Quality Control Project File

Quality Control Project File

For the Construction of ASME B31.3 Process Piping in the Province of Alberta

ABSA Registration#: AQP-2842 Expiry Date: Sept 10, 2020

Client / Owner:

Project Name:

Project No.:

Job Description:

LSD:

AFE:

Bandit Pipeline Job number:

Bandit Pipeline

PO BOX 12248, Highway 16 West,

LLOYDMINSTER, AB T9V 3C5

Phone (780) 875-8764 / Fax (780) 875-7684

www.banditpipeline.com

Quality Control Project File

For Pipeline construction as per csa z662-15 in the

Province of Alberta

Client / Owner:

Project Name:

Project No.:

Job Description:

LSD:

AFE:

Bandit Pipeline Job number:

PO BOX 12248,

Highway 16 West, LLOYDMINSTER, AB T9V 3C5

Phone (780) 875-8764 Fax (780) 875-7684

www.banditpipeline.com

Revision 3, April 26, 2017

QC Package Progress Checklist

Cover Sheet (Complete with Client/Owner Name, Project Name, Project Number, Job

Description, Location (LSD), AFE#, Bandit Job Number)

New Job Information Sheet (To be completed prior to start of job)

Pre-Job Review Document (To be completed & signed off prior to start of job)

Project Documents (Contract Documents, Scope of Work)

Construction Travel Sheet (To be started & signed off at the start of job and as the

job progresses)

Completion of Construction Forms (AB-81, AB-83 ABSA) (LIB-1001, LIB-1002

TSASK) To be completed at the end of job, signed off by Field QC & Owners Inspector.

Owners Specifications (P&ID’s, Line Lists, General Arrangement Drawings, etc.)

Construction Drawings (As-Built Drawings complete with Bill of Material, Heat Numbers,

Dimensions, Welder Stamp# & Name, Weld Map, X-ray Map, Customer Name, Location, Line Number,Job Number, Test Pressure, Weld Procedure Number, Code of Construction, etc. )

NDE Reports (X-Ray & Mag Particle Reports, NDE Examiners Certifications & Eye

Examination Records)

Welding Documents (Welder’s Log, Welder Stamp & Name, Welder Certificates)

Pressure Test Records (Pressure Test Examination Procedure/Checklist, Pressure Test

Procedure Record, Pressure Gauge, Chart Recorder & Deadweight Calibration Certificates, TestCharts) All Pressure tests must be signed off by the Owners Inspector and the Bandit Representative.

Material Test Reports (MTR’s) (Material Purchase Orders, Material Receiving Inspection

Report, Material Receiving Record, Packing Slips, MTR’s)

Corrective Action Request (Exhibit 18)

Safety Documents

OWNER’S ACCEPTANCE OF TURNOVER PACKAGE

Signing this form indicates acceptance of completion of the following project and receipt of the Turnover Package file including all documentation for the following

project:

BANDIT PIPELINE JOB#

OWNER: Project Name: LSD: AFE#

Owner Representative: (print) ________________________________

Signature: _______________________________________________◄

Please return this completed form to: Attention Quality Control Manager: Bandit Pipeline PO BOX 12248, Highway 16 West, LLOYDMINSTER, AB T9V 3C5 Phone (780) 875-8764 Fax (780) 875-7684 www.banditpipeline.com Scanned Documents may be sent by e-mail to [email protected] or [email protected]

http://www.banditpipeline.com/

mailto:[email protected]

Quality Control System Project File

Table of Contents

Section 1. Construction Plan

Section 2. Contract Documents Including Permits

Section 3. DBM (Design Basis Memorandum)

Section 4. Design Specs / Construction Drawings

Section 5. Material Documents (MTR’s & Shipping Tallies)

Section 6. Welding Documents

Section 7. NDE (Non-Destructive Examination)

Section 8. Pressure Test Records

Section 9. Crossing Records

Section 10. Project Completion

Section 11. Non-Conformance / Corrective Action Reports

Section 12. Safety

Visit us at www.banditenergy.ca

SECTION 1

CONSTRUCTION PLAN

Revised: April-26-17

New Job Information Form

Date: Client Company Name:

Contact Info: Contact Ph.#:

e-mail: Client Project #: Project Name:

Client PO or AFE#: Billing Address:

Inspector Name: Inspector Ph.#:

Inspector e-mail: Contract:

F/A: Other: (Diameter Inch, etc.)

Location(s):

Area:

Contractor: Supervisor: Field QCI:

Pipeline: Field Fab: Shop Fab:

Scope of Work: (Description of Job Requirements)

Please complete this form and send into the office at the start of job. Job Number (Assigned from Office)

A copy of this completed form is required by the QC Department at the start of the job.

Bandit Pipeline Quality Control Manual

Revision No. 5 November 1 2017 Page 38

CONSTRUCTION TRAVEL SHEET

Date Travel Sheet Initiated: Bandit Pipeline Job No.

Owner: Owner Project No.

Drawing No. Rev.No. Date Superseded:

Drawing No. Rev.No. Date Superseded: The "Construction Travel Sheet" must be presented to the Owner's Inspector prior to

the start of construction Initial and Date

HOLD points are indicated with an asterisk. *

No. Function Bandit

Pipeline QCI

Owner's Inspector Date

1

Drawings received for construction, Drawings stamped with "Issued for Construction" stamp.

2 Owner's Inspector notified of assignment of inspection hold points.

3 Owner’s Inspector and QCI formulate plan of construction.

4

Registered Weld Procedures, Q.C. Manual, Procedures, and forms available at site and Job File started.

5

Welders qualified for Procedures and have valid Performance Qualifications Cards. Welder's Log Completed. WPS reviewed with welders.

6

Materials checked against P.O., drawings and specifications. Identification confirmed. Color coding applied.

7

Sample of each Welder's work examined, including root spacing, alignment, cleaning, joint preparation, preheat and electrode control.

8 Piping Lot Size Designation Determined for NDE purposes.

9

Completed Visual Examination of all welds. Welder's I.D. stamped and recorded on drawings.

10

Non-destructive Examination: Reports and radiographs reviewed, signed by Level II or III and accepted by Q.C. Radiographs ID Detailed on reports.

11 Heat treatment verified and recorded on drawings.

12 Each system checked against specifications and drawings before pressure test.

13 All deficiencies recorded and signed off by QCI and Owner's Inspector before test.

14 Pressure Test witnessed. Gauge calibration verified; Gauge # recorded.

15 Each system checked after test. Deficiencies recorded and corrected.

16

Construction Data Reports (Technical Safety Authority of Saskatchewan) LIB-1002 prepared and signed by QCI and Owner's Inspector.

17

Completed Construction Declaration Form LIB-1001) and submitted to Technical Safety Authority of Saskatchewan (if applicable).

18 As-built drawings accepted by Owner (Owner's Inspector).

19 Verify that the Inspector / Company representative has been notified of pressure vessel tie-in.

Signature of QCM Date job completed:

EXHIBIT 4


Revision No. 3 April 26 , 2017

EXHIBIT 3

Contract Review Form Owner: Owner Project No.

Scope of Work: Job No.:

Under The Alberta Safety Codes Act and Regulations, the Owner must have an Authorized Quality System for the scope of work if the Owner assumes responsibility for Quality System functions such as material receiving inspection, material traceability, Welder/Welding Operator supervision and Welders/Welding Operators records, control of NDE on site, witnessing pressure tests, and preparing Quality System records. If the Owner does not have an Authorized Quality System for any of these functions, the Quality Control Manager shall make the Owner aware that all requirements of this Quality System must be met. The Owner should also be made aware that they are responsible for registering the design with ABSA when the volume of any new piping system to be installed exceeds 0.5 cubic metres.

Owner’s Representative:

Date Contracted:

Bandit Pipeline QCM:

Date Accepted:

RESPONSIBLE FOR OWNER CONTRACTOR

Drawings and Specifications

Design Registration

Document Control

Material Procurement

Material Identification and Traceability

Welding

Designated Lot sizes established Lot size:

Non Destructive Examination

Heat Treatment

Measuring and Test Equipment

Pressure Tests

Record Retention


SECTION 2

CONTRACT DOCUMENTS

INCLUDING PERMITS


SECTION 3

DBM (DESIGN BASIS MEMORANDUM)


SECTION 4

DESIGN SPECS

CONSTRUCTION DRAWINGS

LINE LIST

Owner: Project : Job#: Drawing No.

Rev. No.

Line No.

Code

Fluid (Air/Steam, etc)

Design Pressure

kPa

Design Temperature

Degrees C (Max. & Min.)

Test Pressure

kPa

Pipe Mat’l

Spec. & Grade

Corrosion Allowance

mm

Pipe NPS &

Schedule

Flange Material &

Rating

NDE


SECTION 5

MATERIAL DOCUMENTS

(MTR’s & SHIPPING TALLIES)

MATERIAL ORDER & RECEIVE LIST

JOB#: MATERIAL ORDERED FROM: AFE#: CONTACT NAME: LOCATION: INSPECTOR: DATE: SUPERVISOR:

QTY. DESCRIPTION HEAT# MTR’s


Revision No. 3 April 26, 2017

PURCHASE ORDER FORM

TO: Purchase Order number is to be

recorded below.

P.O.# _____________________________

ADDRESS: JOB NO.

SHIP TO: DATE:

ADDRESS: ORDERED BY:(print)

PLEASE NOTIFY US IF UNABLE TO SHIP COMPLETE ORDER BY DATE SPECIFIED!

Item # Quan Spec

# Gr Sch Size Dimension Description

1

2

3

4

5

6

7

8

9

10 APPROVED BY: (signature)

NOTE:

Mill Certificates (MTR's) (indication that fittings are registered with Technical Safety Authority of Saskatchewan); Canadian Registration Nos. (CRN's), if applicable; pipe heat

numbers and specifications MUST accompany fittings, pipe, and applicable products (valves,

gaskets, etc.)

NO ORDER WILL BE ACCEPTED IF THIS CERTIFICATION IS NOT DELIVERED WITH THE PRODUCT!

EXHIBIT 5



PURCHASE ORDER RECORD SHEET

DATE P.O. No. ITEMS PURCHASED VENDOR ORDERED BY APPROV'D BY

Note: Mill Test Certificates and Saskatchewan CRNs must be received with all piping materials and valves.

EXHIBIT 6



Material Receiving Inspection Report

Bandit Pipeline Job File No.:

Material Receiving Report No.:

Owner:

Owner Project / AFE No.:

Purchase Order No.:

Date Shipment Received:

Packing Slip No.:

Material Purchased By: Client Engineer Bandit Pipeline

Vendor / Supplier: MTR's Received with Shipment Yes No Delivering Carrier Freight Bill No.

CRN Documents for Fittings Received with Shipment Yes No

Corrective Action Report Required Yes No Corrective Action Report No.:

Loss/Damage Report Required Yes No Loss/Damage Report No.:

Description of Shipment (Materials) (e.g. Pipe & Fittings)

Comments

Inspected By: Date

Accepted By: Date

EXHIBIT 11


SECTION 6

WELDING DOCUMENTS

WELDER QUALS

OTHER JOINING RECORDS

(FLEXPIPE; POLY; ETC.)

2018 WELDERS LOG

Revision No. 3 April 26th, 2017

EXHIBIT 8

NAME SYMBOL ASSIGNED ABSA File No.

TSASK WELDER’S

LICENCE No. PROCESS

WELDING PROCEDURE QUALIFIED

TO

MATERIAL "P"

GROUP

FILLER METAL

"F" GROUP

POSITION QUALIFIC.

MAX. DEPOSITED

WELD METAL

MIN. PIPE DIA

PQ CARD

EXPIRY DATE

AB Art Davidson 5 W-06980 Card No. 0493 SMAW / SMAW

BPL-2 BPCSG-1 P1-P11 F3 F4 ALL 6.34-15.79 25 mm Aug 14

2017

SK Art Davidson 5 022960 SMAW / SMAW

BPL-2 BPCSG-1

P1 – 15F P34, P4x F3 F4 ALL 6.35-15.79 25 mm Aug 14

2017

AB Mark Stutt Y W-17320 Card No.3601 SMAW / SMAW BPL-2 P-1 F3 F4 All 0.250”-0.622” 1” July 08

2018

SK Mark Strutt Y 026206 SMAW / SMAW

BPL-2 BPCSG-1

P1 – 15F P34, P4x F3 F4 All 6.35-15.79 25 mm July 08

2018

AB Landon Brosnikoff W-26963 Card No. 3471 SMAW / SMAW BPL-2 P-1 F3 F4 `12- .250”-MAX 1” May 01

2017

SK Landon Brosnikoff 023911 SMAW / SMAW

BPL-2 BPCSG-1

P1 – 15F P34, P4x F3 F4 All(6G) 6.35-MAX 25 mm May 01

2017

Ab Paul Dumanowski P W-14144 Card No. 3513 SMAW / SMAW BPL-2

P1

F3 F4 All .250”-MAX 1” O.D Aug 21

2017

SK Paul Dumanowski P 023005 SMAW / SMAW

BPCSG-1 BPL-2

P1 – 15F P34, P4x F3 F4 All 6.35-MAX 25mm Aug 21

2017

AB Scott Cowan W-24295 Card No.3615 SMAW / SMAW BPL-2 P1 F3 F4 All .250”-.622” 1” O.D Sept 09

2018

SK Scott Cowan 025632 SMAW / SMAW BPL-2 P1 – 15F

P34,P4x F3 F4 All(6G) 6.35-15.79 25mm Sept 09 2018

2018 WELDERS LOG


EXHIBIT 8

NAME SYMBOL ASSIGNED

ABSA File No.

TSASK

WELDER’S LICENCE No.

PROCESS WELDING

PROCEDURE QUALIFIED

TO

MATERIAL "P"

GROUP

FILLER METAL

"F" GROUP

POSITION QUALIFIC.

MAX. DEPOSITED

WELD METAL

MIN. PIPE DIA

PQ CARD

EXPIRY DATE

AB

SK Leon McKnight 0242279 SMAW /

SMAW BPL-2 P1-15F P34, P4x F3 F4 All(6G) 6mm-16mm 25mm Mar 16

2018

2018 WELDERS LOG


EXHIBIT 8

NAME SYMBOL ASSIGNED

ABSA File No.

TSASK

WELDER’S LICENCE No.

PROCESS WELDING

PROCEDURE QUALIFIED

TO

MATERIAL "P"

GROUP

FILLER METAL

"F" GROUP

POSITION QUALIFIC.

MAX. DEPOSITED

WELD METAL

MIN. PIPE DIA

PQ CARD

EXPIRY DATE

BANDIT PIPELINE12248 Lloydminster,ABPH. (780) 875-8764 CLIENT CLIENT REPRESENTATIVE

PROJECT: PROJECT #:

LOCATION: AREA NAME:

LSD SEC TWP RGE W____M DATE

This procedure for end-to-end joints for pipe with the same diameter and wall thickness1

2

3

4

5

6

7

8

9

10

Owner's Representative (Print Name): ___________________________

Owner's Representative:____________________________________________◄

Date of Contract:

Fusion equipment may not be explosion proof; therefore take all necessary precautions if fusing in a combustable atmosphere.

Clean pipe ends to remove all dirt and contaminants.

Keep heating tool surfaces clean throughout process using clean, dry, non-synthetic cloths or paper

Heat the heating tool / iron to manufacturers specified minimum and maximum temperature, ensuring two points of the heating tool / iron is not greater than 20° F on equipment for pipe smaller than 18" in pipe larger than 18".

When fusing, shield joining equipment from inclement weather and winds to help ensure temperature

Place pipe ends in fusion machine and face down to stops.

Check hi/low alignment: adjust; re-face.

Heat pipe ends to manufacturers recommended heater face surface temperature; use contact for a uniformly sized bead around entire pipe on both ends. Use the following table for guidelines.

Pipe Size Bead Width

1 1/4" to 3" About 1/16"

3" to 6" 1/16" to 1/8"

6" to 8" 1/8" to 3/16"

8" and larger 3/16" to 1/4"

Fuse pipe using enough pressure to roll melt swell bead over to pipe surface. Hold this pressure for specifications) or about 30 seconds per inch of pipe diameter (eg: 4" pipe cool for 120 seconds [2

Cool for an additional 3 to 10 minutes. The fusion may then be removed from the machine. Allow an manufacturer's specifications) cooling time prior to any type of rough handling or testing. You must (the larger the pipe, the longer the cooling time).

Inspect the fusion. Double bead width = 2 to 2 1/2 times bead height; uniform bead size and shape

BANDIT PIPELINE12248 Lloydminster,ABPH. (780) 875-8764 CLIENT CLIENT REPRESENTATIVE

PROJECT: PROJECT #:

LOCATION: AREA NAME:

LSD SEC TWP RGE W____M DATE

Pipe Manufacturer Type of Pipe

Pipe Manufacturer'r Recommeded Fusion Parameters Provided ? Copy Attached ?

SDR Pipe Designation Code:

Fusion Equipment (Type & Manufacturer Fusion Technician

Ambient Temperature Wind Speed Precipitation

Joint # Heater Plate Temp

Drag Pressure

Hydraulic Pressre

Fusion Pressure

Heater Plate Hold Time

Clamped Cooling

Time

Visual Bead Accept / Reject

Soak Time Remarks

Yes / No Yes / No

Fusion Joint Tested Pass / Fail

FIELD OPERATIONS

Form #: Revision #: Revision Date: PAGE:

14-0010 10 Dec. 7, 2016 1 of 3

Daily Field Report – North America

Upon Completion email back to the Oil & Gas Company as well as Shawcor Canada - [email protected]

US - [email protected]

Customer Information Customer Name Date (m/ft) Installed Job Location FP Sales Order # Site Weather LSD Customer Rep. Pictures Taken YES NO Produced Fluid Contractor Sketch Provided YES NO Application (Flow Line, Transfer, SWD, etc.) Crimp Kit # Fitting Protection & Checklist Reminder Comments Denso Tape Fittings Accept Decline Any kinks have been repaired correctly YES NO Polyken Tape Fittings Accept Decline All ends of pipe night capped YES NO Installed Anode Kit Accept Decline Equip. Operates @ 9000 PSI YES NO Educated on Pigging Tags YES NO Equip. Operates @ 8500 PSI YES NO Tracer Wire Used YES NO Surface Lines are padded and secured YES NO Fitting Information

# Fitting Type & Serial #

GPS/LSD (Format or Unit

Used) Wetness Checked

Fittings Inspected

(no damage, vent hole, correct size)

Pipe Insertion Distance (inches)

Crimp Locations (inches)

Pipe End

Denso Pasted

Clamp min. of 4”

from sleeve

end

Run #, (m) Mark

Pipe Desc.

Run #, (m) Mark

Pipe Desc.

Name of Installation Tech Signature Training # Expiry Date




Name of Installation Tech Signature Training # Expiry Date GPS GPS Coordinates are not exact, they are usually between 3-15m/10-49ftand fi

Comments:



FIELD OPERATIONS


14-0010 10 Dec. 7, 2016 2 of 3




# Fitting Type & Serial # GPS/LSD Wetness

Checked

Fittings Inspected

(no damage, vent hole, correct size)

Pipe Insertion Distance (inches)

Crimp Locations (inches)

Pipe End

Denso Pasted

Clamp min. of 4”

from sleeve

end

Run #, (m) Mark

Pipe Desc.

Run #, (m) Mark

Pipe Desc.








Name of Installation Tech Signature Training # Expiry Date GPS GPS Coordinates are not exact, they are usually between 3-15m/10-49ftand

Comments:



FIELD OPERATIONS


14-0010 10 Dec. 7, 2016 3 of 3




Field Pictures and Sketch (Tank battery, main pumping station, equipment, adjacent or crossing lines, roads, etc.)




SECTION 7

NDE

(NON-DESTRUCTIVE EXAMINATION)



NONDESTRUCTIVE EXAMINER’S LOG

NAME OF COMPANY COMPLY WITH

REQUIREMENTS OF (CGSB or ASNT-TC-1A)

APPOINTED TO PERFORM RT (RADIOGRAPHIC) UT (ULTRASONIC)

PT (LIQUID PENETRANT) MT (MAGNETIC

PARTICLE)

LEVEL III EXAMINER CERT # EXPIRY LEVEL II

EXAMINER CERT # EXPIRY

EXHIBIT 23

X-RAY LOG / REQUEST JOB #: PURCHASE ORDER #: AFE #: LOCATION: DESCRIPTION: REQUESTED BY: NDE CONTRACTOR:

DATE X-RAY # LINE # / SPOOL # SIZE / SCH. WELDER I.D. CODE PROCEDURE


SECTION 8

PRESSURE TEST RECORDS

Pressure Test Dead Weight Pressure Monitoring Log

Date: From: To: M.O.P: Min. Test Pressure: Max. Test Pressure:

Test Medium: Duration: Contractor: Material: Grade: Spec:

O.D: Wall Thickness: Coating: Length: Volume: Inspector:

License #: Approval #: Line #:

Monitor and Record Pressure (verify test charts against dead weight frequently)

Time: Pressure: Initials: Time: Pressure: Initials:



PRESSURE TEST EXAMINATION PROCEDURE / CHECKLIST

PRESSURE TEST EXAMINATION GUIDE Q.C. INSPECTOR

OWNER’S INSPECTOR

DATE

1 Test area posted and all unnecessary personnel removed from test area

2 All involved personnel properly trained, qualified, aware of hazards involved

3 All punch list items corrected

4 Pressure test specifications confirmed as per “Approved for Construction” drawings

5 All items subject to damage removed or isolated (control valves, safety valves, instruments, expansion joints, etc)

6 Equipment with internals (i.e. filters) isolated or removed

7 Vents and drains correctly installed

8 Open and Closed positions of all valves verified

9 Shipping bars in place (bellows)

10 Piping bolted to pilings: Hanger stops in place

11 Source of test medium verified: appropriate for temperature

12 Properly calibrated gauges and recorders

PRESSURE TEST COMPLETION Q.C. INSPECTOR

OWNER’S INSPECTOR

DATE

1 Examination for leaks during test

2 Specified test pressure reached and maintained for specified time

3 All temporary blinds (blanks) removed

4 Temporary gaskets exchanged for correct gaskets

5 Shipping bars removed from bellows

6 Spring hanger stops removed: cold setting checked

7 Safety valves: “UV” or “V” symbol and correct set pressure and capacity installed

8 Safety valve vents correct size; adequately supported; drain holes and or weather hoods installed

9 Screens for pumps and compressors installed (initial start-up and permanent screens)

EXHIBIT 26



PRESSURE TEST PROCEDURE RECORD

Client

Job #

Date:

Pipeline Designation Number(s):

Item Description for Testing:

Code (ASME B31.3 / CSA Z662 / Other):

Type of Pressure Testing: Hydro ☐ Pneumatic ☐ Other ☐ Type: Test Medium Used: Temperature for Medium: Design Pressure:

Operating Pressure Test Pressure

Design Temperature Operating Temperature Test Temperature Duration of Pressurizing:

As Required for Visual Inspection

Or Actual

Start (time) Pressure Hold Release (time) Start (time) Pressure Hold Release (time) Examination Procedure: (Check One) Visual ☐ Other ☐

Pressure Gauge I.D. # Range

Last Calibration Date:

Pressure Gauge I.D. # Range


Dead Weight I.D. # Range


*Dead Weight Reading* (RECORD READINGS)

THIS CERTIFIES THAT THE ABOVE STATEMENTS ARE CORRECT AND THE EQUIPMENT DESCRIBED WAS FREE OF LEAKS

Date Time Pressure Results of Pressure Test (circle one) Accept Reject

Test Witnessed and Accepted By:

Bandit Pipeline Print Name:

Signature:

Date:

Test Witnessed and Accepted By:

Owner's Inspector Print Name:

Signature:

Date:

Recorded By:

EXHIBIT 27


SECTION 9

CROSSING RECORDS

BANDIT PIPELINE12248 Lloydminster,ABPH. (780)875-8764

Exhibit BP:IM-29NAME OF EXISTING FACILITY OWNER CROSSING AGREEMENT NUMBER.

PROJECT: PROJECT #:LOCATION: AREA NAME:

LSD SEC TWP RGE W____MTYPE OF FACILITY: (Check One )

PIPELINE NROADRAIL ROADWATER COURSEDATA CABLEPOWER CABLEOTHER: ( Specify )

DAMAGE REPAIR SATISFACTORY:

REGULATORY AGENCIES NOTIFIED OF DAMAGE:

INDICATE APPROXIMATE LOCATION ON PLAN "A"

R.R. DEPTH EXISTING DEPTH NEW ROAD

RIVER BED DEPTH NEW PL DEPTH EXISTING

M DEPTH

LINE

LINE SIZE CASED WT GRADE UNCASED

PIPELINE - ROW ROAD, RR X-ING, RIVER CROSSING R/W

INDICATE:B&C 1) DEPTH TO EXISTING LINE ( ON ELEVATION )2) DEPTH OF NEW LINE ABOVE OR BELOW EXISTING LINE. ( ON ELEVATION )3) CATHODIC PROTECTION INSTALLED: YES NO IF YES, WHAT TYPE?

IF POSSIBLE PROVIDE PHOTOGRAPH AND ATTACH TO THIS REPORTOWNER OF FOREIN OR EXISTING FACILITY: SIZE AND CONDITION OF EXISTING FACILITY:

( NEW ) OIL, GAS, WATER, ETC. CONTRACTOR DOING WORK:

PREPAIRED BY: ( PRINT ) DATE COMPLETED: APPROVAL: ( SIGN )OWNER:FOREIGN:

TYPE OF DAMAGE:

EXISTING

EXISTING

BANDIT PIPELINE12248 Lloydminster,ABPH. (780)875-8764NAME OF EXISTING FACILITY OWNER CROSSING AGREEMENT NUMBER.

PROJECT: PROJECT #:LOCATION: AREA NAME:

LSD SEC TWP RGE W____MTYPE OF FACILITY: (Check One )

PIPELINE NROADRAIL ROADWATER COURSEDATA CABLEPOWER CABLEOTHER: ( Specify )

DAMAGE REPAIR SATISFACTORY:

REGULATORY AGENCIES NOTIFIED OF DAMAGE:

INDICATE APPROXIMATE LOCATION ON PLAN "A"

R.R. DEPTH EXISTING DEPTH NEW ROAD

RIVER BED DEPTH NEW PL DEPTH EXISTING

M DEPTH

LINE

LINE SIZE CASED WT GRADE UNCASED

PIPELINE - ROW ROAD, RR X-ING, RIVER CROSSING R/W

INDICATE:B&C 1) DEPTH TO EXISTING LINE ( ON ELEVATION )2) DEPTH OF NEW LINE ABOVE OR BELOW EXISTING LINE. ( ON ELEVATION )3) CATHODIC PROTECTION INSTALLED: YES NO IF YES, WHAT TYPE?

IF POSSIBLE PROVIDE PHOTOGRAPH AND ATTACH TO THIS REPORT

OWNER OF FOREIN OR EXISTING FACILITY: SIZE AND CONDITION OF EXISTING FACILITY:

( NEW ) OIL, GAS, WATER, ETC. CONTRACTOR DOING WORK:

PREPAIRED BY: ( PRINT ) DATE COMPLETED: APPROVAL: ( SIGN )OWNER:FOREIGN:

TYPE OF DAMAGE:

EXISTING

EXISTING


SECTION 10

PROJECT COMPLETION DOCUMENTS

Form# BA-2017-02

COMPLETION OF PIPELINE CONSTRUCTION

_____________DECLARATION & CERTIFICATE OF INSPECTION _______ NOTE: This declaration shall be completed and signed by the person(s) responsible, in whole or in part, for the construction, installation, testing and inspection of the pipeline system described below. All piping on this project has been constructed inspected and tested in accordance with CSA Z662 Oil and Gas Pipeline Systems Code and is not under ABSA or TSASK jurisdiction.

1 Owner of Pipeline:

2 Engineer or Contractor:

(Name and Address)

3 Type of Pipeline:

4 Location of Pipeline: (Sec, TWP, Rge)

5 Description of Pipeline System(s)

6 Bandit Pipeline Job Number: 7 Owner’s AFE#

STATEMENT OF COMPLIANCE I, the undersigned, employed by Bandit Pipeline, declare that the described pipeline system complies in all respects with the regulations for construction, installation, testing and inspection and that all applicable test data reports have been delivered to the owner.

(Signature) (Print Name) (Title) (Date)

Bandit Pipeline Box 12248, Lloydminster, AB T9V 3C5 (Company) (Address) (City, Postal Code)

CERTIFICATE OF INSPECTION I, the undersigned, employed by _ ___ have verified that all required

examination and testing has been completed, and have inspected the piping system described above to the extent necessary to be satisfied that it conforms to all applicable examination requirements of the Code of Construction and of the engineering design, and state that, to the best of my knowledge and belief, the contractor has constructed this pipeline system in accordance with CSA Z662 (Latest

Edition). By signing this certificate, neither the inspector nor his or her employer makes any warranty, expressed or implied, concerning the piping described in this report. Furthermore, neither the

inspector nor his or her employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this pipeline inspection.

Date: Owner’s Inspector Name (please print) Owner’s Inspector Signature:

AB-81 2005-03

COMPLETION OF CONSTRUCTION

DECLARATION

NOTE: This declaration shall be completed and signed by the person

responsible, in whole or in part, for the construction, installation, testing and inspection of the pressure piping system and forwarded to the Administrator/Chief Inspector.

(1) Owner of Plant: .

(Name and Address) (2) Engineer or Contractor: (Name and Address) (3) Type of Plant: (4) Location of Plant:

(Sec, TWP, Rge) (5) Description of Pressure Piping System(s): . STATEMENT OF COMPLIANCE

I, the undersigned, declare that the described pressure piping system, approved under design registration number , complies in all respects with the regulations for construction, installation, testing and inspection and that all applicable pressure piping test data reports have been delivered to the owner.

(Signature) (Print Name) (Title) (Date)

Bandit Pipeline Box 12248, Lloydminster, AB T9V 3C5 (Company) (Address) (City, Postal Code)

The information you provide is necessary only for the administration of the programs as required by the Alberta Safety Codes Act and Regulations in the Boiler Discipline.

AB-83 2011-09

Constructed by: Bandit Pipeline Owner’s Job # Page 1 of 2

PRESSURE PIPING CONSTRUCTION AND TEST DATA REPORT

In accordance with the provisions of the PESR Section 31(1)

Shop Construction ; Field Construction ; Final Data Report ; Partial Data Report (from one ABSA- authorized Contractor to another

ABSA- authorized Contractor).

Complete both sides of this Form 1. Constructed By: Bandit Pipeline Owner’s Job No:

(Name of ABSA authorized primary contractor or subcontractor) Box 12248, Lloydminster AB T9V 3C5

(Address) Certificate of Authorization Permit No. AQP-2842 Expiry Date: Sept 10, 2020 2. Constructed For:

(Name of primary contractor if different from above)

(Address)

Certificate of Authorization Permit No. AQP- Expiry Date: (Required when the primary contractor undertakes some/all of the quality functions, e.g., NDE, PWHT, Tie-in, fabrication, hydro test, final assembly etc.)

3. Owner: (Name and address)

(Location of installation)

Certificate of Authorization Permit No. AQP- Expiry Date: (Required when the owner undertakes some/all of the quality functions, e.g., NDE, PWHT, Tie-in, fabrication, hydro test, final assembly etc.)

4. Piping Design Alberta Registration No.: PP- (Required if aggregate piping volume is over 0.5m3) 5. Design Responsibility: Owner ; Contractor 6. WP No.: WP- ; Company: Bandit Pipeline Owner’s WP No. (If used): WP-

(Alberta Registration No.) (Alberta Registration No.) WPS No(s). used: ; Owner’s WPS No(s). (If used):

7. Code: ASME B31.1 Non Boiler External Piping ; ASME B31.1 Boiler External Piping ; B31.5 ; B31.9 ; CSA Z662 Steam Pipelines ; ASME B31.3 - Service Category: Normal , D , M , High Pressure ; Severe Cyclic Condition High Purity

Drawing No. Rev. No. Line No.

Fluid (Air/Stm.

Etc.)

Des. Press. kPa

Des. Temp.0C (Max. &

Min.)

Pressure Test kPa

Test Medium

Pipe Mat'l Spec. & Grade

C.A. mm

Pipe NPS &

Schedule

Flange Material &

Rating

PWHT/ Preheat

Temp. 0C NDE

AB-83 2011-09

Constructed by: Bandit Pipeline Owner’s Job # Page 2 of 2

Partial Data Reports certified by sub-contractors are listed below and attached to this Data Report

No. Line No. Spool No. Dwg. No. (with Rev. No.)

Sub-contractor (Name)

AQP No. (if from Alberta)

Expiry (if from Alberta)

Remarks: For partial data report provide information about the code work that was not completed by the subcontractor (e.g., hydrostatic test, PWHT etc.). For final data report provide information about the code work that was not completed by subcontractors and subsequently completed by the primary contractor (e.g., hydrostatic test of entire assembly, PWHT etc.)

Endorse certificate ‘A’ or ‘B’ A. CERTIFICATE OF COMPLIANCE

Signed by the subcontractor when supplying this certificate as a

Partial Data Report

We certify that the statements in this Data Report are correct and that materials, construction and workmanship of the piping fabrication conform to the registered quality system and the applicable Piping code(s). Date: Contractor

Print Authorized Representative’s Name Signature

This certificate is not valid unless it forms part of a Final Data Report signed by Primary Contractor

B. CERTIFICATE OF COMPLIANCE Signed by the primary contractor when supplying this certificate as a

Final Data Report

We certify that the statements in this Data Report are correct and that piping job no. described in this Data Report was constructed in accordance with the Province of Alberta Safety Codes Act and Regulations, and applicable ASME Piping Code(s). Date: Bandit Pipeline Contractor

Print Authorized Representative’s Name Signature

CERTIFICATE OF INSPECTION I, the undersigned, employed by have verified that all required examination and testing has been completed, and inspected the piping described in this construction data report to the extent necessary to be satisfied that it conforms to all applicable examination requirements of the Code and of the engineering design, and state that, to the best of my knowledge and belief, the contractor has constructed this piping in accordance with the Alberta Safety Codes Act and Regulations. By signing this certificate neither the inspector nor his or her employer makes any warranty, expressed or implied, concerning the piping described in this construction data report. Furthermore, neither the inspector nor his or her employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. Date: Date:

Owner’s Inspector Name (please print) ABSA Safety Codes Officer (please print) (BOILER EXTERNAL PIPING ONLY)

Owner’s Inspector Signature: ABSA Safety Codes Officer’s Signature

Current version of this Form may be obtained from www.absa.ca

http://www.absa.ca/


SECTION 11

NON-CONFORMANCE

& CORRECTIVE ACTION REPORTS



CORRECTIVE ACTION REQUEST

Certificate of Authorization Permit # AQP-2842 Corrective Action Request Report (CAR) #_______

Date: Location: Non-conformance Identified (describe): Non-conformance identified by whom: Corrective Action Taken Immediate Action: Completion Date: Signature: Action to Prevent Recurrence: Completion Date: Signature: Verification of Corrective Action: Verification by: Results (circle one): Acceptable Not Acceptable Date: CAR Closed Date: Signature:

EXHIBIT 14


SECTION 12

SAFETY

JOB#

Quality Control System Project File

JOB#

Client / Owner: Bandit Pipeline

Project Name:

Project No.:

Job Description:

LSD:

AFE: