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RUWAIS REFINERY

EXPANSION PROJECT
EPC-4 TANKAGE AND ASSOCIATED
INTERCONNECTING PIPING
AGREEMENT No. 09-5578-E-4

INSPECTION REPORT FOR SURVEYING

PJ Name Ruwais Refinery Expansion Project, EPC-4

Inspection Report No.

Name of System / Item /


Area

Drawing No./ Rev No.

Surveying data

Inspected by Subcontractor’s QC Engineer:


_______________________ _____________
Inspected by Contractor’s QC Engineer:
_______________________ _____________
Witnessed/Reviewed by COMPANY:
_______________________ _____________
(Signature) Date
Form No: MS-CU-00005-01
RUWAIS REFINERY
EXPANSION PROJECT
EPC-4 TANKAGE AND ASSOCIATED
INTERCONNECTING PIPING
AGREEMENT No. 09-5578-E-4

INSPECTION REPORT FOR EXCAVATION

PJ Name Ruwais Refinery Expansion Project, EPC-4

Inspection Report No.

Name of System / Item /


Area

Drawing No./ Rev No.

Check
Check Items Date
Accept Reject
1) The work site is cleared and prepared

2) Excavation is performed to the lines, grades and slopes as per drawings

3) Slopes of all excavations were cut true and straight, and loose stones and
Boulders were removed from the area
4) Excavation is made comply with the elevation indicated on the approved
Construction drawing (IFC drawing)
5) Excavation is kept free of water at all times until complete of construction
or backfilling
6) Soil condition at the bottom of excavation

7) Finish all surfaces were reasonably smooth and compacted

Note :

Inspected by Subcontractor’s QC Engineer:


_______________________ _____________
Inspected by Contractor’s QC Engineer:
_______________________ _____________
Witnessed/Reviewed by COMPANY:
_______________________ _____________
(Signature) Date
Form No : MS-CU-00005-02
RUWAIS REFINERY
EXPANSION PROJECT
EPC-4 TANKAGE AND ASSOCIATED
INTERCONNECTING PIPING
AGREEMENT No. 09-5578-E-4

INSPECTION REPORT FOR PRE-PLACING CONCRETE


PJ Name Ruwais Refinery Expansion Project, EPC-4
Inspection Report No.
Name of System / Item / Area

Drawing No./ Rev No.


Check
Check Items Date
Accept Reject
1 Preparation
1) Visual Inspection Bottom
2) Construction Joint
2 Form Work
1) Position
2) Dimension
a) Horizontal
b) Vertical
3) Elevation
4) Adequate Bracing
5) Sealing Gaps
6) Apply Oil Coating
7) Survey Report (if necessary)
3 Re-bar Work
1) Size & Number
2) Length of Lapping
3) Cover Spacer
4) Position Bending
4 Embedded Items
1) Anchor Bolt. Plate
a) Size, Length, Diameter
b) Type, Position
c) Protection
2) Opening Box for Electrical and/or Mechanical Work
5 Cleaning condition
Note :

Inspected by Subcontractor’s QC Engineer:


_______________________ _____________
Inspected by Contractor’s QC Engineer:
_______________________ _____________
Witnessed/Reviewed by COMPANY:
_______________________ _____________
(Signature) Date
Form No : MS-CU-00005-03
RUWAIS REFINERY
EXPANSION PROJECT
EPC-4 TANKAGE AND ASSOCIATED
INTERCONNECTING PIPING
AGREEMENT No. 09-5578-E-4

INSPECTION REPORT FOR IN-SITU AND POST- PLACING CONCRETE

PJ Name Ruwais Refinery Expansion Project, EPC-4


Inspection Report No.
Name of System / Item / Area

Drawing No./ Rev No.


Concrete Slump Temp
No Truck No Batch Time Q’ty(㎥) Sampling Location Remarks
class (cm) (℃)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
COMPRESSIVE STRENGTH TEST RESULT
Date f’c Compressive strength (N/mm2)
Sampling No Remarks
7 Days 28 Days (N/mm2) 7 Days 28 Days R:7days R:28days

Inspected by Subcontractor’s QC Engineer:


_______________________ _____________
Inspected by Contractor’s QC Engineer:
_______________________ _____________
Witnessed/Reviewed by COMPANY:
_______________________ _____________
(Signature) Date
Form No : MS-CU-00005-04
RUWAIS REFINERY
EXPANSION PROJECT
EPC-4 TANKAGE AND ASSOCIATED
INTERCONNECTING PIPING
AGREEMENT No. 09-5578-E-4

INSPECTION REPORT FOR FILL / BACKFILL

PJ Name Ruwais Refinery Expansion Project, EPC-4

Inspection Report No.

Name of System / Item /


Area

Drawing No./ Rev No.

Check
Check Items Date
Accept Reject

Installation
Underground Utility &
Sand Bedding
Embedded Item :
Leak Test (Gravity Test)
Pipe Cable etc.
Pressure Test
1) Materials for fill/backfill are suitable and approved

2) No boulders and rock fragment are included

3) The thickness of layer is adequate

4) Adequate water sprayed for compacting, if necessary

5) Samples for field density test were taken as per specification

6) FDT results are meet to relevant specification or IFC drawing

7) Recompose all faulted area and test, if applicable

8) Obtained max. dry density according to specification

Note :

Inspected by Subcontractor’s QC Engineer:


_______________________ _____________
Inspected by Contractor’s QC Engineer:
_______________________ _____________
Witnessed/Reviewed by COMPANY:
_______________________ _____________
(Signature) Date
Form No : MS-CU-00005-05
RUWAIS REFINERY
EXPANSION PROJECT
EPC-4 TANKAGE AND ASSOCIATED
INTERCONNECTING PIPING
AGREEMENT No. 09-5578-E-4

GENERAL INSPECTION REPORT


PJ Name Ruwais Refinery Expansion Project, EPC-4

Inspection Report No.

Name of System / Item /


Area

Drawing No./ Rev No.

1. Title of Inspection :

2. Ref. Spec. / Dwg. No. :

3. Type of Inspection

_________________________________________________ Inspection / Test / Examination / Check

4. Inspection Item

______________________________________________________________________________________

______________________________________________________________________________________

5. Inspection Result

______________________________________________________________________________________

______________________________________________________________________________________

_______________________________________________________________________________________

Inspected by Subcontractor’s QC Engineer:


_______________________ _____________
Inspected by Contractor’s QC Engineer:
_______________________ _____________
Witnessed/Reviewed by COMPANY:
_______________________ _____________
(Signature) Date
Form No : MS-CU-00005-06