Inspection &Test Report

Report No :JI2043-PPFY001-1-001 Date of Inspection :

CLIENT : CONTRACTOR :

VENDOR : LOCATION :
SUB VENDOR : LOCATION :
PETROFAC PURCHASE ORDER NO. :
RFI NO & Date :

1.0 DESCRIPTION OF PRODUCT :

P.O. ITEM Tag No. DESCRIPTION QUANTITY

2.0 SCOPE OF INSPECTION :

ITP LINE NO. ACTIVITY DESCRIPTION (As per ITP) QUANTITY

3.0 REFERENCE DOCUMENTS :

TITLE
APPROVA
(Specify the document referred before / during / after DOC. NO. REV. NO.
L STATUS
inspection)

Data Sheet

Material Requisition (MR)

Purchase Order (PO)

Inspection & Test Plan (ITP)

Drawings

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Specifications

Flawless Project Delivery (FPD) requirements

4.0 MATERIAL INSPECTED :

ITEM REQUIRED OFFERED ACCEPTED ACCEPTED

PRODUCT/ MATERIAL/ ITEM NAME
NO. QUANTITY THIS VISIT THIS VISIT TO DATE

5.0 INSPECTION DETAILS (Details like Visual, dimensional, NDE, Accepted, Rejected, Under Hold,
etc or some explanation) :

6.0 MEASURING EQUIPMENT (To be provided by Vendor) :

CALIBRATION VALIDITY
EQUIPMENT / INSTRUMENT DESCRIPTION
CERT. NO. DATE

7.0 NON-CONFORMANCES (If any) :

NCR# DESCRIPTION DATE RAISED DATE CLOSED

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8.0 FLAWLESS PROJECT DELIVERY (FPD) (Details related to actions initiated by Vendor and /or checklists used) :

9.0 AREA OF CONCERN :

10.0 CONCLUSION :

11.0 ATTACHMENTS TO THIS REPORT :

Item Write “Yes” or “No” as applicable No. of Pages

Check List

Material Test Certificates

Test Reports

NDT Reports

NCR ’s

Punch list (If any)

Packing List

Others (Specify)

Photographs (mandatory)

12.0 LIST OF PARTICIPANTS / ATTENDEES :

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REPRESENTATIVE
NAME TITLE
(CA / PIUL / MANUFACTURER / OTHERS)

Note :
1.Report to be sent after inspection to Petrofac Inspection Co-ordinator.
2.Respective Flash report reference numbers shall be added wherever applicable.
3.Reference of previous inspection activity and report numbers.

Name

Signature

Date

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