Section 15 — Inspection

Quality Assurance for the Manufacture of Refinery Equipment

IPE Engineering Practice IPE-EP-15-1-2

Document number: IPE-EP-15-1-2 · Section: 15 — Inspection

1.0

1.1

1.2

1.3

1.4

2.0

3.0

3.1

3.2

3.3

3.4

3.5

3.6

3.7

SCOPE

This document describes the elements of a program necessary for IPE Plants to assure adequate quality assurance of purchased critical equipment.

Unless otherwise determined by the Owner’s Engineer, the manufacture of instrumentation and electrical equipment are not included in the scope of this document.

Any deviation to this Practice must be approved by the procedures described in EP 1–1–3.

An asterisk (*) indicates that a decision or approval by the Owner or the Owner’s Engineer is required, or that additional information is furnished by the Purchaser.

REFERENCES

The latest editions of the following standards and publications are referred to herein.

STANDARDS AND PUBLICATIONS

IPE Engineering Practices
EP 1–1–3 Deviations to IPE Engineering Practices EP 15–1–4 Positive Materials Identification (PMI) EP 15–1–6 Procedures for the Use of Inspection Checklists
Federal Register
OSHA 29CFR 1910.119 Process Safety Management of Highly Hazardous Materials

DEFINITIONS

Critical Equipment - Pressure vessels, process piping, utility piping, heat exchangers, process heaters, boilers, compressors, pumps, tanks, non–commodity valves other than instrumented control, structures, and foundations selected by the Owner’s Engineer.

Inspection Authority - An individual appointed or approved by the Owner who is responsible for the Owner’s quality assurance program and has the knowledge and training to resolve issues relating to inspection and quality.

Manufacturer - The recipient of a direct or indirect purchase order for materials and/or equipment. In this context, a direct order is one issued to a manufacturer by a contractor or the Owner. An indirect order is one issued to a manufacturer by a vendor (recipient of a direct order) for materials, fabricated components, or subassemblies.

Owner - Inflection Point Engineering, LLC .

Owner’s Engineer - A Inflection Point Engineering, LLC appointed engineer.

Purchase Order - The contractual document given to the Manufacturer to authorize a purchase.

Quality Assurance - All those planned and systematic actions necessary to ensure quality, i.e. to provide adequate confidence that a product or service will be fit to meet all requirements.

3.8

3.9

3.10

3.11

4.0

4.1

4.2

4.3

5.0

5.1

5.1.1

5.1.2

5.1.3

5.2

5.2.1

5.2.2

5.2.3

5.2.4

5.3

Quality Conformance – Conformance to specified quality requirements.

Quality Control - Performance of thorough inspections which measure the effectiveness of the Quality Assurance program.

Quality Program - Documented policies and procedures which establish the means by which quality is to be attained.

Shop Inspector - An engineer or inspector appointed by IPE to carry out shop inspection of plant equipment.

GENERAL

All critical equipment purchased by IPE Company or its representatives shall be manufactured in accordance with the requirements of IPE Engineering Practices and any other requirements of the Purchase Order. In order to assure these requirements are met, the manufacturer’s operations shall be subject to the Owner’s Quality Assurance Program.

With the approval of the Owner’s Engineer, other Quality Assurance programs may be substituted for the one described here; however, the program utilized shall contain at least the same level of control and documentation as described in this practice.

The documentation used to assure compliance with the program provides evidence necessary to demonstrate the Owner has complied with elements of mechanical integrity contained in OSHA 29 CFR 1910.119.

RESPONSIBILITIES

The Owner’s Engineer shall:

(*)Provide information in all bid and purchase order drawings and documents to adequately describe the design and manufacturing requirements necessary to properly produce equipment which will fulfill its intended use safely and reliably.

(*)Determine the amount and intensity of inspection to assure that the manufacturer has met the necessary requirements of the Purchase Order.

(*)Have the ultimate responsibility to review and resolve any problems associated with the equipment manufacture.

The Inspection Authority shall:

Consult with and assist the Owner’s Engineer in areas relating to shop inspection.

Appoint shop inspectors to follow manufacture of equipment in the manufacturer’s facility.

Coordinate and monitor shop inspectors and report to the Owner’s Engineer all relevant inspection activities.

Notify the Owner’s Engineer of any problems identified by the Shop Inspector that may require his attention.

The Shop Inspector shall:

Provide inspection at the manufacturer’s site by auditing, reviewing, witnessing and inspecting selected elements of the manufacturing process as specified in the Owner’s inspection checklists and other appropriate documents.
Remain alert to all items of manufacturing which may impact the quality of the equipment.
Notify the Inspection Authority of any deficiencies and nonconformances observed during the course of these inspections.
Document all inspection on appropriate forms which will become part of the Owner’s permanent equipment file.
The Manufacturer shall:
Obtain and review all the required IPE Engineering Practices necessary for the proper manufacture of the equipment.
Manufacture the equipment to the requirements of the purchase order.
Notify the Shop Inspector of any known deficiencies, nonconformances, or other deviations to the equipment design requirements.
Comply with his own and the Owner’s quality assurance requirements.
Cooperate with the Shop Inspector by permitting him access to all areas used for the manufacturing of the Owner’s equipment and providing copies of any and all documentation relating to quality control to the Shop Inspector on request.

PREPARING BID INFORMATION

During the pre–bid preparations, the Owner’s Engineer shall decide on the level and amount of inspection believed to be necessary for each bidder selected and indicate on appropriate inspection checklists (See EP 15–1–6 for use of the Inspection Checklists). Such factors affecting the inspection include, but are not limited to the following:
Bidders which have established reputations may require less inspection than ones which are trial bidders.
Equipment which is considered to have higher criticality should be inspected to a greater degree than equipment which is not as critical.
More complex equipment will necessarily require more inspection than ones which are relatively simple to manufacture.

PREFABRICATION MEETING

After the bid has been awarded and before any fabrication work has begun, the shop inspector shall meet with the manufacturer’s representative in a formal meeting to review the Owner’s requirements and to resolve any questions relative to the purchase order. The Inspection Checklist(s) may serve as a basis for the meeting discussion.
In preparing for this meeting the inspector shall notify the manufacturer that representatives from any subcontractors to be used during the manufacture of any critical components of the equipment shall also attend the meeting.

The Inspection Checklist(s) shall be reviewed during the meeting so that all parties understand the inspection requirements.
At the completion of this meeting the manufacturer, any subcontractors, and the shop inspector shall have agreed to the inspection plan and schedule for the manufacture of the equipment.
(*)The Shop Inspector shall prepare a meeting report with a list of any action items attached. Unless otherwise agreed upon by the Owner’s Engineer, a copy shall be provided to the manufacturer’s representative and to the Owner’s Engineer within a week after the meeting.

ELEMENTS OF SHOP INSPECTION

The Inspection Checklist(s) shall provide the basis of the Shop Inspector’s visits to the Manufacturer. They define the frequency of the visits, the level of inspection, and the extent of inspection to be performed. See EP 15–1–6 for details for the preparation and use of Inspection Checklists.
Activities of the Shop Inspector during the manufacturing phase shall be documented to serve as a permanent record of the quality assurance performed by the Shop Inspector. This documentation shall also serve as elements and verification of communication between the Shop Inspector, the Manufacturer, and the Owner.
(*)All equipment shall receive a final inspection before being released for shipment. At this time the Shop Inspector shall review all of the documentation accumulated to verify that all outstanding issues have been resolved. No equipment may be released for shipment before all issues are resolved to the satisfaction of the Owner’s Engineer.

SHOP INSPECTION DOCUMENTATION AND PROCEDURES

The Shop Inspector shall maintain the originals of all documents generated during the manufacturing phase. At the completion of the assignment, the Shop Inspector shall submit all the originals to the Inspection Authority.
The documentation shall be recorded on the preferred standard forms provided in this document or, at the option of the Inspection Authority, forms provided by the Inspection Contractor.
If forms provided by the Inspection Contractor are used they shall contain at a minimum the same content and level of detail as those provided in this Practice.
No substitution for the appropriate Inspection Checklists shall be permitted.
A description of each form and the procedure for its use is listed here (Number in parenthesis indicates the form identification used in this Practice):
Inspection Checklist are used to verify that all the required quality control activities have been successfully completed during the manufacture of the equipment.
(*)Prior to releasing a bid package the Owner’s Engineer should consult with the Inspection Authority to determine the amount of inspection necessary to assure the equipment will be properly manufactured.
One checklist shall be utilized for each piece of equipment manufactured unless the equipment is manufactured in lots, in which one checklist shall be used for each lot.

The Shop Inspector shall maintain the checklist current by signing his initials and the date by each activity as it is completed until all the selected quality control activities are completed.
A Field Inspection Report is completed for each visit to the manufacturer’s facility.
A copy of each report shall be delivered to the Inspection Authority within three days of completion of the shop visit unless the Inspection Authority agrees to other arrangements.
The report shall indicate the reviews, witnesses, and inspections which were performed during the visit and shall discuss any unusual findings which should be brought to the attention of the Owner’s Engineer.
The Shop Inspector completes a Radiographic Report for those radiographs reviewed when required by the Inspection Checklist.
All radiographs reviewed shall be reported on the form. The report shall adequately identify the items reviewed and indicate whether the material was acceptable to the applicable criteria.
The Inspection Authority, in consultation with the Shop Inspector, may request radiographic film review in addition to, or when it is not specified in, the Inspection Checklist.
Pipe Spool Inspection Report is completed by the Shop Inspector for certain piping inspection activities required in the Inspection Checklist. This report documents the actual extent of review and inspection performed by the Shop Inspector and verifies the piping fabrications have met the requirements of the Purchase Order.
When the manufacturer notifies the Shop Inspector, or when the Shop Inspector detects, that a correctable departure from the requirements of the Purchase Order has occurred, the Shop Inspector shall complete a Deficiency Notice and issue it to the manufacturer’s representative. The purpose of this report is to document that all parties are aware of the situation and that corrective action will be taken.
The notices shall be numbered sequentially beginning with 01 for each Purchase Order and shall be reported to the Inspection Authority in the Field Inspection Report with a copy of the notice attached to it.
At the completion of the necessary corrective action the Shop Inspector shall verify that the deficiency was properly corrected and shall close out the report.
This action shall also be noted in the Field Inspection Report with a copy of the closed notice attached.
A Nonconformance Report is issued for all noncorrectable departures from the manufacturing requirements of the Purchase Order.
(*)Nonconformances normally may require either a repair procedure which must be approved by the Owner’s Engineer, a change in the design, or a deviation to an Engineering Practice in order to correct.
Deficiencies may also require a Nonconformance Report if they are not corrected within the period of time required in the Deficiency Notice.

(*)Normally nonconformances require that some action be taken by the Owner’s Engineer. Therefore the Shop Inspector will notify the Inspection Authority and the Owner’s Engineer as soon as possible after it has been identified.
The Nonconformance Report may be issued by either the Shop Inspector, the Inspection Authority, or the Owner’s Engineer.
It shall be the responsibility of the Shop Inspector to maintain the original report and assure that it is closed out to the satisfaction of the Owner’s Engineer.
These reports shall be numbered sequentially beginning with the number 01 for each purchase order. The reporting procedure shall be the same as that for a Deficiency Notice.
When items of a Purchase Order have satisfactorily completed inspection, the Shop Inspector shall document this in the Final Inspection Release form.
This form serves as a record that the material has been manufactured satisfactorily and the Shop Inspector has given approval for shipment.
(*)The Shop Inspector shall be satisfied that any Deficiency Notices are resolved, and Owner’s Engineer shall be satisfied that Nonconformance Reports are resolved before any item can be released for shipment.
After the Shop Inspector has signed the Inspection Release, the Manufacturer shall not disassemble the equipment beyond that required for shipment. The Manufacturer shall notify the Shop Inspector when this is required and shall obtain his written approval.

REQUESTING CHANGES

At any time during the manufacturing process, the manufacturer may request a change in the design or fabrication of the equipment originally specified in the Purchase Order. These variances are of two types, minor and major.
Minor variances may be approved by the Shop Inspector and do not require the Owner’s review.
(*)Major variances, if approved, require either a deviation to an Engineering Practice or other changes requiring the Owner’s review and approval.
Examples of minor variance would be relocating vessel clips, minor alignment changes in piping fabrications, etc. Major variances include such things as: changes in welding processes, relocating or resizing nozzles, making major pipe routing changes, etc.
(*)The Owner’s Engineer shall communicate any approved major variances to the Owner’s Materials Management to assure any required changes to the purchase order are made.
The Variance Request form shall document these requests and record the decision of the Shop Inspector or the Owner’s Engineer.
The Shop Inspector shall be responsible to:
Log all variance requests.
Assign the appropriate number for tracking purposes.

Review the request to assure sufficient information is provided.
Review and act on minor variances.
Ensure that original properly completed request forms for all major variances are sent to the Owner’s Engineer for evaluation.
The Owner’s Engineer shall be responsible to:
(*)Review the variance request and refer it to the proper Owner’s personnel for consideration, if required.
(*)Document the Owner’s decision on the form and return the original to the Shop Inspector and send a copy to the Manufacturer.
(*)Generate a deviation and submit it for approval according to the procedure in EP 1–1–3.

VENDOR PERFORMANCE EVALUATION

At the completion of an assignment the Shop Inspector shall complete a MANUFACTURER Close Out Evaluation form which rates how the Manufacturer performed during the time the equipment was being manufactured.
The Shop Inspector is expected to be objective in completing the form so the information can be used by the Owner for evaluating vendors for future work.
For vendors who have performed extremely poorly the evaluation may be used to initiate an audit for the purpose of determining if the vendor should be removed from the Owner’s Approved Vendor’s List.
The original completed form shall be sent to the Inspection Authority with copies sent to IPE

Material Management.

11.2 If the Manufacturer is a vendor which the owner uses on a routine basis, the Inspection Authority may instruct the Shop Inspector not to perform a Shop Evaluation less frequently than for every order, such as once a year, unless the vendor’s performance is in question.

SHOP INSPECTION DOCUMENT CONTROL

After manufacturing is been completed and the final release has been signed, the Shop Inspector shall assemble all the documentation he has accumulated during the assignment and complete a Manufacturer Inspection Documentation Summary form identifying all the purchase related documents.
The Shop Inspector shall sign the Document Summary form certifying that all the documentation has been accounted for and properly completed.
This package containing originals of all the shop inspection reports, records, and any other related documents required by the applicable Engineering Practices is then forwarded to the Inspection Authority.
Copies of the completed EP 15–1–4 forms without the documentation shall be sent to appropriate IPE Materials Management.

The Inspection Authority shall review the package upon receipt to verify that the package is complete and all issues such as nonconformances and variances have been addressed and resolved. He then signs the Documentation Summary and sends it to the Owner’s Engineer for inclusion with the equipment’s permanent file.

13.0 QUALITY ASSURANCE FORMS

FORM 1 - FIELD INSPECTION REPORT

FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT
PLANT INFORMATION	PLANT INFORMATION	PLANT INFORMATION	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	MANUFACTURER'S INFORMATION
PLANT LOC.:	PLANT LOC.:	PLANT LOC.:	INSP. NAME:	INSP. NAME:	INSP. NAME:	INSP. NAME:	INSP. NAME:	MFGR. NAME:
PROJECT:	PROJECT:	PROJECT:	INSP. COMPANY:	INSP. COMPANY:	INSP. COMPANY:	INSP. COMPANY:	INSP. COMPANY:	ADDRESS:
PROJ. ENG.:	PROJ. ENG.:	PROJ. ENG.:	INSP. P.O.:	INSP. P.O.:	INSP. P.O.:	INSP. P.O.:	INSP. P.O.:	EQUIP. DESCR.:
INSP. AUTH.:	INSP. AUTH.:	INSP. AUTH.:	INSP. SIGNATURE:	INSP. SIGNATURE:	INSP. SIGNATURE:	INSP. SIGNATURE:	INSP. SIGNATURE:	TAG NO.:
P.O. NO.:	P.O. NO.:	P.O. NO.:	DATE:	DATE:	DATE:	DATE:	DATE:	ITEM NO.:
								PRIME SUBCONTRACTOR
LOCATION:	LOCATION:	LOCATION:	CONTACT:	CONTACT:	CONTACT:	CONTACT:	CONTACT:	PHONE NO.
MATERIAL DESCRIPTION:	MATERIAL DESCRIPTION:	MATERIAL DESCRIPTION:	ITEM NO(S):	ITEM NO(S):	ITEM NO(S):	ITEM NO(S):	ITEM NO(S):	ITEM NO(S):
PURPOSE OF VISIT: PREFAB MTG. DOCUMENT REVIEW REVIEW ITEMS WITNESS POINT HOLD POINT FINAL INSPECTION OTHER	PURPOSE OF VISIT: PREFAB MTG. DOCUMENT REVIEW REVIEW ITEMS WITNESS POINT HOLD POINT FINAL INSPECTION OTHER	PURPOSE OF VISIT: PREFAB MTG. DOCUMENT REVIEW REVIEW ITEMS WITNESS POINT HOLD POINT FINAL INSPECTION OTHER	PURPOSE OF VISIT: PREFAB MTG. DOCUMENT REVIEW REVIEW ITEMS WITNESS POINT HOLD POINT FINAL INSPECTION OTHER	PURPOSE OF VISIT: PREFAB MTG. DOCUMENT REVIEW REVIEW ITEMS WITNESS POINT HOLD POINT FINAL INSPECTION OTHER	PURPOSE OF VISIT: PREFAB MTG. DOCUMENT REVIEW REVIEW ITEMS WITNESS POINT HOLD POINT FINAL INSPECTION OTHER	PURPOSE OF VISIT: PREFAB MTG. DOCUMENT REVIEW REVIEW ITEMS WITNESS POINT HOLD POINT FINAL INSPECTION OTHER	PURPOSE OF VISIT: PREFAB MTG. DOCUMENT REVIEW REVIEW ITEMS WITNESS POINT HOLD POINT FINAL INSPECTION OTHER	PURPOSE OF VISIT: PREFAB MTG. DOCUMENT REVIEW REVIEW ITEMS WITNESS POINT HOLD POINT FINAL INSPECTION OTHER
FREQUENCY LEVEL:	FREQUENCY LEVEL:	INSPECTION LEVEL::	INSPECTION LEVEL::	INSPECTION LEVEL::	INSPECTION LEVEL::	INSPECTION LEVEL::	DATE:	DATE:
INSPECTION ITEMS PERFORMED: (CHECK ALL APPLICABLE)	INSPECTION ITEMS PERFORMED: (CHECK ALL APPLICABLE)	INSPECTION ITEMS PERFORMED: (CHECK ALL APPLICABLE)	INSPECTION ITEMS PERFORMED: (CHECK ALL APPLICABLE)	INSPECTION ITEMS PERFORMED: (CHECK ALL APPLICABLE)	INSPECTION ITEMS PERFORMED: (CHECK ALL APPLICABLE)	INSPECTION ITEMS PERFORMED: (CHECK ALL APPLICABLE)	INSPECTION ITEMS PERFORMED: (CHECK ALL APPLICABLE)	INSPECTION ITEMS PERFORMED: (CHECK ALL APPLICABLE)
	PREFABRICATION REVIEW	PREFABRICATION REVIEW	PREFABRICATION REVIEW	PREFABRICATION REVIEW		DOCUMENTATION REVIEW	DOCUMENTATION REVIEW	DOCUMENTATION REVIEW
	RECEIVING INSPECTION	RECEIVING INSPECTION	RECEIVING INSPECTION	RECEIVING INSPECTION		WITNESS/REVIEW NDE	WITNESS/REVIEW NDE	WITNESS/REVIEW NDE
	POSITIVE MATERIAL IDENTIFICATION	POSITIVE MATERIAL IDENTIFICATION	POSITIVE MATERIAL IDENTIFICATION	POSITIVE MATERIAL IDENTIFICATION		VERIFY MATERIAL PREPARATION	VERIFY MATERIAL PREPARATION	VERIFY MATERIAL PREPARATION
	WITNESS PQR TESTING	WITNESS PQR TESTING	WITNESS PQR TESTING	WITNESS PQR TESTING		VERIFY FIT-UPS	VERIFY FIT-UPS	VERIFY FIT-UPS
	WITNESS WELDER QUALIFICATION	WITNESS WELDER QUALIFICATION	WITNESS WELDER QUALIFICATION	WITNESS WELDER QUALIFICATION		WITNESS ASSEMBLY	WITNESS ASSEMBLY	WITNESS ASSEMBLY
	VERIFY DIMENSIONS	VERIFY DIMENSIONS	VERIFY DIMENSIONS	VERIFY DIMENSIONS		WITNESS TUBE ROLLING	WITNESS TUBE ROLLING	WITNESS TUBE ROLLING
	VERIFY MACHINING/DRILLING	VERIFY MACHINING/DRILLING	VERIFY MACHINING/DRILLING	VERIFY MACHINING/DRILLING		WITNESS BALANCING/RUN-OUTS	WITNESS BALANCING/RUN-OUTS	WITNESS BALANCING/RUN-OUTS
	HYDROSTATIC/PRESSURE TEST	HYDROSTATIC/PRESSURE TEST	HYDROSTATIC/PRESSURE TEST	HYDROSTATIC/PRESSURE TEST		WITNESS FUNCTIONAL/OPERATIONAL TEST	WITNESS FUNCTIONAL/OPERATIONAL TEST	WITNESS FUNCTIONAL/OPERATIONAL TEST
	VERIFY PAINTING/COATING/LINING	VERIFY PAINTING/COATING/LINING	VERIFY PAINTING/COATING/LINING	VERIFY PAINTING/COATING/LINING		WITNESS PERFORMANCE TEST	WITNESS PERFORMANCE TEST	WITNESS PERFORMANCE TEST
	VISUAL INSPECTION	VISUAL INSPECTION	VISUAL INSPECTION	VISUAL INSPECTION		WITNESS MECHANICAL RUN	WITNESS MECHANICAL RUN	WITNESS MECHANICAL RUN
	VERIFY TAGGING/MARKING	VERIFY TAGGING/MARKING	VERIFY TAGGING/MARKING	VERIFY TAGGING/MARKING		VERIFY CRATING/PACKAGING	VERIFY CRATING/PACKAGING	VERIFY CRATING/PACKAGING
	OTHER	OTHER	OTHER	OTHER
ACTION REQUIRED BY IPE/PROJECT ACTION REQUIRED BY MANUFACTURER (CHECK ONE IF ACTION REQUIRED)	ACTION REQUIRED BY IPE/PROJECT ACTION REQUIRED BY MANUFACTURER (CHECK ONE IF ACTION REQUIRED)	ACTION REQUIRED BY IPE/PROJECT ACTION REQUIRED BY MANUFACTURER (CHECK ONE IF ACTION REQUIRED)	ACTION REQUIRED BY IPE/PROJECT ACTION REQUIRED BY MANUFACTURER (CHECK ONE IF ACTION REQUIRED)	ACTION REQUIRED BY IPE/PROJECT ACTION REQUIRED BY MANUFACTURER (CHECK ONE IF ACTION REQUIRED)	ACTION REQUIRED BY IPE/PROJECT ACTION REQUIRED BY MANUFACTURER (CHECK ONE IF ACTION REQUIRED)	ACTION REQUIRED BY IPE/PROJECT ACTION REQUIRED BY MANUFACTURER (CHECK ONE IF ACTION REQUIRED)	ACTION REQUIRED BY IPE/PROJECT ACTION REQUIRED BY MANUFACTURER (CHECK ONE IF ACTION REQUIRED)	ACTION REQUIRED BY IPE/PROJECT ACTION REQUIRED BY MANUFACTURER (CHECK ONE IF ACTION REQUIRED)
ACTION REQUIRED:	ACTION REQUIRED:	ACTION REQUIRED:	ACTION REQUIRED:	ACTION REQUIRED:	ACTION REQUIRED:	ACTION REQUIRED:	ACTION REQUIRED:	ACTION REQUIRED:



RESULTS OF VISIT: ACCEPTABLE CONDITIONAL UNACCEPTABLE	RESULTS OF VISIT: ACCEPTABLE CONDITIONAL UNACCEPTABLE	RESULTS OF VISIT: ACCEPTABLE CONDITIONAL UNACCEPTABLE	RESULTS OF VISIT: ACCEPTABLE CONDITIONAL UNACCEPTABLE	RESULTS OF VISIT: ACCEPTABLE CONDITIONAL UNACCEPTABLE	RESULTS OF VISIT: ACCEPTABLE CONDITIONAL UNACCEPTABLE	RESULTS OF VISIT: ACCEPTABLE CONDITIONAL UNACCEPTABLE	RESULTS OF VISIT: ACCEPTABLE CONDITIONAL UNACCEPTABLE	RESULTS OF VISIT: ACCEPTABLE CONDITIONAL UNACCEPTABLE
COMMENTS:	COMMENTS:	COMMENTS:	COMMENTS:	COMMENTS:	COMMENTS:	COMMENTS:	COMMENTS:	COMMENTS:


DEFICIENCIES AND/OR NONCOMFORMANCES OUTSTANDING YES NO	DEFICIENCIES AND/OR NONCOMFORMANCES OUTSTANDING YES NO	DEFICIENCIES AND/OR NONCOMFORMANCES OUTSTANDING YES NO	DEFICIENCIES AND/OR NONCOMFORMANCES OUTSTANDING YES NO	DEFICIENCIES AND/OR NONCOMFORMANCES OUTSTANDING YES NO	DEFICIENCIES AND/OR NONCOMFORMANCES OUTSTANDING YES NO	DEFICIENCIES AND/OR NONCOMFORMANCES OUTSTANDING YES NO	DEFICIENCIES AND/OR NONCOMFORMANCES OUTSTANDING YES NO	DEFICIENCIES AND/OR NONCOMFORMANCES OUTSTANDING YES NO
ATTACHED TO THIS REPORT: FINAL RELEASE DEFICIENCY NONCONFORMANCE QC DOCUMENTATION CLOSE OUT EVALUATION REQUEST FOR DEVIATION ALERT NOTICE OTHER	ATTACHED TO THIS REPORT: FINAL RELEASE DEFICIENCY NONCONFORMANCE QC DOCUMENTATION CLOSE OUT EVALUATION REQUEST FOR DEVIATION ALERT NOTICE OTHER	ATTACHED TO THIS REPORT: FINAL RELEASE DEFICIENCY NONCONFORMANCE QC DOCUMENTATION CLOSE OUT EVALUATION REQUEST FOR DEVIATION ALERT NOTICE OTHER	ATTACHED TO THIS REPORT: FINAL RELEASE DEFICIENCY NONCONFORMANCE QC DOCUMENTATION CLOSE OUT EVALUATION REQUEST FOR DEVIATION ALERT NOTICE OTHER	ATTACHED TO THIS REPORT: FINAL RELEASE DEFICIENCY NONCONFORMANCE QC DOCUMENTATION CLOSE OUT EVALUATION REQUEST FOR DEVIATION ALERT NOTICE OTHER	ATTACHED TO THIS REPORT: FINAL RELEASE DEFICIENCY NONCONFORMANCE QC DOCUMENTATION CLOSE OUT EVALUATION REQUEST FOR DEVIATION ALERT NOTICE OTHER	ATTACHED TO THIS REPORT: FINAL RELEASE DEFICIENCY NONCONFORMANCE QC DOCUMENTATION CLOSE OUT EVALUATION REQUEST FOR DEVIATION ALERT NOTICE OTHER	ATTACHED TO THIS REPORT: FINAL RELEASE DEFICIENCY NONCONFORMANCE QC DOCUMENTATION CLOSE OUT EVALUATION REQUEST FOR DEVIATION ALERT NOTICE OTHER	ATTACHED TO THIS REPORT: FINAL RELEASE DEFICIENCY NONCONFORMANCE QC DOCUMENTATION CLOSE OUT EVALUATION REQUEST FOR DEVIATION ALERT NOTICE OTHER
THIS IS THE FINAL REPORT: YES NO	THIS IS THE FINAL REPORT: YES NO	THIS IS THE FINAL REPORT: YES NO	THIS IS THE FINAL REPORT: YES NO	THIS IS THE FINAL REPORT: YES NO	THIS IS THE FINAL REPORT: YES NO	THIS IS THE FINAL REPORT: YES NO	THIS IS THE FINAL REPORT: YES NO	THIS IS THE FINAL REPORT: YES NO
COMMENTS:	COMMENTS:	COMMENTS:	COMMENTS:	COMMENTS:	COMMENTS:	COMMENTS:	COMMENTS:	COMMENTS:

FORM 2 - RADIOGRAPHIC REPORT

RADIOGRAPHIC REPORT	RADIOGRAPHIC REPORT	RADIOGRAPHIC REPORT	RADIOGRAPHIC REPORT	RADIOGRAPHIC REPORT
PLANT INFORMATION	PLANT INFORMATION	PLANT INFORMATION	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	MANUFACTURER'S INFORMATION	MANUFACTURER'S INFORMATION	MANUFACTURER'S INFORMATION
PLANT LOC.:	PLANT LOC.:	PLANT LOC.:	INSP. NAME:	INSP. NAME:	INSP. NAME:	INSP. NAME:	INSP. NAME:	MFGR. NAME:	MFGR. NAME:	MFGR. NAME:
PROJECT:	PROJECT:	PROJECT:	INSP. COMPANY:	INSP. COMPANY:	INSP. COMPANY:	INSP. COMPANY:	INSP. COMPANY:	ADDRESS:	ADDRESS:	ADDRESS:
PROJ. ENG.:	PROJ. ENG.:	PROJ. ENG.:	INSP. P.O.:	INSP. P.O.:	INSP. P.O.:	INSP. P.O.:	INSP. P.O.:	EQUIP. DESCR.:	EQUIP. DESCR.:	EQUIP. DESCR.:
INSP. AUTH.:	INSP. AUTH.:	INSP. AUTH.:	INSP. SIGNATURE:	INSP. SIGNATURE:	INSP. SIGNATURE:	INSP. SIGNATURE:	INSP. SIGNATURE:	TAG NO.:	TAG NO.:	TAG NO.:
P.O. NO.:	P.O. NO.:	P.O. NO.:	DATE:	DATE:	DATE:	DATE:	DATE:	ITEM NO.:	ITEM NO.:	ITEM NO.:
								PRIME SUBCONTRACTOR	PRIME SUBCONTRACTOR	PRIME SUBCONTRACTOR
NOZZLE, SEAM NO OR PART NO..	WELD/SPOOL NO. OR CASTING NO./PATTERN	LOCATION FILM	LOCATION FILM	DEFECT TYPE	DEFECT TYPE	ACCEPT	REJECT	REJECT	DENSITY	REMARKS

DEFECT LEGEND:

S=SLAG P=POROSITY LF=LACK OF FUSION EP=EXCESSIVE PENETRATION I=INCLUSION C=CRACK HR=HOLLOW ROOT ILP=INLINE POROSITY IP= INCOMPLETE PENETRATION UC=UNDERCUT SHR=SHRINKAGE CHP=CHAPLET HT=HOT TEAR DR=DROSS S=SAND CS=CORE SHIFT

FORM 3 - PIPE SPOOL INSPECTION REPORT

PIPE SPOOL INSPECTION REPORT	PIPE SPOOL INSPECTION REPORT
PLANT INFORMATION	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	MANUFACTURER'S INFORMATION
PLANT LOC.:	INSP. NAME:	INSP. NAME:	MFGR. NAME:
PROJECT:	INSP. COMPANY:	INSP. COMPANY:	ADDRESS:
PROJ. ENG.:	INSP. P.O.:	INSP. P.O.:	EQUIP. DESCR.:
INSP. AUTH.:	INSP. SIGNATURE:	INSP. SIGNATURE:	TAG NO.:
P.O. NO.:	DATE:	DATE:	ITEM NO.:
			PRIME SUBCONTRACTOR

ISO LINE NUMBER	SPOOL SHEET NUMBER	SPOOL SHEET REV.NO.	PIPE SIZE(S)	MATERIAL ASTM	PIPING CLASS	HEAT TREAT DATE	HARDNES S RESULTS	REVIEW RT. FILM DATE	HYDRO TEST PRESS	DIM. CHECKS	PAINTING/ MARKING	DOC. PACKAGE REVIEW	SPOOL RELEASE DATE

FORM 4 - DEFICIENCY NOTICE

DEFICIENCY NOTICE	DEFICIENCY NOTICE	DEFICIENCY NOTICE	DEFICIENCY NOTICE	DEFICIENCY NOTICE	DEFICIENCY NOTICE	DEFICIENCY NOTICE	DEFICIENCY NOTICE	DEFICIENCY NOTICE	DEFICIENCY NOTICE	DEFICIENCY NOTICE	DEFICIENCY NOTICE
PLANT INFORMATION	PLANT INFORMATION	PLANT INFORMATION	PLANT INFORMATION	PLANT INFORMATION	PLANT INFORMATION	PLANT INFORMATION	PLANT INFORMATION	PLANT INFORMATION	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	MANUFACTURER'S INFORMATION	MANUFACTURER'S INFORMATION	MANUFACTURER'S INFORMATION	MANUFACTURER'S INFORMATION	MANUFACTURER'S INFORMATION	MANUFACTURER'S INFORMATION
PLANT LOC.:	PLANT LOC.:	PLANT LOC.:	PLANT LOC.:	PLANT LOC.:	PLANT LOC.:	PLANT LOC.:	PLANT LOC.:	PLANT LOC.:	INSP. NAME:	INSP. NAME:	INSP. NAME:	INSP. NAME:	INSP. NAME:	INSP. NAME:	INSP. NAME:	INSP. NAME:	MFGR. NAME:	MFGR. NAME:	MFGR. NAME:	MFGR. NAME:	MFGR. NAME:	MFGR. NAME:
PROJECT:	PROJECT:	PROJECT:	PROJECT:	PROJECT:	PROJECT:	PROJECT:	PROJECT:	PROJECT:	INSP. COMPANY:	INSP. COMPANY:	INSP. COMPANY:	INSP. COMPANY:	INSP. COMPANY:	INSP. COMPANY:	INSP. COMPANY:	INSP. COMPANY:	ADDRESS:	ADDRESS:	ADDRESS:	ADDRESS:	ADDRESS:	ADDRESS:
PROJ. ENG.:	PROJ. ENG.:	PROJ. ENG.:	PROJ. ENG.:	PROJ. ENG.:	PROJ. ENG.:	PROJ. ENG.:	PROJ. ENG.:	PROJ. ENG.:	INSP. P.O.:	INSP. P.O.:	INSP. P.O.:	INSP. P.O.:	INSP. P.O.:	INSP. P.O.:	INSP. P.O.:	INSP. P.O.:	EQUIP. DESCR.:	EQUIP. DESCR.:	EQUIP. DESCR.:	EQUIP. DESCR.:	EQUIP. DESCR.:	EQUIP. DESCR.:
INSP. AUTH.:	INSP. AUTH.:	INSP. AUTH.:	INSP. AUTH.:	INSP. AUTH.:	INSP. AUTH.:	INSP. AUTH.:	INSP. AUTH.:	INSP. AUTH.:	INSP. SIGNATURE:	INSP. SIGNATURE:	INSP. SIGNATURE:	INSP. SIGNATURE:	INSP. SIGNATURE:	INSP. SIGNATURE:	INSP. SIGNATURE:	INSP. SIGNATURE:	TAG NO.:	TAG NO.:	TAG NO.:	TAG NO.:	TAG NO.:	TAG NO.:
P.O. NO.:	P.O. NO.:	P.O. NO.:	P.O. NO.:	P.O. NO.:	P.O. NO.:	P.O. NO.:	P.O. NO.:	P.O. NO.:	DATE:	DATE:	DATE:	DATE:	DATE:	DATE:	DATE:	DATE:	ITEM NO.:	ITEM NO.:	ITEM NO.:	ITEM NO.:	ITEM NO.:	ITEM NO.:
																	PRIME SUBCONTRACTOR	PRIME SUBCONTRACTOR	PRIME SUBCONTRACTOR	PRIME SUBCONTRACTOR	PRIME SUBCONTRACTOR	PRIME SUBCONTRACTOR
DEFICIENCY NOTICE NO:	DEFICIENCY NOTICE NO:	DEFICIENCY NOTICE NO:	DEFICIENCY NOTICE NO:	DEFICIENCY NOTICE NO:	DEFICIENCY NOTICE NO:	DEFICIENCY NOTICE NO:	DEFICIENCY NOTICE NO:	DEFICIENCY NOTICE NO:	DEFICIENCY NOTICE NO:	DEFICIENCY NOTICE NO:	DEFICIENCY NOTICE NO:	DEFICIENCY NOTICE NO:	DEFICIENCY NOTICE NO:	(FIRST NOTICE FOR THIS ORDER = 01)	(FIRST NOTICE FOR THIS ORDER = 01)	(FIRST NOTICE FOR THIS ORDER = 01)	(FIRST NOTICE FOR THIS ORDER = 01)	(FIRST NOTICE FOR THIS ORDER = 01)	(FIRST NOTICE FOR THIS ORDER = 01)	(FIRST NOTICE FOR THIS ORDER = 01)	(FIRST NOTICE FOR THIS ORDER = 01)	(FIRST NOTICE FOR THIS ORDER = 01)
DESCRIPTION OF DEFICIENCY:	DESCRIPTION OF DEFICIENCY:	DESCRIPTION OF DEFICIENCY:	DESCRIPTION OF DEFICIENCY:	DESCRIPTION OF DEFICIENCY:	DESCRIPTION OF DEFICIENCY:	DESCRIPTION OF DEFICIENCY:	DESCRIPTION OF DEFICIENCY:	DESCRIPTION OF DEFICIENCY:	DESCRIPTION OF DEFICIENCY:	DESCRIPTION OF DEFICIENCY:	DESCRIPTION OF DEFICIENCY:	DESCRIPTION OF DEFICIENCY:	DESCRIPTION OF DEFICIENCY:	DESCRIPTION OF DEFICIENCY:	DESCRIPTION OF DEFICIENCY:	DESCRIPTION OF DEFICIENCY:	DESCRIPTION OF DEFICIENCY:	DESCRIPTION OF DEFICIENCY:	DESCRIPTION OF DEFICIENCY:	DESCRIPTION OF DEFICIENCY:	DESCRIPTION OF DEFICIENCY:	DESCRIPTION OF DEFICIENCY:





CATEGORY:	CATEGORY:	PROCEDURAL	PROCEDURAL	PROCEDURAL	QUANTITY	QUANTITY	QUANTITY	QUANTITY	QUANTITY	NDE	NDE	NDE	TESTING	TESTING	TESTING	WELDING	WELDING	WELDING	WORKMANSHIP	WORKMANSHIP	WORKMANSHIP	DESIGN

DOCUMENTATION	DOCUMENTATION	DOCUMENTATION	DOCUMENTATION	MATERIAL	MATERIAL	MATERIAL	DIMENSIONAL	DIMENSIONAL	DIMENSIONAL	DIMENSIONAL	DIMENSIONAL	PACKAGING	PACKAGING	PACKAGING	PACKAGING	SPECIFICATION/DATA SHEET	SPECIFICATION/DATA SHEET	SPECIFICATION/DATA SHEET	SPECIFICATION/DATA SHEET	SPECIFICATION/DATA SHEET	NOTIFICATION	NOTIFICATION
	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):
ROOT CAUSE:	MANUFACTURER SYSTEM FAILURE	MANUFACTURER SYSTEM FAILURE	MANUFACTURER SYSTEM FAILURE	MANUFACTURER SYSTEM FAILURE	MANUFACTURER SYSTEM FAILURE	MANUFACTURER SYSTEM FAILURE	MANUFACTURER SYSTEM FAILURE	MANUFACTURER SYSTEM FAILURE	MANUFACTURER SYSTEM FAILURE	MANUFACTURER SYSTEM FAILURE	MANUFACTURER QC FAILURE	MANUFACTURER QC FAILURE	MANUFACTURER QC FAILURE	MANUFACTURER QC FAILURE	MANUFACTURER QC FAILURE	MANUFACTURER QC FAILURE	MANUFACTURER QC FAILURE	REQUIREMENT DEFINITION	REQUIREMENT DEFINITION	REQUIREMENT DEFINITION	REQUIREMENT DEFINITION	REQUIREMENT DEFINITION
	AMBIGUOUS REQUIREMENT	AMBIGUOUS REQUIREMENT	AMBIGUOUS REQUIREMENT	AMBIGUOUS REQUIREMENT	AMBIGUOUS REQUIREMENT	AMBIGUOUS REQUIREMENT	AMBIGUOUS REQUIREMENT	AMBIGUOUS REQUIREMENT	AMBIGUOUS REQUIREMENT	AMBIGUOUS REQUIREMENT	AMBIGUOUS REQUIREMENT	OWNER	OWNER	OWNER	OWNER	OWNER	OWNER	OWNER	OWNER	OWNER	OWNER	OWNER
	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):
ACTION TO BE TAKEN BY: (CHECK ONE ONLY)	ACTION TO BE TAKEN BY: (CHECK ONE ONLY)	ACTION TO BE TAKEN BY: (CHECK ONE ONLY)	ACTION TO BE TAKEN BY: (CHECK ONE ONLY)	ACTION TO BE TAKEN BY: (CHECK ONE ONLY)	ACTION TO BE TAKEN BY: (CHECK ONE ONLY)	ACTION TO BE TAKEN BY: (CHECK ONE ONLY)	ACTION TO BE TAKEN BY: (CHECK ONE ONLY)	ACTION TO BE TAKEN BY: (CHECK ONE ONLY)	ACTION TO BE TAKEN BY: (CHECK ONE ONLY)	ACTION TO BE TAKEN BY: (CHECK ONE ONLY)	ACTION TO BE TAKEN BY: (CHECK ONE ONLY)	ACTION TO BE TAKEN BY: (CHECK ONE ONLY)	ACTION TO BE TAKEN BY: (CHECK ONE ONLY)	ACTION TO BE TAKEN BY: (CHECK ONE ONLY)	ACTION TO BE TAKEN BY: (CHECK ONE ONLY)	ACTION TO BE TAKEN BY: (CHECK ONE ONLY)	ACTION TO BE TAKEN BY: (CHECK ONE ONLY)	ACTION TO BE TAKEN BY: (CHECK ONE ONLY)	ACTION TO BE TAKEN BY: (CHECK ONE ONLY)	ACTION TO BE TAKEN BY: (CHECK ONE ONLY)	ACTION TO BE TAKEN BY: (CHECK ONE ONLY)	ACTION TO BE TAKEN BY: (CHECK ONE ONLY)
MANUFACTURER	MANUFACTURER	MANUFACTURER	OWNER	OWNER	OWNER	OTHER	OTHER	OTHER	OTHER	OTHER	OTHER	OTHER	OTHER	OTHER	DATE CORRECTION TO BE COMPLETED:	DATE CORRECTION TO BE COMPLETED:	DATE CORRECTION TO BE COMPLETED:	DATE CORRECTION TO BE COMPLETED:	DATE CORRECTION TO BE COMPLETED:	DATE CORRECTION TO BE COMPLETED:	DATE CORRECTION TO BE COMPLETED:	DATE CORRECTION TO BE COMPLETED:
NOTE: IF CORRECTION NOT COMPLETED BY ABOVE DATE, ISSUE NON–CONFORMANCE REPORT	NOTE: IF CORRECTION NOT COMPLETED BY ABOVE DATE, ISSUE NON–CONFORMANCE REPORT	NOTE: IF CORRECTION NOT COMPLETED BY ABOVE DATE, ISSUE NON–CONFORMANCE REPORT	NOTE: IF CORRECTION NOT COMPLETED BY ABOVE DATE, ISSUE NON–CONFORMANCE REPORT	NOTE: IF CORRECTION NOT COMPLETED BY ABOVE DATE, ISSUE NON–CONFORMANCE REPORT	NOTE: IF CORRECTION NOT COMPLETED BY ABOVE DATE, ISSUE NON–CONFORMANCE REPORT	NOTE: IF CORRECTION NOT COMPLETED BY ABOVE DATE, ISSUE NON–CONFORMANCE REPORT	NOTE: IF CORRECTION NOT COMPLETED BY ABOVE DATE, ISSUE NON–CONFORMANCE REPORT	NOTE: IF CORRECTION NOT COMPLETED BY ABOVE DATE, ISSUE NON–CONFORMANCE REPORT	NOTE: IF CORRECTION NOT COMPLETED BY ABOVE DATE, ISSUE NON–CONFORMANCE REPORT	NOTE: IF CORRECTION NOT COMPLETED BY ABOVE DATE, ISSUE NON–CONFORMANCE REPORT	NOTE: IF CORRECTION NOT COMPLETED BY ABOVE DATE, ISSUE NON–CONFORMANCE REPORT	NOTE: IF CORRECTION NOT COMPLETED BY ABOVE DATE, ISSUE NON–CONFORMANCE REPORT	NOTE: IF CORRECTION NOT COMPLETED BY ABOVE DATE, ISSUE NON–CONFORMANCE REPORT	NOTE: IF CORRECTION NOT COMPLETED BY ABOVE DATE, ISSUE NON–CONFORMANCE REPORT	NOTE: IF CORRECTION NOT COMPLETED BY ABOVE DATE, ISSUE NON–CONFORMANCE REPORT	NOTE: IF CORRECTION NOT COMPLETED BY ABOVE DATE, ISSUE NON–CONFORMANCE REPORT	NOTE: IF CORRECTION NOT COMPLETED BY ABOVE DATE, ISSUE NON–CONFORMANCE REPORT	NOTE: IF CORRECTION NOT COMPLETED BY ABOVE DATE, ISSUE NON–CONFORMANCE REPORT	NOTE: IF CORRECTION NOT COMPLETED BY ABOVE DATE, ISSUE NON–CONFORMANCE REPORT	NOTE: IF CORRECTION NOT COMPLETED BY ABOVE DATE, ISSUE NON–CONFORMANCE REPORT	NOTE: IF CORRECTION NOT COMPLETED BY ABOVE DATE, ISSUE NON–CONFORMANCE REPORT	NOTE: IF CORRECTION NOT COMPLETED BY ABOVE DATE, ISSUE NON–CONFORMANCE REPORT
DEFICIENCY IDENTIFIED BY:	DEFICIENCY IDENTIFIED BY:	DEFICIENCY IDENTIFIED BY:	DEFICIENCY IDENTIFIED BY:	DEFICIENCY IDENTIFIED BY:	DEFICIENCY IDENTIFIED BY:	DEFICIENCY IDENTIFIED BY:	DEFICIENCY IDENTIFIED BY:	DATE:	DATE:	DATE:	DATE:	ACKNOWLEDGED BY:	ACKNOWLEDGED BY:	ACKNOWLEDGED BY:	ACKNOWLEDGED BY:	ACKNOWLEDGED BY:	ACKNOWLEDGED BY:	ACKNOWLEDGED BY:	ACKNOWLEDGED BY:	DATE:	DATE:	DATE:
ACTION TAKEN TO CORRECT DEFICIENCY:	ACTION TAKEN TO CORRECT DEFICIENCY:	ACTION TAKEN TO CORRECT DEFICIENCY:	ACTION TAKEN TO CORRECT DEFICIENCY:	ACTION TAKEN TO CORRECT DEFICIENCY:	ACTION TAKEN TO CORRECT DEFICIENCY:	ACTION TAKEN TO CORRECT DEFICIENCY:	ACTION TAKEN TO CORRECT DEFICIENCY:	ACTION TAKEN TO CORRECT DEFICIENCY:	ACTION TAKEN TO CORRECT DEFICIENCY:	ACTION TAKEN TO CORRECT DEFICIENCY:	ACTION TAKEN TO CORRECT DEFICIENCY:	ACTION TAKEN TO CORRECT DEFICIENCY:	ACTION TAKEN TO CORRECT DEFICIENCY:	ACTION TAKEN TO CORRECT DEFICIENCY:	ACTION TAKEN TO CORRECT DEFICIENCY:	ACTION TAKEN TO CORRECT DEFICIENCY:	ACTION TAKEN TO CORRECT DEFICIENCY:	ACTION TAKEN TO CORRECT DEFICIENCY:	ACTION TAKEN TO CORRECT DEFICIENCY:	ACTION TAKEN TO CORRECT DEFICIENCY:	ACTION TAKEN TO CORRECT DEFICIENCY:	ACTION TAKEN TO CORRECT DEFICIENCY:







DEFICIENCY CLEARED BY: DATE: COPY GIVEN TO MANUFACTURER: YES NO	DEFICIENCY CLEARED BY: DATE: COPY GIVEN TO MANUFACTURER: YES NO	DEFICIENCY CLEARED BY: DATE: COPY GIVEN TO MANUFACTURER: YES NO	DEFICIENCY CLEARED BY: DATE: COPY GIVEN TO MANUFACTURER: YES NO	DEFICIENCY CLEARED BY: DATE: COPY GIVEN TO MANUFACTURER: YES NO	DEFICIENCY CLEARED BY: DATE: COPY GIVEN TO MANUFACTURER: YES NO	DEFICIENCY CLEARED BY: DATE: COPY GIVEN TO MANUFACTURER: YES NO	DEFICIENCY CLEARED BY: DATE: COPY GIVEN TO MANUFACTURER: YES NO	DEFICIENCY CLEARED BY: DATE: COPY GIVEN TO MANUFACTURER: YES NO	DEFICIENCY CLEARED BY: DATE: COPY GIVEN TO MANUFACTURER: YES NO	DEFICIENCY CLEARED BY: DATE: COPY GIVEN TO MANUFACTURER: YES NO	DEFICIENCY CLEARED BY: DATE: COPY GIVEN TO MANUFACTURER: YES NO	DEFICIENCY CLEARED BY: DATE: COPY GIVEN TO MANUFACTURER: YES NO	DEFICIENCY CLEARED BY: DATE: COPY GIVEN TO MANUFACTURER: YES NO	DEFICIENCY CLEARED BY: DATE: COPY GIVEN TO MANUFACTURER: YES NO	DEFICIENCY CLEARED BY: DATE: COPY GIVEN TO MANUFACTURER: YES NO	DEFICIENCY CLEARED BY: DATE: COPY GIVEN TO MANUFACTURER: YES NO	DEFICIENCY CLEARED BY: DATE: COPY GIVEN TO MANUFACTURER: YES NO	DEFICIENCY CLEARED BY: DATE: COPY GIVEN TO MANUFACTURER: YES NO	DEFICIENCY CLEARED BY: DATE: COPY GIVEN TO MANUFACTURER: YES NO	DEFICIENCY CLEARED BY: DATE: COPY GIVEN TO MANUFACTURER: YES NO	DEFICIENCY CLEARED BY: DATE: COPY GIVEN TO MANUFACTURER: YES NO	DEFICIENCY CLEARED BY: DATE: COPY GIVEN TO MANUFACTURER: YES NO

FORM 5- NONCONFORMANCE REPORT

NONCONFORMANCE REPORT	NONCONFORMANCE REPORT	NONCONFORMANCE REPORT	NONCONFORMANCE REPORT	NONCONFORMANCE REPORT	NONCONFORMANCE REPORT	NONCONFORMANCE REPORT	NONCONFORMANCE REPORT	NONCONFORMANCE REPORT	NONCONFORMANCE REPORT
PLANT INFORMATION	PLANT INFORMATION	PLANT INFORMATION	PLANT INFORMATION	PLANT INFORMATION	PLANT INFORMATION	PLANT INFORMATION	PLANT INFORMATION	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	MANUFACTURER'S INFORMATION	MANUFACTURER'S INFORMATION	MANUFACTURER'S INFORMATION	MANUFACTURER'S INFORMATION
PLANT LOC.:	PLANT LOC.:	PLANT LOC.:	PLANT LOC.:	PLANT LOC.:	PLANT LOC.:	PLANT LOC.:	PLANT LOC.:	INSP. NAME:	INSP. NAME:	INSP. NAME:	INSP. NAME:	INSP. NAME:	INSP. NAME:	INSP. NAME:	INSP. NAME:	INSP. NAME:	MFGR. NAME:	MFGR. NAME:	MFGR. NAME:	MFGR. NAME:
PROJECT:	PROJECT:	PROJECT:	PROJECT:	PROJECT:	PROJECT:	PROJECT:	PROJECT:	INSP. COMPANY:	INSP. COMPANY:	INSP. COMPANY:	INSP. COMPANY:	INSP. COMPANY:	INSP. COMPANY:	INSP. COMPANY:	INSP. COMPANY:	INSP. COMPANY:	ADDRESS:	ADDRESS:	ADDRESS:	ADDRESS:
PROJ. ENG.:	PROJ. ENG.:	PROJ. ENG.:	PROJ. ENG.:	PROJ. ENG.:	PROJ. ENG.:	PROJ. ENG.:	PROJ. ENG.:	INSP. P.O.:	INSP. P.O.:	INSP. P.O.:	INSP. P.O.:	INSP. P.O.:	INSP. P.O.:	INSP. P.O.:	INSP. P.O.:	INSP. P.O.:	EQUIP. DESCR.:	EQUIP. DESCR.:	EQUIP. DESCR.:	EQUIP. DESCR.:
INSP. AUTH.:	INSP. AUTH.:	INSP. AUTH.:	INSP. AUTH.:	INSP. AUTH.:	INSP. AUTH.:	INSP. AUTH.:	INSP. AUTH.:	INSP. SIGNATURE:	INSP. SIGNATURE:	INSP. SIGNATURE:	INSP. SIGNATURE:	INSP. SIGNATURE:	INSP. SIGNATURE:	INSP. SIGNATURE:	INSP. SIGNATURE:	INSP. SIGNATURE:	TAG NO.:	TAG NO.:	TAG NO.:	TAG NO.:
P.O. NO.:	P.O. NO.:	P.O. NO.:	P.O. NO.:	P.O. NO.:	P.O. NO.:	P.O. NO.:	P.O. NO.:	DATE:	DATE:	DATE:	DATE:	DATE:	DATE:	DATE:	DATE:	DATE:	ITEM NO.:	ITEM NO.:	ITEM NO.:	ITEM NO.:
																	PRIME SUBCONTRACTOR	PRIME SUBCONTRACTOR	PRIME SUBCONTRACTOR	PRIME SUBCONTRACTOR
NONCONFORMANCE REPORT NO:	NONCONFORMANCE REPORT NO:	NONCONFORMANCE REPORT NO:	NONCONFORMANCE REPORT NO:	NONCONFORMANCE REPORT NO:	NONCONFORMANCE REPORT NO:	NONCONFORMANCE REPORT NO:	NONCONFORMANCE REPORT NO:	(FIRST NOTICE FOR THIS ORDER = 01)	(FIRST NOTICE FOR THIS ORDER = 01)	(FIRST NOTICE FOR THIS ORDER = 01)	(FIRST NOTICE FOR THIS ORDER = 01)	(FIRST NOTICE FOR THIS ORDER = 01)	(FIRST NOTICE FOR THIS ORDER = 01)	(FIRST NOTICE FOR THIS ORDER = 01)	(FIRST NOTICE FOR THIS ORDER = 01)	(FIRST NOTICE FOR THIS ORDER = 01)	STATUS OPEN CLOSED	STATUS OPEN CLOSED	STATUS OPEN CLOSED	STATUS OPEN CLOSED
DESCRIPTION OF NONCONFORMANCE:	DESCRIPTION OF NONCONFORMANCE:	DESCRIPTION OF NONCONFORMANCE:	DESCRIPTION OF NONCONFORMANCE:	DESCRIPTION OF NONCONFORMANCE:	DESCRIPTION OF NONCONFORMANCE:	DESCRIPTION OF NONCONFORMANCE:	DESCRIPTION OF NONCONFORMANCE:	DESCRIPTION OF NONCONFORMANCE:	DESCRIPTION OF NONCONFORMANCE:	DESCRIPTION OF NONCONFORMANCE:	DESCRIPTION OF NONCONFORMANCE:	DESCRIPTION OF NONCONFORMANCE:	DESCRIPTION OF NONCONFORMANCE:	DESCRIPTION OF NONCONFORMANCE:	DESCRIPTION OF NONCONFORMANCE:	DESCRIPTION OF NONCONFORMANCE:	DESCRIPTION OF NONCONFORMANCE:	DESCRIPTION OF NONCONFORMANCE:	DESCRIPTION OF NONCONFORMANCE:	DESCRIPTION OF NONCONFORMANCE:





CATEGORY:	CATEGORY:	PROCEDURAL	PROCEDURAL	PROCEDURAL	PROCEDURAL	QUANTITY	QUANTITY	QUANTITY	NDE	NDE	NDE	NDE	TESTING	TESTING	WELDING	WELDING	WELDING	WORKMANSHIP	WORKMANSHIP	DESIGN

DOCUMENTATION	DOCUMENTATION	DOCUMENTATION	DOCUMENTATION	MATERIAL	MATERIAL	MATERIAL	DIMENSIONAL	DIMENSIONAL	DIMENSIONAL	PACKAGING	PACKAGING	PACKAGING	PACKAGING	SPECIFICATION/DATA SHEET	SPECIFICATION/DATA SHEET	SPECIFICATION/DATA SHEET	SPECIFICATION/DATA SHEET	SPECIFICATION/DATA SHEET	NOTIFICATION	NOTIFICATION
	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):
ROOT CAUSE:	MANUFACTURER SYSTEM FAILURE	MANUFACTURER SYSTEM FAILURE	MANUFACTURER SYSTEM FAILURE	MANUFACTURER SYSTEM FAILURE	MANUFACTURER SYSTEM FAILURE	MANUFACTURER SYSTEM FAILURE	MANUFACTURER SYSTEM FAILURE	MANUFACTURER QC FAILURE	MANUFACTURER QC FAILURE	MANUFACTURER QC FAILURE	MANUFACTURER QC FAILURE	MANUFACTURER QC FAILURE	MANUFACTURER QC FAILURE	MANUFACTURER QC FAILURE	MANUFACTURER QC FAILURE	MANUFACTURER QC FAILURE	REQUIREMENT DEFINITION	REQUIREMENT DEFINITION	REQUIREMENT DEFINITION	REQUIREMENT DEFINITION
	AMBIGUOUS REQUIREMENT	AMBIGUOUS REQUIREMENT	AMBIGUOUS REQUIREMENT	AMBIGUOUS REQUIREMENT	AMBIGUOUS REQUIREMENT	AMBIGUOUS REQUIREMENT	AMBIGUOUS REQUIREMENT	AMBIGUOUS REQUIREMENT	AMBIGUOUS REQUIREMENT	CUSTOMER	CUSTOMER	CUSTOMER	CUSTOMER	CUSTOMER	CUSTOMER	CUSTOMER	CUSTOMER	CUSTOMER	CUSTOMER	CUSTOMER
	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):	OTHERS (SPECIFY):

NCR ISSUED BY:	NCR ISSUED BY:	NCR ISSUED BY:	DATE:	DATE:	DATE:	DATE:	DATE:	DATE:	DATE:	DATE:	DATE:	DATE:	DATE:	DATE:	DATE:	DATE:	DATE:	DATE:	DATE:	DATE:
RECOMMENDED DISPOSTION:	RECOMMENDED DISPOSTION:	RECOMMENDED DISPOSTION:	RECOMMENDED DISPOSTION:	RECOMMENDED DISPOSTION:	RECOMMENDED DISPOSTION:	RECOMMENDED DISPOSTION:	RECOMMENDED DISPOSTION:	RECOMMENDED DISPOSTION:	RECOMMENDED DISPOSTION:	RECOMMENDED DISPOSTION:	RECOMMENDED DISPOSTION:	RECOMMENDED DISPOSTION:	RECOMMENDED DISPOSTION:	RECOMMENDED DISPOSTION:	RECOMMENDED DISPOSTION:	RECOMMENDED DISPOSTION:	RECOMMENDED DISPOSTION:	RECOMMENDED DISPOSTION:	RECOMMENDED DISPOSTION:	RECOMMENDED DISPOSTION:


AUTHORIZED DISPOSTION:	AUTHORIZED DISPOSTION:	AUTHORIZED DISPOSTION:	AUTHORIZED DISPOSTION:	AUTHORIZED DISPOSTION:	AUTHORIZED DISPOSTION:	AUTHORIZED DISPOSTION:	AUTHORIZED DISPOSTION:	AUTHORIZED DISPOSTION:	AUTHORIZED DISPOSTION:	AUTHORIZED DISPOSTION:	AUTHORIZED DISPOSTION:	AUTHORIZED DISPOSTION:	AUTHORIZED DISPOSTION:	AUTHORIZED DISPOSTION:	AUTHORIZED DISPOSTION:	AUTHORIZED DISPOSTION:	AUTHORIZED DISPOSTION:	AUTHORIZED DISPOSTION:	AUTHORIZED DISPOSTION:	AUTHORIZED DISPOSTION:


DISPOSITION AUTHORIZED BY:	DISPOSITION AUTHORIZED BY:	DISPOSITION AUTHORIZED BY:	DISPOSITION AUTHORIZED BY:	DISPOSITION AUTHORIZED BY:	DATE:	DATE:	DATE:	DATE:	DATE:	DATE:	INSPECTOR:	INSPECTOR:	INSPECTOR:	INSPECTOR:	INSPECTOR:	DATE:	DATE:	DATE:	DATE:	DATE:
PROJECT ENGINEER:	PROJECT ENGINEER:	PROJECT ENGINEER:	PROJECT ENGINEER:	PROJECT ENGINEER:	DATE:	DATE:	DATE:	DATE:	DATE:	DATE:	OTHER:	OTHER:	OTHER:	OTHER:	OTHER:	DATE:	DATE:	DATE:	DATE:	DATE:
DESCRIPTION OF CORRECTIVE ACTION TAKEN:	DESCRIPTION OF CORRECTIVE ACTION TAKEN:	DESCRIPTION OF CORRECTIVE ACTION TAKEN:	DESCRIPTION OF CORRECTIVE ACTION TAKEN:	DESCRIPTION OF CORRECTIVE ACTION TAKEN:	DESCRIPTION OF CORRECTIVE ACTION TAKEN:	DESCRIPTION OF CORRECTIVE ACTION TAKEN:	DESCRIPTION OF CORRECTIVE ACTION TAKEN:	DESCRIPTION OF CORRECTIVE ACTION TAKEN:	DESCRIPTION OF CORRECTIVE ACTION TAKEN:	DESCRIPTION OF CORRECTIVE ACTION TAKEN:	DESCRIPTION OF CORRECTIVE ACTION TAKEN:	DESCRIPTION OF CORRECTIVE ACTION TAKEN:	DESCRIPTION OF CORRECTIVE ACTION TAKEN:	DESCRIPTION OF CORRECTIVE ACTION TAKEN:	DESCRIPTION OF CORRECTIVE ACTION TAKEN:	DESCRIPTION OF CORRECTIVE ACTION TAKEN:	DESCRIPTION OF CORRECTIVE ACTION TAKEN:	DESCRIPTION OF CORRECTIVE ACTION TAKEN:	DESCRIPTION OF CORRECTIVE ACTION TAKEN:	DESCRIPTION OF CORRECTIVE ACTION TAKEN:


DISPOSTION APPROVED:	DISPOSTION APPROVED:	DISPOSTION APPROVED:	DISPOSTION APPROVED:	DISPOSTION APPROVED:	DISPOSTION APPROVED:	DISPOSTION APPROVED:	DISPOSTION APPROVED:	DISPOSTION APPROVED:	DISPOSTION APPROVED:	DISPOSTION APPROVED:	DISPOSTION APPROVED:	DATE:	DATE:	DATE:	DATE:	DATE:	DATE:	DATE:	DATE:	DATE:
ASSIGNED INSPECTOR	ASSIGNED INSPECTOR	ASSIGNED INSPECTOR	ASSIGNED INSPECTOR	ASSIGNED INSPECTOR	ASSIGNED INSPECTOR	ASSIGNED INSPECTOR	ASSIGNED INSPECTOR	ASSIGNED INSPECTOR	ASSIGNED INSPECTOR	ASSIGNED INSPECTOR	ASSIGNED INSPECTOR	ASSIGNED INSPECTOR	ASSIGNED INSPECTOR	ASSIGNED INSPECTOR	ASSIGNED INSPECTOR	ASSIGNED INSPECTOR	ASSIGNED INSPECTOR	ASSIGNED INSPECTOR	ASSIGNED INSPECTOR	ASSIGNED INSPECTOR
REMARKS	REMARKS	REMARKS	REMARKS	REMARKS	REMARKS	REMARKS	REMARKS	REMARKS	REMARKS	REMARKS	REMARKS	REMARKS	REMARKS	REMARKS	REMARKS	REMARKS	REMARKS	REMARKS	REMARKS	REMARKS

FORM 6 - FINAL INSPECTION RELEASE

FINAL INSPECTION RELEASE	FINAL INSPECTION RELEASE	FINAL INSPECTION RELEASE	FINAL INSPECTION RELEASE
PLANT INFORMATION	PLANT INFORMATION	PLANT INFORMATION	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	MANUFACTURER'S INFORMATION	MANUFACTURER'S INFORMATION
PLANT LOC.:	PLANT LOC.:	PLANT LOC.:	INSP. NAME:	INSP. NAME:	INSP. NAME:	MFGR. NAME:	MFGR. NAME:
PROJECT:	PROJECT:	PROJECT:	INSP. COMPANY:	INSP. COMPANY:	INSP. COMPANY:	ADDRESS:	ADDRESS:
PROJ. ENG.:	PROJ. ENG.:	PROJ. ENG.:	INSP. P.O.:	INSP. P.O.:	INSP. P.O.:	EQUIP. DESCR.:	EQUIP. DESCR.:
INSP. AUTH.:	INSP. AUTH.:	INSP. AUTH.:	INSP. SIGNATURE:	INSP. SIGNATURE:	INSP. SIGNATURE:	TAG NO.:	TAG NO.:
P.O. NO.:	P.O. NO.:	P.O. NO.:	DATE:	DATE:	DATE:	ITEM NO.:	ITEM NO.:
						PRIME SASUBCONTRACTOR	PRIME SASUBCONTRACTOR
THIS FINAL INSPECTION RELEASE PROVIDES DOCUMETNATION THAT THE PURCHASE ORDER REQUIREMENTS FOR VERIFICATION OF PRODUCT THE ITEMS INDICATED BELOW.	THIS FINAL INSPECTION RELEASE PROVIDES DOCUMETNATION THAT THE PURCHASE ORDER REQUIREMENTS FOR VERIFICATION OF PRODUCT THE ITEMS INDICATED BELOW.	THIS FINAL INSPECTION RELEASE PROVIDES DOCUMETNATION THAT THE PURCHASE ORDER REQUIREMENTS FOR VERIFICATION OF PRODUCT THE ITEMS INDICATED BELOW.	THIS FINAL INSPECTION RELEASE PROVIDES DOCUMETNATION THAT THE PURCHASE ORDER REQUIREMENTS FOR VERIFICATION OF PRODUCT THE ITEMS INDICATED BELOW.	THIS FINAL INSPECTION RELEASE PROVIDES DOCUMETNATION THAT THE PURCHASE ORDER REQUIREMENTS FOR VERIFICATION OF PRODUCT THE ITEMS INDICATED BELOW.	THIS FINAL INSPECTION RELEASE PROVIDES DOCUMETNATION THAT THE PURCHASE ORDER REQUIREMENTS FOR VERIFICATION OF PRODUCT THE ITEMS INDICATED BELOW.	THIS FINAL INSPECTION RELEASE PROVIDES DOCUMETNATION THAT THE PURCHASE ORDER REQUIREMENTS FOR VERIFICATION OF PRODUCT THE ITEMS INDICATED BELOW.	THIS FINAL INSPECTION RELEASE PROVIDES DOCUMETNATION THAT THE PURCHASE ORDER REQUIREMENTS FOR VERIFICATION OF PRODUCT THE ITEMS INDICATED BELOW.
MANUFACTURER'S CONTACT:	MANUFACTURER'S CONTACT:	MANUFACTURER'S CONTACT:	SHIPPING LOCATION:	SHIPPING LOCATION:	SHIPPING LOCATION:	SHIPPING LOCATION:	SHIPPING LOCATION:
PURCHASE ORDER ITEMS RELEASED	PURCHASE ORDER ITEMS RELEASED	PURCHASE ORDER ITEMS RELEASED	PURCHASE ORDER ITEMS RELEASED	PURCHASE ORDER ITEMS RELEASED	PURCHASE ORDER ITEMS RELEASED	PURCHASE ORDER ITEMS RELEASED	PURCHASE ORDER ITEMS RELEASED
ITEM NO.	TAG/PART NO OR DESCRIPTION	ITEM NO.	ITEM NO.	TAG/PART NO. OR DESCRIPTION	ITEM NO.	ITEM NO.	TAG/PART NO. OR DESCRIPTION









REMARKS:	REMARKS:	REMARKS:	REMARKS:	REMARKS:	REMARKS:	REMARKS:	REMARKS:



FURTHER INSPECTION VISIT INTENDED? YES NO REMARKS:	FURTHER INSPECTION VISIT INTENDED? YES NO REMARKS:	FURTHER INSPECTION VISIT INTENDED? YES NO REMARKS:	FURTHER INSPECTION VISIT INTENDED? YES NO REMARKS:	FURTHER INSPECTION VISIT INTENDED? YES NO REMARKS:	FURTHER INSPECTION VISIT INTENDED? YES NO REMARKS:	FURTHER INSPECTION VISIT INTENDED? YES NO REMARKS:	FURTHER INSPECTION VISIT INTENDED? YES NO REMARKS:


MAIN/SUB ORDER COMPLETE? YES NO REMARKS:	MAIN/SUB ORDER COMPLETE? YES NO REMARKS:	MAIN/SUB ORDER COMPLETE? YES NO REMARKS:	MAIN/SUB ORDER COMPLETE? YES NO REMARKS:	MAIN/SUB ORDER COMPLETE? YES NO REMARKS:	MAIN/SUB ORDER COMPLETE? YES NO REMARKS:	MAIN/SUB ORDER COMPLETE? YES NO REMARKS:	MAIN/SUB ORDER COMPLETE? YES NO REMARKS:


MATERIAL READY FOR SHIPMENT? YES NO REMARKS:	MATERIAL READY FOR SHIPMENT? YES NO REMARKS:	MATERIAL READY FOR SHIPMENT? YES NO REMARKS:	MATERIAL READY FOR SHIPMENT? YES NO REMARKS:	MATERIAL READY FOR SHIPMENT? YES NO REMARKS:	MATERIAL READY FOR SHIPMENT? YES NO REMARKS:	MATERIAL READY FOR SHIPMENT? YES NO REMARKS:	MATERIAL READY FOR SHIPMENT? YES NO REMARKS:

FORM 7 - VARIANCE REQUEST

VARIANCE REQUEST	VARIANCE REQUEST	VARIANCE REQUEST
PLANT INFORMATION	PLANT INFORMATION	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	MANUFACTURER'S INFORMATION	MANUFACTURER'S INFORMATION
PLANT LOC.:	PLANT LOC.:	INSP. NAME:	INSP. NAME:	INSP. NAME:	INSP. NAME:	MFGR. NAME:	MFGR. NAME:
PROJECT:	PROJECT:	INSP. COMPANY:	INSP. COMPANY:	INSP. COMPANY:	INSP. COMPANY:	ADDRESS:	ADDRESS:
PROJ. ENG.:	PROJ. ENG.:	INSP. P.O.:	INSP. P.O.:	INSP. P.O.:	INSP. P.O.:	EQUIP. DESCR.:	EQUIP. DESCR.:
INSP. AUTH.:	INSP. AUTH.:	INSP. SIGNATURE:	INSP. SIGNATURE:	INSP. SIGNATURE:	INSP. SIGNATURE:	TAG NO.:	TAG NO.:
P.O. NO.:	P.O. NO.:	DATE:	DATE:	DATE:	DATE:	ITEM NO.:	ITEM NO.:
						PRIME SUBCONTRACTOR	PRIME SUBCONTRACTOR
SECTIONS 1,2, AND 3 TO BE COMPLETED BY MANUFACTURER REQUESTING VARIANCE	SECTIONS 1,2, AND 3 TO BE COMPLETED BY MANUFACTURER REQUESTING VARIANCE	SECTIONS 1,2, AND 3 TO BE COMPLETED BY MANUFACTURER REQUESTING VARIANCE	SECTIONS 1,2, AND 3 TO BE COMPLETED BY MANUFACTURER REQUESTING VARIANCE	SECTIONS 1,2, AND 3 TO BE COMPLETED BY MANUFACTURER REQUESTING VARIANCE	SECTIONS 1,2, AND 3 TO BE COMPLETED BY MANUFACTURER REQUESTING VARIANCE	SECTIONS 1,2, AND 3 TO BE COMPLETED BY MANUFACTURER REQUESTING VARIANCE	SECTIONS 1,2, AND 3 TO BE COMPLETED BY MANUFACTURER REQUESTING VARIANCE

SECTION 1	SECTION 1	SECTION 1	SECTION 1	SECTION 1	SECTION 1	SECTION 1	SECTION 1
VARIANCE NO.: (START WITH 01)	AFFECTING DRAWING NO.:	AFFECTING DRAWING NO.:	AFFECTING DRAWING NO.:	DWG. REV. NO.:	DWG. REV. NO.:	DWG. REV. NO.:
	AFFECTED ENGINEERING PRACTICE NO.:	AFFECTED ENGINEERING PRACTICE NO.:	AFFECTED ENGINEERING PRACTICE NO.:	REV. NO.:	REV. NO.:	REV. NO.:	PARA. NO.:
MANUFACTURER'S REPRESENTATIVE REQUESTING VARIANCE:	MANUFACTURER'S REPRESENTATIVE REQUESTING VARIANCE:	MANUFACTURER'S REPRESENTATIVE REQUESTING VARIANCE:	MANUFACTURER'S REPRESENTATIVE REQUESTING VARIANCE:	MANUFACTURER'S REPRESENTATIVE REQUESTING VARIANCE:	POSITION:	POSITION:	POSITION:
SECTION 2	SECTION 2	SECTION 2	SECTION 2	SECTION 2	SECTION 2	SECTION 2	SECTION 2
DESCRIPTION OF VARIANCE:	DESCRIPTION OF VARIANCE:	DESCRIPTION OF VARIANCE:	DESCRIPTION OF VARIANCE:	DESCRIPTION OF VARIANCE:	DESCRIPTION OF VARIANCE:	DESCRIPTION OF VARIANCE:	DESCRIPTION OF VARIANCE:

REASON FOR VARIANCE:	REASON FOR VARIANCE:	REASON FOR VARIANCE:	REASON FOR VARIANCE:	REASON FOR VARIANCE:	REASON FOR VARIANCE:	REASON FOR VARIANCE:	REASON FOR VARIANCE:

SECTION 3	SECTION 3	SECTION 3	SECTION 3	SECTION 3	SECTION 3	SECTION 3	SECTION 3
P.O. ITEMS AND QUANTITIES AFFECTED BY VARIANCE:	P.O. ITEMS AND QUANTITIES AFFECTED BY VARIANCE:	P.O. ITEMS AND QUANTITIES AFFECTED BY VARIANCE:	P.O. ITEMS AND QUANTITIES AFFECTED BY VARIANCE:	P.O. ITEMS AND QUANTITIES AFFECTED BY VARIANCE:	P.O. ITEMS AND QUANTITIES AFFECTED BY VARIANCE:	P.O. ITEMS AND QUANTITIES AFFECTED BY VARIANCE:	P.O. ITEMS AND QUANTITIES AFFECTED BY VARIANCE:


DOLLAR VALUE OF VARIANCE: NO CHANGE DEDUCT:$ OR ADD $ ORIGINAL VALUE OF P.O. $	DOLLAR VALUE OF VARIANCE: NO CHANGE DEDUCT:$ OR ADD $ ORIGINAL VALUE OF P.O. $	DOLLAR VALUE OF VARIANCE: NO CHANGE DEDUCT:$ OR ADD $ ORIGINAL VALUE OF P.O. $	DOLLAR VALUE OF VARIANCE: NO CHANGE DEDUCT:$ OR ADD $ ORIGINAL VALUE OF P.O. $	DOLLAR VALUE OF VARIANCE: NO CHANGE DEDUCT:$ OR ADD $ ORIGINAL VALUE OF P.O. $	DOLLAR VALUE OF VARIANCE: NO CHANGE DEDUCT:$ OR ADD $ ORIGINAL VALUE OF P.O. $	DOLLAR VALUE OF VARIANCE: NO CHANGE DEDUCT:$ OR ADD $ ORIGINAL VALUE OF P.O. $	DOLLAR VALUE OF VARIANCE: NO CHANGE DEDUCT:$ OR ADD $ ORIGINAL VALUE OF P.O. $
EFFECT ON SCHEDULE: NO CHANGE; DELAY: DAYS IMPROVE DAYS; ORIGINAL SHIPPING DATE:	EFFECT ON SCHEDULE: NO CHANGE; DELAY: DAYS IMPROVE DAYS; ORIGINAL SHIPPING DATE:	EFFECT ON SCHEDULE: NO CHANGE; DELAY: DAYS IMPROVE DAYS; ORIGINAL SHIPPING DATE:	EFFECT ON SCHEDULE: NO CHANGE; DELAY: DAYS IMPROVE DAYS; ORIGINAL SHIPPING DATE:	EFFECT ON SCHEDULE: NO CHANGE; DELAY: DAYS IMPROVE DAYS; ORIGINAL SHIPPING DATE:	EFFECT ON SCHEDULE: NO CHANGE; DELAY: DAYS IMPROVE DAYS; ORIGINAL SHIPPING DATE:	EFFECT ON SCHEDULE: NO CHANGE; DELAY: DAYS IMPROVE DAYS; ORIGINAL SHIPPING DATE:	EFFECT ON SCHEDULE: NO CHANGE; DELAY: DAYS IMPROVE DAYS; ORIGINAL SHIPPING DATE:
THE FOLLOWING SECTIONS TO BE COMPLETED BY IPE. REPRESENTATIVES	THE FOLLOWING SECTIONS TO BE COMPLETED BY IPE. REPRESENTATIVES	THE FOLLOWING SECTIONS TO BE COMPLETED BY IPE. REPRESENTATIVES	THE FOLLOWING SECTIONS TO BE COMPLETED BY IPE. REPRESENTATIVES	THE FOLLOWING SECTIONS TO BE COMPLETED BY IPE. REPRESENTATIVES	THE FOLLOWING SECTIONS TO BE COMPLETED BY IPE. REPRESENTATIVES	THE FOLLOWING SECTIONS TO BE COMPLETED BY IPE. REPRESENTATIVES	THE FOLLOWING SECTIONS TO BE COMPLETED BY IPE. REPRESENTATIVES
SECTION 4	SECTION 4	SECTION 4	SECTION 4	SECTION 4	SECTION 4	SECTION 4	SECTION 4
TECHNICAL EVALUATION OF VARIANCE REQUEST:	TECHNICAL EVALUATION OF VARIANCE REQUEST:	TECHNICAL EVALUATION OF VARIANCE REQUEST:	TECHNICAL EVALUATION OF VARIANCE REQUEST:	TECHNICAL EVALUATION OF VARIANCE REQUEST:	TECHNICAL EVALUATION OF VARIANCE REQUEST:	TECHNICAL EVALUATION OF VARIANCE REQUEST:	TECHNICAL EVALUATION OF VARIANCE REQUEST:
REQUEST DOES, DOES NOT REQUIRE TECHNICAL EVALUATION POSITION:	REQUEST DOES, DOES NOT REQUIRE TECHNICAL EVALUATION POSITION:	REQUEST DOES, DOES NOT REQUIRE TECHNICAL EVALUATION POSITION:	REQUEST DOES, DOES NOT REQUIRE TECHNICAL EVALUATION POSITION:	REQUEST DOES, DOES NOT REQUIRE TECHNICAL EVALUATION POSITION:	REQUEST DOES, DOES NOT REQUIRE TECHNICAL EVALUATION POSITION:	REQUEST DOES, DOES NOT REQUIRE TECHNICAL EVALUATION POSITION:	REQUEST DOES, DOES NOT REQUIRE TECHNICAL EVALUATION POSITION:
(IPE ENGINEER PERFORMING EVALUATION)	(IPE ENGINEER PERFORMING EVALUATION)	(IPE ENGINEER PERFORMING EVALUATION)	(IPE ENGINEER PERFORMING EVALUATION)	(IPE ENGINEER PERFORMING EVALUATION)	(IPE ENGINEER PERFORMING EVALUATION)	(IPE ENGINEER PERFORMING EVALUATION)	(IPE ENGINEER PERFORMING EVALUATION)
IF TECHNICAL EVALUATION REQUIRED, IS TECHNICAL BASIS FOR VARIANCE REQUEST JUSTIFIED? YES NO	IF TECHNICAL EVALUATION REQUIRED, IS TECHNICAL BASIS FOR VARIANCE REQUEST JUSTIFIED? YES NO	IF TECHNICAL EVALUATION REQUIRED, IS TECHNICAL BASIS FOR VARIANCE REQUEST JUSTIFIED? YES NO	IF TECHNICAL EVALUATION REQUIRED, IS TECHNICAL BASIS FOR VARIANCE REQUEST JUSTIFIED? YES NO	IF TECHNICAL EVALUATION REQUIRED, IS TECHNICAL BASIS FOR VARIANCE REQUEST JUSTIFIED? YES NO	IF TECHNICAL EVALUATION REQUIRED, IS TECHNICAL BASIS FOR VARIANCE REQUEST JUSTIFIED? YES NO	IF TECHNICAL EVALUATION REQUIRED, IS TECHNICAL BASIS FOR VARIANCE REQUEST JUSTIFIED? YES NO	IF TECHNICAL EVALUATION REQUIRED, IS TECHNICAL BASIS FOR VARIANCE REQUEST JUSTIFIED? YES NO
REASON(S):	REASON(S):	REASON(S):	REASON(S):	REASON(S):	REASON(S):	REASON(S):	REASON(S):
EP DEVIATION REQUIRED? YES NO; IF YES, LIST EP REFERENCES AFFECTED:	EP DEVIATION REQUIRED? YES NO; IF YES, LIST EP REFERENCES AFFECTED:	EP DEVIATION REQUIRED? YES NO; IF YES, LIST EP REFERENCES AFFECTED:	EP DEVIATION REQUIRED? YES NO; IF YES, LIST EP REFERENCES AFFECTED:	EP DEVIATION REQUIRED? YES NO; IF YES, LIST EP REFERENCES AFFECTED:	EP DEVIATION REQUIRED? YES NO; IF YES, LIST EP REFERENCES AFFECTED:	EP DEVIATION REQUIRED? YES NO; IF YES, LIST EP REFERENCES AFFECTED:	EP DEVIATION REQUIRED? YES NO; IF YES, LIST EP REFERENCES AFFECTED:
SECTION 5	SECTION 5	SECTION 5	SECTION 5	SECTION 5	SECTION 5	SECTION 5	SECTION 5
THIS REQUEST IS: ACCEPTED DENIED OTHER:	THIS REQUEST IS: ACCEPTED DENIED OTHER:	THIS REQUEST IS: ACCEPTED DENIED OTHER:	THIS REQUEST IS: ACCEPTED DENIED OTHER:	THIS REQUEST IS: ACCEPTED DENIED OTHER:	THIS REQUEST IS: ACCEPTED DENIED OTHER:	THIS REQUEST IS: ACCEPTED DENIED OTHER:	THIS REQUEST IS: ACCEPTED DENIED OTHER:
EP REPRESENTATIVE AUTHORIZING DECISION: POSITION: DATE:	EP REPRESENTATIVE AUTHORIZING DECISION: POSITION: DATE:	EP REPRESENTATIVE AUTHORIZING DECISION: POSITION: DATE:	EP REPRESENTATIVE AUTHORIZING DECISION: POSITION: DATE:	EP REPRESENTATIVE AUTHORIZING DECISION: POSITION: DATE:	EP REPRESENTATIVE AUTHORIZING DECISION: POSITION: DATE:	EP REPRESENTATIVE AUTHORIZING DECISION: POSITION: DATE:	EP REPRESENTATIVE AUTHORIZING DECISION: POSITION: DATE:

8 - MANUFACTURER CLOSE OUT EVALUATION

	19. AMOUNT OF CONTROL OF MANUFACTURING PROCESS IMPOSED BY MANUFACTURER'S QC ADEQUATE
	20. AMOUNT OF REJECTS/NONCOMFORMANCES
	21. OVERALL COOPERATION EXHIBITED BY MANUFACTURER'S PERSONNEL
	22. OVERALL PERFORMANCE OF PRIME CONTRACTOR'S QC PERSONNEL
	23. OVERALL PERFORMANCE OF SUBCONTRACTOR'S QC PERSONNEL
	24. OVERALL MANUFACTURER'S PERFORMANCE
	25. OTHER FACTORS NOT DISCUSSED ABOVE WHICH IMPACT THIS ORDER:
NO. OF NONCONFORMANCES ISSUED ON THIS ASSIGNMENT: NO. OF DEFICIENCIES ISSUED ON THIS ASSIGNMENT:	NO. OF NONCONFORMANCES ISSUED ON THIS ASSIGNMENT: NO. OF DEFICIENCIES ISSUED ON THIS ASSIGNMENT:
REMARKS:	REMARKS:



ATTACH ADDITIONAL SHEETS AS NECESSARY	ATTACH ADDITIONAL SHEETS AS NECESSARY

FORM 9 - MANUFACTURER INSPECTION DOCUMENTATION SUMMARY FORM

PLANT INFORMATION	PLANT INFORMATION	PLANT INFORMATION	PLANT INFORMATION	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	MANUFACTURER'S INFORMATION	MANUFACTURER'S INFORMATION
PLANT LOC.:	PLANT LOC.:	PLANT LOC.:	PLANT LOC.:	INSP. NAME:	INSP. NAME:	INSP. NAME:	MFGR. NAME:	MFGR. NAME:
PROJECT:	PROJECT:	PROJECT:	PROJECT:	INSP. COMPANY:	INSP. COMPANY:	INSP. COMPANY:	ADDRESS:	ADDRESS:
PROJ. ENG.:	PROJ. ENG.:	PROJ. ENG.:	PROJ. ENG.:	INSP. P.O.:	INSP. P.O.:	INSP. P.O.:	EQUIP. DESCR.:	EQUIP. DESCR.:
INSP. AUTH.:	INSP. AUTH.:	INSP. AUTH.:	INSP. AUTH.:	INSP. SIGNATURE:	INSP. SIGNATURE:	INSP. SIGNATURE:	TAG NO.:	TAG NO.:
P.O. NO.:	P.O. NO.:	P.O. NO.:	P.O. NO.:	DATE:	DATE:	DATE:	ITEM NO.:	ITEM NO.:
							PRIME SUBCONTRACTOR	PRIME SUBCONTRACTOR
DATE OF FIRST CONTACT:	DATE OF FIRST CONTACT:	DATE OF FIRST CONTACT:	DATE OF FIRST CONTACT:	DATE OF FIRST CONTACT:	DATE OF FIRST CONTACT:	DATE OF PREFAB. MTG.:	DATE OF PREFAB. MTG.:	DATE OF PREFAB. MTG.:
DATE OF FINAL INSPECTION:	DATE OF FINAL INSPECTION:	DATE OF FINAL INSPECTION:	DATE OF FINAL INSPECTION:	DATE OF FINAL INSPECTION:	DATE OF FINAL INSPECTION:	DATE OF SHIPMENT:	DATE OF SHIPMENT:	DATE OF SHIPMENT:
SHOP INSPECTION DOCUMENTATION PACKAGE	SHOP INSPECTION DOCUMENTATION PACKAGE	SHOP INSPECTION DOCUMENTATION PACKAGE	SHOP INSPECTION DOCUMENTATION PACKAGE	SHOP INSPECTION DOCUMENTATION PACKAGE	SHOP INSPECTION DOCUMENTATION PACKAGE	SHOP INSPECTION DOCUMENTATION PACKAGE	SHOP INSPECTION DOCUMENTATION PACKAGE	SHOP INSPECTION DOCUMENTATION PACKAGE
SHOP INSPECTION DOCUMENTS INCLUDED WITH THIS SUMMARY SHEET:	SHOP INSPECTION DOCUMENTS INCLUDED WITH THIS SUMMARY SHEET:	SHOP INSPECTION DOCUMENTS INCLUDED WITH THIS SUMMARY SHEET:	SHOP INSPECTION DOCUMENTS INCLUDED WITH THIS SUMMARY SHEET:	SHOP INSPECTION DOCUMENTS INCLUDED WITH THIS SUMMARY SHEET:	SHOP INSPECTION DOCUMENTS INCLUDED WITH THIS SUMMARY SHEET:	SHOP INSPECTION DOCUMENTS INCLUDED WITH THIS SUMMARY SHEET:	SHOP INSPECTION DOCUMENTS INCLUDED WITH THIS SUMMARY SHEET:	SHOP INSPECTION DOCUMENTS INCLUDED WITH THIS SUMMARY SHEET:
COMPLETED INSPECTION CHECKLISTS (BY CHECKLIST NO.):	COMPLETED INSPECTION CHECKLISTS (BY CHECKLIST NO.):	COMPLETED INSPECTION CHECKLISTS (BY CHECKLIST NO.):	COMPLETED INSPECTION CHECKLISTS (BY CHECKLIST NO.):	COMPLETED INSPECTION CHECKLISTS (BY CHECKLIST NO.):	COMPLETED INSPECTION CHECKLISTS (BY CHECKLIST NO.):	COMPLETED INSPECTION CHECKLISTS (BY CHECKLIST NO.):	COMPLETED INSPECTION CHECKLISTS (BY CHECKLIST NO.):	COMPLETED INSPECTION CHECKLISTS (BY CHECKLIST NO.):
NUMBER ATTACHED	NUMBER ATTACHED	DESCRIPTION OF FORM	DESCRIPTION OF FORM	DESCRIPTION OF FORM	DESCRIPTION OF FORM	DESCRIPTION OF FORM	DESCRIPTION OF FORM	DESCRIPTION OF FORM
		FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT
		RADIOGRAPHIC FILM REPORT	RADIOGRAPHIC FILM REPORT	RADIOGRAPHIC FILM REPORT	RADIOGRAPHIC FILM REPORT	RADIOGRAPHIC FILM REPORT	RADIOGRAPHIC FILM REPORT	RADIOGRAPHIC FILM REPORT
		PIPE SPOOL INSPECTION REPORT	PIPE SPOOL INSPECTION REPORT	PIPE SPOOL INSPECTION REPORT	PIPE SPOOL INSPECTION REPORT	PIPE SPOOL INSPECTION REPORT	PIPE SPOOL INSPECTION REPORT	PIPE SPOOL INSPECTION REPORT
		MANUFACTURER DEFICIENCY NOTICE	MANUFACTURER DEFICIENCY NOTICE	MANUFACTURER DEFICIENCY NOTICE	MANUFACTURER DEFICIENCY NOTICE	MANUFACTURER DEFICIENCY NOTICE	MANUFACTURER DEFICIENCY NOTICE	MANUFACTURER DEFICIENCY NOTICE
		MANUFACTURER NONCONFORMANCE REPORT	MANUFACTURER NONCONFORMANCE REPORT	MANUFACTURER NONCONFORMANCE REPORT	MANUFACTURER NONCONFORMANCE REPORT	MANUFACTURER NONCONFORMANCE REPORT	MANUFACTURER NONCONFORMANCE REPORT	MANUFACTURER NONCONFORMANCE REPORT
		FINAL INSPECTION RELEASE	FINAL INSPECTION RELEASE	FINAL INSPECTION RELEASE	FINAL INSPECTION RELEASE	FINAL INSPECTION RELEASE	FINAL INSPECTION RELEASE	FINAL INSPECTION RELEASE
		MANUFACTURER REQUEST FOR VARIANCE	MANUFACTURER REQUEST FOR VARIANCE	MANUFACTURER REQUEST FOR VARIANCE	MANUFACTURER REQUEST FOR VARIANCE	MANUFACTURER REQUEST FOR VARIANCE	MANUFACTURER REQUEST FOR VARIANCE	MANUFACTURER REQUEST FOR VARIANCE
		MANUFACTURER CLOSE OUT EVALUATION	MANUFACTURER CLOSE OUT EVALUATION	MANUFACTURER CLOSE OUT EVALUATION	MANUFACTURER CLOSE OUT EVALUATION	MANUFACTURER CLOSE OUT EVALUATION	MANUFACTURER CLOSE OUT EVALUATION	MANUFACTURER CLOSE OUT EVALUATION
		MANUFACTURER ALERT NOTICE	MANUFACTURER ALERT NOTICE	MANUFACTURER ALERT NOTICE	MANUFACTURER ALERT NOTICE	MANUFACTURER ALERT NOTICE	MANUFACTURER ALERT NOTICE	MANUFACTURER ALERT NOTICE
ADDITIONAL COMMENTS REGARDING INSPECTION DOCUMENTATION:	ADDITIONAL COMMENTS REGARDING INSPECTION DOCUMENTATION:	ADDITIONAL COMMENTS REGARDING INSPECTION DOCUMENTATION:	ADDITIONAL COMMENTS REGARDING INSPECTION DOCUMENTATION:	ADDITIONAL COMMENTS REGARDING INSPECTION DOCUMENTATION:	ADDITIONAL COMMENTS REGARDING INSPECTION DOCUMENTATION:	ADDITIONAL COMMENTS REGARDING INSPECTION DOCUMENTATION:	ADDITIONAL COMMENTS REGARDING INSPECTION DOCUMENTATION:	ADDITIONAL COMMENTS REGARDING INSPECTION DOCUMENTATION:






EQUIPMENT DOCUMENTATION PACKAGE	EQUIPMENT DOCUMENTATION PACKAGE	EQUIPMENT DOCUMENTATION PACKAGE	EQUIPMENT DOCUMENTATION PACKAGE	EQUIPMENT DOCUMENTATION PACKAGE	EQUIPMENT DOCUMENTATION PACKAGE	EQUIPMENT DOCUMENTATION PACKAGE	EQUIPMENT DOCUMENTATION PACKAGE	EQUIPMENT DOCUMENTATION PACKAGE
EQUIPMENT DOCUMENTS INCLUDED WITH THIS SUMMARY SHEET:	EQUIPMENT DOCUMENTS INCLUDED WITH THIS SUMMARY SHEET:	EQUIPMENT DOCUMENTS INCLUDED WITH THIS SUMMARY SHEET:	EQUIPMENT DOCUMENTS INCLUDED WITH THIS SUMMARY SHEET:	EQUIPMENT DOCUMENTS INCLUDED WITH THIS SUMMARY SHEET:	EQUIPMENT DOCUMENTS INCLUDED WITH THIS SUMMARY SHEET:	EQUIPMENT DOCUMENTS INCLUDED WITH THIS SUMMARY SHEET:	EQUIPMENT DOCUMENTS INCLUDED WITH THIS SUMMARY SHEET:	EQUIPMENT DOCUMENTS INCLUDED WITH THIS SUMMARY SHEET:
REQUI RED	COMPLET ED	COMPLET ED	NO. OF COPIES INCLUDED	NO. OF COPIES INCLUDED	DESCRIPTION	DESCRIPTION	DESCRIPTION	COMMENTS
					MANUFACTURER'S DATA REPORT	MANUFACTURER'S DATA REPORT	MANUFACTURER'S DATA REPORT
					MATERIAL TEST REPORTS	MATERIAL TEST REPORTS	MATERIAL TEST REPORTS
					WELDING PROCEDURES	WELDING PROCEDURES	WELDING PROCEDURES
					HYDROTEST REPORTS	HYDROTEST REPORTS	HYDROTEST REPORTS
					U-1 REPORTS	U-1 REPORTS	U-1 REPORTS
					R-1 REPORTS	R-1 REPORTS	R-1 REPORTS
					BASELINE THICKNESS	BASELINE THICKNESS	BASELINE THICKNESS
					CONSTRUCTION DRAWINGS	CONSTRUCTION DRAWINGS	CONSTRUCTION DRAWINGS
					OTHER (SPECIFY)	OTHER (SPECIFY)	OTHER (SPECIFY)

OTHER DOCUMENTATION INCLUDED (PROVIDE BRIEF DESCRIPTION):	OTHER DOCUMENTATION INCLUDED (PROVIDE BRIEF DESCRIPTION):
THE DOCUMENTATION ATTACHED TO THIS FORM REPRESENTS FOR THIS ORDER ALL THE MANUFACTURING DOCUMENTATION REQUIRED BY THE APPLICABLE ENGINEERING PRACTICES AND ALL SHOP INSPECTION RELATED FORMS AND REPORTS REQUIRED BY THIS ENGINEERING PRACTICE.	THE DOCUMENTATION ATTACHED TO THIS FORM REPRESENTS FOR THIS ORDER ALL THE MANUFACTURING DOCUMENTATION REQUIRED BY THE APPLICABLE ENGINEERING PRACTICES AND ALL SHOP INSPECTION RELATED FORMS AND REPORTS REQUIRED BY THIS ENGINEERING PRACTICE.
SIGNED:	DATE:
(INSPECTOR PRIMARILY RESPONSIBLE FOR SHOP INSPECTION)	(INSPECTOR PRIMARILY RESPONSIBLE FOR SHOP INSPECTION)
THE ATTACHED DOCUMENTATION HAS BEEN REVIEWED AND ACCEPTED AS BEING COMPLETE AND CORRECT FOR THIS ORDER.	THE ATTACHED DOCUMENTATION HAS BEEN REVIEWED AND ACCEPTED AS BEING COMPLETE AND CORRECT FOR THIS ORDER.
SIGNED:	DATE:
(IPE REPRESENTATIVE ACCEPTING DOCUMENTATION)	(IPE REPRESENTATIVE ACCEPTING DOCUMENTATION)

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MANUFACTURER CLOSE OUT EVALUATION	MANUFACTURER CLOSE OUT EVALUATION	MANUFACTURER CLOSE OUT EVALUATION
PLANT INFORMATION	PLANT INFORMATION	FIELD INSPECTION REPORT	FIELD INSPECTION REPORT	MANUFACTURER'S INFORMATION
PLANT LOC.:	PLANT LOC.:	INSP. NAME:	INSP. NAME:	MFGR. NAME:
PROJECT:	PROJECT:	INSP. COMPANY:	INSP. COMPANY:	ADDRESS:
PROJ. ENG.:	PROJ. ENG.:	INSP. P.O.:	INSP. P.O.:	EQUIP. DESCR.:
INSP. AUTH.:	INSP. AUTH.:	INSP. SIGNATURE:	INSP. SIGNATURE:	TAG NO.:
P.O. NO.:	P.O. NO.:	DATE:	DATE:	ITEM NO.:
				PRIME SUBCONTRACTOR
EACH OF THE FOLLOWING CONDITIONS IS TO BE EVALUATED AND SCORED AT THE CLOSE OF THE FIELD INSPECTION ASSIGNMENT BY THE ASSIGNED INSPECTOR WHO CLOSES THE ASSIGNMENT. IFTHE ASSIGNMENT WAS TRANSFERRED AFTER MOST OF THE INSPECTION WAS COMPLETED, THE INSPECTOR WHO CLOSES THE ASSIGNMENT MUST COMPLETE THIS EVALUATION AND SUBMIT TO THE MANAGER OF THE CONTRACTED INSPECTION ORGANIZATION WITH NOTATION STATING THE NAME OF THE INSPECTOR WHO PERFORMED THE MAJORITY OF THE INSPECTION. THE MANAGER WILL ASSURE THE ORIGINAL INSPECTOR COMPLETES A SEPARATE EVALUATION REPORT.	EACH OF THE FOLLOWING CONDITIONS IS TO BE EVALUATED AND SCORED AT THE CLOSE OF THE FIELD INSPECTION ASSIGNMENT BY THE ASSIGNED INSPECTOR WHO CLOSES THE ASSIGNMENT. IFTHE ASSIGNMENT WAS TRANSFERRED AFTER MOST OF THE INSPECTION WAS COMPLETED, THE INSPECTOR WHO CLOSES THE ASSIGNMENT MUST COMPLETE THIS EVALUATION AND SUBMIT TO THE MANAGER OF THE CONTRACTED INSPECTION ORGANIZATION WITH NOTATION STATING THE NAME OF THE INSPECTOR WHO PERFORMED THE MAJORITY OF THE INSPECTION. THE MANAGER WILL ASSURE THE ORIGINAL INSPECTOR COMPLETES A SEPARATE EVALUATION REPORT.	EACH OF THE FOLLOWING CONDITIONS IS TO BE EVALUATED AND SCORED AT THE CLOSE OF THE FIELD INSPECTION ASSIGNMENT BY THE ASSIGNED INSPECTOR WHO CLOSES THE ASSIGNMENT. IFTHE ASSIGNMENT WAS TRANSFERRED AFTER MOST OF THE INSPECTION WAS COMPLETED, THE INSPECTOR WHO CLOSES THE ASSIGNMENT MUST COMPLETE THIS EVALUATION AND SUBMIT TO THE MANAGER OF THE CONTRACTED INSPECTION ORGANIZATION WITH NOTATION STATING THE NAME OF THE INSPECTOR WHO PERFORMED THE MAJORITY OF THE INSPECTION. THE MANAGER WILL ASSURE THE ORIGINAL INSPECTOR COMPLETES A SEPARATE EVALUATION REPORT.	EACH OF THE FOLLOWING CONDITIONS IS TO BE EVALUATED AND SCORED AT THE CLOSE OF THE FIELD INSPECTION ASSIGNMENT BY THE ASSIGNED INSPECTOR WHO CLOSES THE ASSIGNMENT. IFTHE ASSIGNMENT WAS TRANSFERRED AFTER MOST OF THE INSPECTION WAS COMPLETED, THE INSPECTOR WHO CLOSES THE ASSIGNMENT MUST COMPLETE THIS EVALUATION AND SUBMIT TO THE MANAGER OF THE CONTRACTED INSPECTION ORGANIZATION WITH NOTATION STATING THE NAME OF THE INSPECTOR WHO PERFORMED THE MAJORITY OF THE INSPECTION. THE MANAGER WILL ASSURE THE ORIGINAL INSPECTOR COMPLETES A SEPARATE EVALUATION REPORT.	EACH OF THE FOLLOWING CONDITIONS IS TO BE EVALUATED AND SCORED AT THE CLOSE OF THE FIELD INSPECTION ASSIGNMENT BY THE ASSIGNED INSPECTOR WHO CLOSES THE ASSIGNMENT. IFTHE ASSIGNMENT WAS TRANSFERRED AFTER MOST OF THE INSPECTION WAS COMPLETED, THE INSPECTOR WHO CLOSES THE ASSIGNMENT MUST COMPLETE THIS EVALUATION AND SUBMIT TO THE MANAGER OF THE CONTRACTED INSPECTION ORGANIZATION WITH NOTATION STATING THE NAME OF THE INSPECTOR WHO PERFORMED THE MAJORITY OF THE INSPECTION. THE MANAGER WILL ASSURE THE ORIGINAL INSPECTOR COMPLETES A SEPARATE EVALUATION REPORT.
THE FOLLOWING CONIDITONS ARE SCORED FROM “1” TO “5”. A SCORE OF “1”IS THE LOWEST OR POOREST RATING AND “5" IS EXCELLENT. IF ANY CONDITION DOES NOT APPLY, ENTER A SCORE OF “0”. THIS SCORE WILL NOT COUNT AGAINST THE MANUFACTURER'S FINAL SCORE. IF A MANUFACTURER PERFOMRED AVERAGE WITH NO PROBLEMS, OR SIGNIFICANT NCR'S NOTED, OR DELAYS EXPERIENCED, THEN ENTER A SCORE OF “3". SUPPORT ANY INDIVIDUAL SCORE OF “2" OR LESS OR “4" OR MORE WITH A WRITTEN EXPLANATION.	THE FOLLOWING CONIDITONS ARE SCORED FROM “1” TO “5”. A SCORE OF “1”IS THE LOWEST OR POOREST RATING AND “5" IS EXCELLENT. IF ANY CONDITION DOES NOT APPLY, ENTER A SCORE OF “0”. THIS SCORE WILL NOT COUNT AGAINST THE MANUFACTURER'S FINAL SCORE. IF A MANUFACTURER PERFOMRED AVERAGE WITH NO PROBLEMS, OR SIGNIFICANT NCR'S NOTED, OR DELAYS EXPERIENCED, THEN ENTER A SCORE OF “3". SUPPORT ANY INDIVIDUAL SCORE OF “2" OR LESS OR “4" OR MORE WITH A WRITTEN EXPLANATION.	THE FOLLOWING CONIDITONS ARE SCORED FROM “1” TO “5”. A SCORE OF “1”IS THE LOWEST OR POOREST RATING AND “5" IS EXCELLENT. IF ANY CONDITION DOES NOT APPLY, ENTER A SCORE OF “0”. THIS SCORE WILL NOT COUNT AGAINST THE MANUFACTURER'S FINAL SCORE. IF A MANUFACTURER PERFOMRED AVERAGE WITH NO PROBLEMS, OR SIGNIFICANT NCR'S NOTED, OR DELAYS EXPERIENCED, THEN ENTER A SCORE OF “3". SUPPORT ANY INDIVIDUAL SCORE OF “2" OR LESS OR “4" OR MORE WITH A WRITTEN EXPLANATION.	THE FOLLOWING CONIDITONS ARE SCORED FROM “1” TO “5”. A SCORE OF “1”IS THE LOWEST OR POOREST RATING AND “5" IS EXCELLENT. IF ANY CONDITION DOES NOT APPLY, ENTER A SCORE OF “0”. THIS SCORE WILL NOT COUNT AGAINST THE MANUFACTURER'S FINAL SCORE. IF A MANUFACTURER PERFOMRED AVERAGE WITH NO PROBLEMS, OR SIGNIFICANT NCR'S NOTED, OR DELAYS EXPERIENCED, THEN ENTER A SCORE OF “3". SUPPORT ANY INDIVIDUAL SCORE OF “2" OR LESS OR “4" OR MORE WITH A WRITTEN EXPLANATION.	THE FOLLOWING CONIDITONS ARE SCORED FROM “1” TO “5”. A SCORE OF “1”IS THE LOWEST OR POOREST RATING AND “5" IS EXCELLENT. IF ANY CONDITION DOES NOT APPLY, ENTER A SCORE OF “0”. THIS SCORE WILL NOT COUNT AGAINST THE MANUFACTURER'S FINAL SCORE. IF A MANUFACTURER PERFOMRED AVERAGE WITH NO PROBLEMS, OR SIGNIFICANT NCR'S NOTED, OR DELAYS EXPERIENCED, THEN ENTER A SCORE OF “3". SUPPORT ANY INDIVIDUAL SCORE OF “2" OR LESS OR “4" OR MORE WITH A WRITTEN EXPLANATION.
EVALUATION CONDITIONS:	EVALUATION CONDITIONS:	EVALUATION CONDITIONS:	EVALUATION CONDITIONS:	EVALUATION CONDITIONS:
SCORE
	1. QUALITY SYSTEM MAINTAINED ADEQUATE CONTROL OF MANUFACTURING, INSPECTION AND TESTING.	1. QUALITY SYSTEM MAINTAINED ADEQUATE CONTROL OF MANUFACTURING, INSPECTION AND TESTING.	1. QUALITY SYSTEM MAINTAINED ADEQUATE CONTROL OF MANUFACTURING, INSPECTION AND TESTING.	1. QUALITY SYSTEM MAINTAINED ADEQUATE CONTROL OF MANUFACTURING, INSPECTION AND TESTING.
	2. IDENTIFIED QUALITY PROBLEMS AND TOOK POSITIVE CORRECTIVE ACTION.	2. IDENTIFIED QUALITY PROBLEMS AND TOOK POSITIVE CORRECTIVE ACTION.	2. IDENTIFIED QUALITY PROBLEMS AND TOOK POSITIVE CORRECTIVE ACTION.	2. IDENTIFIED QUALITY PROBLEMS AND TOOK POSITIVE CORRECTIVE ACTION.
	3. PERSONNEL KNOWLEDGEABLE OF P.O. AND PRACTICE REQUIREMENTS	3. PERSONNEL KNOWLEDGEABLE OF P.O. AND PRACTICE REQUIREMENTS	3. PERSONNEL KNOWLEDGEABLE OF P.O. AND PRACTICE REQUIREMENTS	3. PERSONNEL KNOWLEDGEABLE OF P.O. AND PRACTICE REQUIREMENTS
	4. PERSONNEL KNOWLEDGEABLE OF APPLICABLE CODE(S) AND STANDARDS	4. PERSONNEL KNOWLEDGEABLE OF APPLICABLE CODE(S) AND STANDARDS	4. PERSONNEL KNOWLEDGEABLE OF APPLICABLE CODE(S) AND STANDARDS	4. PERSONNEL KNOWLEDGEABLE OF APPLICABLE CODE(S) AND STANDARDS
	5. P.O. AND PRACTICE REQUIREMENTS IMPOSED ON SUBCONTRACTORS	5. P.O. AND PRACTICE REQUIREMENTS IMPOSED ON SUBCONTRACTORS	5. P.O. AND PRACTICE REQUIREMENTS IMPOSED ON SUBCONTRACTORS	5. P.O. AND PRACTICE REQUIREMENTS IMPOSED ON SUBCONTRACTORS
	6. LEVEL OF CONTROL AND INSPECTION AT SUBCONTRACTOR(S)	6. LEVEL OF CONTROL AND INSPECTION AT SUBCONTRACTOR(S)	6. LEVEL OF CONTROL AND INSPECTION AT SUBCONTRACTOR(S)	6. LEVEL OF CONTROL AND INSPECTION AT SUBCONTRACTOR(S)
	7. CONTROL TO ESTABLISHED PROCEDURES INCLUDING WELDING, NDE, AND TESTING	7. CONTROL TO ESTABLISHED PROCEDURES INCLUDING WELDING, NDE, AND TESTING	7. CONTROL TO ESTABLISHED PROCEDURES INCLUDING WELDING, NDE, AND TESTING	7. CONTROL TO ESTABLISHED PROCEDURES INCLUDING WELDING, NDE, AND TESTING
	8. CONTROL OF MATERIAL AT RECEIVING, IN-PROCESS AND FINAL INSPECTION (TRACEABILITY, HANDLING, ETC.)	8. CONTROL OF MATERIAL AT RECEIVING, IN-PROCESS AND FINAL INSPECTION (TRACEABILITY, HANDLING, ETC.)	8. CONTROL OF MATERIAL AT RECEIVING, IN-PROCESS AND FINAL INSPECTION (TRACEABILITY, HANDLING, ETC.)	8. CONTROL OF MATERIAL AT RECEIVING, IN-PROCESS AND FINAL INSPECTION (TRACEABILITY, HANDLING, ETC.)
	9. EQUIPMENT CALIBRATION MAINTAINED AND CURRENT	9. EQUIPMENT CALIBRATION MAINTAINED AND CURRENT	9. EQUIPMENT CALIBRATION MAINTAINED AND CURRENT	9. EQUIPMENT CALIBRATION MAINTAINED AND CURRENT
	10. COMMUNICATION/COORDINATION BETWEEN OFFICE AND SHOP PERSONNEL	10. COMMUNICATION/COORDINATION BETWEEN OFFICE AND SHOP PERSONNEL	10. COMMUNICATION/COORDINATION BETWEEN OFFICE AND SHOP PERSONNEL	10. COMMUNICATION/COORDINATION BETWEEN OFFICE AND SHOP PERSONNEL
	11. DRAWING AND DOCUMENT CONTROL INCLUDING REVISION UPDATES	11. DRAWING AND DOCUMENT CONTROL INCLUDING REVISION UPDATES	11. DRAWING AND DOCUMENT CONTROL INCLUDING REVISION UPDATES	11. DRAWING AND DOCUMENT CONTROL INCLUDING REVISION UPDATES
	12. PROBLEM SOLVING BY OFFICE AND SHOP PERSONNEL	12. PROBLEM SOLVING BY OFFICE AND SHOP PERSONNEL	12. PROBLEM SOLVING BY OFFICE AND SHOP PERSONNEL	12. PROBLEM SOLVING BY OFFICE AND SHOP PERSONNEL
	13. QUALIFICATION AND CERTIFICATION FOR WELDERS AND QC PERSONNEL MAINTAINED AND CURRENT	13. QUALIFICATION AND CERTIFICATION FOR WELDERS AND QC PERSONNEL MAINTAINED AND CURRENT	13. QUALIFICATION AND CERTIFICATION FOR WELDERS AND QC PERSONNEL MAINTAINED AND CURRENT	13. QUALIFICATION AND CERTIFICATION FOR WELDERS AND QC PERSONNEL MAINTAINED AND CURRENT
	14. QA/QC GIVEN ADEQUATE AUTHORITY	14. QA/QC GIVEN ADEQUATE AUTHORITY	14. QA/QC GIVEN ADEQUATE AUTHORITY	14. QA/QC GIVEN ADEQUATE AUTHORITY
	15. PREFABRICATION MEETING OUTCOME/SUCCESS	15. PREFABRICATION MEETING OUTCOME/SUCCESS	15. PREFABRICATION MEETING OUTCOME/SUCCESS	15. PREFABRICATION MEETING OUTCOME/SUCCESS
	16. PROTECTION OF FINISHED EQUIPMENT (FLANGE PROTECTION, PACKAGING, ETC.)	16. PROTECTION OF FINISHED EQUIPMENT (FLANGE PROTECTION, PACKAGING, ETC.)	16. PROTECTION OF FINISHED EQUIPMENT (FLANGE PROTECTION, PACKAGING, ETC.)	16. PROTECTION OF FINISHED EQUIPMENT (FLANGE PROTECTION, PACKAGING, ETC.)
	17. CONDITION OF IN-HOUSE TESTING EQUIPMENT	17. CONDITION OF IN-HOUSE TESTING EQUIPMENT	17. CONDITION OF IN-HOUSE TESTING EQUIPMENT	17. CONDITION OF IN-HOUSE TESTING EQUIPMENT
	18. MAINTENANCE OF QC DOCUMENTATION AND PRESENTATION OF FINAL PACKAGE	18. MAINTENANCE OF QC DOCUMENTATION AND PRESENTATION OF FINAL PACKAGE	18. MAINTENANCE OF QC DOCUMENTATION AND PRESENTATION OF FINAL PACKAGE	18. MAINTENANCE OF QC DOCUMENTATION AND PRESENTATION OF FINAL PACKAGE