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WORKSHEET
Saudi Aramco 2643-ENG (11/98) 726-300 (Inspection Department)
Plant/Unit Name

Page 1 of 2

Equipment Name

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Date Issued

Worksheet No.

Equipment No.

Date Inspected

Location

Work Recommended By

Service

Inspector's Signature
Issue Date

Work Order/ Minor Ticket No.

Worksheet Status/ Closure

(tick where appropriate)
Completed (Date:

Priority

Opns. Forman's Signature

Date

Inspector's Signature

Date

Insp. Supvr.'s Signatur

Partial Completed
Deferred to T&I

Opns. Supt. 's Signature:

NOT TO BE COMPLETED

Justification:

Instruction Notes:
Priority

1. Attach Original Inspection Worksheet in the Inspection file with this Signed Off Report
2. Remove this item from the Monthly Status Report on Completion

DESCRIPTION OF WORK TO BE DONE

Item

FORMAT (Scope of Work, Findings, Conclusions, Recommendations)

For Action By:

Scope:
Findings:

Copies:

Recommendations:

Plant Manager

Plant Area Maint. Engr.

Supvr. Process Engr.

Supt./Gen. Supvr., Engrg.

Coord. T & I Maint.

Insp. Equip. File: ........................

Supt., .................... Operations

Shift Supt.

Supt., OID, E-1150, Dhahran.

Supt., .................... Maintenance

.......................................................

CopyrightSaudi Aramco 2009. All rights reserved.

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WORKSHEET
Saudi Aramco 2643-ENG (11/98) 726-300 (Inspection Department)

Priority

Item

Page 2 of 2

Date Issued

Worksheet No.

# of Pages

DESCRIPTION OF WORK TO BE DONE

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CopyrightSaudi Aramco 2009. All rights reserved.