Lof2 Formosa Plastics Corporation Quality Control Checklist FOMFKO1 Rev. 5 for Prepared/Signed by PIC: U.S.A. Fireproofing ‘Signed w/Date by Contraclor(ay: Taspected/Tested Objects Or Project Nor Contract No TOFCo491 Reviewed Description of G)_|C| ched | /Accepted Inspection/Test/Examination/Check/Report/Record Hi| with | byQC.|byPIC & | byOa this | Inspector | Date Me) YestNOy | ist ‘a Date &Date ©] ® & @ Manufacturer's Specifications, Data Sheets and Application | x Instruction Manuals of All Required Fireproofing Material Fire Test Reports of Fireproofing Materials x a ‘Sketch Drawings for Installation of Reinforcement Materials | _X x ‘Design Details for Bach Type of Steel Members and x a ‘Supports in accordance with UL Design Details Tested per FEMFOOI, Project Manual Reports for Fireproofing Materials {Gncluding the inspection of quantity, quality, manufacturer's. |X, ‘name and brand, identification markings and mumbers, shelf expiration date, and original packages and /or sealed containers, ete.) ‘Manufacturer's Certification of Training for Fireproofing X € Application (Refer to Para, 81.2, FEMFOO1, Project Manual Vol.) 7, Provide Samples of Finished Work (Refer to Para 8.14, x c FEMFOOL, Project Manual Vol. II) Inspection Reports in accordance with Manufacturer's x D Application instruction Manuals (including prime ‘coating/galvanization, instalation of reinforcement, fireproofing thickness, hardness and quality, scaling and top coating at least) 9, Fireproofing Inspection Record (FQMPRO2, included in X FEMFOO |, Project Manual Vol. I) TO, Manufacturer's Official Certification of Installation (Refer to a E et ne yy Para. 93, FEMFO01, Project Manual Vol. 1) TT. Contractor's Qa/QC Program per Para. 9.1, FEMFOOI, Project Manual Vol. I Notes: 1. PIC shall review and modify or add the items for this Checklist, and determine if all listed items are required for project by marking the appropriate checks in the sub-columa of “Yes” or No” under “Req” column, and sign this Checklist with date and include it along with all required QC/GD Checklists in the project construction bid packages and equipment PR packages w/field installation as Appendix A. Project and QA managers shall review and approve this Checklist if all items marked with checks under “Yes” in the column of “Req” are completed, submitted and accepted by Project and QA for the inspected/tested objects 2. PIC should confirm all tems listed on this Checklist and marked with the checks under “Yes” in the column of “Req” with Contractor during pre-construction meeting, Fata isi Marval Vol FEM GONFOMFKOT doe (050004)2of2 Formosa Plastics Corporation Quality Control Checklist FQMFKO01 Rev. 5 ibe Prepared/Signed by PIC: U.S. AL Fireproofing ‘Signed w/Date by Contradorly Tnspected/Tested Objects @): Project Now ‘Contract No. ‘TORCH GKCO3 Notes: | 3. Contraétor shall perform and complete all required inspection, examination, test, survey, review and check , and prepare and submit all requited Reports and Documents** along with this Cheeklist to FPC’s QC Inspector for the itoms marked with check under “Yes” sub-column per the schedule listed as the column of “SCH” after entering the inspectedfested objects, marking checks in the column of “Attached with this List” for the items which reports/records/documents are attached so. Contractor shall sign and date in the block of “Signed w/Date by Contractor” before submitting, if accepted. * + Reports are the records for Inspection including reports, records, checklists, audits, radiographs and/or the completed weld maps showing the location of all radiographs along with film identification marks and as-built dimensions, etc. + : Documents are the general or supporting documents including Manufacturer's Certificates, data sheets, drawings, specifications, procedures, recommendations and instructions, certified test reports, third party inspection reports, ‘material safety data sheets, Contractor's QA/QC Procedures, WPS, PQR, WPQ and/or qualified welder lists, etc. 4, BC employees involving project construction shall implement their work responsibilities for quality control specified as the Table of FCGQKO3 (included in FCGQO03, Engineering Manuals Vol. II) by using this Checklist as the transmittal letters and records for the inspected/tested subjects, QC inspector, PIC and QA inspector shall initial and date for each item marked with the check under “ Yes" in this Column, if accepted. 5. Schedule: A: Provided with bidding proposal. B: Upon receiving fireproofing material at job sites. CC: Before starting application of fireproofing. D: During application period of fireproofing. Ez Upon completion of fireproofing work. “Approved by Project Manager/Date (1: ‘Accepted by QA Manager/Date (1): vu goa ManualsPsManualVoL.2\FEMPOOIFQMFKOI doe (0513/0)FQMFK02 REV.1) FORMOSA PLASTICS CORP. Fireproofing Inspection LIST NO. U.S.A. Record DATE: 1, Contractor 2. OC Insp. Rea'd 3. Contract No. 4. Proiect No. “(yes )No 5S. Unit 6. Bldg. 7. System/Area 8. Room/Elev./Loc. 9. TPNS/Item No. 10. Description 11, Drawings/Spees Rev | _Amendments Drawings/Specs | _Rev__| Amendments 12. Requirements: ( )Lath ( )Keycoat | Material Required Application Method |(_)New Work _(_)Repair_|¢ )Topcoat O)Spray ( Trowel 13. Inspection Attributes | IP Status Date Qc Comments Lath Installation Cleanliness Spray Application Trowel Application Final Thickness 14. Spray Description Test Results | Date _| Test Results | Date [Test Results | Date application only Density at Mixer (Wet) Density at Sprayer (Wet) Density Dry 15. M&TE, Calibration Date: 16, Remarks 17. Contractor Inspector: 18, Contractor Superintendent: 19. QC Inspector: 20. Project Manager: ‘This Form, when Completed, shall be Retained for S Years ungtngecanualiP| ManvahVol FEMFOONEQMFKO2. docFQMFK02 REV.1 FORMOSA PLASTICS CORP. Fireproofing Inspection — [77 U.S.A. Record DATE: 1. Contractor 2. OC Insp. Rea'd 3. Contract No. 4, Proiect No. ()¥es__(_)No 5. Unit 6. Bldg. | 7. System/Area 8, Room/Elev./Loc, 9. TPNS/Item No. | {10. Description 11, Drawings/Spees Rev | Amendments Drawings/Specs__| Rev _| Amendments 12. Requirements: ( Lath ( )Keycoat | Material Required Application Method (ONew Work ( yRepair_|( Topeoat ( )Spray (_ )Trowel 13. Inspection Attributes |_IP Status Date gc Comments Lath Installation Cleanliness | Spray Application Trowel Application Final Thickness 14. Spray Description Test Results | Date_| Test Results | Date _|Test Results | Date application 7 7 only Density at Mixer (Wet) Density at Sprayer (Wet) Density Dry 15, M&TE Calibration Date: 16. Remarks 17. Contractor Inspector: 18, Contractor Superintendent: 19, QC Inspector: 20, Project Manager: This Form, when Completed, shall be Retained for Years |H\fuhg)fuhgetManualdPrjManush Vol-AFEMFOONFQMPK02.doc.