Rev.

1
SACIC NUMBER DATE APPROVED QR NUMBER
SAC INSPECTION CHECKLIST
Comms facilities - Self Supporting Communication Tower - Material
Receiving
SACIC-T-5601 TELECOM-
PROJECT TITLE WBS / BI / JO NUMBER CONTRACTOR / SUBCONTRACTOR
KING SALMAN INTERNATIONAL COMPLEX FOR MARITIME INDUSTRIES CONSORTIUM of BRANCH OF SINO HYDRO
25-00053-0004, 0005,
CORPORATION COMPANY LTD. and SEPCO ARABIA
AND SERVICES (MYP) 0006,0007 /6600042823 (IK)
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
SAC USE ONLY
SAC TIP NUMBER SAC 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. Material Receiving
Received materials have been inspected for damages and for Sched. “Q”
A1
compliance to applicable requirements as specified in Par. 3.3. Att. IV

Verify that received tower material components comply with project PO

Sched. “Q”
A2 specification and shall conform to all applicable requirements, standards
Att. IV
and specifications prior to release to be used as part of the work.

Schedule "G"
A3 Verify that the received materials are new and unused.
Para. 4.1

Verify that material and accessories are in accordance with the Saudi
Schedule "G"
A4 Aramco-approved project-specific design drawings, diagrams,
Para. 4.1
schedules, lists, databases, and associated design documents

All the equipment shall be entirely suitable for use in a shipyard under RE-621011-
A5
hot and humid marine exposure conditions. 001,Para 3.1

All materials employed shall be new and of the best practicable quality
RE-621011-
A6 and description of their respective kinds; similarly the workmanship shall
001,Para 3.1
be of the best practicable quality.

Paints and varnishes - Corrosion protection of steel structures by

RE-621011-
A7 protective paint systems shall be provided accordance with BS EN ISO
001,Para 1.4.3
BS EN ISO12944.

Mechanical properties of corrosion-resistant stainless steel fasteners RE-621011-

A8
shall be provided accordance with BS EN ISO 3506. 001,Para 1.4.3

Verify Equipment and materials identification procedure is implemented Sched. “Q”

A9
for the received items as specified in Par. 4.2 Att. IV
Ensure that equipment and accessories shall be traceable from the
Sched. “Q”
A10 manufacturer and supplier through delivery, storage, fabrication,
Att. IV
erection, installation, repair, modification and use as specified in Par. 4.3

REMARKS:

REFERENCE DOCUMENTS:
1. Schedule G -- Material, Tools and Equipment (Pro Forma MP-IK-LS Contract)
2. Schedule Q -- Quality Requirements (Pro Forma Contract), Contract Specific
3. RE-621011-001 ACCESS TOWERS PERFORMANCE SPECIFICATION
NOTES:
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, Signature and Name, Signature and
Date: Date:

QC Inspector PID Representative

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

QC Supervisor Proponent and Others

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

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 Quality Record Approved:
Name, Signature and Name, Organization,
Date: Signature and Date:

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

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