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D6255-SIR Format

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M c D e rm o t t

Report number :

S UP PLI ER INSP ECTI ON R EPO RT Date:

Project No: D6255 (BI-10-00799-0041) Customer: ARAMCO OVERSEAS COMPANY BV (SAUDI ARAMCO)

Project : D6255 - BI-10-00799-0041 LTA FOR EPCI OF OFFSHORE


ARAMCO Dummy PO No.:
FACILITIES - GUARANTEED (LUMP SUM) SCOPE

PO Number : D6255-PO-0923-XXX-XXXXX-XXXX-X-XX Inspection Lot # :

Supplier : Sub-Supplier :

Supplier location : Sub-Supplier location :

Supplier’s main reference number : Sub-Supplier's main reference number :

PO Item Equipment TAG Number / Heat


QTY (Nos) Equipment / Material Description
number Number (As applicable)

A. INSPECTION VISIT SUMMARY:

NOI No & Date: 001 Dated: 1st Jan 2015

Inspection Dates [duration] (Date & duration required)

ITP stage No:

Stage of Inspection: In-Process Final Packing Document Review

Is answer required for this report Yes No

All Previous ITP activities completed Yes No

NCR Issued for this visit Yes No (If Yes NCR Copy to be attached)

Out standing - NCR ’s Yes No (If yes NCR No : _____________)

Inspection Release Note Issued Yes No

Inspection Result of this Visit: Acceptable Not Acceptable Conditional Acceptance

Next Visit scheduled on (DD/MM/YYYY)

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M c D e rm o t t
Report number :

S UP PLI ER INSP ECTI ON R EPO RT Date:

Project No: D6255 (BI-10-00799-0041) Customer: ARAMCO OVERSEAS COMPANY BV (SAUDI ARAMCO)

Project : D6255 - BI-10-00799-0041 LTA FOR EPCI OF OFFSHORE


ARAMCO Dummy PO No.:
FACILITIES - GUARANTEED (LUMP SUM) SCOPE

PO Number : D6255-PO-0923-XXX-XXXXX-XXXX-X-XX Inspection Lot # :

Inspector’s Name
Inspection Date(s)
Duration (Time at
Vendor’s facility)
Overtime
(if applicable)
Travel Time
(if applicable)
Mileage
Other Expenses
TOTAL Straight Time : Over time : Total Time : Miles : or Kilometers Expenses :

Conclusion / Summary

B. PERSONNEL IN ATTENDANCE:
Name of person Name of Company Title

C. SPECIFIED DOCUMENTS: (Documents in possession of Inspector & referred for performing Inspection)
Document Title Document No Rev. Approval Status

D. TYPE(S) OF INSPECTION PERFORMED:


ITP Activity NO Description Results
Acceptable Not Acceptable
Acceptable Not Acceptable
Acceptable Not Acceptable

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M c D e rm o t t
Report number :

S UP PLI ER INSP ECTI ON R EPO RT Date:

Project No: D6255 (BI-10-00799-0041) Customer: ARAMCO OVERSEAS COMPANY BV (SAUDI ARAMCO)

Project : D6255 - BI-10-00799-0041 LTA FOR EPCI OF OFFSHORE


ARAMCO Dummy PO No.:
FACILITIES - GUARANTEED (LUMP SUM) SCOPE

PO Number : D6255-PO-0923-XXX-XXXXX-XXXX-X-XX Inspection Lot # :

E. INSPECTION PERFORMED: (Detail the ITP activity No and Inspection performed)

1. Stage C.1 –Visual inspection

2. Stage E.1 – hydrostatic test

3.

F. ATTACHMENT TO REPORT:

1.
2.

G. PHOTOGRAPHS:

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M c D e rm o t t
Report number :

S UP PLI ER INSP ECTI ON R EPO RT Date:

Project No: D6255 (BI-10-00799-0041) Customer: ARAMCO OVERSEAS COMPANY BV (SAUDI ARAMCO)

Project : D6255 - BI-10-00799-0041 LTA FOR EPCI OF OFFSHORE


ARAMCO Dummy PO No.:
FACILITIES - GUARANTEED (LUMP SUM) SCOPE

PO Number : D6255-PO-0923-XXX-XXXXX-XXXX-X-XX Inspection Lot # :

Description: Description:

Description: Description:

Signature Name (printed) Stamp Date

Approved by

Signature Name (printed) Title Date

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