 and under 2 Over 2.5 & up to 5.5 6
Over 2.5 & up to 5.5 4 Over 8.5 6

Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name

Signature

Date
Form No. : ITR-MSE-015
 INSPECTION AND TEST REPORT REPORT. NO. :
FOR TRAY SUPPORT RING
(TWO-PASS TRAY) PAGE : OF

PROJECT: JOB NO.:

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Two-pass Tray

Unit : mm
Measurement Measurement
Measure Deviation Measure Deviation
Point Point
1 6
2 7
3 8
4 9
5 10

Tolerance (mm)
Inside Diameters of column Accep.Tolerance Inside Diameters of column Accep.Tolerance
2.5 and under 2 Over 2.5 & up to 5.5 6
Over 2.5 & up to 5.5 4 Over 8.5 6

Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name

Signature

Date
Form No. : ITR-MSE-016
 INSPECTION AND TEST REPORT REPORT. NO. :
FOR TRAY SUPPORT RING
(FOUR-PASS TRAY) PAGE : OF

PROJECT: JOB NO.:

Area / Unit : Date :

Location : Subcon. Name :

Equipment Name : Equipment No. :

Ref. Dwg. : Rev. No. :

Four-pass Tray
Case 1 Case 2

10m and under

Measurement Measurement
Measure Deviation Measure Deviation
Point Point
1 6
2 7
3 8
4 9
5 10

Tolerance (mm)
Inside Diameters of column Accep.Tolerance Inside Diameters of column Accep.Tolerance
2.5 and under 2 Over 2.5 & up to 5.5 6
Over 2.5 & up to 5.5 4 Over 8.5 6

Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name

Signature

Date
Form No. : ITR-MSE-017
 INSPECTION AND TEST REPORT REPORT NO.:
FOR TRAY INSTALLATION (2PASS TRAY WITH
SIDE DOWNCOMERS-EVEN NO.) PAGE: OF

PROJECT: JOB NO.:

Area / Location : Equipment No. :
Inspection / Test Date : Subcon. Name :
Column No. : Column I.D : Type of Tray : Material :
Tray No: Tray No: Tray No: Tray No:
No. Check Point / Tray No.
Panel"A" Panel"B" Panel"A" Panel"B" Panel"A" Panel"B" Panel"A" Panel"B"
Downcomer Clearance, mm
1 (Design : +/-3.0mm ) measure at two points / / / / / / / /

Tray Levelness ,mm (Tolerance :6mm)

2 (Max,Level Difference between Four Points a,b,c,d)
3 Downcomer Width, (Design :+/-3.0mm) measure are two Points / / / /
4 Tray Space,(Design : +/-3.0mm)
5 Weir Height,(Design : +/-1.5mm) measure are two Points / / / / / / / /
Weir Levelness, mm (Tolerance : Note 8)
6 (Max,Level Difference between Two Points)
7 Bolting Firm (10-14ft-Ibs or 1.4-2.0 kg-m)
8 General Appearance (See notes below)
Notes 1. Verify there is no significant damages or gaps on tray decks. 5
2. Verify there is proper overlaps between tray decks.
a a a
3. Verify all the clamps is perpendicular to tray rings and bars. 3
4. Verify there is no dirts or foreign materials on tray decks. c cc 2
5. Verify tray has installed in correct orientation. PANEL PANEL
6. Verify break bars are located in proper position. "A" "B" 4
7. Verify seal plates are located in proper position. d d
d 1
8. Weir Length (mm): -1500 and under : 3mm bb b
-Over 1500 to 3000 : 5mm
-Over 3000 to 4500 : 6mm
-Over 4500 : 8mm No.2 Tray Levelness Check Point
Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name

Signature

Date
Form No.: ITR-MSE-018
 INSPECTION AND TEST REPORT REPORT NO.:
FOR TRAY INSTALLATION (2PASS TRAY WITH
SIDE DOWNCOMERS-ODD NO.) PAGE: OF

PROJECT: JOB NO.:

Area / Location : Equipment No. :
Inspection / Test Date : Subcon. Name :
Column No. : Column I.D : Type of Tray : Material :
Tray No: Tray No: Tray No: Tray No:
No. Check Point / Tray No.
Panel"A" Panel"B" Panel"A" Panel"B" Panel"A" Panel"B" Panel"A" Panel"B"
Downcomer Clearance, mm
1 (Design : +/-3.0mm ) measure at two points / / / / / / / /

Tray Levelness ,mm (Tolerance :6mm)

2 (Max,Level Difference between Four Points a,b,c,d)
3 Downcomer Width, (Design :+/-3.0mm) measure are two Points / / / /
4 Tray Space,(Design : +/-3.0mm)
5 Weir Height,(Design : +/-1.5mm) measure are two Points / / / / / / / /
Weir Levelness, mm (Tolerance : Note 8)
6 (Max,Level Difference between Two Points)
7 Bolting Firm (10-14ft-Ibs or 1.4-2.0 kg-m)
8 General Appearance (See notes below)
Notes 1. Verify there is no significant damages or gaps on tray decks. 5
2. Verify there is proper overlaps between tray decks.
a a a
3. Verify all the clamps is perpendicular to tray rings and bars. 3
4. Verify there is no dirts or foreign materials on tray decks. c cc 2
5. Verify tray has installed in correct orientation. PANEL PANEL
6. Verify break bars are located in proper position. "A" "B" 4
7. Verify seal plates are located in proper position. d d
d 1
8. Weir Length (mm): -1500 and under : 3mm bb b
-Over 1500 to 3000 : 5mm
-Over 3000 to 4500 : 6mm
-Over 4500 : 8mm No.2 Tray Levelness Check Point
Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name

Signature

Date
Form No.: ITR-MSE-019