Employer Doc. No.

NSRP II Q~ ~ ~
Contractor Doc. No.
Complex Project Nghi Son Refinery and Petrochemical S-000-1679-0001V
Limited Liability Company Rev.A
Nghi Son, Vietnam
I Page 1 of 5

Employer Contract No. : Contractor JOB Code: 0-6495-20 Date: 31/Dec/14

Inspection and Test Plan

for

INSULATION WORK

Unit No.: Not Applicable

Document Class: Z

Issue Purpose For Review

Rev Date Page Description Prep'd Chk'd App'd

A 31/Dec/14 First issue YH.R H.I. H.I.

Operation Centre JOB Code:

Responsible Company
JVD

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CONS ORTIUM
 Employer Doc. No.
NSRP Complex Project Rev. A

Contractor Doc. No.

Title: Inspection and Test Plan for INSULATION WORK Page 2 of 5
S-000-1679-0001V

CONTENTS
1. ITP
ITP No. 9000-101 Inspection and Test Plan for INSULATION WORK
Abbreviation:
H: Subcontractor is not allowed to proceed with the test/inspection unless a written release is issued
by the Employer and/or Contractor. Subcontractor shall submit inspection notification to
Contractor.
W: Subcontractor can proceed with the test/inspection when Employer and/or Contractor’s inspector
is not present at the notified time. Subcontractor shall submit inspection notification to
Contractor.
IW: Subcontractor is requested to notify Contractor of the initial inspection date/time. Subcontractor
can proceed with the test/inspection when Employer and/or Contractor’s inspector is not present
at the notified time. Subsequent test/inspection will not be witnessed unless any deficiencies are
found at the initial inspection.
S: Subcontractor is not requested to notify Contractor. Employer and/or Contractor’s inspector will
monitor manufacturing conditions, workmanship and test/inspection during his visit or periodical
inspection.
R: Subcontractor is not requested to notify Contractor. Subcontractor shall perform the required
test/inspection and provide relevant documents such as certificate, report and Quality Control
record. This documents shall be submitted to Contractor’s inspector for review.
I: Subcontractor shall be responsible for undertaking the inspection or test and generating the
appropriate report and record.

2. ATTACHMENT
2.1 Quality Control Report/Record
Form No. QCR-9000-101 INSPECTION REPORT FOR INSULATION WORK

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 Employer Doc. No.
NSRP Complex Project Rev. A

Contractor Doc. No.

Title: Inspection and Test Plan for INSULATION WORK Page 3 of 5
S-000-1679-0001V
ITP No. 9000-101
Verifying 㻌
Item Reference Acceptance Inspection Mode
Activity Document Remarks
No. Documents Criteria
rd
(QCR Form No.) Sub Const 3 Employers 㻌
1 MATERIAL INSPECTION

Approved Drawing
and
1.1) Verify the Material / Size / S-000-1390-0001V
Quantity & Physical Properties 9000-101
Para 4.0.2 As per Drawing I W R
1.2) Check the Damage
S-000-1390-0002V
Para 4.1.2

2 Work Release H-000-1694-0002V Release Notice I R R

3 INSULATION

3.1.) Pre-Insulation
Approved Drawing
a) Check the completion of
welding, Hydro test & Specification

b) Surface cleaning and touch up S-000-1390-0001V

As per Drawing 9000-101 I W R
painting Para. 5
c) Insulation material form & S-000-1390-0002V
thickness
Para 3
d) Extend of Insulation

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 Employer Doc. No.
NSRP Complex Project Rev. A

Contractor Doc. No.

Title: Inspection and Test Plan for INSULATION WORK Page 4 of 5
S-000-1679-0001V
ITP No. 9000-101
Verifying 㻌
Item Reference Acceptance Inspection Mode
Activity Document Remarks
No. Documents Criteria
rd
(QCR Form No.) Sub Const 3 Employers 㻌
3.2) Insulation Application
a) Anti-abrasive coating
b) Joint staggered & fit-up
Approved Drawing
c) Insulation Segments
& Specification
d) SUS band interval for outer
layer S-000-1390-0001V
9000-101 I W IW
As per Drawing
e) Joint sealant Para 5

f) Expansion/Construction Joint S-000-1390-0002V

g) Primary vapour barrier window Para 3

glass cloth
h) support (including shoe &
anchor type)

3.3) Jacketing Approved Drawing

a) Jacketing Installation & Specification
b) Jacket band interval S-000-1390-0001V
As per Drawing 9000-101 I W IW
Para.5
c) Metal sealant
S-000-1390-0002V
d) Flange & Valve Box, Nanhole
Box Installation Para 5

3.4) Final Inspection Approved Drawing As per Drawing 9000-101 I H W

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 Doc.No. S-000-1679-0001V Rev.A

Contractor Job Code.. Form No. 9000-101

NSRP Complex Project 0-6495-20 Page 5 of 5

INSPECTION REPORT FOR INSULATION WORK

QCR No.              
AREA / UNIT EQUIPMENT / LINE / PKG No
DWG No.
CHECK ITEMS Date:

Type of Insulation : Type of Materials :

Type of Jacket :

st nd
Insulation thickness of each layer : 1 ( mm) / 2 ( mm) / Outer ( mm)

Check stage Check Item Result Remark

1. completion of welding, Hydro test & Assembly
2. Surface cleaning and touch up painting
3. Insulation material form & thickness
Pre-insulation 4.Extend of Insulation
5. Insulation support ring

st
1.1 layer Anti-abrasive coating applied (only for Cellular Glass)

2. Securement as specified

3. Joint staggered & fit-up, Insulation Segments

4. SUS band interval for outer layer

Insulation
5. Joint sealant applied (single & outer layer) (only for Cold Insulation)
6. Expansion/Construction Joint as specified (only for Cold Insulation)
7. Primary vapour barrier w/ glass cloth applied (outer layer)(only for
Cold Insulation)
8. Vapour stop as specified (only for Cold Insulation)
9. Insulation actual thickness of each layer
1. Jacketing thickness, interval check at Installation

2. Overlap of stainless steel sheet as specified

Jacketing
3. Securement as specified (banding & S-clip)

4. Metal sealant as specified

Valve & Flange 1. Removable type
Manhole Box Installation 2. Acceptable finish
Final Inspection 1.Final Appearance

COMMENT:

SIGNATURE
SUBCONTRACTOR CONTRACTOR EMPLOYER

NAME: NAME: NAME:

DATE: DATE: DATE

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