INSPECTION AND TEST REPORT REPORT. NO.

FOR U/G PIPING INSTALLATION PAGE : OF

PROJECT: JOB NO.:

Area / Unit : Date :

Location : Subcon. Name :

No. Item to check Result No. Item to check Result

1 GENERAL 3 PIPE SUPPORT

1.1 Line size correct. 3.1 Field supports installed

1.2 Material correct 3.2 Spring hangers properly installed

1.3 Flange rating correct

1.4 Welding completed 4 GASKET AND BOLT

1.5 Line slope & location per Dwg. 4.1 Gasket & bolt type correct

1.6 NDE completeD 4.2 Material & size correct

1.7 Stress relieving completed

5 TEMPORARY ITEMS FOR TEST

2 VALVES 5.1 Temporary pipe spool installed

2.1 Flow direction correct 5.2 Test blinds correctly installed

2.2 Bolts and nuts correct 5.3 Removal Items checked

2.3 Stock code no. correct 5.4 Pressure gauge calibration

3.3 Stem oriented properly

3.4 Valve test completed

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name
Signature

Date
Form No. : ITR-PUG-001
 INSPECTION AND TEST REPORT REPORT NO. :
FOR WELDING INSPECTION PAGE : OF

PROJECT: JOB NO. :

Area / Unit : Date :

Location : Subcon. Name :

Drawing No. (Line Sheet Rev. Mat'l Spool Joint Weld Welder No
No. Alt No. Size Result Remarks
No.) No. No. spec. No. No. type
1 2

Type of welding joint : B (Butt), C (Branch connection), F (Fillet), S (Socket)

SW (Shop weld) , FW (Field weld)

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name

Signature
Date
Form No. : ITR-PUG-002
 PUNCH LIST FOR REPORT NO. :
U/G PIPING INSTALLATION WORK PAGE : OF

PROJECT : JOB NO. :

Item Sheet Rev. Cat. Issued by Cleared by Verified by Verified by

Drawing No./
No. No. No. Description Date Subcontractor Contractor Client
Location A/B
 PUNCH LIST FOR REPORT NO. :
U/G PIPING INSTALLATION WORK PAGE : OF

PROJECT : JOB NO. :

Item Sheet Rev. Cat. Issued by Cleared by Verified by Verified by

Drawing No./
No. No. No. Description Date Subcontractor Contractor Client
Location A/B

Category Legend A : Before Test B : After Test

Form No. : ITR-PUG-003
 INSPECTION AND TEST REPORT REPORT NO. :
FOR FIELD LEAK TEST PAGE : OF

PROJECT: JOB NO :

Area / Unit : Date :

Location : Subcon. Name :

Pressure (KG/cm2) Operation Design Test

Method □ Hydro □ Pneumatic □ Visual □ Service □ Other

Test Fluid □ Water □ Air □ N2 □ Other

Pressure Gauge No.

Holding Time
Sheet Rev. Result
No. P & ID No. ISO DWG. No. Remark
No. No. Accept Reject

Comments :

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name
Signature

Date
Form No. : ITR-PUG-004
 INSPECTION AND TEST REPORT REPORT NO. :
FOR SURFACE CLEANING & PRIMING PAGE : OF

PROJECT: JOB NO. :

Area / Unit : Date :

Location : Subcon. Name :

Result
Sheet Rev Joint Pipe
No. Line No. Surface Remarks
No. No No size Priming
Cleaning

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

Name
Signature

Date
Form No. : ITR-PUG-005
 INSPECTION AND TEST REPORT REPORT NO. :
FOR COATING & WRAPPING /
HOLIDAY TEST PAGE : OF

PROJECT: JOB NO. :

Area / Unit : Date :

Location : Subcon. Name :

Joint/ Results
Sheet Rev NPS
No. Drawing No. Spool Remarks
No. No. (Inch) Coating & Holiday
No.
Wrapping Test

Inspection Result : □ Accept □ Conditionally Accept □ Reject

Inspection by Subcontractor Contractor Client

 Name

Signature

Date
Form No. : ITR-PUG-006