INSPECTION AND TEST REPORT REPORT NO.

:
FOR DAILY WELDING INSPECTION PAGE: OF

PROJECT: JOB NO. :

Area / Unit : Date :

Location : Subcon. Name :

Sheet Rev. Mat'l Spool Joint Welder No

No. Line No. Alt No. Size Weld type Result Remarks
No. No. spec. No. No.
1 2

Type of welding joint :

B (Butt), C (Branch connection), F(Fillet), S (Socket), SW (Shop weld) , FW (Field weld)

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name
Signature

Date
Form No.: ITR-PAG-001
 INSPECTION AND TEST REPORT REPORT. NO. :
FOR ORIFICE FLANGE INSIDE
PENETRATION PAGE : OF

PROJECT: JOB NO. :

Area / Unit : Date :

Location : Subcon. Name :

No. Line No. Sh't No. Rev.No. Tag No. Joint No. Size Result Remarks

Tolerance :

Orifice Flange

Welding joint Inside should be Grinded Smoothly

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

 Name
Signature

Date
Form No.: ITR-PAG-002
 INSPECTION AND TEST REPORT REPORT NO. :
FOR PNEUMATIC TEST OF
REINFORCING PAD PAGE : OF

PROJECT: JOB NO. :

Area / Unit : Date :

Location : Subcon. Name :

Sheet Rev. Joint Test Holding

No. Line No. Gauge No. Result Remarks
No. No. No. Pressure Time

Tolerance :
Welding Surface
to be inspected
(Water with Soap)
Air
Compressor

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client
 Name
Signature

Date
Form No. : ITR-PAG-003
 INSPECTION AND TEST REPORT REPORT NO. :
FOR INTERNAL COATING / HOLIDAY
TEST PAGE : OF

PROJECT: JOB NO. :

Area / Unit : Date :

Location : Subcon. Name :

Result
Sheet Rev Piece Pipe
No. Line No. Holiday Remarks
No. No No size Coating
test

Tolerance :

Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

 Name
Signature

Date
Form No. : ITR-PAG-004
 INSPECTION AND TEST REPORT REPORT NO. :
FOR SURFACE CLEANING & PRIMING PAGE : OF

PROJECT: JOB NO. :

Area / Unit : Date :

Location : Subcon. Nam :

Result
Sheet Rev Joint Pipe
No. Line No. Surface Remarks
No. No No Size Priming
Cleaning

Tolerance :

Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

 Name
Signature

Date
Form No. : ITR-PAG-005
 INSPECTION AND TEST REPORT REPORT NO. :
FOR FIELD LEAK TEST PAGE : OF

PROJECT: JOB NO.:

Area / Unit : Date :

Location : Subcon. Name :

Pressure (KG/cm2) Operation Design Test

Method □ Hydro □ Pneumatic □ Visual □ Service □ Other

Test Fluid □ Water □ Air □ N2 □ Other

Pressure Gauge No.

Holding Time
Sheet Rev.
No. P & ID No. ISO Dwg. No. Remarks
No. No.

Tolerance :

Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client
 Name
Signature

Date
Form No. : ITR-PAG-006
 INSPECTION AND TEST REPORT REPORT NO. :
FOR POST WELD HEAT
TREATMENT (PWHT) PAGE : OF

PROJECT: JOB NO.:

Area / Unit : Date :

Location : Subcon. Name :

Specification : Procedure No. :

Chart No. : Unrestricted Heating Up to : ℃

Recorder Type & Sr. No. : Recorder's Call ID :

Heating Rate (Max) : ℃/Hr Holding Temp : ℃

Holding Time (Min) : Hr Cooling Rate (Max) : ℃/Hr
Controlled Cooling Up to : ℃ Chart Speed :

Color of ISO Drawing No/ Th'k Hardness

TC Joint No. Pipe Size Material Test
Results
Chart (Sheet No.) Line No. (mm)

Tolerance :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name
Signature

Date
Form No. : ITR-PAG-007
 INSPECTION AND TEST REPORT REPORT NO. :
FOR PMI INSPECTION PAGE : OF

PROJECT: JOB NO.:

Area / Unit : Date :

Location : Subcon. Name :

Equipment Model : Specification :

Calibration Status : Procedure No. :

Material :
Measured Composition
Description Heat No. Result
Mn Cr Mo Ni

Tolerance :
Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name
Signature

Date
Form No. : ITR-PAG-008
 INSPECTION AND TEST REPORT REPORT. NO. :

FOR FINAL CHECK PAGE : OF

PROJECT: JOB NO.:

Area / Unit : Date :

Location : Subcon. Name :

No. Item to check Result No. Item to check Result

1 GENERAL 3 PIPE SUPPORT

1.1 Line size correct. 3.1 Field supports installed

1.2 Material correct 3.2 Spring hangers properly installed

1.3 Flange rating correct

1.4 Welding completed 4 GASKET AND BOLT

1.5 Line slope & location per Dwg. 4.1 Gasket & bolt type correct

1.6 NDE completed 4.2 Material & size correct

1.7 Stress relieving completed

5 TEMPORARY ITEMS FOR TEST

2 VALVES 5.1 Temporary pipe spool installed

2.1 Flow direction correct 5.2 Test blinds correctly installed

2.2 Bolts and nuts correct 5.3 Removal Items checked

2.3 Stock code no. correct 5.4 Pressure gauge calibration

3.3 Stem oriented properly

3.4 Valve test completed

Note :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name
Signature

Date
Form No. : ITR-PAG-009
 PUNCH LIST REPORT NO. :
FOR A/G INSTALLATION WORK PAGE : OF

PROJECT : JOB NO. :

Drawing No. Sh't Rev. Cat. Issued By Cleared By Verified By Verified by

Description
No. /Location No. No. A/B/C Date Subcon. Contractor Client
 PUNCH LIST REPORT NO. :
FOR A/G INSTALLATION WORK PAGE : OF

PROJECT : JOB NO. :

Drawing No. Sh't Rev. Cat. Issued By Cleared By Verified By Verified by

Description
No. /Location No. No. A/B/C Date Subcon. Contractor Client

Category Legend A : Before Test B : Before precommissioning C : Before Commissioning

Form No. : ITR-PAG-010
 INSPECTION AND TEST REPORT REPORT. NO. :
FOR TIE-IN WORKS PAGE : OF

PROJECT: JOB NO.:

Area / Unit : Date :

Location : Subcon. Name :

Tie-in Package No. :

Tin-in Drawings No. : Rev. No. :

Existing Line Description :

Type of Connection : Mat'l Used :

Welder NDE Inspection Results

No. Type Remark
No. Report No. Accept Reject

BOLT UP WORK

Inspection Result
Description Remarks
Accept Reject
Correct Type of Gasket is used.
Correct Type of Blind Flange is used.
Correct Type of Valves is installed.
Correct Bolt & Nuts were used.

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client
 Name
Signature

Date
Form No. : ITR-PAG-011
 INSPECTION AND TEST REPORT REPORT. NO. :
FOR PIPE SUPPORT PAGE : OF

PROJECT: JOB NO.:

Area / Unit : Date :

Location : Subcon. Name :

Name of Support and Identification No. :

Ref. Spec. / DWG. No. :

1) Type of Inspection

Inspection / Test / Examination / Check

2) Inspection Item

3) Inspection Result

4) Remarks

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name
Signature

Date
Form No. : ITR-PAG-012