INSPECTION NOTIFICATION (IN)-SITE

PROJECT: 48”RLGPSP SYSTEM Pipeline Construction

/SUBSYSTEM No:

CONTRACTOR: Galfar SUB CONTRACTOR:

OWNER 4600006060 IN No.: 869-IN-CIV-SUR-3217

CONTRACT NO:

EQPT TAG: Pipeline Construction ISSUE DATE: 04-03-2024 12:00 AM

INSPECTION NOTICE: Contractor Requests Owner presence according to the following

schedule:

INSPECTION DATE: 04-03-2024 12:00 AM STARTING TIME: 01:30 PM

DURATION: 15 Mins DISCIPLINE: Civil

INSPECTION Site Civil Lab SUR TYPE OF Stage

LOCATION: INSPECTION:

INSPECTION POINT: Witness

ACTIVITY Witnessing of C35 28th days cube test for wadi concrete at BVS-09 to BVS-10,
DESCRIPTION: KM288W59 to KM288W62, Length 36.00m CH: 288+691 to KM 288+727, Wadi No WX-
118) ( RFI 869-IN-CIV-SUR-3027).

REFERENCE DWG / NA
SPEC:

ITP No. ACTIVITY 'CGL48-GEC-006060-0000-QA-PLN-0009REV-2A SI.NO 12 & 18

No (s).:

COMMENTS /
REMARKS:

COMPANY QA/QC REVIEW / RESPONSE (immediately after inspection)

INSPECTION Acc
RESULT

QUALITY RECORDS Attached

COMMENTS /
REMARKS BY OQ:

NOTES:

1.This section of IN is just for acknowledgement and shall not be interpreted as inspection
record and / or acceptance of any inspection, examination or test. Acceptance can only be
achieved by preparation and endorsement of the appropriate QC record which shall be
attached hereto.

2.Owner (TPI) endorsement of QC record will depend on actual inspection level, i.e. Hold
Point / Witness. QC record shall be endorsed as “Witnessed” if attended or “Reviewed”, if
not attended.

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 3.It is the responsibility of Contractor and Supplier to obtain sign off of relevant quality
records by Owner TPI where TPI assigned / visited supplier shop. TPI signed off quality
records shall be part of final documentation / MDB.

COMPANY CLOSE OUTOF IN:(After Signing off all related QC records, closing all inspection
formats)

Company QA/QC
Manager/Assigned
Rep

DISTRIBUTION

QA-FOM-0015-REV-01

Action User Name Assign To Signature Date

RFI Issued Ajith Kumar Pandikumar 04-03-2024 05:19 PM

Subramanian

GEC-Approved Pandikumar Sunil Kumar 04-03-2024 05:29 PM

Subramanian

Approved with Sunil Kumar Pandikumar 04-06-2024 03:09 PM

Comments Subramanian

GEC-Approved Pandikumar Sunil Kumar 04-07-2024 04:19 PM

Subramanian

Attach Inspection Sunil Kumar Pandikumar 04-08-2024 03:50 PM

Report Subramanian

Inspection Report Pandikumar Sunil Kumar 04-09-2024 05:10 PM

Attached Subramanian

Accepted and Closed Sunil Kumar 04-11-2024 09:17 AM

by OQ

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