SAUDI ARAMCO ID/PID - 18-MAY-05 - REV 0 (Standards Cutoff - August 2004)

SAUDI ARAMCO INSPECTION CHECKLIST

Cement Based Non-Shrink Grout Surface Preparation & Formwork Inspection
PROJECT TITLE

SAIC NUMBER

DATE APPROVED

QR NUMBER

SAIC-Q-1048
WBS / BI / JO NUMBER

18-May-05

CIVIL-

CONTRACTOR / SUBCONTRACTOR

Two Grades Of Gasoline, Eastern Region

EQUIPMENT ID NUMBER(S) LAYOUT DRAWING NUMBER EQUIPMENT DESCRIPTION REV. NO.

10-00075-03546
EQPT CODE

C.A.T
SYSTEM ID. PLANT NO. EC / PMCC / MCC NO.

Pipe Support Foundation SL-35,SL-36,SL-38 & SL-39 @ Dhahran Bulk Plant

PURCHASE ORDER NUMBER QUANTITY INSP.

HA-258447 SHT 002 SCHEDULED INSPECTION DATE & TIME

00 ACTUAL INSPECTION DATE & TIME

MH's SPENT

TRAVEL TIME

9/24/2005 09:00
SAUDI ARAMCO TIP NUMBER

9/24/2005 09:00
SAUDI ARAMCO ACTIVITY NUMBER

SAUDI ARAMCO USE ONLY

WORK PERMIT REQUIRED?

SATIP - Q - 010 - 01 SAUDI ARAMCO INSPECTION LEVEL W1

3.1
CONTRACTOR INSPECTION LEVEL

H1

NO
PASS FAIL N/A RE-INSP DATE

ITEM No. A1

ACCEPTANCE CRITERIA Foundation preparation shall be in accordance with the grout manufacturer's written instructions. (PIP STS03600, Sec. 6.2.1) Concrete foundations shall be cured for a minimum of 7 days before surface preparations for grouting. (PIP STS03600, Sec. 6.2.2) Laitance, oil-soaked or damaged concrete shall be removed down to sound concrete by chipping to the level of sound fractured aggregate or to a minimum of the top 1 inch of the concrete. (PIP STS03600, Sec. 6.2.1.1) All dust and loose particlesshall be removed with clean, dry, oil free compressed air. (PIP STS03600, Sec. 6.2.1.2) The foundation shall be protected with 0.15mm polyethylene sheeting to prevent contamination. (PIP STS03600, Sec. 6.2.1.3) Grout Formwork, where required, shall be constructed with adequate strength, rigidity and required dimensions to permit grout placement and avoid leakage. (PIP STS03600, Sec. 6.2.3) A bond breaker shall be applied to the formwork that will be in contact with the grout. (PIP STS03600, Sec. 6.2.4) Concrete surfaces in contact with the grout shall be saturated with clean water before grout placement. The surface shall be damp but free from standing water. (PIP STS03600, Sec. 6.2.5)

REFERENCE SAES-Q-010 Sec. 3.2 SAES-Q-010 Sec. 3.2

A2

A3

SAES-Q-010 Sec. 3.2

A4

SAES-Q-010 Sec. 3.2 SAES-Q-010 Sec. 3.2

A5

A6

SAES-Q-010 Sec. 3.2

A7

SAES-Q-010 Sec. 3.2 SAES-Q-010 Sec. 3.2

A8

REMARKS:

The Grout Surface Preparation Inspected Based On RFI # C/05/114

REFERENCE DOCUMENTS: 1- SAES-Q-010 -- Cement Based, Non-Shrink Grout for Structural and Equipment Grouting, 29 February 2004

Contractor / Third-Party
Construction Representative*
Work is Complete and Ready for Inspection: Name, Initials and Date: Name, Initials and Date:

Saudi Aramco
PMT Representative
T&I Witnessed
Nasser A. Al - Ghamdi

QC Record Reviewed

Work Verified

QC Inspector
X Performed Inspection
Name, Initials and Date: Work / Rework May Proceed

PID Representative
T&I Witnessed Name, Initials and Date:
A. Nayeem

QC Record Reviewed

Work Verified

Shiju Kumar.T.R, 09/24/2005

Quality Record Approved:

QC Supervisor
Anand Job 09/24/2005 *Person Responsible for Completion of Quality Work / Test

Proponent and Others

Name, Organization, Initials and Date: T&I Witnessed QC Record Reviewed Work Verified

Name, Sign and Date:

Y = YES

N = NO F = FAILED

Page 1 of 1