LONG TERM AGREEMENT FOR OFFSHORE

FACILITIES
CONTRACT No. 6600035841 (OOK)

MATERIAL REQUISITION REVIEW CHECKLIST Doc. No. 20-C-D-10-SM-H-PK-06-101

SFNY 10 SLIPOVER JACKETS, 9 SLIPOVER DECKS, Rev. X1 Date: 30.10.2016

PIPELINES, & CABLES ASSOCIATED TO SFNY
DUMMY No.:
CRPO# BI-10-00909 -

MATERIAL REQUISITION REVIEW CHECKLIST

MR DESCRIPTION : CORROSION INHIBITOR INJECTION UNIT
SAIPEM MR NO. : 20-C-D-10-SM-H-PK-06-101 9 COM No: 6000015731

SAIPEM REVIEW : DATE : 30.10.2016

ELEMENT YES NO NA REMARKS and/or SIGN DISCIPLINE

CONTRA CT WELDING REQUIREM ENTS (IF A NY ) HA V E
B EEN INCLUDED IN THE SUPPLY SPECIFICA TION PSL

ITEM DESCRIPTION STA NDA RDIZED TO SA M SS

PSL
CA TA LOGED, 9 COM , INSPECTA B LE ITEM S IDENTIFIED

SPECIFICA TIONS A RE CORRECT, STDS., A ND DRA WINGS

PSL
A RE CORRECTLY REFERENCED IN ITEM DESCRIPTION.

SA M SS/ SA ES A ND A PPLICA B LE INTERNA TIONA L

PSL
STA NDA RDS A RE REFERENCED.
REQUIRED DA TA SHEET A TTA CHED (IF A PPLICA B LE)
SERV ICE,OPERA TING CONDITIONS A ND END USE PSL
SPECIFIED.
IS M A TERIA L TA KE OFF (M TO) A PPLICA B LE A ND
PSL
REFFERED.

REV ISION DA TE OF SA M SS/ SA ES A RE SPECIFIED PSL

CORRECT INSPECTION CODE (SA -175) IDENTIFIED A ND

PSL
A TTA CHED.

INSPECTION A ND TEST REQUIREM ENTS ON SPECIA L

PSL
SA -175 DESCRIB ED (IF A PPLICA B LE) A ND INCLUDED

A PPLICA B LE NM R A TTA CHED (SA FORM 7900-7930).

PSL
SUFFICIENT QTY 603'S REQUESTED.

SPA RE PA RTS DA TA PA CKA GE REQUIREM ENTS; SA EP-

PROC
3101. GTC & SPC
V ENDOR IN A RA M CO RV L LIST OR OTHER A PPROV ED
PROC
V ENDORS LIST

HA ZA RDOUS, HEA V Y LIFT, SPECIA L M A TERIA L

PROC
REQUIREM ENTS. GTC & SPC
CA PITA L SPA RES/ STA RT-UP/ COM SPA RE
PA RTS/ PROCESS & OP. M A TERIA LS, SPECIA L TOOL PSL
M A INTENA NCE EQUIPM ENT.

V ENDOR REPRESENTA TIV E FOR SA FE STA RT-UP PSL

ENGLISH LA NGUA GE SPECIFIED PROC

GTC & SPC
V ENDOR PR DEV IA TION STA TEM ENT. PROC
GTC & SPC + ITB
SPECIA L REQUIREM ENTS (LIST IF A NY ) PSL

INSPECTION CODE A ND REQUIRED INSPECTION

QC
CORRECTLY SPECIFIED.

PROJECT DRA WINGS / SPEC. A PPROV ED A ND

PSL
M A NDA TORY STA NDA RD DRA WINGS A TTA CHED

M A TERIA L REQUISITION REV IEW CHECKLIST COM PLETED QA

QUA LITY A SSURA NCE QA

" SCHEDULE Q" LEV EL OF INSPECTION. LEV EL 0 LEV EL 1 LEV EL 2 LEV EL 3 LEV EL 4 QC

Legends: PSL - Project Specialist Leader, PROC - Procurement Department, QC - Procurement Quality ,QA-Quality Assurance
GTC - General Terms and Conditions f or Purchase, SPC - Special Purchase Conditions , ITB - Instuctions to Bidders
MR - Material Requisition