AL-KHAFJI JOINT OPERATIONSREQUEST FOR INSPECTION (RFI)

Client/Location : AL-KHAFJI Contractor : DAEWOO-E & C

Project Name :HOUT (KRL) ONSHORE FACILITIES PROJECTS

Contract No. HQ979PC11

Discipline : MECHANICAL (WELDING) Request No.: SF-DEC-0037

Civil Mechanical Electrical Coating Inst. Others

Submitted By (D-E&C) Aswagoshe G Date: Time:

Received By (PMT/PMC) George Taras Date: Time:

Confirmed By (KJO QA/QC) Anil Kumar Date: Time:

Work Permit Required Yes No Project Quality Plan: Hold Point Witness PointRequest for Post-weld Visual Inspection and Approval : Enclosures:

1. Check List

2. Related drawings

3. Others

DEC-FDWIR-005R(1jts)

Total Joints –1

Location:

GAS FACILITY AREA / PIPERACK 02 Spec. Ref. SAIC-W-2013 Dwg. No.: ATTACHED ON FDWIR

Planned Date/Time of Inspection 21-SEPT-2014 9:00 am Actual Date/Time Inspected

The contractor requests inspection of the following site works and certifies that all items of work have been properly executed in accordance with the contract specifications and approved drawings.All items have been coordinated with the future works of all other disciplines.

ENGINEERING CERTIFICATEACTION CODE FOR ITEM CHECKED

A – ACCEPTED AS INSPECTEDB – SEE REMARKS, RE-INSPECTION REQUIREDC – REJECTED, SEE REMARKS

Enclosures Attached Verified By

S.No. Check List (Specify) Contractor QC KJO Inspector Status1 QR-Number : SF-DEC-0037

2 SAIC-W-2013

3

Remarks:

SURVEYOR : N/A

Acceptance does not relieve the contractor from his responsibility and liability concerning compliance with contract requirement

Contractor QC KJO Project Representative KJO QA/QC Unit / Inspector

Name: Aswagoshe G

Signature:

Date:

Name:George Taras

Signature:

Date:

Name:Anil Kumar

Signature:

Date:ESD-QA/QC FORM NO. 003

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