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QUALITY CONTROL FORM“SAMPLE”

Document Name: Inspection & Test Plan (ITP)Project Name:Subject :Document No.:FO No. :Offer No.:Material Code:Rev.:00INSPECTION AND TEST PLANSAFOR Rev.MPDateDescription00Issue for approvalPars Saralle Co.LEPrepared by:S.M.Hoseini NavidTPICLIENTName :Name :Name :Date :Date :Date :Sign:Sign:Sign:۱Contractor QC.

Document Name: Inspection & Test Plan (ITP)Project Name:Subject :Document No.:FO No. :Offer No.:Material Code:Rev.:00HHold Point (Activities which confront this action must be inspected completely and onlyif they are certified, it's possible to start next activities and it has no time limitation.)RDReview Of Document (This action means that the inspector just compares the prepareddocuments with requirements, announces his opinion, and performing the next activity isnot on hold for the verification of the previous activity.)RCAINRTPISARandom Check (This action means that the inspector does inspect on his own initiative(without any announcement) and performing the next activity is not on hold for theverification of the previous activity.)ApprovalInformationNot RequiredMPLEThird Party Inspection CO.ESBEngineering Supervisory BodyEExecutiveMOMMinutes Of MeetingSWSpot witness with approval(this action means that the output of some processes oractivities must be inspected And only if they are certified ,it is possible to start nextactivities but it has time limitationsFWFull Witness With Approval (This action means that the output of processes or activitiesmust be inspected and only if they are certified, it is possible to start next activities but ithas time limitations.)CONTRACTORPARS SARRALLE CO.CLIENT۲

Document Name: ITP(Inspection &Test Plan)Project Name:Subject :Document No.:FO No.:SAOffer No:ItemMaterial Code:Activity11.11.22COORDINATION MEETING& SHOP DRAWINGMeetingShop DrawingMATERIALS CONTROL2.1Steel Plate & Pipe2.1.1Mechanical Properties /Analyses/Dimensional & Visual InspectionRev.: 00Inspection By:Inspection &testingSpecification or StandardAcceptanceCriteriaRecordConfirm ITP100%ENG.DWGENG.DWGM.O.MSHOP DWGHHHADimension, visual,certificateASMEASMECertificate&Form QC101HIManufacturer code/OrderASMEASMECertificate& LABReportHIT 25,(30% For TPI)ASTM A435,SPEC.&UTProcedureSPEC.&UTProcedureForm on Test2.1.3Material storageLay down area2.2Welding Materials ControlStorage &OvenSPEC. /Standard(Relevant)Local Authority2.32.4Coating Materials ControlOther MaterialsEach DeliverySPEC. /Standard(Relevant)Local AuthorityLay down planCertificate&Form QC101Certificate* Checking quantities&QualitySPEC. /Standard (Relevant)SPEC. /StandardCertificate / QC 101HISPEC.& ProcedureDocument (WPS)HISPEC.& ProcedureCertificate& IDCARD(QC112&113)HISPEC.& ProcedureDocument (PQR)HI-M.O.MHH2.4.133.13.23.344.15Bolt ,Nut ,Washer, WELDING QUALIFICATIONSWelding Procedure Specification (WPS) Welders Performance Qualification(WPQ)Coupon, VT,UTWelding Qualification Record (PQR)*Coupon, VT, RT&Mechanical testASME Sec. IX &Spec.EN288&Spec.&VTprocedureEN288&Spec. &VTprocedureMin. 1 Time-COORDINATION MEETINGPre Inspection Meeting(PIM)FABRICATION5.1Cutting Inspection(Dimensional & Visual)100%ISO 13920 & Spec.DWG & Spec.QC 102HI5.2Drilling and Machining Control(Dimensional & Visual)100%ISO 13920 & Spec.DWG & Spec.QC 102HI5.3Fit Up Inspection100%WPS,DWG & Spec.WPS,DWG & Spec.QC102HI۳

Document Name: ITP(Inspection &Test Plan)Project Name:Subject :Document No.:FO No.:SAOffer No:ItemMaterial Code:5.4ActivityWelding Inspection5.4.1Visual Inspection(VT)5.4.25.4.3Final Dimensional(DT)None Destructive TestRev.: 00Inspection &testingMP100%100%5.4.3.1Magnetic Particles Test(MT)5.4.3.2Penetrant Test(PT)5.4.3.3Ultrasonic Test (UT) for full penetrationDWG & NDT MapRadiography Test (RT) for full penetrationDWG & NDT Map5.4.3.4Specification or StandardDWG & NDT MapDWG & NDT MapEN 25817&Spec.&VTProcedure & Welding MapISO 13920 & Spec.AcceptanceCriteriaRecordInspection By:DWG & Spec.QC103HIDWG & Spec.QC102HIQC104HIQC 105HIQC106HISupplier DOCHICONTRACTORTPICLIENTSpec & NDT MAP&MTProcedure.Spec& NDT MAP&PTProcedure.Spec& NDT MAP&UTProcedure.Spec& NDT MAP&RTProcedure.Spec &MTProcedure.Spec &PTProcedure.Spec &UTProcedure.Spec &RTProcedure.SpecSpecQC 114Supplier DOCHHIILE66.16.27PROCESS TESTHydro testHeat treatmentCOATING INSPECTIONSpecSpecSpecSpec7.1Surface Perpetrated Inspection100%SPEC/ ISO 8501&PaintingProcedure.as specifiedQC108HI100%100%100%SPEC.& Painting ProcedureSPEC.& Painting ProcedureSPEC.& Painting Procedureas specifiedas specifiedas specifiedQC108QC108QC108HHHIII100%100%SPEC.QC FORM CLIENTSPEC.as specifiedQC FORM CLIENTHHIICheck listHRDHFW7.27.2.17.2.17.2.188.18.29Coating Inspection (Painting )Primer CoatIntermediate CoatTOP CoatFINAL INSPECTION FOR TRANSPORTINGCODDINGQuantity Inspection & Release noteREVIEW DOCUMENTS9.1Review Final Documents (booklet)100%Sub contractor instruction.as specified1010.1PACKINGPacking and Inspection and Marking100%Manufacture code.as specified۴

Document Name: ITP(Inspection &Test Plan)Project Name:Subject :Document No.:FO No.:SAOffer No:ItemMaterial Code:1111.1ActivitySHIPPINGShipping Inspection12FINAL BOOK12.1FINAL BOOKRev.: 00MPInspection &testingSpecification or ecificationas specifiedEnd OF FabricationSPEC.as specifiedLE۵RecordDocumentInspection By:CONTRACTORTPICLIENTHFWHA

Document Name: ITP(Inspection &Test Plan)Project Name:Subject :Document No.:FO No.:Offer No:SAMaterial orm No.Rev.000000Rev.: 00MPList Of QC FormTitle of FormITPMaterial control ReportDimensional ControlLENo Of Sheets611Welding Visual InspectionMagnetic Particles Test(MT)ReportLiquid Penetrant Test(PT)ReportUltrasonic Test (UT)ReportLAMINATION TESTBlasting &Painting Report111111000000000000Non Conformance Report(NCR)NDT MAPWELDER LISTWELDER CERTIFICATIONWELDER ID CARDPRESSURE TEST11111100WPS2۶Remark

Material ReceivingInspection ReportReport No.:Date:Project:FO No.:DWG No. :Standard:Certificate No.:Material Code:Supplier:Producer:TypeSizeQty.WEIGHTMaterial DWG Other:Visual Inspection: Acc.Rej.Ultrasonic Inspection: Acc.Rej.Report No:Quantify:Mechanical TestReport No:TensionAcc.Rej.Report No:Material Type:BendAcc.Rej.Report No:Acc.ImpactAcc.Rej.Report No:Rej.Comment:Final Result: Acc.QC Department:Sign:Date:F/QC-101-00Rej.

Dimensional,Hardness, RoughnessReport No.:Page :Inspection ReportProject :Date :DWG Title :Cutting & BevelingOfFO No.Actual Tol.NominalTol.Repair SizeAcc.NCRCommentAcc. Rep.Q.C. OperatorAcc. NCRConfirmFinal ent:NCR No.: NCR Result: AcceptFinal Result: AcceptRejectRejectRepairCorrecting Doc, DWGAccording Fit-UpContractor Q.C Manager:TPI:Client:Sign :Sign :Sign :Date :Date :Date :F/QC-102-00

Report No.:Visual InspectionPage:ReportOfDate:Project:DWG Title :FO No.:Standard:Welding Process:WPS No.:NDT Plan No.:Weld Map No.:Material:Before WeldingFit Up:Acc.Beveling: Acc.RejectRejectVisual Welding InspectionNo.WelderNo.Weld 21314LE15Comment:Contractor Q.C Manager:TPI:Client:Sign:Sign :Sign:Date:Date :Date:F/QC-103-00Comment

MAGNETIC PARTICLEReport No.:Page:EXAMINATION REPORTofTest Date:Project:Component:Standard:DWG No. :Material:Welding Process:Equipment:Method of Inspection:How Media Applied:ContinuoseCoilTrue-ContinuoseProdDirection of Field:No.123456789Model:VisibleYokeCircularSerial No.:FluorescentResidualWetACDCCentral MagnetizationOther : .Part No.Batch No:Surface Preparation :Post Examination:Half-Wave1112131415161718RequiredNot RequiredCleaning:RequiredNot RequiredWelder CodeType of defectSizeB.RA.RAcc. Rej. Acc. Rej.LE1920Comment:Contractor Q.C Manager:TPI:Client:Sign :Sign :Sign :Date :Date :Date :F/QC-104-00Weld MetalDemagnetization:MP10Base MetalMachiningField Spacing: mmLongitudinalSAComponent No.Powder Type:DryRemark

Report No.:Liquid PenetrantPage:OfEXAMINATION REPORTDate:Project:DWG Title :FO No.:Standard:Material:Welding Process:Powder Type:Batch No.:Method of Inspection:No.VisibleWeld No.FluorescentPost Examination:Cleaning:WetWelder CodeDryRequiredNot RequiredBase MetalWeld MetalSurface Preparation :Type of defectSizeB.RA.RAcc. Rej. Acc. Rej.123456789SAMP101112131415Comment:LEContractor Q.C Manager:TPI:Client:Sign :Sign :Sign :Date :Date :Date :F/QC-105-00MachiningRemark

F/QC-106-00ULTRASONICReport No.:EXAMINATION REPORTPage: OfTest Date:Project :Equipment Marker:Couplant:DWG No.:Model & S/N:Calibration Block: IIW-V1 & V2Component:Marker & Type:Transfer Correction: 2.5 DBPart:Frequency/Size:Screen height Linearity: 1%FSHMaterial:Code Standard:Amplitude Control Linearity: 1%FSHGroove Type:As BrushedDACJoint Type:Standard Sensitivity From:Examination Method: ContactSDHPulse-EchoFBHStraight 9.20.Sketch:Contractor Q.C Manager:TPI.:Client:Sign :Sign :Sign :Date :Date :Date tyEvaluationcDepth From“A” SurfacebMP10.XTrough TransmissionSound tDiscontinuityReferenceLevelWelderCodeLegPart No.DecibelsIndicationLevelComponent No.VTDGSNotch Other: .Size: 80%ImmersionAngle BeamFrom FaceNo.Transducer AngleSAWAs machinedRHSMAWThickness (mm)GMAWAs GrindedRLWelding process :Length (mm)FCAWSurface condition : As weldedSensitivity Evaluation Method:Remark

LaminationReport No.:Page: OfEXAMINATION REPORTTest Date:Project :Equipment Marker:Couplant:DWG No.:Model & S/N:Calibration Block: IIW-V1 & V2Component:Marker & Type:Transfer Correction: 2.5 DBPart:Frequency/Size:Screen height Linearity: 1%FSHMaterial:Code Standard: ASTM A435Amplitude Control Linearity: 1%FSHSensitivity Evaluation Method:Standard Sensitivity From :Examination Method:ContactRLSDHRHFBHDACDGSNotch Other: .Pulse-EchoStraight BeamImmersionDiscontinuity(mm)SizeNo.Component No.1.2.3.4.5.6.7.8.(L W D)/Ø L(mm)SA9.10.11.12.13.Size: 80%Trough TransmissionSizeSoundPathDepth FromSurfaceDistance FromXMP14.15.16.17.LE18.19.20.Comment:Contractor Q.C Manager:TPI -00YDiscontinuityEvaluation Remarks

Report No.:Surface & PaintingDate:Inspection ReportPage:Project:FO No.:Standard:Interior SurfaceDWG Title:Component:Piece No.:Exterior SurfaceType of PreparationPiece Temp.Environment Temp.%Humidity(Inspection)Layer duction UnitPainting Code & ProducerFinal Result: AcceptedQ.C. UnitNominal Thick.Actual Thick.Environment Temp.MPLERejectedContractor Q.C Manager:TPI:Client:Sign :Sign :Sign :Date :Date :Date :F/QC-108-00%HumiditySurfacePreparation(Working Condition)Grade of PreparationDate

Report No.:Non-ConformityPage :ReportProject :OfDate:DWG Title :FO No.:Cutting & BevelingMarkingFit UpWeldingMachiningFinal ComponentSand BlastPaintingSAMPRepair Spec.:LEJudgment Sign:Date:Contractor Q.C Manager:TPI:Client:Sign :Sign :Sign :Date :Date :Date :F/QC-109-00No.Quality Team ReportJudgmentProcessAcceptedRepairCorrect DWGAccording Fit UpOtherFailedDesign Unit

Form No.:NDT Test PlanningDate:Page:Project:No.FO No.:Drawing No.1234567891011SAFILLETMPCJPLE12131415Contractor QC. EVALUATIONDescription of weld detailPJPKIND & EXTENT OF NDTVT%PT%MT%UT%RT%LT%

Welders QualificationSummary ListROWWelder’s Name1234567891011CertificateNo.ID CardNo.Page:Range of approvalProcess(es)SAMaterial GroupPositionMPType of weldLE12131415Contractor QC. Manager:Sign:Client:Sign:Date:Date:F/QC- -111-00Date:ThicknessDate ofQualificationValid to

Welder Approval TestCertificationDesignation(s):Welder's name:Date of birth:Place of birth:Identification:Welder's symbol / Stamp:Employer:WPS No.:Job knowledge:VariablesWelder's Pic.SATest pieceWelding process(es)Product TypeType of weldParent metal group(s)Welding consumable(s)Shielding gas(es)Auxiliaries (e.g. backing gas)Material thickness (mm)Outside pipe diameter(mm)Welding positionWeld detailsType of testPerformed andacceptedVisual InspectionRange of ApprovalMPNot requiredExaminerRadiographic TestUltrasonic TestFracture TestingDate of Welding:Date of Issue:Valid to:Bend TestImpact TestMacroscopic TestExaminer:LE:Authorized Inspection:Confirmation of the validity by employer/welding coordinator for the following 6 monthDateSignaturePosition or titleProlongation for qualification by examiner or examining body for the following 2 yearsDateF-QC-112-00SignaturePosition or title