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DEPARTMENT: CONSTRUCTION MANAGEMENT

DOCUMENT TITLE: ITP & CHECK LIST FOR BASE STATIONS

PURCHASE ORDER NO: 15-KB-064

PROJECT NO: NL6945

PROJECT LOCATION: SAUDI ARABIA


PROJECT TITLE: UMM WU'AL PHOSPHATE PROJECT
CLIENT: MA'ADEN (SAUDI ARABIAN MINING COMPANY)
CLIENT PROJECT NO 2-115-12-12-2-2
CLIENT DOCUMENT NO MD-512-0G00-CN-CV-ITP-1564-0012

PM Authorisation:

APPROVALS
Rev Issue Date Pages Revision Description Prepared Checked Approved
A01 02/05/17 ISSUED FOR APPROVAL Gabi A.Abuelmaati A. Dahman

DOCUMENT ISSUED FOR:


Preliminary For Information
For Review For Use
For Approval For Enquiry
For FEED

PROPRIETARY & CONFIDENTIAL


This document and the information contained herein is Ma’aden proprietary know-how. This document
or any part thereof should not be reproduced, stored in a retrieval system or transmitted by any
means,electronic or otherwise, or divulged without prior written permission of Ma’aden.
Document Title. ITP FOR BASE STATIONS Revision A01
Ma’aden Doc No.. MD-512-OG00-CN-CV-ITP-KB64-0012 Page 2 of 2
Date 05 Feb 2017

Hold Record
Specify any Holds within the document.
Hold
Section Description of Hold
No.

Revision Tracking
Specify significant change from previous revisions of the document. (From Rev. A onwards)
Rev. Section Description of Change
A01 ISSUED FOR APPROVAL

Project Name:
UMM WU'AL PHOSPHATE PROJECT
ITP No. DATE DISCIPLINE:
INSPECTION AND TEST PLAN
ITP FOR MV, LV, CONTROL CABLE EL-ITP-006 2-Feb-17 ELECTRICAL

PROJECT TITLE: CONTRACTOR/SUBCONTRACTOR

UMM WU'AL PHOSPHATE PROJECT SBM

INSPECTION RESPONSIBILITY
PROJECT PHASE
ITEM ACCEPTANCE Verifying Document & ASSIGNMENTS
& Quality Related Activity Reference REMARKS
NO. CRITERIA Form #
ACTIVITY CODE SBM JACOBS PMC

DOCUMENT
1.0
REVIEW
MD-101-SMEM-EG-EL-SPC-
Ensure All Drawings are issued
1.1
for Construction
0001 Visual Check Approved Drawing R R R
Section 4.5
MD-101-SMEM-EG-EL-SPC-
Ensure Materials Approved Prior Material Approved
1.2
to Installation
0001 Visual Check
Document
R R R
Section 5.2
Cable Termination and MD-101-SMEM-EG-EL-SPC-
1.3 Splicing Special Work 0001 Visual Check Approved MS R R R
Procedure Section 5.9.12
MV Cable Termination and MD-101-SMEM-EG-EL-SPC-
1.4 splice personal Qualification 0001 Review Qualification Certification R R R
Certification Section 5.9.12
MATERIAL
2.0
RECEIVING
Cable Storage, Handling & MD-101-SMEM-EG-EL-SPC-
2.1 Preservation Visual 0001 Visual Check QC-CL-E-017 H W R
Inspection Section 5.3
Cable Reel Material & MD-101-SMEM-EG-EL-SPC-
2.2 Accessories Receiving 0001 Visual Check QC-CL-E-017 H W R
Visual Inspection Section 5.3
Cable Material Receiving MD-101-SMEM-EG-EL-SPC-
QC-CL-E-017 /
2.3 Cable Reel Continuity and 0002 Visual Check / Measure
QC-CL-E-022
H W R
Insulation Testing (MV cable) Section 5.2

Page 1 of 8
ITP No. DATE DISCIPLINE:
INSPECTION AND TEST PLAN
ITP FOR MV, LV, CONTROL CABLE EL-ITP-006 2-Feb-17 ELECTRICAL

PROJECT TITLE: CONTRACTOR/SUBCONTRACTOR

UMM WU'AL PHOSPHATE PROJECT SBM

INSPECTION RESPONSIBILITY
PROJECT PHASE
ITEM ACCEPTANCE Verifying Document & ASSIGNMENTS
& Quality Related Activity Reference REMARKS
NO. CRITERIA Form #
ACTIVITY CODE SBM JACOBS PMC

3.0 TRENCH INSPECTION

Inspection has been MD-101-SMEM-EG-EL-SPC-


3.1 conducted on trench to ensure 0001 Visual Check QC-CL-E-019 H W R
correct depth Section 5.9.8

Clean Bed Sand has been MD-101-SMEM-EG-EL-SPC-


3.2 installed along trench route at a 0001 Visual Check QC-CL-E-019 H W R
minimum depth 100 mm Section 5.9.8

4.0 CABLE DRUM SET UP

The cable drum has been


set up to ensure the cable
MD-101-SMEM-EG-EL-SPC-
pulling is in accordance with the
4.1
direction of pull indicated on the
0001 Visual Check QC-CL-E-019 H W R
Section 5.9.4
drum (The lead end of the cable
coming from the top of the drum)

5.0 CABLE INSTALLATION IN TRENCH

Cable Rollers installed as


MD-101-SMEM-EG-EL-SPC-
required and additional cable
5.1
rollers installed at direction
0001 Visual Check QC-CL-E-019 H W R
Section 5.9.8
changes

Page 2 of 8
ITP No. DATE DISCIPLINE:
INSPECTION AND TEST PLAN
ITP FOR MV, LV, CONTROL CABLE EL-ITP-006 2-Feb-17 ELECTRICAL

PROJECT TITLE: CONTRACTOR/SUBCONTRACTOR

UMM WU'AL PHOSPHATE PROJECT SBM

INSPECTION RESPONSIBILITY
PROJECT PHASE
ITEM ACCEPTANCE Verifying Document & ASSIGNMENTS
& Quality Related Activity Reference REMARKS
NO. CRITERIA Form #
ACTIVITY CODE SBM JACOBS PMC

Ensure that Tension applied to


MD-101-SMEM-EG-EL-SPC-
cables shall not exceed
5.2
manufacturers recommended
0001 Visual Check QC-CL-E-019 H W R
Section 5.9.4
values for each cable being pulled

After cable installation


MD-101-SMEM-EG-EL-SPC-
ensure the cable ends are
5.3
sealed to prevent ingress of
0001 Visual Check QC-CL-E-019 H W R
Section 5.9.1
moisture or foreign matter

6.0 CABLE INSTALLATION ABOVE GROUND

MD-101-SMEM-EG-EL-SPC-
Ensure that cable tray /
0001
6.1 conduit installed as per
Section 5.9.5
Visual Check QC-CL-E-018 H W R
drawing or specification
Section 5.9.6

Spacing between MD-101-SMEM-EG-EL-SPC-


instrumentation conduits or 0001
6.2
cable and power Section 5.9.5
Visual Check QC-CL-E-018 H W R
cables as per specification Section 5.9.6

MD-101-SMEM-EG-EL-SPC-
Cable ties are installed as
0001
6.3 per drawing and
Section 5.9.5
Visual Check QC-CL-E-018 H W R
specification
Section 5.9.6

Page 3 of 8
ITP No. DATE DISCIPLINE:
INSPECTION AND TEST PLAN
ITP FOR MV, LV, CONTROL CABLE EL-ITP-006 2-Feb-17 ELECTRICAL

PROJECT TITLE: CONTRACTOR/SUBCONTRACTOR

UMM WU'AL PHOSPHATE PROJECT SBM

INSPECTION RESPONSIBILITY
PROJECT PHASE
ITEM ACCEPTANCE Verifying Document & ASSIGNMENTS
& Quality Related Activity Reference REMARKS
NO. CRITERIA Form #
ACTIVITY CODE SBM JACOBS PMC

7.0 CABLE BACKFILL

MD-101-SMEM-EG-EL-SPC-
Inspection of cable layout in
7.1
trench
0001 Visual Check QC-CL-E-019 H W R
Section 5.9.8

MD-101-SMEM-EG-EL-SPC-
5KV IR test will be
0002 Measure and Visual
7.2 performed on underground
Section 4.3 Check
QC-CL-E-025 H W R
cables prior to any backfill
Section 4.4.1

Cables backfilled at depth as per MD-101-SMEM-EG-EL-SPC-


7.3 project specification 0001 Visual Check QC-CL-E-019 H W R
requirement Section 5.9.8

MD-101-SMEM-EG-EL-SPC-
Installation of cable marking
7.4
tape / protective tiles
0001 Visual Check QC-CL-E-019 H W R
Section 5.9.8

MD-101-SMEM-EG-EL-SPC-
5KV IR test will be performed to
0002 Measure and Visual
7.5 confirm no damage of cable after
Section 4.3 Check
QC-CL-E-022 H W R
laying/backfilling works
Section 4.4.1

Page 4 of 8
ITP No. DATE DISCIPLINE:
INSPECTION AND TEST PLAN
ITP FOR MV, LV, CONTROL CABLE EL-ITP-006 2-Feb-17 ELECTRICAL

PROJECT TITLE: CONTRACTOR/SUBCONTRACTOR

UMM WU'AL PHOSPHATE PROJECT SBM

INSPECTION RESPONSIBILITY
PROJECT PHASE
ITEM ACCEPTANCE Verifying Document & ASSIGNMENTS
& Quality Related Activity Reference REMARKS
NO. CRITERIA Form #
ACTIVITY CODE SBM JACOBS PMC

8.0 CABLE WIRING AND TERMINATION

MD-101-SMEM-EG-EL-SPC-
Verify correct cable origin &
8.1
destination point
0001 Visual Check QC-CL-E-020 H H R
Section 5.9.12

MD-101-SMEM-EG-EL-SPC-
Cable glands are of correct
8.2
type & size
0001 Visual Check QC-CL-E-020 H H R
Section 5.9.12

MD-101-SMEM-EG-EL-SPC-
Cables / wires properly
8.3
dressed
0001 Visual Check QC-CL-E-020 H H R
Section 5.9.12

Cables / wires properly MD-101-SMEM-EG-EL-SPC-


8.4 identified and correct cable 0001 Visual Check QC-CL-E-020 H H R
marker type Section 5.9.12

MD-101-SMEM-EG-EL-SPC-
Cable lugs are correct type
8.5
& size
0001 Visual Check QC-CL-E-020 H H R
Section 5.9.12

Ensure that cable


installation/termination has been MD-101-SMEM-EG-EL-SPC-
8.6 carried out as per 0001 Visual Check QC-CL-E-020 H H R
project standards & quality Section 5.9.12
requirements

Page 5 of 8
ITP No. DATE DISCIPLINE:
INSPECTION AND TEST PLAN
ITP FOR MV, LV, CONTROL CABLE EL-ITP-006 2-Feb-17 ELECTRICAL

PROJECT TITLE: CONTRACTOR/SUBCONTRACTOR

UMM WU'AL PHOSPHATE PROJECT SBM

INSPECTION RESPONSIBILITY
PROJECT PHASE
ITEM ACCEPTANCE Verifying Document & ASSIGNMENTS
& Quality Related Activity Reference REMARKS
NO. CRITERIA Form #
ACTIVITY CODE SBM JACOBS PMC

9.0 CABLE SPLICING

MD-101-SMEM-EG-EL-SPC-
Check if splicers are trained
9.1
and approved by client
0001 Visual Check QC-CL-E-021 H W R
Section 5.9.12

MD-101-SMEM-EG-EL-SPC-
Check cable set-up prior to
9.2
splice
0001 Visual Check QC-CL-E-021 H W R
Section 5.9.12

Check that the cable splice MD-101-SMEM-EG-EL-SPC-


9.3 is done as per manufacturer 0001 Visual Check QC-CL-E-021 H W R
instructions Section 5.9.12

MD-101-SMEM-EG-EL-SPC-
Traceability record for every
9.4
splice is provided
0001 Visual Check QC-CL-E-021 H W R
Section 5.9.12

10.0 PRE-COMMISSIONING

TEST OF LOW VOLTAGE CABLES

MD-101-SMEM-EG-EL-
Visual and mechanical
10.1
check of low voltage cables
SPC-0002 Visual Check QC-CL-E-018 H W R
Section 5.2

MD-101-SMEM-EG-EL-
Phase identification test as Measure and Visual
10.2
required
SPC-0002
Check
QC-CL-E-022 H W R
Section 5.2

Page 6 of 8
ITP No. DATE DISCIPLINE:
INSPECTION AND TEST PLAN
ITP FOR MV, LV, CONTROL CABLE EL-ITP-006 2-Feb-17 ELECTRICAL

PROJECT TITLE: CONTRACTOR/SUBCONTRACTOR

UMM WU'AL PHOSPHATE PROJECT SBM

INSPECTION RESPONSIBILITY
PROJECT PHASE
ITEM ACCEPTANCE Verifying Document & ASSIGNMENTS
& Quality Related Activity Reference REMARKS
NO. CRITERIA Form #
ACTIVITY CODE SBM JACOBS PMC

MD-101-SMEM-EG-EL-
Measure and Visual
10.3 Insulation resistance test SPC-0002
Check
QC-CL-E-022 H W R
Section 5.2

MD-101-SMEM-EG-EL-
Measure and Visual
10.4 Torque test as required SPC-0002
Check
QC-CL-E-024 H W R
Section 5.2

TEST OF MEDIUM VOLTAGE CABLES


MD-101-SMEM-EG-EL-
Visual and mechanical
10.5
check of medium voltage cables
SPC-0002 Visual Check QC-CL-E-018 H W R
Section 5.2.3

MD-101-SMEM-EG-EL-
Measure and Visual
10.6 Phase identification test SPC-0002
Check
QC-CL-E-022 H W R
Section 5.2.3

MD-101-SMEM-EG-EL-
Measure and Visual
10.7 Shield continuity test SPC-0002
Check
QC-CL-E-022 H W R
Section 5.2.3

MD-101-SMEM-EG-EL-
Measure and Visual
10.8 Insulation resistance test SPC-0002
Check
QC-CL-E-022 H W R
Section 5.2.3

MD-101-SMEM-EG-EL-
Measure and Visual
10.9 VLF AC Hi-pot test SPC-0002
Check
QC-CL-E-023 H W R
Section 5.2.3

Page 7 of 8
ITP No. DATE DISCIPLINE:
INSPECTION AND TEST PLAN
ITP FOR MV, LV, CONTROL CABLE EL-ITP-006 2-Feb-17 ELECTRICAL

PROJECT TITLE: CONTRACTOR/SUBCONTRACTOR

UMM WU'AL PHOSPHATE PROJECT SBM

INSPECTION RESPONSIBILITY
PROJECT PHASE
ITEM ACCEPTANCE Verifying Document & ASSIGNMENTS
& Quality Related Activity Reference REMARKS
NO. CRITERIA Form #
ACTIVITY CODE SBM JACOBS PMC

MD-101-SMEM-EG-EL-
Measure and Visual
10.10 Torque test as required SPC-0002
Check
QC-CL-E-024 H W R
Section 5.2.3

LEGEND
W Witness Inspection/Test H Hold Point for QC Inspection or Test RH Review and Approval of Documents

R Review of Documents

GENERAL NOTES

1 Surveillance: QA/QC organization to monitor work in progress without notice from Construction Organization

Witness: QA/QC organization shall be notified of the timing of Inspection or test in advance. However, the inspection or test shall be performed as scheduled if the QA/QC organization representative is not
2 present.

3 Hold: QA/QC organization shall be notified of the timing of inspection or test in advance. Inspection or test shall not be carried out without the QA/QC organization representative in attendance.

4 REVIEW POINT: Is processed through the Reviewing and result of Inspection or test report as a method of Ensuring the Inspection or test is in comfirmity with the Data

Page 8 of 8
ITP No. DATE DISCIPLINE:
INSPECTION AND TEST PLAN
ITP FOR CONDUITS & FITTINGS EL-ITP-007 ELECTRICAL

PROJECT TITLE: CONTRACTOR/SUBCONTRACTOR

UMM WU'AL PHOSPHATE PROJECT SBM

INSPECTION
PROJECT PHASE RESPONSIBILITY
ITEM ACCEPTANCE Verifying Document &
& Quality Related Activity Reference ASSIGNMENTS REMARKS
NO. CRITERIA Form #
ACTIVITY CODE
SBM JACOBS PMC

DOCUMENT
1.0
REVIEW

Ensure All Drawings are issued MD-101-SMEM-EG-EL- SPC-


1.1
for Construction 0001 Section 4.5
Visual Check Approved Drawing H R R

Ensure Materials Approved MD-101-SMEM-EG-EL-SPC-0001 Material Approved


1.2
Prior to Installation Section 5.2
Visual Check
Document
H R R

MATERIAL
2.0
RECEIVING

Conduit & Accessories


Storage, Handling and MD-101-SMEM-EG-EL-SPC-0001
2.1
Preservation & Material Section 5.3
Visual Check QCL-003 H W R
Receiving Visual Inspection

Page 1 of 4
ITP No. DATE DISCIPLINE:
INSPECTION AND TEST PLAN
ITP FOR CONDUITS & FITTINGS EL-ITP-007 ELECTRICAL

PROJECT TITLE: CONTRACTOR/SUBCONTRACTOR

UMM WU'AL PHOSPHATE PROJECT SBM

INSPECTION
PROJECT PHASE RESPONSIBILITY
ITEM ACCEPTANCE Verifying Document &
& Quality Related Activity Reference ASSIGNMENTS REMARKS
NO. CRITERIA Form #
ACTIVITY CODE
SBM JACOBS PMC

3.0 Installation of conduits and fittings

MD-101-SMEM-EG-EL-
Conduit & Fittings to
SPC-0001
3.1 conform project
Section 5.8.1
Visual Check QCL-004 or 005 H W W
specification.
Section 5.8.2

MD-101-SMEM-EG-EL-
Check conduit spacing from
SPC-0001
3.2 other utilities
Section 5.8.1
Visual Check QCL-004 or 005 H W W
section 5.8.2

MD-101-SMEM-EG-EL-
Conduit support snd spacing SPC-0001
3.3
as per specification Section 5.8.1
Visual Check QCL-004 or 005 H W W
Section 5.8.2

MD-101-SMEM-EG-EL-
Field bend and radius are SPC-0001
3.4
correct as per specification Section 5.8.1
Visual Check QCL-006 OR 007 H W W
Section 5.8.2

MD-101-SMEM-EG-EL-
Proper fittings installed as
SPC-0001
3.5 per drawings &
Section 5.8.1
Visual Check QCL-006 OR 007 H W W
specifications.
Section 5.8.2

Page 2 of 4
ITP No. DATE DISCIPLINE:
INSPECTION AND TEST PLAN
ITP FOR CONDUITS & FITTINGS EL-ITP-007 ELECTRICAL

PROJECT TITLE: CONTRACTOR/SUBCONTRACTOR

UMM WU'AL PHOSPHATE PROJECT SBM

INSPECTION
PROJECT PHASE RESPONSIBILITY
ITEM ACCEPTANCE Verifying Document &
& Quality Related Activity Reference ASSIGNMENTS REMARKS
NO. CRITERIA Form #
ACTIVITY CODE
SBM JACOBS PMC

MD-101-SMEM-EG-EL-
SPC-0001
Conduit permanently &
3.6
effectively grounded.
Section 5.8.1 Visual Check QCL-004 or 005 H W W
Section 5.8.2

Seal all open conduit with heat MD-101-SMEM-EG-EL-


3.7 shrinkable tubes or expandable SPC-0001 Visual Check QCL-004 or 005 H W W
non-toxic foam Section 5.8.2.1

MD-101-SMEM-EG-EL-
Finall inspection of conduit prior SPC-0001
3.8
to cable pulling / installation Section 5.8.1
Visual Check QCL-004 or 005 H W W
Section 5.8.2

Page 3 of 4
ITP No. DATE DISCIPLINE:
INSPECTION AND TEST PLAN
ITP FOR CONDUITS & FITTINGS EL-ITP-007 ELECTRICAL

PROJECT TITLE: CONTRACTOR/SUBCONTRACTOR

UMM WU'AL PHOSPHATE PROJECT SBM

INSPECTION
PROJECT PHASE RESPONSIBILITY
ITEM ACCEPTANCE Verifying Document &
& Quality Related Activity Reference ASSIGNMENTS REMARKS
NO. CRITERIA Form #
ACTIVITY CODE
SBM JACOBS PMC

4.0 Pre-Commissioning

Visual Inspection MD-101-SMEM-EG-EL-SPC-0001


(Before Cable Installation) Section 5.8..2.1
4.1
for Rigid Steel and PVC Section 5.8..2.2
Visual Check QCL-004 or 005 H W W
Conduit Section 5.8..2.3

Final Walkthrough and


4.2
Acceptance
Approved Procedure Visual Check QC-CL-006 H W W

LEGEND
W Witness Inspection/Test H Hold Point for QC Inspection or Test RH Review and Approval of Documents

R Review of Documents

GENERAL NOTES
1 Surveillance: QA/QC organization to monitor work in progress without notice from Construction Organization

Witness: QA/QC organization shall be notified of the timing of Inspection or test in advance. However, the inspection or test shall be performed as scheduled if the QA/QC organization representative
2 is not present.

3 Hold: QA/QC organization shall be notified of the timing of inspection or test in advance. Inspection or test shall not be carried out without the QA/QC organization representative in attendance.

4 REVIEW POINT: Is processed through the Reviewing and result of Inspection or test report as a method of Ensuring the Inspection or test is in comfirmity with the Data

Page 4 of 4
ITP No. DATE DISCIPLINE
INSPECTION AND TEST PLAN
ITP- PVC Pipes Sleeves EL-ITP-008 2-Feb-17 ELECTRICAL

PROJECT TITLE: CONTRACTOR/SUBCONTRACTOR

UMM WU'AL PHOSPHATE PROJECT SBM

INSPECTION
RESPONSIBILITY
ITEM PROJECT PHASE & ACCEPTANCE Verifying Document &
Quality Related Activity Reference ASSIGNMENTS REMARKS
NO. ACTIVITY CODE CRITERIA Form #
SBM JACOBS PMC

DOCUMENT
1.0
REVIEW
MD-101-SMEM-EG-EL-SPC-
Ensure All Drawings are issued
1.1
for Construction
0001 Visual Check Approved Drawing H R R
Section 4.5
MD-101-SMEM-EG-EL-SPC-
Ensure Materials Approved Material Approved
1.2
Prior to Installation
0001 Visual Check
Document
H R R
Section 5.2
MATERIAL
2.0
RECEIVING
MD-101-SMEM-EG-EL-SPC-
Storage, Handling and
2.1
Preservation Visual Inspection
0001 Visual Check QCL-001 H W R
Section 5.3
Manufactured Rigid Heavy Duty
MD-101-SMEM-EG-EL-SPC-
PVC Conduit
2.2
Material Receiving Visual
0001 Visual Check QCL-001 H W R
Section 5.3
Inspection

3.0 INSTALLATION

Rigid Heavy Duty PVC Conduit


3.1
Visual Inspection
As per approved drawing Visual Check QCL-002 H W W

LEGEND
W Witness Inspection/Test H Hold Point for QC Inspection and Test RH Review and Approval of Documents

R Review of Documents

GENERAL NOTES

1 Surveillance: QA/QC organization to monitor work in progress without notice from Construction Organization

Witness: QA/QC organization shall be notified of the timing of Inspection or test in advance. However, the inspection or test shall be performed as scheduled if the QA/QC organization
2 representative is not present.
Hold: QA/QC organization shall be notified of the timing of inspection or test in advance. Inspection or test shall not be carried out without the QA/QC organization representative in
3 attendance.

4 REVIEW POINT : Is Processed through the Reviewing and Result of Inspection or test report as a method of Ensuring the Inspection or test is in comfirmity with the Data

Page 1 of 1
ITP No. DATE DISCIPLINE:
INSPECTION AND TEST PLAN

ITP FOR OIL AND DRY TYPE DISTRIBUTION TRANSFORMER EL-ITP-009 2-Feb-2017 ELECTRICAL

PROJECT TITLE: CONTRACTOR/SUBCONTRACTOR

UMM WU'AL PHOSPHATE PROJECT SBM

INSPECTION RESPONSIBILITY
ITEM PROJECT PHASE & ACCEPTANCE Verifying Document & ASSIGNMENTS
Quality Related Activity Reference REMARKS
NO. ACTIVITY CODE CRITERIA Form #
SBM JACOBS PMC

DOCUMENT
1.0
REVIEW
MD-101-SMEM-EG-EL-SPC-
Ensure All Drawings are issued for
1.1
Construction.
0001 Visual Check Approved Drawing R R R
Section 4.5
MD-101-SMEM-EG-EL-SPC-
Ensure Materials Approved Prior to Material Approved
1.2
Installation.
0001 Visual Check
Document
R R R
Section 5.2
MATERIAL
2.0
RECEIVING
MD-101-SMEM-EG-EL-SPC-
Transformer Storage, Handling, and
2.1
Preservation Visual Inspection
0001 Visual Check QC-CL-E-064 H W R
Section 5.3
MD-101-SMEM-EG-EL-SPC-
Transformer Material Receiving Visual
2.2
Inspection
0001 Visual Check QC-CL-E-064 H W R
Section 5.3
MD-101-SMEM-EG-EL-SPC-
Transformer Accessories Material
2.3
Receiving Visual Inspection
0001 Visual Check QC-CL-E-064 H W R
Section 5.3

3.0 INSTALLATION OF OIL TYPE TRANSFORMER

MD-101-SMEM-EG-EL-SPC-
Check the area are clean and free of
3.1
debris. Ready for installation.
0001 Visual Check QC-CL-E-065 H W R
Section 5.4.1
Check complete assembly for MD-101-SMEM-EG-EL-SPC-
3.2 mechanical damage and missing parts 0001 Visual Check QC-CL-E-066 H W R
as equipment inventory Section 5.5.1
Concrete foundation for MD-101-SMEM-EG-EL-SPC-
3.3 proper level and orientation 0001 Visual Check QC-CL-E-066 H W R
of cables Section 5.5.1

Page 1 of 5
ITP No. DATE DISCIPLINE:
INSPECTION AND TEST PLAN

ITP FOR OIL AND DRY TYPE DISTRIBUTION TRANSFORMER EL-ITP-009 2-Feb-2017 ELECTRICAL

PROJECT TITLE: CONTRACTOR/SUBCONTRACTOR

UMM WU'AL PHOSPHATE PROJECT SBM

INSPECTION RESPONSIBILITY
ITEM PROJECT PHASE & ACCEPTANCE Verifying Document & ASSIGNMENTS
Quality Related Activity Reference REMARKS
NO. ACTIVITY CODE CRITERIA Form #
SBM JACOBS PMC

Transformers of the same type and MD-101-SMEM-EG-EL-SPC-


3.4 rating shall be electrically and 0005 Visual Check QC-CL-E-066 H W R
mechanically interchangeable. Section 5.1
MD-101-SMEM-EG-EL-SPC-
Check equipment location
3.5
and orientation
0001 Visual Check QC-CL-E-066 H W R
Section 5.5.1
Each transformer shall be fitted with a
nameplate. The name plate shall not be MD-101-SMEM-EG-EL-SPC-
3.6 fixed to any portion of the transformer 0005 Visual Check QC-CL-E-066 H W R
that is required to be removed for Section 5.1.6
maintenance.
An oil level gauge shall be provided on
all transformers. Separate oil level MD-101-SMEM-EG-EL-SPC-
3.7 indicators shall be provided for 0005 Visual Check QC-CL-E-066 H W R
the main tank and any tap changer Section 5.2.11
conservator sections.
An oil temperature indicator (OTI) shall
MD-101-SMEM-EG-EL-SPC-
be provided on all oil-immersed
3.8
transformers to measure top oil
0005 Visual Check QC-CL-E-066 H W R
Section 5.2.11
temperature.
MD-101-SMEM-EG-EL-SPC-
Check silica gel breather
3.9
and ensure no ingress of moisture.
0001 Visual Check QC-CL-E-066 H W R
Section 5.5.1
All metal parts of each transformer shall
MD-101-SMEM-EG-EL-SPC-
be electrically bonded. Transformer
3.10
shall be connected to the main earth
0005 Visual Check QC-CL-E-066 H W R
Section 5.1.5
grid
HV and LV terminal boxes shall be
MD-101-SMEM-EG-EL-SPC-
located on opposite sides of the
3.11
transformer and shall be suitable for
0001 Visual Check QC-CL-E-066 H W R
Section 5.1.4
bottom cable entry.
MD-101-SMEM-EG-EL-SPC-
Check wiring from instrument devices
3.12
to control cabinet.
0001 Visual Check QC-CL-E-066 H W R
Section 5.5.1
MD-101-SMEM-EG-EL-SPC-
Identification and warning
3.13
labels installed.
0005 Visual Check QC-CL-E-066 H W R
Section 5.1.6

Transformer foundation shall be as per MD-512-06WM-EG-CV-DLA-


3.14
approved design drawing KB42-0011
Visual Check QC-CL-E-066 H W R

Page 2 of 5
ITP No. DATE DISCIPLINE:
INSPECTION AND TEST PLAN

ITP FOR OIL AND DRY TYPE DISTRIBUTION TRANSFORMER EL-ITP-009 2-Feb-2017 ELECTRICAL

PROJECT TITLE: CONTRACTOR/SUBCONTRACTOR

UMM WU'AL PHOSPHATE PROJECT SBM

INSPECTION RESPONSIBILITY
ITEM PROJECT PHASE & ACCEPTANCE Verifying Document & ASSIGNMENTS
Quality Related Activity Reference REMARKS
NO. ACTIVITY CODE CRITERIA Form #
SBM JACOBS PMC

4.0 INSTALLATION OF DRY-TYPE TRANSFORMER

MD-101-SMEM-EG-EL-SPC-
Check the area are clean and free of
4.1
debris. Ready for installation.
0001 Visual Check QC-CL-E-065 H W R
Section 5.4.1
Dry-type transformers shall be suitable
MD-101-SMEM-EG-EL-SPC-
for indoor or outdoor installation as
4.2
specified on the
0005 Visual Check QC-CL-E-067 H W R
Section 5.5.1
data sheets.
Each transformer shall be fitted with a
nameplate. The name plate shall not be MD-101-SMEM-EG-EL-SPC-
4.3 fixed to any portion of the transformer 0005 Visual Check QC-CL-E-067 H W R
that is required to be removed for Section 5.1.6
maintenance.
All metal parts of each transformer shall
MD-101-SMEM-EG-EL-SPC-
be electrically bonded. Transformer
4.4
shall be connected to the main earth
0005 Visual Check QC-CL-E-067 H W R
Section 5.1.5
grid
All terminals shall be clearly marked to
MD-101-SMEM-EG-EL-SPC-
identify the phase connections in
4.5
accordance with the connection
0005 Visual Check QC-CL-E-067 H W R
Section 5.5.8
diagram on the rating plate.
MD-101-SMEM-EG-EL-SPC-
Identification and warning
4.6
labels installed.
0005 Visual Check QC-CL-E-067 H W R
Section 5.1.6

Dry type transformers shall be mounted MD-101-SMEM-EG-EL-SPC-


4.7 on a rigid steel base and housed within 0005 Visual Check QC-CL-E-067 H W R
a ventilated IP23 enclosure. Section 5.5.3

Page 3 of 5
ITP No. DATE DISCIPLINE:
INSPECTION AND TEST PLAN

ITP FOR OIL AND DRY TYPE DISTRIBUTION TRANSFORMER EL-ITP-009 2-Feb-2017 ELECTRICAL

PROJECT TITLE: CONTRACTOR/SUBCONTRACTOR

UMM WU'AL PHOSPHATE PROJECT SBM

INSPECTION RESPONSIBILITY
ITEM PROJECT PHASE & ACCEPTANCE Verifying Document & ASSIGNMENTS
Quality Related Activity Reference REMARKS
NO. ACTIVITY CODE CRITERIA Form #
SBM JACOBS PMC

5.0 PRE - COMMISSIONING

MD-101-SMEM-EG-EL-SPC-
Visual and mechanical 0002
5.1
check of Transformer. Section 5.1
Visual Check QC-CL-E-066 H W R
Section 5.5
MD-101-SMEM-EG-EL-SPC-
Contact resistance
0002 Measure and
5.2 measurement for all bolted
Section 5.1 Visual Check
QC-CL-E-069 H H R
connection.
Section 5.5
MD-101-SMEM-EG-EL-SPC-
Insulation resistance and 0002 Measure and
5.3
polarization index test. Section 5.1 Visual Check
QC-CL-E-068 H H R
Section 5.5
MD-101-SMEM-EG-EL-SPC-
Power factor test on 0002 Measure and Test forms will be submitted at the
5.4
bushing and windings Section 5.1 Visual Check
Vendor Test Form H H R time of testing
Section 5.5
MD-101-SMEM-EG-EL-SPC-
0002 Measure and Test forms will be submitted at the
5.5 Winding resistance test
Section 5.1 Visual Check
Vendor Test Form H H R time of testing
Section 5.5
MD-101-SMEM-EG-EL-SPC-
0002 Measure and Test forms will be submitted at the
5.6 Turn ratio test
Section 5.1 Visual Check
Vendor Test Form H H R time of testing
Section 5.5

Page 4 of 5
ITP No. DATE DISCIPLINE:
INSPECTION AND TEST PLAN

ITP FOR OIL AND DRY TYPE DISTRIBUTION TRANSFORMER EL-ITP-009 2-Feb-2017 ELECTRICAL

PROJECT TITLE: CONTRACTOR/SUBCONTRACTOR

UMM WU'AL PHOSPHATE PROJECT SBM

INSPECTION RESPONSIBILITY
ITEM PROJECT PHASE & ACCEPTANCE Verifying Document & ASSIGNMENTS
Quality Related Activity Reference REMARKS
NO. ACTIVITY CODE CRITERIA Form #
SBM JACOBS PMC

MD-101-SMEM-EG-EL-SPC-
Over potential test(AC high 0002 Measure and Test forms will be submitted at the
5.7
pot test) Section 5.1 Visual Check
Vendor Test Form H H R time of testing
Section 5.5
MD-101-SMEM-EG-EL-SPC-
0002 Measure and Test forms will be submitted at the
5.8 Oil filtrations
Section 5.1 Visual Check
Vendor Test Form H H R time of testing
Section 5.5
MD-101-SMEM-EG-EL-SPC-
0002 Measure and Test forms will be submitted at the
5.9 Oil sample test
Section 5.1 Visual Check
Vendor Test Form H H R time of testing
Section 5.5
MD-101-SMEM-EG-EL-SPC-
Functional testing of
0002 Measure and Test forms will be submitted at the
5.10 auxiliary wiring and
Section 5.1 Visual Check
Vendor Test Form H H R time of testing
components.
Section 5.5

Liquid Filled Transformer Inspection Test forms will be submitted at the


5.11
Record
Approved Procedures Visual Check QC-CL-E-070 H H R time of testing

LEGEND
W Witness Inspection/Test H Hold Point for QC Inspection or Test RH Review and Approval of Documents

R Review of Documents

GENERAL NOTES

1 Surveillance: QA/QC organization to monitor work in progress without notice from Construction Organization

2 Witness: QA/QC organization shall be notified of the timing of Inspection or test in advance. However, the inspection or test shall be performed as scheduled if the QA/QC organization representative is not present.

3 Hold: QA/QC organization shall be notified of the timing of inspection or test in advance. Inspection or test shall not be carried out without the QA/QC organization representative in attendance.

4 REVIEW POINT: Is processed through the Reviewing and result of Inspection or test report as a method of Ensuring the Inspection or test is in comfirmity with the Data

Page 5 of 5
CHECKLIST NUMBER DATE RFI NUMBER
INSPECTION CHECKLIST
LV Power & Control Cables Termination Checklist QC-EL-A-004 2-Feb-17 15KB-64-RFI-000
PROJECT TITLE CONTRACTOR / SUBCONTRACTOR

UMM WU'AL PHOSPHATE PROJECT SBM


ITP NUMBER ACTIVITY NUMBER WORK PERMIT REQUIRED?

JACOBS INSPECTION LEVEL CONTRACTOR INSPECTION LEVEL

ITEM RE-INSP
ACCEPTANCE CRITERIA REFERENCE PASS FAIL N/A
No. DATE

MD-101-SMEM-EG-EL-
1 The construction drawings and documents is the final edition.
SPC-0001
The cable rating, size, number of core is complying with cable MD-101-SMEM-EG-EL-
2
schedule / connection drawings SPC-0001
The cable tag installed, and the tag description is complying MD-101-SMEM-EG-EL-
3
with termination schedule SPC-0001
The type and size of cable lug is correct. The crimping of lug is MD-101-SMEM-EG-EL-
4
good without loose or crack. SPC-0001
The cable/wires dressing inside terminal chamber is MD-101-SMEM-EG-EL-
5
acceptable. SPC-0001
The terminal block, wire marker and cable number is according MD-101-SMEM-EG-EL-
6
to the connection list and meet specification requirement. SPC-0001
The terminal block, terminal and lug is fastened without loose MD-101-SMEM-EG-EL-
7
and no stress on terminals. SPC-0001
MD-101-SMEM-EG-EL-
8 The entrance of cable is sealed
SPC-0001
Cable gland size & installation is correct and the gland is MD-101-SMEM-EG-EL-
9
bonded with grounding grid. SPC-0001
After termination of cable, Insulation resistance test has been MD-101-SMEM-EG-EL-
10
carried out SPC-0001
All wires are restored after insulation /continuity test and MD-101-SMEM-EG-EL-
11
terminations are tight well SPC-0001
All the cable is fastened and aligned properly where the cable MD-101-SMEM-EG-EL-
12
enters in to the panel or terminal box. SPC-0001

The torque test has been checked and recorded in QC Form # QC-CL-E- MD-101-SMEM-EG-EL-
13
024 as per specification and vendor recommendation. SPC-0001

The surround of work area is kept clean and the inner of panel MD-101-SMEM-EG-EL-
14
is clean. SPC-0001
REMARKS:

REFERENCE DOCUMENTS: MD-101-SMEM-EG-EL-SPC-0001, MD-101-SMEM-EG-EL-SPC-0002

Contractor Jacobs
Construction Department
Work is Complete and Ready for Inspection:

Name, Initials and Date:

QC Inspector Jacobs Representative


Performed Inspection Work / Rework May Proceed T&I Witnessed QC Record Reviewed Work Verified

Name, Initials and Date: Name, Initials and Date:

QC Supervisor
Quality Record Approved:

Name, Sign and Date:

*Person Responsible for Completion of Quality Work / Test Y = YES N = NO F = FAILED

Page 1 of 1
CHECKLIST NUMBER DATE RFI NUMBER
INSPECTION CHECKLIST
Dry-type Transformer Installation Checklist QC-EL-A-005
PROJECT TITLE CONTRACTOR / SUBCONTRACTOR

WELL FIELD PACKAGE UMM WU'AL PHOSPHATE PROJECT SBM


ITP NUMBER ACTIVITY NUMBER WORK PERMIT REQUIRED?

JACOBS INSPECTION LEVEL CONTRACTOR INSPECTION LEVEL

ITEM RE-INSP
ACCEPTANCE CRITERIA REFERENCE PASS FAIL N/A
No. DATE

MD-101-SMEM-EG-EL-
1 Check the area clean and ready for installation.
SPC-0001

Check complete assembly for mechanical damage and MD-101-SMEM-EG-EL-


2
missing parts as equipment inventory. SPC-0002

Check foundation for proper level and orientation of MD-101-SMEM-EG-EL-


3
cables. SPC-0002

MD-101-SMEM-EG-EL-
4 Check transformer nameplate against data sheet.
SPC-0002

Check location, mounting and orientation per drawings, and MD-101-SMEM-EG-EL-


5
fixings and mountings are secure. SPC-0002

MD-101-SMEM-EG-EL-
6 Check all cable connection for tightness.
SPC-0002
MD-101-SMEM-EG-EL-
7 Check cable glands for waterproofing.
SPC-0002
MD-101-SMEM-EG-EL-
8 Check terminal box sealed correctly and terminal .
SPC-0002
Check terminal box sealed correctly and clearly marked to identify the
MD-101-SMEM-EG-EL-
9 phase connections in accordance with the connection diagram on the rating
SPC-0002
plate.
MD-101-SMEM-EG-EL-
10 Identification and warning labels installed.
SPC-0002
MD-101-SMEM-EG-EL-
11 Earthing as per detailed drawings.
SPC-0002
MD-101-SMEM-EG-EL-
12 Check earthing connections to main grid.
SPC-0002
MD-101-SMEM-EG-EL-
13 Check transformer are clean, dry and dust-free.
SPC-0002
REMARKS:

REFERENCE DOCUMENTS: MD-101-SMEM-EG-EL-SPC-0001, MD-101-SMEM-EG-EL-SPC-0002

Contractor Jacobs
Construction Department
Work is Complete and Ready for Inspection:
Name, Initials and Date:

QC Inspector Jacobs Representative


Performed Inspection Work / Rework May Proceed T&I Witnessed QC Record Reviewed Work Verified
Name, Initials and Date: Name, Initials and Date:

QC Supervisor
Quality Record Approved:
Name, Sign and Date:

*Person Responsible for Completion of Quality Work / Test Y = YES N = NO F = FAILED

Page 1 of 1
CHECKLIST NUMBER DATE RFI NUMBER
INSPECTION CHECKLIST
Electrical Aboveground Cable Pulling Checklist QC-EL-A-006 2-Feb-17
PROJECT TITLE CONTRACTOR / SUBCONTRACTOR

UMM WU'AL PHOSPHATE PROJECT SBM


ITP NUMBER ACTIVITY NUMBER WORK PERMIT REQUIRED?

JACOBS INSPECTION LEVEL CONTRACTOR INSPECTION LEVEL

WITNESS HOLD

ITEM RE-INSP
ACCEPTANCE CRITERIA REFERENCE PASS FAIL N/A
No. DATE

Cable size, type, location, installation and routing as per MD-101-SMEM-EG-EL-


1
drawing and specification SPC-0001

Ensure that cable tray / conduit installed as per drawing or MD-101-SMEM-EG-EL-


2
specification SPC-0001

MD-101-SMEM-EG-EL-
3 Bend radius correct as per specification and free of deformity
SPC-0001

MD-101-SMEM-EG-EL-
4 Cable support spacing as per drawing and specification
SPC-0001

MD-101-SMEM-EG-EL-
5 Installation neat and evenly spaced
SPC-0001

Spacing between instrumentation conduits or cable and power MD-101-SMEM-EG-EL-


6
cables as per specification SPC-0001

MD-101-SMEM-EG-EL-
7 Cable ties as per drawing and specification
SPC-0001

Junction boxes size and type are levelled and positioned MD-101-SMEM-EG-EL-
8
correctly as per drawing. SPC-0001

MD-101-SMEM-EG-EL-
9 Verify cable is free of surface damage
SPC-0001

Insulation Test record for all power, control and instrumentation wire MD-101-SMEM-EG-EL-
10
and cables ( QC form # QC-CL-E-022) SPC-0001

MD-101-SMEM-EG-EL-
11 All revisions recorded on "As built" drawing
SPC-0001
REMARKS:

REFERENCE DOCUMENTS: MD-101-SMEM-EG-EL-SPC-0001, MD-101-SMEM-EG-EL-SPC-0002

Contractor Jacobs
Construction Department
Work is Complete and Ready for Inspection:

Name, Initials and Date:

QC Inspector Jacobs Representative


Performed Inspection Work / Rework May Proceed T&I Witnessed QC Record Reviewed Work Verified
Name, Initials and Date: Name, Initials and Date:

QC Supervisor
Quality Record Approved:

Name, Sign and Date:

*Person Responsible for Completion of Quality Work / Test Y = YES N = NO F = FAILED

Page 1 of 1
CHECKLIST NUMBER DATE RFI NUMBER
INSPECTION CHECKLIST
Electrical Underground Cable Pulling Checklist QC-EL-A-007
PROJECT TITLE CONTRACTOR / SUBCONTRACTOR

UMM WU'AL PHOSPHATE PROJECT SBM


ITP NUMBER ACTIVITY NUMBER WORK PERMIT REQUIRED?

JACOBS INSPECTION LEVEL CONTRACTOR INSPECTION LEVEL

WITNESS HOLD
ITEM RE-INSP
ACCEPTANCE CRITERIA REFERENCE PASS FAIL N/A
No. DATE

Depth and size of trench as per Project Requirement & MD-101-SMEM-EG-


1
drawings. EL-SPC-0001
MD-101-SMEM-EG-
2 Each layer of trench is clean and free from debris
EL-SPC-0001

Inspect, IR test and record all cables on reels before they are MD-101-SMEM-EG-
3
laid in trench EL-SPC-0001

The cable drum has been set up to ensure the cable pulling is in accordance
MD-101-SMEM-EG-
4 with the direction of pull indicated on the drum
EL-SPC-0001
(The lead end of the cable coming from the top of the drum)

Cable size, type, orientation and location conform to MD-101-SMEM-EG-


5
specifications and drawing EL-SPC-0001
MD-101-SMEM-EG-
6 Cable spacing is as specified in drawing
EL-SPC-0001
Cable bend radius correct as per drawing, bends free of defect MD-101-SMEM-EG-
7
and cable ends sealed EL-SPC-0001
MD-101-SMEM-EG-
8 Cable identification tags are installed as per drawing
EL-SPC-0001

Verify cable is free of surface damages, particular attention MD-101-SMEM-EG-


9
should be given to the underside of the cable EL-SPC-0001
Cable backfilled with fine sand. Check for correct depth of sand MD-101-SMEM-EG-
10
bedding and cleanliness EL-SPC-0001

Cable Rollers installed as required and additional cable rollers installed at any MD-101-SMEM-EG-
11
change of direction EL-SPC-0001

Ensure that no excess stress/tension is applied on the cable during MD-101-SMEM-EG-


12
pulling/installation EL-SPC-0001

After cable installation ensure the cable ends are sealed to prevent ingress of MD-101-SMEM-EG-
13
moisture or foreign matter EL-SPC-0001

MD-101-SMEM-EG-
14 All revisions recorded on "As built" drawing
EL-SPC-0001
REMARKS:

REFERENCE DOCUMENTS: MD-101-SMEM-EG-EL-SPC-0001, MD-101-SMEM-EG-EL-SPC-0002

Contractor Jacobs
Construction Department
Work is Complete and Ready for Inspection:
Name, Initials and Date:

QC Inspector Jacobs Representative


Performed Inspection Work / Rework May Proceed T&I Witnessed QC Record Reviewed Work Verified
Name, Initials and Date: Name, Initials and Date:

QC Supervisor
Quality Record Approved:

Name, Sign and Date:

*Person Responsible for Completion of Quality Work / Test Y = YES N = NO F = FAILED

Page 1 of 1
CHECKLIST NUMBER DATE RFI NUMBER
INSPECTION CHECKLIST
Conduit Checklist - RGS (Above Ground) QC-EL-A-008
PROJECT TITLE CONTRACTOR / SUBCONTRACTOR

UMM WU'AL PHOSPHATE PROJECT SBM


ITP NUMBER ACTIVITY NUMBER WORK PERMIT REQUIRED?

JACOBS INSPECTION LEVEL CONTRACTOR INSPECTION LEVEL

WITNESS HOLD

ITEM RE-INSP
ACCEPTANCE CRITERIA REFERENCE PASS FAIL N/A
No. DATE

Conduits clean, stub-ups protected, conduit seals installed on all MD-101-SMEM-EG-


1
open ends, damage during construction repaired EL-SPC-0001
Field bend radius in compliance with specification, bend free of MD-101-SMEM-EG-
2
defect EL-SPC-0001
MD-101-SMEM-EG-
3 Supports and spacing as per specification and drawing
EL-SPC-0001
MD-101-SMEM-EG-
4 Supports adjacent to terminal fittings
EL-SPC-0001
MD-101-SMEM-EG-
5 Expansion joints as shown on drawing
EL-SPC-0001
Installation neat and evenly spaced and in accordance with MD-101-SMEM-EG-
6
drawing and specification EL-SPC-0001
Spacing between instrumentation conduit or cable and power MD-101-SMEM-EG-
7
cables shall be according to specification EL-SPC-0001
Spacing from hot pipes and hot surfaces has been maintained MD-101-SMEM-EG-
8
according to specification EL-SPC-0001

Proper fittings installed with threads fully engaged, proper


MD-101-SMEM-EG-
9 sealing used, no wrench cuts, conduit ends have bushings
EL-SPC-0001
installed

MD-101-SMEM-EG-
10 Seals and drains installed per drawings
EL-SPC-0001
MD-101-SMEM-EG-
11 Conduit permanently and effectively earthed
EL-SPC-0001
Screwed, ABS and PVC-coated conduits installed as per MD-101-SMEM-EG-
12
drawing EL-SPC-0001
PVC insulated steel flexible conduit installed with proper bending MD-101-SMEM-EG-
13
radius and with standard fittings EL-SPC-0001
Junction boxes levelled and supported as per drawing with MD-101-SMEM-EG-
14
proper hubs, locknuts and bushings installed EL-SPC-0001
Installation in accordance with specification, referenced code MD-101-SMEM-EG-
15
and standards EL-SPC-0001
MD-101-SMEM-EG-
16 Relative deficiencies list closed out
EL-SPC-0001
REMARKS:

REFERENCE DOCUMENTS: MD-101-SMEM-EG-EL-SPC-0001

Contractor Jacobs
Construction Department
Work is Complete and Ready for Inspection:
Name, Initials and Date:

QC Inspector Jacobs Representative


Performed Inspection Work / Rework May Proceed T&I Witnessed QC Record Reviewed Work Verified
Name, Initials and Date: Name, Initials and Date:

QC Supervisor
Quality Record Approved:
Name, Sign and Date:

*Person Responsible for Completion of Quality Work / Test Y = YES N = NO F = FAILED

Page 1 of 1
CHECKLIST NUMBER DATE RFI NUMBER
INSPECTION CHECKLIST
Conduit Checklist (Under Ground) QC-EL-A-009
PROJECT TITLE CONTRACTOR / SUBCONTRACTOR

WELL FIELD PACKAGE UMM WU'AL PHOSPHATE PROJECT SBM


ITP NUMBER ACTIVITY NUMBER WORK PERMIT REQUIRED?

JACOBS INSPECTION LEVEL CONTRACTOR INSPECTION LEVEL

ITEM RE-INSP
ACCEPTANCE CRITERIA REFERENCE PASS FAIL N/A
No. DATE

Trenching checked for location, elevation and level, and it is free MD-101-SMEM-EG-
1
of debris EL-SPC-0001
Trench location, elevation, depth, form and conduit size conform MD-101-SMEM-EG-
2
to drawing EL-SPC-0001
MD-101-SMEM-EG-
3 Dimensions checked for cable protection conduit
EL-SPC-0001
Conduit field bend radius is correct as per drawing. Check that MD-101-SMEM-EG-
4
bends are free of any defect, as per specification. EL-SPC-0001
MD-101-SMEM-EG-
5 Trenching checked for interference with underground piping
EL-SPC-0001
MD-101-SMEM-EG-
6 Conduit seals are installed on all exposed concrete pouring pipe ends
EL-SPC-0001
Road crossings for installation of spare sleeves as called for on MD-101-SMEM-EG-
7
drawing. These spare pipes shall have caps on the ends EL-SPC-0001
After concrete is in place, conduits checked for free of damage or MD-101-SMEM-EG-
8
deformation. EL-SPC-0001
MD-101-SMEM-EG-
9 Backfill work and compaction test performer as per specification
EL-SPC-0001
MD-101-SMEM-EG-
10 Pipe ends filled with specified sealant (after cable installation)
EL-SPC-0001
MD-101-SMEM-EG-
11 Installation of cable sleeve, Cable marker under roadways
EL-SPC-0001
MD-101-SMEM-EG-
12 All revisions recorded on "As built" drawing
EL-SPC-0001
MD-101-SMEM-EG-
13 Relative deficiencies list closed-out
EL-SPC-0001
REMARKS:

REFERENCE DOCUMENTS: MD-101-SMEM-EG-EL-SPC-0001

Contractor Jacobs
Construction Department
Work is Complete and Ready for Inspection:
Name, Initials and Date:

QC Inspector Jacobs Representative


Performed Inspection Work / Rework May Proceed T&I Witnessed QC Record Reviewed Work Verified
Name, Initials and Date: Name, Initials and Date:

QC Supervisor
Quality Record Approved:
Name, Sign and Date:

*Person Responsible for Completion of Quality Work / Test Y = YES N = NO F = FAILED

Page 1 of 1

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