OS&D Report

N° DU RAPPORT / REPPORT N°: DATE/ DATE:

DESCRIPTION DU MATERIEL / Material Description

REFERENCE ET IDENTIFICATION / Reference for Identification

RECUE LE / Received on TRANSPORTEUR / Carrier

DOC. DE L'EXPEDITION / Shipping Docs DATE/ Date

DATE / Date

FOURNISSEUR / Supplier

B. DE COMMANDE N. / Purchase Order

ANOMALIE DETECTEE/ Deficiency Detected

a) MATERIEL MANQUANT / Missing Materials
b) MATERIEL ENDOMMAGE / Damaged Materials
c) FAUX MATERIEL / Wrong Materials
d) MANQUE D'IDENTIFICATION / Marking Missing
e) MANQUE DES DOCs TECHNIQUES / Technical Documents Missing
f) AUTRE / Other
DESCIPTION DE L'ANOMALIE /Deficiency Description

Prepared by Approved by CONTRACTOR

Warehouse Manager
Name :

Signature:

Date :

Non Conformtiy Reference - Applicable for b) c) d) N…………………………. Date

IMPACT SUR LA CONSTRUCTION / Impact on Construction Activities
TEMPS / Schedule

COUT / Costs

AUTRE / Other:

Insurance Claim APPLICABILE NON APPLICABILE

Applicable Not Applicable

Site Manager Signature Date

Distribution:
1 Copy: Site Manger Info Action
1 Copy: Discipline Supervisor Info Action
1 Copy: Site Quality Manger Info Action
1 Copy: Home office - Project Procurement Coordinator Info Action
1 Original: File Warehouse
Une copie de ce rapport doit être envoyée au coordinateur des achats de projet (siège social) avec le NCR (le cas échéant). Veuillez joindre les
pièces suivantes lorsqu’une réclamation d’assurance est émise: réclamation adressée au transporteur, estimation des dommages, facture
proforma, liste de colisage
A copy of this report shall be sent to the Proejct Procurement Coordinator (Head Office) together with the NC (when issued). When an Insurance
Claim shall be issued, please attach the following: Claim sent to the carrier, estimation of the damages, Proforma Invoice, Packing List, Bill of
Lading
ITR-MW-22

ITR-MW-022-OSD REPORT
 INSPECTION REPORT
STATIC EQUIPMENT INSTALLATION CHECK
Subcontractor: Date: Report n°:

Item/Tag Number: Equip. description:

Drawing n°: Area:

Ref. ITP n°: Phase:

RFI n°: Date

INSTALLATION SKETCH
Reading Theor. Elevation Actual Elevation X = mm
A/B/C TOLLERANCE:
FLG HORIZONTALITY
1

A
=……………………...
X mm

X A

A FLG VERTICALITY

NORD
C B
A =………………………mm

INSTALLATION DATA
QCP Result ( * )
ACTIVITY INSPECTION Date and Signature
Phase C NC NA
VISUAL CHECK
2.1 EQUIPMENT CHECK-OUT CHECK NAME PLAE DATA & EQUIPMENT
TAGS
HANDLING and LIFTING INSTRUCTION and
PROCEDURES CHECK
_ HANDLING and LIFTING
LIFTING EQUIP. CERTIFICATION CHECK
LIFITNG EQUIPMENT VISUAL CHECK

LOCATION and ORIENTATION CHECK

4.2 POSITIONING VERTICALITY OR HORIZONTALITY CHECK

LEVEL AND ELEVATION CHECK

4.4 INTERNAL CLEANING INTERNAL CLEANING INSPECTION

4.5 FLANGE FACE VERIFICATION FLANGE FACE VERIFICATION

4.6 ANCHOR BOLTS FINAL ANCHOR BOLT TIGHTNING

FINAL PAINT TOUCH-UP INSPECTION (IF

7.1 FINAL INSPECTION REQUIRED), CHECK LABELING (VALVES,
INSTRUMENTS…) AND CHECK EARTHING
CONNECTION
Remarks:(*) C=Conformance NC=NOT Conformance NA=NOT Aplicable

Release for grouting

YES
NOT

Conform Test instrument used

NOT Conform Report No TAG No

INSPECTORS CERI GAMA CONSORTIUM STEG

Name :
Signature:
Date :
ITR-MW-23
 INSPECTION REPORT
ROTATING MACHINE INSTALLATION CHECK
Subcontractor: Date: Report n°:

Item/Tag Number: Equip. description:

Drawing n°: Area:

Ref. QCP n°: Phase:

Test Notification n°: Date

INSTALLATION SKETCH
FLG HORIZONTALITY X =……...mm
Tollerance=……………… Mod-CNT-MW-03

A =………………

FLG VERTICALITY Y = ……...mm

INSTALLATION DATA
QCP Result ( * )
ACTIVITY INSPECTION Date and Signature
Phase C NC NA

VISUAL CHECK
5.1 EQUIPMENT CHECK-OUT
CHECK NAME PLAE DATA &
EQUIPMENT TAGS
HANDLING and LIFTING INSTRUCTION
and PROCEDURES CHECK
_ HANDLING and LIFTING
LIFTING EQUIP. CERTIFICATION CHECK
LIFITNG EQUIPMENT VISUAL CHECK
PLUMBNESS and ORIENTATION CHECK
5.2 POSITIONING LEVELING CHECK
Check Bolts tightening
CHECK COUPLING AND GUARDS
5.6 COUPLING & GUARDS
INSTALLATION
Remarks:(*) C=Conformance NC=NOT Conformance NA=NOT Aplicable
Note : * DE= Drive End , NDE= NOT Drive END - ** PS=Power Supply , JB=Junction Box
Grouting Conform
YES
NOT

Rotating Machine installation: Test instrument used

Conform

NOT Conform Report No TAG No

INSPECTORS CERI GAMA CONSORTIUM STEG

Name :
Signature:
Date :
ITR-MW-24
 INSPECTION REPORT
SHAFT COUPLING ALIGNEMENT

Subcontractor: Date: Report n°:

Item/Tag Number: Equip. description:

Drawing n°: Area:

Ref. QCP n°: Phase:

Test Notification n°: Date

COUPLING ALIGNEMENT DATA

RADIAL AXIAL

Coupling Gap:
DESIGN VALUES INSTALLATION VALUES

AX AX RAD

Pump Coupling Motor Coupling

Gauge Pos
RAD Axial Radial Axial Radial
0°
90°
180°
270°
BEARINGS CLEARANCE BEARINGS CLEARANCE
1 1
2 2
3 3
4 4
5 5
6 6
Remarks:

Conform Test instrument used:

Non Conform report n°: TAG n°:

INSPECTORS CERI GAMA CONSORTIUM STEG

Name :
Signature:
Date :
ITR-MW-25
 FLANGES ALIGNMENT INSPECTION REPORT

RFI n°: Unit: Date: Report N°:

Equipment/Line tag: Equipment Description:

Ref ITP n°: Drawings n°:

EQUIPMENT Offset Measurement(mm) Gap Measurement(mm)

0Z 90X 180Z 270X y1 y2 y3 y4
SUCTION LINE
DISCHARGE LINE

Inspectors CERI GAMA CONSORTIUM STEG

Name
Signature
Date
ITR-MW-28
 INSPECTION REPORT
BOLTED JOINTS TIGHTENING CHECK
Subcontractor

Test pack n°/Equipment Tag n°: Service/System:

Reference Drawing No Plant area

Refernce ITP No phase

Test Notification No Date

Joint identification Joint Checks

Torque Nm
Tightening

Tightening
Bolt Class
Diameter
Bolt QTY

Bolt QTY
Checked
Refernce drawing

Date
Joint or axis & Torquemeter

Bolt
elevation identification No

Remarks:

Conform Test instrument used

Not Conform Report No TAG No

INSPECTORS CERI GAMA CONSORSIUM STEG

Name :
Signature:
Date :
ITR-MW-07
Client : Inspection Date:

Contractor : GROUTING INSPECTION REPORT CERI Job No. :

Sub Contractor : Phase :
Report No. : Procedure/WMS : Type of Grout:
QCP n°: Batch N°:
Location & Elements to Grout : Flow value:

Grout Strength ( N /mm2):

Drawing(s) Ref. :
Inspection Yes NO NA
1- Check formwork is of adequate strength and dimensions Accepted
2- Check foundation is properly cleaned and soaked for 24 hours Accepted
3- Forms/Chamfers check Accepted
4- Check the grout expiring date Accepted
5- Check water temperature as per supplier's data Accepted

6- Check mixture ratio as per supplier's data Accepted

7- Verify grouting is satisfactory completed Accepted

8- Flow test value (if required) Accepted
9- Cubes field sampling (if required) Accepted
10- Curing time: from…………. To…………… (if applicable) Accepted
Remarks :

CERI GAMA CONSORSIUM STEG

Signature : Signature :. Signature : Signature :

Name : Name : Name : Name :

Position : Position : Position : Position :
Date : Date : Date : Date:
Form n°: ITR-MW-113 Page 1 of 1
 RECORD SHEET PIPING SYSTEM
CLEANING /BLOWING /FLUSHING

Subcontractor: ITR-MW-129
Reference QCP No: QCP phase:

Test Notification n°: Notification Date:

Area: Location:
System No.: Sub system No.: T.P.#:
Service:
Cleaning Medium:
Pressure Max.:

METHOD USED:
BLOWING / FLUSHING &
CLEANING
SATISFACTORY
P&ID No. Line No. FROM TO DATE
EXECUTED

C / NC/ NA 
C NC NA

C NC NA

C NC NA

C NC NA

C NC NA

C NC NA

C NC NA
Comments: Blowing / Flushing / Cleaning has been satisfactorily performed in accordance with PROCEDURE:

Cleaning Observations:

NOTES= C= CONFORMING NC= NOT CONFORMING NA=NOT APPLICABLE (TO DRW/ SPECIFICATION)

CERI GAMA CONSORTIUM STEG

NAME NAME NAME NAME

SIGNATURE SIGNATURE SIGNATURE SIGNATURE

Date Date Date Date