Form No.

: FM-5287-012H-1
MECHANICAL WORKS AT HABSHAN-5 & HABSHAN Rev. No. :0
COMPLEX IGD-E PROJECT (PHASE 1) PACKAGE 3 Doc. No. : CCEP-QCP-5287-H5-
500-72-30-012
TEST PACKAGE RELEASE RECORD Hand Class : Specific
Page No : 1 of 1

TEST PACKAGE NO: SYSTEM:

SUB-SYSTEM: SYSTEM DESCRIPTION:

INSPECTION INSPECTION SIGNATURES

No. CHECK/DESCRIPTION
RESULT DATE CONSTRUCTION QC QC COMPANY/
(SUB-CON / CCC) (SUB-CON/CCC) (CON/TR) TPI

Punch list clearance ("A" Items

1
Completed) (FM-5287-012H-2)
Isometric Control Sheet signed of
2 (FM-5287-003H-8) (Talisman
report)
Piping Pre-Hydro Test Check List
3
(CLX01)

Piping Hydrostatic Test Clearance

4
Sheet (TMX02)

Hydrostatic Test Acceptance

5
Report (TMX05)

6 Cleaning Report (TMX15)

Piping Reinstatement Check List

7
(CLX02)

Punch list clearance "B" Items

8
Completed. (FM-5287-012H-2)

Notes:
1: Mechanical Inspection involve checks as per isometric drawings, as per P&IDs and as per project spec.

2: Punch list Code "A" category items to be completed prior to Pressure Test. "B" category items to be completed prior to
Commissioning. "C" category items to be completed prior to Provisional Acceptance.

3: Use of correction / white ink is prohibited

REMARKS

SUB-CONTRACTOR CONTRACTOR COMPANY / TPI

Name:
Signature:
Date: