Technical Query Request Form Revision: 001

PART 1 COMPLETED BY ORIGINATOR

Originator’s Name Originator Signature

Contractor Date

Subject TQ No. Revision No.

SIPD Site Representative SIPD Site Representative

Name signature

Documentation Involved:

System/Sub-system No.

Please ‘check’ the categories Engineering , Specification , Material , Quality , Construction , Commissioning , HSE

Please ‘check’ the priority: High , Medium , Low

DETAILS OF ENQUIRY
(Provide full details of the query, using a continuation sheet as appropriate, and attaching copies of relevant marked-up drawings and any other
supporting documentation):

ORIGINATORS RECOMMENDATION(S)

PART 2 ENGINEERING RECOMMENDATIONS

RECOMMENDATION(S) Accepted , Accepted with comments , Rejected

Discipline Engineer
Name & Position

Discipline Engineer
Date
Signature

PART 3 APPROVAL

Engineering Lead agrees with actions proposed as response to Technical Query.

Engineering Lead
Date
Name &Signature

NOTE: The Engineering Lead shall ensure that Process Risk Management (PRM), Health, Environment, Safety and Security (HESS) and Quality
Control (QC) issues are addressed if applicable.
 Technical Query Request Form Revision: 001

PART 4 WORK IMPLEMENTATION

SI / FI / VO / Design
Follow Engineering If necessary, work to be completed under
Engineering workpack
Recommendations the following Instruction:
Number:

TITLE NAME SIGNATURE DATE

SIPD Representative

PART 5 POST WORK VERIFICATION & INSPECTION

The undersigned hereby agree that the above actions have been inspected and are complete.
This includes updates to Go Completions database for tags, ITR’s etc.

TITLE NAME SIGNATURE DATE

Originator

SIPD Representative

PART 6 CLOSEOUT

TITLE NAME SIGNATURE DATE

SIPD Representative

TQ Administrator

On completion, TQ Administrator to send signed TQ form to originator and Completions Closeout Coordinator, and store records.