SAIC-D-2014 Rev 2

Page 1 of 2

SAUDI ARAMCO ID/PID - 18-MAY-05 - REV 0 (Standards Cutoff - December 2005) Rev 2 31-Dec-05

SAUDI ARAMCO INSPECTION CHECKLIST SAIC NUMBER DATE APPROVED QR NUMBER

Review of Tank Data Sheet & Safety Instruction Sheet SAIC-D-2014 1-Dec-06 MECH-PROJECT TITLE WBS / BI / JO NUMBER CONTRACTOR / SUBCONTRACTOR

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 TIMESAUDI ARAMCO USE ONLY

SAUDI ARAMCO TIP NUMBER SAUDI ARAMCO ACTIVITY NUMBER WORK PERMIT REQUIRED?

SAUDI ARAMCO INSPECTION LEVEL CONTRACTOR INSPECTION LEVEL

ACCEPTANCE CRITERIA REFERENCE PASS FAIL N/A RE-INSP DATE

A Completion of Tank Data Sheet

A1

A2

A3

A4

A5

A6

A7

B Safety Instruction Sheet

B1

B2

B6

B7

B8

REMARKS:

Contractor / Third-Party Saudi Aramco

Name, Initials and Date:Work is Complete and Ready for Inspection:

Name, Initials and Date:T&I Witnessed QC Record Reviewed Work Verified

QC Inspector PID Representative

Name, Initials and Date:Performed Inspection Work / Rework May Proceed

Name, Initials and Date:T&I Witnessed QC Record Reviewed Work Verified

QC Supervisor Proponent and Others

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

ITEM No.

API SPEC 12F tanks: Storage Tank Data Sheet in Appendix I of SAES-D-109 was completed.

SAES-D-109, Para 8.1.1 (1)

API STD 650 Appendix J tanks: Storage Tank Data Sheet was completed using Appendix L of API STD 650 API STD 650 and the information detailed in Appendix II of SAES-D-109 are provided.

SAES-D-109, Para 8.1.1 (2)

UL 142 tanks: Storage Tank Data Sheet provided in Appendix III of SAES-D-109 was completed.

SAES-D-109, Para 8.1.1 (3)

API SPEC 12P tanks: Data Sheet 1 of API SPEC 12P was completed & contained the information detailed in Appendix IV of SAES-D-109.

SAES-D-109, Para 8.1.1 (4)

UL 1316 tanks: Storage Tank Data Sheet provided in Appendix III of SAES-D-109 was completed.

SAES-D-109, Para 8.1.1 (5)

AWWA D120 tanks: the Storage Tank Data Sheet as provided in Appendix III of SAES-D-109 was completed.

SAES-D-109, Para 8.1.1 (7)

Form SA 2696-ENG showing tank dimensions, nozzle & manway schedules, orientations & elevations was completed for each tank.

SAES-D-109, Para 8.1.2

Safety Instruction Sheet (Form SA 2693-ENG) is prepared for each (Tank).

SAES-A-005, Para 5.1

SIS included, in addition to tabulated information, all significant and unusual hazards, recommendations, unusual inspections and tests relating to the piece of equipment.

SAES-A-005, Para 5.1

The SIS is prepared, approved and issued by Project Manager for the new construction projects

SAES-A-005, Para. 6

Safety Instruction Sheets was assigned Saudi Aramco drawing numbers.

SAES-A-005, Para. 7

Safety Devices installed are identified. (Form 2693-ENG item 37,38,39, 40,41,42)

SAES-A-005, Attachment D-2

REFERENCE DOCUMENTS:1. SAES-D-109, Design of Small Tanks, (30 November, 2003 & 4 January 2006 … listed in Dec 2005 Cut off Stds … no changes) 2. SAES-A-005, Safety Instruction Sheet, (28 February 2005)

Construction Representative* PMT Representative

Name, Organization,Initials and Date:

Page 2 of 2

SAUDI ARAMCO ID/PID - 18-MAY-05 - REV 0 (Standards Cutoff - December 2005) Rev 2 31-Dec-05

SAUDI ARAMCO INSPECTION CHECKLIST SAIC NUMBER DATE APPROVED QR NUMBER

Review of Tank Data Sheet & Safety Instruction Sheet SAIC-D-2014 1-Dec-06 MECH-PROJECT TITLE WBS / BI / JO NUMBER CONTRACTOR / SUBCONTRACTOR

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 TIMESAUDI ARAMCO USE ONLY

SAUDI ARAMCO TIP NUMBER SAUDI ARAMCO ACTIVITY NUMBER WORK PERMIT REQUIRED?

SAUDI ARAMCO INSPECTION LEVEL CONTRACTOR INSPECTION LEVEL

ACCEPTANCE CRITERIA REFERENCE PASS FAIL N/A RE-INSP DATEITEM No.Name, Sign and Date:

Quality Record Approved:

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

Name, Organization,Initials and Date: