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FIELD INSPECTION REPORT Client : Project No: Project Name: Vendor: Item : Applicable Code/Spec: Location: Discipline Task Mechanical Doc. Review Electrical General Survey Structural Witnessing of Tests Pipeline Pre-Comm. / Commission. Piping Review of Final Doc. Reference: PO. No: Dt: QAP No: Following are the Observations/findings: 1. 2. 3. 4. 5. 6. 7. Annexure -1 S.N o Item description Remarks 1 2 3 Conclusion: All the Offered Items were found to confirm with respect to requirements of PO(s), QAP and Specification. Page 1 of 2

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FIELD INSPECTION REPORT

Client : Project No:

Project Name: Vendor:

Item : Applicable Code/Spec: Location:

Discipline Task

Mechanical Doc. Review √Electrical General Survey √Structural √ Witnessing of Tests √Pipeline Pre-Comm. / Commission.Piping Review of Final Doc. √

Reference:

PO. No: Dt:

QAP No:

Following are the Observations/findings:

1.

2.

3.

4.

5.

6.

7.

Annexure -1S.No Item description Remarks

1

2

3

Conclusion: All the Offered Items were found to confirm with respect to requirements of PO(s), QAP and Specification.

Date: Name /Sign:

Page 1 of 1