SUBSIDIARY: DEPARTMENT : INSPECTOR(S) :

CORROSION AND COATING INTEGRITY INVENTORY FORM FOR OFFSHORE INSTALLATIONS Page: 1/11

Process U, Str, equipmt : Age: Abandon Date:

Date of Date of last Date of last Estimated Date of next
TYPE ( FSO, FPSO, Plateform, Jacket etc …) PROCESS (Gas,Oil,W.Injection etc..)
Inspection Inspection refurbishement refurbishment

Area(s) inspected Area(s) inspected Area(s) Refurbished Area(s) to be Refurbished

CONCLUSION OF INSPECTION:
( Brief and Main Comments)

ACTIONS MADE WITH REGARD TO SEVERE

CORROSION FOUND:

Documents required to carry inspection: Equipements requiered to carry inspection:

Work Permit, Specific safety equipement and instructions
Corrosion Insp. Inventory Form + Associate guide line, Binoculars, Digital Camera , DFT Measurement device,
Previous relevant inspection data (if any), Scrapper and Hammer (Brass type), portable UT meter

ISO 4628/ 1 to 6 Chalk , Marker, laser measurement device and Decameter , Pen and Notebook.

COLOUR
Measurement STATED CONDITION AT INSPECTION
CODE
Comments

Access to area
Scaffold Corrosion degree break down for the
Surface Picture Cleanliness in % NO COMMENTS
Volume for whole UNIT
% 100% access

Dust and/or = or >Ri3 = or >Ri4 = or > Ri5

M² Measured Estimated M³ N°
Light Oil
Heavy Oil =or<Ri2 COMMENTS

SEVERE C0RROSION (to be investigated urgently by relevant speciality as it may affect Safety and/or
structural integrity).
Note: All Red cell must lead to reporting in order to “Ring a bell”
GRAND TOTAL 0 0 0 0 0 0 0 0 0 0
close to relevant specialist.
SUBSIDIARY: DEPARTMENT : INSPECTOR(S) :

Process Unit, Structure, equipmt Date of Inspection PAGE

AREA + Elevation
2/11
Measurement STATED CONDITION AT INSPECTION

Rust degree evaluation

Access to area ( As per ISO 4628/3) NO COMMENTS
Date of next Date of Next
Surface Scaffold Picture Cleanliness in % Note: Cummulated % (Ri3+Ri4+Ri5) cannot inspection for refurbishment for
HELIDECK EL. + 27.300 Volume for exceed 100%. this level this level
% 100% access COMMENTS

SEVERE C0RROSION (to be investigated

Dust and/or = or >Ri3 = or >Ri4 = or > Ri5
M² Measured Estimated M³ N°
Light Oil
Heavy Oil =or<Ri2 urgently by relevant speciality as it may
affect Safety and/or integrity).

Colour
Area Items Total M² of area 0 0 0 0 0 0 0 0 0 0
Code Comments

Deck Plate 0 0 100 0 100 0 100 0 0 0

Safety net 0 0 100 0 100 0 100 0 0 0

Deck Framing - Underside of Deck Plate - Supporting Structure 0 0 100 0 100 0 100 0 0 0

Stairway to Intermediate Platform and UpperDeck 0 0 100 0 100 0 100 0 0 0

Remedial 0 0 100 0 100 0 100 0 0 0

(Fire fighting platform) Deck Plating (checkered plate) 0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

Total in M² 0 0 0 0 0 0 0 0 0 0
SUBSIDIARY: DEPARTMENT : INSPECTOR(S) :

Process Unit, Structure, equipmt Date of Inspection PAGE

AREA + Elevation
3/11
Measurement STATED CONDITION AT INSPECTION

Corrosion degree evaluation

Access to area ( As per ISO 4628/3) NO COMMENTS
Date of next Date of Next
Surface Scaffold Picture Cleanliness in % Note: Cummulated % (Ri3+Ri4+Ri5) inspection for refurbishment for
UPPER DECK EL. + 19.600 Volume for cannot exceed 100%.
this level this level
% 100% access COMMENTS

SEVERE C0RROSION (to be investigated

Dust and/or = or >Ri3 = or >Ri4 = or > Ri5
M² Measured Estimated M³ N°
Light Oil
Heavy Oil =or<Ri2 urgently by relevant speciality as it may
affect Safety and/or structural integrity).

Colour
Area Items Total M² of area 0 0 0 0 0 0 0 0 0 0
Code Comments

Structure from underside Helideck to Upper Deck 0 0 100 0 100 0 100 0 0 0

Deck Plating (checkered plate) 0 0 100 0 100 0 100 0 0 0

Deck Framing and underside of Deck Plate 0 0 100 0 100 0 100 0 0 0

Accommodation and Electrical Cabin 0 0 100 0 100 0 100 0 0 0

Handrails 0 0 100 0 100 0 100 0 0 0

Piping and Supports 0 0 100 0 100 0 100 0 0 0

Piping Bolting 0 0 100 0 100 0 100 0 0 0

Gutters 0 0 100 0 100 0 100 0 0 0

Crane 0 0 100 0 100 0 100 0 0 0

Stairway to Lower Deck 0 0 100 0 100 0 100 0 0 0

Remedial 0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

Total in M² 0 0 0 0 0 0 0 0 0 0
SUBSIDIARY: DEPARTMENT : INSPECTOR(S) :

Process Unit, Structure, equipmt Date of Inspection PAGE

AREA + Elevation
4/11
Measurement STATED CONDITION AT INSPECTION

Corrosion degree evaluation

Access to area ( As per ISO 4628/3) NO COMMENTS
Date of next Date of Next
Surface Scaffold Picture Cleanliness in % Note: Cummulated % (Ri3+Ri4+Ri5) inspection for refurbishment for
LOWER DECK EL. + 14.600 Volume for cannot exceed 100%.
this level this level
% 100% access COMMENTS

SEVERE C0RROSION (to be investigated

Dust and/or = or >Ri3 = or >Ri4 = or > Ri5
M² Measured Estimated M³ N°
Light Oil
Heavy Oil =or<Ri2 urgently by relevant speciality as it may
affect Safety and/or structural integrity).

Colour
Area Items Total M² of area 0 0 0 0 0 0 0 0 0 0
Code Comments

Structure from underside Lower Deck to Cellar Deck 0 0 100 0 100 0 100 0 0 0

Deck Plating (checkered plate) 0 0 100 0 100 0 100 0 0 0

Deck Framing and underside of Deck Plate 0 0 100 0 100 0 100 0 0 0

Handrails 0 0 100 0 100 0 100 0 0 0

Piping and Supports 0 0 100 0 100 0 100 0 0 0

Piping Bolting 0 0 100 0 100 0 100 0 0 0

Equipment : Vessels, Injection Packages, etc… 0 0 100 0 100 0 100 0 0 0

Equipment Skids 0 0 100 0 100 0 100 0 0 0

Stairway to Cellar Deck 0 0 100 0 100 0 100 0 0 0

Ducting 0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

Total in M² 0 0 0 0 0 0 0 0 0 0
SUBSIDIARY: DEPARTMENT : INSPECTOR(S) :

Process Unit, Structure, equipmt Date of Inspection PAGE

AREA + Elevation
5/11
Measurement STATED CONDITION AT INSPECTION

Corrosion degree evaluation

Access to area ( As per ISO 4628/3) NO COMMENTS
Date of next Date of Next
Surface Scaffold Picture Cleanliness in % Note: Cummulated % (Ri3+Ri4+Ri5) inspection for refurbishment for
CELLAR DECK EL. + 10.100 Volume for cannot exceed 100%.
this level this level
% 100% access COMMENTS

SEVERE C0RROSION (to be investigated

Dust and/or = or >Ri3 = or >Ri4 = or > Ri5
M² Measured Estimated M³ N°
Light Oil
Heavy Oil =or<Ri2 urgently by relevant speciality as it may
affect Safety and/or structural integrity).

Colour
Area Items Total M² of area 0 0 0 0 0 0 0 0 0 0
Code Comments

Structure from Below Lower Deck to Cellar Deck T.O.P. 0 0 100 0 100 0 100 0 0 0

Deck Plating (checkered plate) 0 0 100 0 100 0 100 0 0 0

Deck Framing and underside of Deck Plate 0 0 100 0 100 0 100 0 0 0

Handrails 0 0 100 0 100 0 100 0 0 0

Piping and Supports 0 0 100 0 100 0 100 0 0 0

Piping Bolting 0 0 100 0 100 0 100 0 0 0

Equipment and Connected Piping 0 0 100 0 100 0 100 0 0 0

Christmas Trees 0 0 100 0 100 0 100 0 0 0

Conductor Pipes 0 0 100 0 100 0 100 0 0 0

Stairway to Lower Deck 0 0 100 0 100 0 100 0 0 0

Stairway to Jacket 0 0 100 0 100 0 100 0 0 0

Remedial 0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

Total in M² 0 0 0 0 0 0 0 0 0 0
SUBSIDIARY: DEPARTMENT : INSPECTOR(S) :

Process Unit, Structure, equipmt Date of Inspection PAGE

AREA + Elevation
6/11
Measurement STATED CONDITION AT INSPECTION

Corrosion degree evaluation

Access to area ( As per ISO 4628/3) NO COMMENTS
Date of next Date of Next
Surface Scaffold Picture Cleanliness in % Note: Cummulated % (Ri3+Ri4+Ri5) inspection for refurbishment for
BELOW CELLAR DECK to MSL Volume for cannot exceed 100%.
this level this level
% 100% access COMMENTS

SEVERE C0RROSION (to be investigated

Dust and/or = or >Ri3 = or >Ri4 = or > Ri5
M² Measured Estimated M³ N°
Light Oil
Heavy Oil =or<Ri2 urgently by relevant speciality as it may
affect Safety and/or structural integrity).

Colour
Area Items Total M² of area 0 0 0 0 0 0 0 0 0 0
Code Comments

TOP OF JACKET 0 0 100 0 100 0 100 0 0 0

Conductor Pipes 0 0 100 0 100 0 100 0 0 0

Risers 0 0 100 0 100 0 100 0 0 0

Walkway structure and Grattings 0 0 100 0 100 0 100 0 0 0

Handrails 0 0 100 0 100 0 100 0 0 0

Jacket Legs and Bracings 0 0 100 0 100 0 100 0 0 0

Stairway to Boat Landing 0 0 100 0 100 0 100 0 0 0

Remedial 0 0 100 0 100 0 100 0 0 0

BOAT LANDING 0 0 100 0 100 0 100 0 0 0

Structure 0 0 100 0 100 0 100 0 0 0

Grattings 0 0 100 0 100 0 100 0 0 0

Ladders 0 0 100 0 100 0 100 0 0 0

Fenders 0 0 100 0 100 0 100 0 0 0

Remedial 0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

Total in M² 0 0 0 0 0 0 0 0 0 0
SUBSIDIARY: DEPARTMENT : INSPECTOR(S) :

Process Unit, Structure, equipmt Date of Inspection PAGE

AREA + Elevation
7/11
Measurement STATED CONDITION AT INSPECTION

Corrosion degree evaluation

Access to area ( As per ISO 4628/3) NO COMMENTS
Date of next Date of Next
Surface Scaffold Picture Cleanliness in % Note: Cummulated % (Ri3+Ri4+Ri5) inspection for refurbishment for
Volume for cannot exceed 100%.
% 100% access COMMENTS this level this level

SEVERE C0RROSION (to be investigated

Dust and/or = or >Ri3 = or >Ri4 = or > Ri5
M² Measured Estimated M³ N°
Light Oil
Heavy Oil =or<Ri2 urgently by relevant speciality as it may
affect Safety and/or structural integrity).

Colour
Area Items Total M² of area 0 0 0 0 0 0 0 0 0 0
Code Comments

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

Total in M² 0 0 0 0 0 0 0 0 0 0
SUBSIDIARY: DEPARTMENT : INSPECTOR(S) :

Process Unit, Structure, equipmt Date of Inspection PAGE

AREA + Elevation
8/11
Measurement STATED CONDITION AT INSPECTION

Corrosion degree evaluation

Access to area ( As per ISO 4628/3) NO COMMENTS
Date of next Date of Next
Surface Scaffold Picture Cleanliness in % Note: Cummulated % (Ri3+Ri4+Ri5) inspection for refurbishment for
Volume for cannot exceed 100%.
% 100% access COMMENTS this level this level

SEVERE C0RROSION (to be investigated

Dust and/or = or >Ri3 = or >Ri4 = or > Ri5
M² Measured Estimated M³ N°
Light Oil
Heavy Oil =or<Ri2 urgently by relevant speciality as it may
affect Safety and/or structural integrity).

Colour
Area Items Total M² of area 0 0 0 0 0 0 0 0 0 0
Code Comments

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

Total in M² 0 0 0 0 0 0 0 0 0 0
SUBSIDIARY: DEPARTMENT : INSPECTOR(S) :

Process Unit, Structure, equipmt Date of Inspection PAGE

AREA + Elevation
9/11
Measurement STATED CONDITION AT INSPECTION

Corrosion degree evaluation

Access to area ( As per ISO 4628/3) NO COMMENTS
Date of next Date of Next
Surface Scaffold Picture Cleanliness in % Note: Cummulated % (Ri3+Ri4+Ri5) inspection for refurbishment for
Volume for cannot exceed 100%.
% 100% access COMMENTS this level this level

SEVERE C0RROSION (to be investigated

Dust and/or = or >Ri3 = or >Ri4 = or > Ri5
M² Measured Estimated M³ N°
Light Oil
Heavy Oil =or<Ri2 urgently by relevant speciality as it may
affect Safety and/or structural integrity).

Colour
Area Items Total M² of area 0 0 0 0 0 0 0 0 0 0
Code Comments

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

Total in M² 0 0 0 0 0 0 0 0 0 0
SUBSIDIARY: DEPARTMENT : INSPECTOR(S) :

Process Unit, Structure, equipmt Date of Inspection PAGE

AREA + Elevation
10/11
Measurement STATED CONDITION AT INSPECTION

Corrosion degree evaluation

Access to area ( As per ISO 4628/3) NO COMMENTS
Date of next Date of Next
Surface Scaffold Picture Cleanliness in % Note: Cummulated % (Ri3+Ri4+Ri5) inspection for refurbishment for
Volume for cannot exceed 100%.
% 100% access COMMENTS this level this level

SEVERE C0RROSION (to be investigated

Dust and/or = or >Ri3 = or >Ri4 = or > Ri5
M² Measured Estimated M³ N°
Light Oil
Heavy Oil =or<Ri2 urgently by relevant speciality as it may
affect Safety and/or structural integrity).

Colour
Area Items Total M² of area 0 0 0 0 0 0 0 0 0 0
Code Comments

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

Total in M² 0 0 0 0 0 0 0 0 0 0
SUBSIDIARY: DEPARTMENT : INSPECTOR(S) :

CORROSION AND COATING INTEGRITY INVENTORY FORM FOR OFFSHORE INSTALLATIONS Page: 11/11

Process U, Str, equipmt : Age: Abandon Date:

Date of last Date of last Estimated Date of next

TYPE ( FSO, FPSO, Platform, Jacket etc …) PROCESS (Gas,Oil,W.Injection etc..) Date of Inspection
Inspection refurbishement refurbishment

Area inspected Area inspected Area Refurbished Area to be Refurbished

ITEM ELEVATION INSPECTION COMMENTS

SUBSIDIARY: DEPARTMENT : INSPECTOR(S) :

CORROSION INSPECTION INVENTORY FORM for OFFSHORE STRUCTURES Page: 1/11

UNIT : Age: Abandon Date:

Date of last Estimated Date of next
TYPE ( FSO, FPSO, Plateform, Jacket etc …) PROCESS (Gas,Oil,W.Injection etc..) Date of Inspection Date of last Inspection
refurbishement refurbishment

Area(s) inspected Area(s) inspected Area(s) Refurbished Area(s) to be Refurbished

CONCLUSION OF INSPECTION:
( Brief and Main Comments)

ACTIONS MADE WITH REGARD TO SEVERE

CORROSION FOUND:

Documents required to carry inspection: Equipements requiered to carry inspection:

Work Permit, Specific safety equipement and instructions
Corrosion Insp. Inventory Form + Associate guide line, Binoculars, Digital Camera , DFT Measurement device,

Previous relevant inspection data (if any), Scrapper and Hammer (Brass type),

ISO 4628/ 1 to 6 Chalk , Marker, laser measurement device and Decameter , Pen and Notebook.

COLOUR
Measurement STATED CONDITION AT INSPECTION
CODE
Comments

Access to area

Surface Scaffold Picture Cleanliness in % Corrosion degree break down for the whole UNIT NO COMMENTS
% Volume for
100%
access

Dust and/or = or >Ri3 = or >Ri4

M² Measured Estimated M³ N°
Light Oil
Heavy Oil =or<Ri2 = or > Ri5 COMMENTS

GRAND TOTAL
SUBSIDIARY: DEPARTMENT : INSPECTOR(S) :

UNIT Date of Inspection PAGE

AREA + Elevation

2/6
Measurement STATED CONDITION AT INSPECTION

Corrosion degree evaluation

Access to area ( As per ISO 4628/3) Note: NO COMMENTS
Date of next Date of Next
Surface Scaffold Picture Cleanliness in % Cummulated % (Ri3+Ri4+Ri5) cannot exceed 100%. INSPECTION REFURBISHEMENT
ELEVATION + 17.935 Volume for
for this level for this level
% 100%
access
COMMENTS

SEVERE C0RROSION (to be investigated urgently by

Dust and/or = or >Ri3 = or >Ri4
M² Measured Estimated M³ N°
Light Oil
Heavy Oil =or<Ri2 = or > Ri5 relevant speciality as it may affect Safety and/or structural
integrity).

Area Items Total M² of area 0 0 0 0 0 0 0 0 0 0 Colour Code Comments

Deck Flooring Plate 0 0 100 0 100 0 100 0 0 0

Deck Framing - Underside of Deck Plate 0 0 100 0 100 0 100 0 0 0

Handrails 0 0 100 0 100 0 100 0 0 0

Crane 0 0 100 0 100 0 100 0 0 0

Piping and Supports 0 0 100 0 100 0 100 0 0 0

Equipment - Vessel 0 0 100 0 100 0 100 0 0 0

Remedial 0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

Total in M² 0 0 0 0 0 0 0 0 0 0
SUBSIDIARY: DEPARTMENT : INSPECTOR(S) :

UNIT Date of Inspection PAGE

AREA + Elevation

3/6
Measurement STATED CONDITION AT INSPECTION

Corrosion degree evaluation

Access to area ( As per ISO 4628/3) Note: NO COMMENTS
Date of next Date of Next
Surface Scaffold Picture Cleanliness in % Cummulated % (Ri3+Ri4+Ri5) cannot exceed 100%. INSPECTION REFURBISHEMENT
ELEVATION + 14.315 Volume for
for this level for this level
% 100%
access
COMMENTS

SEVERE C0RROSION (to be investigated urgently by

Dust and/or = or >Ri3 = or >Ri4
M² Measured Estimated M³ N°
Light Oil
Heavy Oil =or<Ri2 = or > Ri5 relevant speciality as it may affect Safety and/or structural
integrity).

Area Items Total M² of area 0 0 0 0 0 0 0 0 0 0 Colour Code Comments

Structure from Elevation + 17.935 to + 14.315 0 0 100 0 100 0 100 0 0 0

Deck Flooring Plate 0 0 100 0 100 0 100 0 0 0

Deck Framing - Underside of Deck Plate 0 0 100 0 100 0 100 0 0 0

Handrails 0 0 100 0 100 0 100 0 0 0

Piping and Supports 0 0 100 0 100 0 100 0 0 0

Ladder & Cadged Ladder 0 0 100 0 100 0 100 0 0 0

Remedial 0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

Total in M² 0 0 0 0 0 0 0 0 0 0
SUBSIDIARY: DEPARTMENT : INSPECTOR(S) :

UNIT Date of Inspection PAGE

AREA + Elevation

4/6
Measurement STATED CONDITION AT INSPECTION

Corrosion degree evaluation

Access to area ( As per ISO 4628/3) Note: NO COMMENTS
Date of next Date of Next
Surface Scaffold Picture Cleanliness in % Cummulated % (Ri3+Ri4+Ri5) cannot exceed 100%. INSPECTION REFURBISHEMENT
BELOW ELEVATION +14.315 to + 3.500 Volume for
for this level for this level
% 100%
access
COMMENTS

SEVERE C0RROSION (to be investigated urgently by

Dust and/or = or >Ri3 = or >Ri4
M² Measured Estimated M³ N°
Light Oil
Heavy Oil =or<Ri2 = or > Ri5 relevant speciality as it may affect Safety and/or structural
integrity).

Area Items Total M² of area 0 0 0 0 0 0 0 0 0 0 Colour Code Comments

Jaket Legs 0 0 100 0 100 0 100 0 0 0

Structural Bracings 0 0 100 0 100 0 100 0 0 0

Cadged Ladder 0 0 100 0 100 0 100 0 0 0

Piping and Supports 0 0 100 0 100 0 100 0 0 0

Remedial 0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

Total in M² 0 0 0 0 0 0 0 0 0 0
SUBSIDIARY: DEPARTMENT : INSPECTOR(S) :

UNIT Date of Inspection PAGE

AREA + Elevation
5/6
Measurement STATED CONDITION AT INSPECTION

Corrosion degree evaluation

Access to area ( As per ISO 4628/3) Note: NO COMMENTS
Date of next Date of Next
Surface Scaffold Picture Cleanliness in % Cummulated % (Ri3+Ri4+Ri5) cannot exceed 100%. INSPECTION REFURBISHEMENT
ELEVATION + 3.500 to MSL %
Volume for
100% COMMENTS for this level for this level
access

SEVERE C0RROSION (to be investigated urgently by

Dust and/or = or >Ri3 = or >Ri4
M² Measured Estimated M³ N°
Light Oil
Heavy Oil =or<Ri2 = or > Ri5 relevant speciality as it may affect Safety and/or structural
integrity).

Area Items Total M² of area 0 0 0 0 0 0 0 0 0 0 Colour Code Comments

Jaket Legs 0 0 100 0 100 0 100 0 0 0

Structural Bracings 0 0 100 0 100 0 100 0 0 0

Walkway Structure 0 0 100 0 100 0 100 0 0 0

Walkway Handrails 0 0 100 0 100 0 100 0 0 0

Stairway from Jacket Walkway to Boat Landing 0 0 100 0 100 0 100 0 0 0

Boat Landing Structure 0 0 100 0 100 0 100 0 0 0

Remedial 0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

Total in M² 0 0 0 0 0 0 0 0 0 0
SUBSIDIARY: DEPARTMENT : INSPECTOR(S) :

CORROSION INSPECTION INVENTORY FORM for OFFSHORE STRUCTURES Page: 6/6

UNIT : Age: Abandon Date:

Estimated Date of next

TYPE ( FSO, FPSO, Platform, Jacket etc …) PROCESS (Gas,Oil,W.Injection etc..) Date of Inspection Date of last Inspection Date of last refurbishement
refurbishment

Area inspected Area inspected Area Refurbished Area to be Refurbished

ITEM ELEVATION INSPECTION COMMENTS

SUBSIDIARY: DEPARTMENT : INSPECTOR(S) :

CORROSION INSPECTION INVENTORY FORM for OFFSHORE STRUCTURES Page: 1/11

UNIT : Age: Abandon Date:

Date of last Estimated Date of next
TYPE ( FSO, FPSO, Plateform, Jacket etc …) PROCESS (Gas,Oil,W.Injection etc..) Date of Inspection Date of last Inspection
refurbishement refurbishment

Area(s) inspected Area(s) inspected Area(s) Refurbished Area(s) to be Refurbished

CONCLUSION OF INSPECTION: (
Brief and Main Comments)

ACTIONS MADE WITH REGARD TO SEVERE

CORROSION FOUND:

Documents required to carry inspection: Equipements requiered to carry inspection:

Work Permit, Specific safety equipement and instructions
Corrosion Insp. Inventory Form + Associate guide line, Binoculars, Digital Camera , DFT Measurement device,

Previous relevant inspection data (if any), Scrapper and Hammer (Brass type),

ISO 4628/ 1 to 6 Chalk , Marker, laser measurement device and Decameter , Pen and Notebook.

Measurement STATED CONDITION AT INSPECTION COLOUR CODE Comments

Access to area

Surface Picture Cleanliness in % Corrosion degree break down for the whole UNIT NO COMMENTS
% Scaffold
Volume for
100% access

Dust and/or = or >Ri3 = or >Ri4

M² Measured Estimated M³ N°
Light Oil
Heavy Oil =or<Ri2 = or > Ri5 COMMENTS

GRAND TOTAL
SUBSIDIARY: DEPARTMENT : INSPECTOR(S) :

UNIT Date of Inspection PAGE

AREA + Elevation
2/11
Measurement STATED CONDITION AT INSPECTION

Corrosion degree evaluation

Access to area ( As per ISO 4628/3) NO COMMENTS
Date of next Date of Next
Surface Picture Cleanliness in % Note: Cummulated % (Ri3+Ri4+Ri5) cannot exceed 100%. INSPECTION for REFURBISHEMENT
Scaffold
% Volume for COMMENTS this level for this level
100% access

SEVERE C0RROSION (to be investigated urgently by

Dust and/or = or >Ri3 = or >Ri4
M² Measured Estimated M³ N°
Light Oil
Heavy Oil =or<Ri2 = or > Ri5 relevant speciality as it may affect Safety and/or structural
integrity).

Area Items Total M² of area 0 0 0 0 0 0 0 0 0 0 Colour Code Comments

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

Total in M² 0 0 0 0 0 0 0 0 0 0
SUBSIDIARY: DEPARTMENT : INSPECTOR(S) :

UNIT Date of Inspection PAGE

AREA + Elevation
3/11
Measurement STATED CONDITION AT INSPECTION

Corrosion degree evaluation

Access to area ( As per ISO 4628/3) NO COMMENTS
Date of next Date of Next
Surface Picture Cleanliness in % Note: Cummulated % (Ri3+Ri4+Ri5) cannot exceed 100%. INSPECTION for REFURBISHEMENT
Scaffold
% Volume for COMMENTS this level for this level
100% access

SEVERE C0RROSION (to be investigated urgently by

Dust and/or = or >Ri3 = or >Ri4
M² Measured Estimated M³ N°
Light Oil
Heavy Oil =or<Ri2 = or > Ri5 relevant speciality as it may affect Safety and/or structural
integrity).

Area Items Total M² of area 0 D92 0 0 0 0 0 0 0 0 Colour Code Comments

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

Total in M² 0 0 0 0 0 0 0 0 0 0
SUBSIDIARY: DEPARTMENT : INSPECTOR(S) :

UNIT Date of Inspection PAGE

AREA + Elevation
4/11
Measurement STATED CONDITION AT INSPECTION

Corrosion degree evaluation

Access to area ( As per ISO 4628/3) NO COMMENTS
Date of next Date of Next
Surface Picture Cleanliness in % Note: Cummulated % (Ri3+Ri4+Ri5) cannot exceed 100%. INSPECTION for REFURBISHEMENT
Scaffold
% Volume for COMMENTS this level for this level
100% access

SEVERE C0RROSION (to be investigated urgently by

Dust and/or = or >Ri3 = or >Ri4
M² Measured Estimated M³ N°
Light Oil
Heavy Oil =or<Ri2 = or > Ri5 relevant speciality as it may affect Safety and/or structural
integrity).

Area Items Total M² of area 0 0 0 0 0 0 0 0 0 0 Colour Code Comments

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

Total in M² 0 0 0 0 0 0 0 0 0 0
SUBSIDIARY: DEPARTMENT : INSPECTOR(S) :

UNIT Date of Inspection PAGE

AREA + Elevation
5/11
Measurement STATED CONDITION AT INSPECTION

Corrosion degree evaluation

Access to area ( As per ISO 4628/3) NO COMMENTS
Date of next Date of Next
Surface Picture Cleanliness in % Note: Cummulated % (Ri3+Ri4+Ri5) cannot exceed 100%. INSPECTION for REFURBISHEMENT
Scaffold
% Volume for COMMENTS this level for this level
100% access

SEVERE C0RROSION (to be investigated urgently by

Dust and/or = or >Ri3 = or >Ri4
M² Measured Estimated M³ N°
Light Oil
Heavy Oil =or<Ri2 = or > Ri5 relevant speciality as it may affect Safety and/or structural
integrity).

Area Items Total M² of area 0 0 0 0 0 0 0 0 0 0 Colour Code Comments

0 0 100 0 100 0 35 10 30 25

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

Total in M² 0 0 0 0 0 0 0 0 0 0
SUBSIDIARY: DEPARTMENT : INSPECTOR(S) :

UNIT Date of Inspection PAGE

AREA + Elevation
6/11
Measurement STATED CONDITION AT INSPECTION

Corrosion degree evaluation

Access to area ( As per ISO 4628/3) NO COMMENTS
Date of next Date of Next
Surface Picture Cleanliness in % Note: Cummulated % (Ri3+Ri4+Ri5) cannot exceed 100%. INSPECTION for REFURBISHEMENT
Scaffold
% Volume for COMMENTS this level for this level
100% access

SEVERE C0RROSION (to be investigated urgently by

Dust and/or = or >Ri3 = or >Ri4
M² Measured Estimated M³ N°
Light Oil
Heavy Oil =or<Ri2 = or > Ri5 relevant speciality as it may affect Safety and/or structural
integrity).

Area Items Total M² of area 0 0 0 0 0 0 0 0 0 0 Colour Code Comments

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

Total in M² 0 0 0 0 0 0 0 0 0 0
SUBSIDIARY: DEPARTMENT : INSPECTOR(S) :

UNIT Date of Inspection PAGE

AREA + Elevation
7/11
Measurement STATED CONDITION AT INSPECTION

Corrosion degree evaluation

Access to area ( As per ISO 4628/3) NO COMMENTS
Date of next Date of Next
Surface Picture Cleanliness in % Note: Cummulated % (Ri3+Ri4+Ri5) cannot exceed 100%. INSPECTION for REFURBISHEMENT
Scaffold
% Volume for COMMENTS this level for this level
100% access

SEVERE C0RROSION (to be investigated urgently by

Dust and/or = or >Ri3 = or >Ri4
M² Measured Estimated M³ N°
Light Oil
Heavy Oil =or<Ri2 = or > Ri5 relevant speciality as it may affect Safety and/or structural
integrity).

Area Items Total M² of area 0 0 0 0 0 0 0 0 0 0 Colour Code Comments

0 0 100 0 100 0 100 0 0 0 H

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

Total in M² 0 0 0 0 0 0 0 0 0 0
SUBSIDIARY: DEPARTMENT : INSPECTOR(S) :

UNIT Date of Inspection PAGE

AREA + Elevation
8/11
Measurement STATED CONDITION AT INSPECTION

Corrosion degree evaluation

Access to area ( As per ISO 4628/3) NO COMMENTS
Date of next Date of Next
Surface Picture Cleanliness in % Note: Cummulated % (Ri3+Ri4+Ri5) cannot exceed 100%. INSPECTION for REFURBISHEMENT
Scaffold
% Volume for COMMENTS this level for this level
100% access

SEVERE C0RROSION (to be investigated urgently by

Dust and/or = or >Ri3 = or >Ri4
M² Measured Estimated M³ N°
Light Oil
Heavy Oil =or<Ri2 = or > Ri5 relevant speciality as it may affect Safety and/or structural
integrity).

Area Items Total M² of area 0 0 0 0 0 0 0 0 0 0 Colour Code Comments

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

Total in M² 0 0 0 0 0 0 0 0 0 0
SUBSIDIARY: DEPARTMENT : INSPECTOR(S) :

UNIT Date of Inspection PAGE

AREA + Elevation
9/11
Measurement STATED CONDITION AT INSPECTION

Corrosion degree evaluation

Access to area ( As per ISO 4628/3) NO COMMENTS
Date of next Date of Next
Surface Picture Cleanliness in % Note: Cummulated % (Ri3+Ri4+Ri5) cannot exceed 100%. INSPECTION for REFURBISHEMENT
Scaffold
% Volume for COMMENTS this level for this level
100% access

SEVERE C0RROSION (to be investigated urgently by

Dust and/or = or >Ri3 = or >Ri4
M² Measured Estimated M³ N°
Light Oil
Heavy Oil =or<Ri2 = or > Ri5 relevant speciality as it may affect Safety and/or structural
integrity).

Area Items Total M² of area 0 0 0 0 0 0 0 0 0 0 Colour Code Comments

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

Total in M² 0 0 0 0 0 0 0 0 0 0
SUBSIDIARY: DEPARTMENT : INSPECTOR(S) :

UNIT Date of Inspection PAGE

AREA + Elevation
10/11
Measurement STATED CONDITION AT INSPECTION

Corrosion degree evaluation

Access to area ( As per ISO 4628/3) NO COMMENTS
Date of next Date of Next
Surface Picture Cleanliness in % Note: Cummulated % (Ri3+Ri4+Ri5) cannot exceed 100%. INSPECTION for REFURBISHEMENT
Scaffold
% Volume for COMMENTS this level for this level
100% access

SEVERE C0RROSION (to be investigated urgently by

Dust and/or = or >Ri3 = or >Ri4
M² Measured Estimated M³ N°
Light Oil
Heavy Oil =or<Ri2 = or > Ri5 relevant speciality as it may affect Safety and/or structural
integrity).

Area Items Total M² of area 0 0 0 0 0 0 0 0 0 0 Colour Code Comments

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

0 0 100 0 100 0 100 0 0 0

Total in M² 0 0 0 0 0 0 0 0 0 0
SUBSIDIARY: DEPARTMENT : INSPECTOR(S) :

CORROSION INSPECTION INVENTORY FORM for OFFSHORE STRUCTURES Page: 11/11

UNIT : Age: Abandon Date:

Estimated Date of next

TYPE ( FSO, FPSO, Platform, Jacket etc …) PROCESS (Gas,Oil,W.Injection etc..) Date of Inspection Date of last Inspection Date of last refurbishement
refurbishment

Area inspected Area inspected Area Refurbished Area to be Refurbished

ITEM ELEVATION INSPECTION COMMENTS

Surface for 1 line pipe meter
nominal True
m2/ml
diameter diameter
2 2.375 0.19
3 3.5 0.28
4 4.5 0.36
6 6.625 0.53
8 8.625 0.69
10 10.75 0.86
12 12.75 1.02
14 14 1.12
16 16 1.28
18 18 1.44
20 20 1.60
22 22 1.75
24 24 1.91
26 26 2.07
28 28 2.23
30 30 2.39
32 32 2.55
34 34 2.71
36 36 2.87
38 38 3.03
40 40 3.19
42 42 3.35