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WELDING INSPECTOR'S DAILY REPORTFormW6

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Project*: Region*: Location/Corridor*: Work Date*:

Pipeline No.*: AFE*: Cost Center*: Contractor*: Foreman*:

WORKING CONDITIONSMorning Temp: Mid Day Temp: Wind: Weather: Cloud:

Did ABNORMAL working conditions Adversely affect construction progress? Yes NoAny crews affected by adverse weather, ROW, or other working conditions? Yes NoAny Contractor caused delays, downtime or other reduced progress? Yes No

If yes, explain in Remarks

CONSTRUCTION PROGRESS

Welding InspectedPipeline Station Number

From To Total Ft TodayProduction Welds Made

Operation Type Total VT Acc VT RejComments

Mainline

HDD

Bore

Tie-In

Transition

Temporary

Fabrication

Final Tie-In

VT Checks (Perform Quality Check [Page 3] for 20% of Welds)US Joint Barcode

DS Joint Barcode Weld Barcode Operation Type Welder ID VT

(Acc/Rej)Data-

Logged WPS Comments

Report No.:Client No..

79°F

10/2/2021

P1.00171

BTR

Form

Calm

East

Weld Log

LA-114-East

Dillon Cofty

8in 8in

Overcast

jonathan.moore@upi-mip.com

PL-0732W6_LA-114-East_2021_10_2_GWW500013965_EWLOG_04503

Cloudy/Partly

PII-BTR-East-LA-114-East-W6-04503

LA-114-East

PII

W6

WeldLog

72°F

Page

PII

Sunland

Baton Rouge

80106144

1 of 5

P200030880

TH-8

P200057284

P200030892

W500013965

W500013966

Tie-In

Temporary

J, Z

J, Z

Accept

Accept

No

No

SCI-PII-SMAW-X60-2500 Rev 4

SCI-PII-SMAW-X60-2500 Rev 4

357+05

357+05

Welding - Tie-In

Welding - Temporary

0

0

0

1

0

1

0

0

0

0

0

1

0

1

0

0

0

0

0

0

0

0

0

0

Rev. 08/01/2021

WELDING INSPECTOR'S DAILY REPORTFormW6

Page2 of 2

VT Checks (Perform Quality Check [Page 3] for 20% of Welds)US Joint Barcode

DS Joint Barcode Weld Barcode Operation Type Welder ID VT

(Acc/Rej)Data-

Logged WPS Comments

Report No.:Client No.. PII-BTR-East-LA-114-East-W6-04503PL-0732W6_LA-114-East_2021_10_2_GWW500013965_EWLOG_04503

2 of 5Weld LogForm Page

W6

Rev. 08/01/2021

WELDING INSPECTOR'S DAILY REPORTFormW6

Page2 of 2

Weld Quality Checks - Welder

ID Weld Barcode WPS Weld Pass

Volts High

Volts AVG

Volts Low

Amps High

Amps AVG

Amps Low

Travel Speed

Pre-Heat Temp

Within Spec? Comments

Report No.:

FormWeld Log

Page

PII-W6-04503

PL-0732W6_LA-114-East_2021_10_2_GWW500013965_EWLOG_04503

W6

W6

PII-BTR-East-LA-114-East-W6-04503

3 of 5

Client No..

PII 4503

Rev. 08/01/2021

WELDING INSPECTOR'S DAILY REPORTFormW6

Page2 of 2

INSPECTOR'S CHECK LIST indicate Yes, No, or N/ATechnical Yes/No/NA Land/Environmental Yes/No/NA

1. All other welding documents/reports completed?

2. All relevant as-built info/drawings documented?

3. All rejected welds documented/Contractor notified?

4. Any serious welding non-conformances today?

5. Were there any weather related delays/problems?

6. Welding operations protected from weather conditions?

7. Any occurrences of ground welded to pipe?

8. All arc burns repairs completed to project Specs?

9. All work/workers within approved ROW limits?

10. All welding rods and other waste/trash picked up?

Safety Yes/No

11. Personnel alert to welding/hoisted load hazards?

12. Personnel protective equipment utilized as required?

13. Any safety hazards/incidents reported or observed today?

Other Yes/No/NA

14. Any Unit Price Pay Items installed today? (C24)

Inspector Remarks COMPANY USE ONLY

Inspector Name*: Inspector Signature*: Sign Date*:

Approver Name*: Approver Signature*: Sign Date*:

Company Rep Name: Company Rep Signature: Sign Date:

Report No.:

No

W6

N/A

PII-BTR-East-LA-114-East-W6-04503

Yes

Page

Client No.. PL-0732W6_LA-114-East_2021_10_2_GWW500013965_EWLOG_04503

Yes

Yes

N/A

Jonathan Moore

No

Weld Log

10/2/2021

N/A

Form

Yes

Eric Broussard

N/A

No

Yes

4 of 5

Yes

10/4/2021

No

* Indicates mandatory field

INSPECTOR DAILY PHOTO REPORTForm Page

Photo LogPhoto 1 Photo 2

Photo Type:*

Station No.*:

GPS Locate*:

Description

Photo Type:

Station No.*:

GPS Locate*:

Description

Photo 3 Photo 4

Photo Type*:

Station No.*:

GPS Locate*:

Description

Photo Type*:

Station No.*:

GPS Locate*:

Description

Report No.:

Tie-Ins

Weld number and stencil.

30.336003773874, -91.1348479148849

2

Welding

5 of 5

10LA-114-East

PL-0732W6_LA-114-East_2021_10_2_GWW500013965_EWLOG_04503

Page

357+05

Client No..

EWLOG

PII-BTR-East-LA-114-East-W6-04503

Weld Log

GWW500013965PL-0732W6

30.335635179682, -91.1350320652976

357+05

W6

Weld number and stencil.

2021

Form