Resource Qualification Form

Date of Interview:      

Last Name:       First Name:      
Latin America or Spain: (Type Full Name):      
Cell/ Mobile Phone number:       Email:      

Contact information:
Street Address:      

City State/Province/Prefecture:      ,      

Zip Code/Postal code:       Telephone Number:       Fax Number:      

Driving License:       Expires:       Passport No:       Expires:      

Personal Equipment:
Laptop Desktop Fax Digital Camera Cell Phone Reliable Transportation

Protective Clothing/Equipment Other Other

Computer Application/Electronic Communication Capabilities:

E-mail MSWord Excel Acrobat Reader File Compression Others:      
Language
Speaking Writing Reading/Comprehension
Capabilities:
1.       Choose... Choose... Choose...

2.       Choose... Choose... Choose...

3.       Choose... Choose... Choose...

Job Experience (Must be Verifiable) Overall Score 0

Year Year
Yes Type
s
Yes Type
s
Yes Type Years

Inspector    Field Expeditor    Office Expediting   

Coordinator    Auditor ISO    QA Manager   

Project Manager    Construction Manager    Engineer Type         

Buyer/Expeditor    Shipping    Bid Preparation   

Commercial Diving    Clerk    ROV Operation   

HSE / Safety    E&C/Mechanical Integrity    In Plant - Refinery   

In Plant - Power    In Plant - Chemical    In Plant - LNG   

In Plant – Compression    In Plant - Commissioning    In Plant - Projects   

Offshore (Actual)    Other    Other   

Client Approved Inspector Overall Score 0

Aramco Approved Inspector SAP#       DOW Approved Inspector
Commodity Codes:      
GE Oil&Gas Approved Inspector

Bechtel Approved Inspector Other

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Working Knowledge - Industry Codes and Standards Overall Score 0

ABENDI ASME Sec. II IEEE

ABNT ASME Sec. III IRAM

ACI ASME Sec. IX ISA

ADA ASME Sec. V ISO

ANSI ASME Sec. VIII MOL

API ASNT MSS

API 1104 ASQ NA

API RP 577 ASTM NACE

API-11D1 ATEX NB

API-11VI AWS NBIC

API-14A AWS 17.1 NBR

API-14L AWS D1.1 NEC

API-16A AWS D1.2 NEMA

API-17D AWS D1.5 NFC

API-17G BS NFPA

API-5B / 5B1 CEC NORSOK

API-5C5 (ISO-13679) CFR NR

API-5CT Cirsoc NS

API-5D (5DP) CSA NZS

API-6A CSWIP OHS

API-6D CWB OSHA

API-7-1 & 7-2 (Spec 7) / RP 7G DIN PCN

AS DNV PED

AS 3787 DS Petrobras

AS 3998-2006 EEHA RINA

AS 4041-2006 EJMA SSPC

AS/NZS 3000-2007 EN TEMA

AS/NZS 3788-2006 ETL UBC

AS/NZS 4036 FROSIO UL

AS/NZS 4360-2004 GB UNI-EN

AS/NZS-3788-2006 GOST UPC

ASME HB VDE

ASME B16.5 IBR WRC

Other
ASME B31.1 iCIMS

ASME B31.3 IEC Other

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Certifications Overall Score 0

Certification Type Certification Number Expiration Date

(yyyy-MM-dd)
NDT
PT - SNT-TC-1A Level Select            
PT - UNI EN 473 Level Select            
MT - SNT-TC-1A Level Select            
MT - UNI EN 473 Level Select            
RT - SNT-TC-1A Level Select            
RT - UNI EN 473 Level Select            
UT - SNT-TC-1A Level Select            
UT - UNI EN 473 Level Select            
VT - SNT-TC-1A Level Select            
VT - UNI EN 473 Level Select            
Others
CWI Endorsement Select            
CAWI            
SCWI            
CSWIP Level Select            
CSWIP (U) Level Select            
CSWIP (UC) Level Select            
CWB Level Select            
CGSB Level Select            
ACOSEND            
API 510            
API 570            
API 653            
API SIFE            
API SIRE            
API SIEE            
API Others            
DOT Pipeline            
NB Endorsement            
PED Authorized Inspector            
ISO Certified Lead Auditor            
NACE Level Select            
Water Survival Training            
TWIC            
Prof. Engineer Discipline State:               
Engineer Degree Discipline N/A N/A
SEQUI - AT Level Select            
SEQUI - CT Level Select            
SEQUI - EL Level Select            
SEQUI - IN Level Select            
SEQUI - MC Level Select            
Other            

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NDE, General Manufacturing & Testing Process

0 = No Experience 1 = Brief Experience 2 = Limited Experience, some knowledge 3 = Average Experience,
reasonably knowledgeable 4 = Extensive Experience, very knowledgeable 5 = Extensive Repetitive Experience,
highly knowledgeable

Non-Destructive Test Overall Score 0

Eddy Current 0 Positive Material Identification (PMI) 0

Liquid Penetrant 0 Radiography 0

Magnetic Particle 0 Ultrasonic 0

General Processes Overall Score 0

Assembly / Make-up 0 Heat Treatment / PWHT 0

Data Book Review 0 Layout Inspection 0

Dimensional Inspection 0 Quench / Temper / Normalizing 0

Final Inspection / Packaging / Crating 0 Other 0

OCTG Processes Overall Score 0

1st Articles / Overlays (Mold & Trace) 0 Loadout 0

Compounds – Storage / Rig Ready 0 Mill Process – ERW / SMLS 0

Connections – API / API-Mod 0 MTR’s / Mill Stencils 0

Connections – Premium / Proprietary 0 OD & ID Coatings / Liners (TK Liner) 0

Drifting – FLD / End Drift 0 Protectors (CEL, CENL, Vented, etc.) 0

EMI, FLUT, SEA 0 Rig Prep 0

End Finish / Surface Finish 0 Special Bevel / Special Clearance (Cplgs) 0

Extended Traceability – Mother/Child 0 Special Materials (Handling) / Bolstering 0

Forged Upsetting 0 Swage / Mandrel / Stress Relieve 0

Grades / Color Codes (API & Proprietary) 0 Torque-Turn / Torque-Time (Bucking) 0

Hard banding 0 Tubular Refurbishment (BRS) 0

Layout / Mapping / Saw cut 0 Other: 0

Testing Overall Score 0

Burst, Collapse, Bend, Thermal, Tension,
0 Holiday Testing 0
Compression
Chemical Analysis 0 Hydro Testing / Gas Testing 0

Cleanliness Testing 0 Manufacturing Process Qualifications 0

Connection Testing / Make & Breaks 0 Mechanicals / Hardness 0

CTOD (Crack Tip Open Displacement) 0 Other 0

DQT / Sacrificial Testing 0 PMI (Positive Material Identification) 0

Fiberoptic Testing 0 PR2 Testing 0

Function Testing / FAT 0 SSC (Sulfide Stress Corrosion Cracking) 0

HIC (Hydrogen Induced Cracking) 0 Systems Integration Testing (SIT) 0

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Commodity/Equipment Knowledge/Capability
0 = No Experience 1 = Brief Experience 2 = Limited Experience, some knowledge 3 = Average Experience,
reasonably knowledgeable 4 = Extensive Experience, very knowledgeable 5 = Extensive Repetitive Experience,
highly knowledgeable

Assembled Packages Overall Score 0

Compressor / Turbine Skid Units 0 Process Modules 0
Cranes 0 Water/Gas Skid Units 0
Lube Oil Consoles 0 Other 0
Audits Overall Score 0

Plant Surveys/Audits 0 Supplier Assessments 0

Quality System Audits (ISO 9000) 0 Other 0

Drilling & Completion Equipment / Running Tools / Downhole Tools Overall Score 0

Anchor Seal 0 Nipples – Landing, Seating 0

Bridge (Flow) Plugs 0 Packers 0

Bull Plug / Mule Shoe 0 PBR (Polish Bore Receptacle) 0

Coil Tubing 0 Perforating Guns / Systems 0

Downhole Valves: Safety Joints 0

Formation Isolation, Chemical Injection, Check, 0
Circulation, Reservoir Protection Sand Screens / Well Screens 0

Drill Bits 0 SCSSV / SSSV 0

Drill Pipe / Collars 0 Seal Assemblies 0

Float Equipment 0 Sliding Sleeves 0

Flow Regulator 0 Stabilizers / Centralizers / Stop Collars 0

Gas Lift Mandrels 0 Sand Screens / Well Screens 0

Hangers 0 Other 0

Electrical & Instrumentation Overall Score 0

Actuators 0 Motor Control Centers 0
Analyzers 0 Offshore E & I Experience 0
Batteries 0 Power Cable 0
Control/Local Panels 0 Safety Valves 0
Control/Relief Valves 0 Switchgear 0
DCS 0 Transformers 0
Electrical Motors 0 Umbilicals 0
Electronic/Pneumatic Instruments 0 Variable Speed Drive 0
Flying Leads Connector 0 Other 0
Generators 0 Other 0

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Expediting Overall Score 0

Electrical and Instrumentation 0 Rotating Equipment 0

Pressure Equipment 0 Valves and Piping 0

Lifting Equipment Overall Score 0

Baskets 0 Ratchet Straps 0

Boom Lifts 0 Rigging 0

Cable 0 Rope 0

Cargo Net 0 Shackles 0

Chains 0 Slings 0

Cranes – Davit/ Gantry /Tower 0 Spreader Bars / Beams 0

Cranks 0 Straps 0

Hoist 0 Turn Buckles 0

Lifting Beams 0 Winches Electric/Manual/Hydraulic 0

Lifts, 0 Other 0

Pad Eyes 0 Other 0

Lining & Coating Overall Score 0

Nonmetallic Linings/Paint 0 Thermal Spray Aluminum 0

Refractory 0 Other 0

Machinery/ Rotating Equipment Overall Score 0

Blowers 0 Gear Boxes 0

Centrifugal Compressors 0 Reciprocating Compressors 0

Centrifugal Pumps 0 Reciprocating Pumps 0

Diesel/Gas Engines 0 Steam Turbines 0

Fans 0 Other 0

Gas Turbines 0 Other 0

Marine Equipment Overall Score 0

Loading Arms 0 Terminal Equipment 0

Ships/Boats 0 Other 0

OCTG Products Overall Score 0

Conductor Casing 0 Marker Joints 0

Couplings 0 Pup Joints 0

Crossover Joints / Subs 0 Tubing / Casing 0

Flow Couplings / Blast Joints 0 Vacuum Insulated Tubing (VIT) 0

Handling / Lift Plugs 0 Other 0

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Oil & Gas Production Overall Score 0

Drilling Equipment 0 Rigs/Platforms/Jackets 0

FPSO / MODU 0 Salvage / Decommissioning 0

Jumpers 0 SPARS / TLP 0

Offshore Installation / Hookups 0 Sub-sea Assembly Installation 0

Onshore Commissioning 0 Well Head Equipment 0

PLEM / PLET 0 Other 0

Pipe Overall Score 0

Pipe Coating Mill 0 Other 0

Pipe Mill (Seamless/Welded) 0 Other 0

Pipelines Overall Score 0

Off-Shore Commissioning 0 On-Shore Installation 0

Off-Shore Installation 0 Spool Based Experience 0

On-Shore Commissioning 0 Other 0

Piping/ Bulk Materials (Material & Piping Components) Overall Score 0

Bolting 0 Forging 0

Castings 0 Gaskets 0

Concrete 0 High Density Polyethylene (HDPE) 0

Expansion Joints 0 Plates 0

Fiber Reinforced Plastic (FRP) 0 Strainers 0

Fitting 0 Tubing 0

Flanges 0 Other 0

Piping Valves (Cast or Forged) Overall Score 0

Ball Valves 0 Gate Valves 0

Butterfly Valves 0 Globe Valves 0

Check Valves 0 Sub-sea Valves 0

Pressure Equipment & Fabricated Piping Overall Score 0

Air Coolers 0 Plate Heat Exchangers 0

Boilers 0 Pressure Vessels (< 2” Thickness) 0

Double Pipe Heat Exchangers 0 Pressure Vessels (> 2” Thickness) 0

Drums 0 Reactors and Clad Lined Vessels 0

Fabricated Pipe (Spools) 0 Shell & Tube Heat Exchangers 0

Fiber Reinforced Plastic (FRP) 0 Tanks 0

Filters 0 Towers 0

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Glass Lined Vessels 0 Other 0

Heaters 0 Other

Safety Equipment Overall Score 0

Emergency showers 0 Personal Protective Equipment 0

Extinguishers 0 Safety lock out tags 0

Eye wash stations 0 Shields 0

Fire safety  axes 0 Smoke alarms , fire alarms 0

First aid kits 0 Speakers 0

Guards Sprinkler systems 0

Hoses 0 Strobe lights 0

Hydrants 0 Other 0

Intercom systems 0 Other 0

Special/Other Materials Overall Score 0

Exotic Metals 0 Reactive Metals 0

Lifting Equipment 0 Other 0

Steel Structures Overall Score 0

Civil / Structural / Buildings 0 Skids/ Frames 0

Derricks 0 Stacks 0

Platforms & Ladders 0 Other 0

Well Control / Flow Control Equipment Overall Score 0

BOP – Subsea 0 Risers / Riser Packages 0

BOP – Surface 0 Running Tools 0

Capping Stacks 0 Tensioner Systems 0

Christmas Tree – Subsea 0 Tubing / Casing 0

Christmas Tree – Surface 0 Vacuum Insulated Tubing (VIT) 0

Flexjoint 0 Well Head – Subsea 0

Flying Leads / Umbilical 0 Other 0

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Overall Score 0

Technical Courses Attended/ Degrees Achieved (e.g., Welding, Coating, NDE, Audits, Etc.)

                 

                 

                 

                 

                 

                 

Overall Score 0

Course /Degree Date Course/Degree Date

                       

                       

                       

                       

                       

Resume/Curriculum Vitae (CV) Attached? Yes No

Technical Manager’s Evaluation/Comments:

     

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Mr./Ms.      
Is approved
Is not approved
to perform inspection activities on behalf of Intertek Technical Services (TIS)on the following disciplines:
Assembled Packages
Auditing: Contracts Suppliers Site Systems Technical
Electrical: Less than or equal to 3.5 kV Greater than 3.5 kV
Expediting: Desk Field
Instrumentation/Control Systems
Lifting Equipment
Lining & Coatings
Machinery / Rotating Equipment Pumps Turbines/Compressors Others
Marine Equipment
OCTG Products
Oil and Gas Production
Pipe Coating Line pipe
Pipeline
Piping & Bulk Materials (Materials and Piping Components)
Pressure Equipment and Fab Piping
Safety Equipment
Special/Other Materials
Steel Structures – General Fabrication (Frames & Skids etc.)
Umbilicals & Flexibles
Valves (Cast & Forged)
Well Control / Flow Control Equipment Surface Sub-surface

Other:
Construction Site: Plants/Refineries Pipeline Construction Fab Yard
Offshore Shipyard Civils & Other
Quality Engineering: Systems Planning Compliance
Contractor/Supplier Assessments
Shipment Containers
Comments:      

Approval Authority : Technical Manager

Name:       Signature      

Date:      

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