RECEIVED BY REQUEST FOR INSPECTION OF EPC CONTRCTOR:

WORK
NAME: ...................... CLIENT : (RFIW)
DATE : .....................
TIME : .......................

RFIW NO: RFIW-DAN-CIV-001 DATE

PROJECT PROJECT: CONTRACT NO: 7000010671 ENGINEERING, PROCUREMENT, CONSTRUCTION AND

NAME COMMISSIONING OF NEW SALES EDC TANK IN QAPCO VINYL PLANT

TO ATT:
WORK RFI FORMAT RFIW-DAN-EDC-CIV-R0
LOCATION
NO:

FQP NO: FQP LINE NO:

RFIW Request Subject:

Discipline:

Survey Civil construction Welding

I&C Mechanical installation Finishing

Calibration Electrical Installation Other

Inspection Description :
Ref Drawing Ref . SPECS

Intended Inspection Date: Start Time: End Time:

Inspection Results
Approved Rejected

Approved with comments Re-Scheduled

Technical Comments :

Construction: QA/QC (Danem Client:

(Danem Engineering) Engineering) (Qapco)
Name : Name : Name :

Signature Signature Signature

Date Date Date

 QATAR PETROCHEMICAL COMPANY

PROJECT: CONTRACT NO: 7000010671 ENGINEERING, PROCUREMENT,

CONSTRUCTION AND COMMISSIONING OF NEW SALES EDC TANK IN
QAPCO VINYL PLANT
CONTRACTOR: DANEM ENGINEERING Job No : Job No : 5268

MATERIAL RECEIVING INSPECTION REPORT - Civil

MRIR No. MRIR-SAD-CIV-001 Inspection Date & Time :
Location: QAPCO /
Date:
DESCRIPTION OF MATERIAL FOR INSPECTION QUANTITY

1-

2-

3-

4-

THE MATERIAL / EQUIPMENT DETAILED ABOVE FOUND: BACK UP REFERENCES

PO Nos
□ Accepted as delivered in good condition (noobservable Delivery Note No.
damage) and in accordance with the referenced documents. SAN No.
B/L No.
□ Accepted with Comments CCI Ref No/
Batch No.
Shop Insp. Cert. No /M aterial
Test Cert No.
□ Not Accepted
Packing List No.
M aterial A pp. No / QAPCO
Vendor No.
QAPCO Reference.
COMMENTS:

Approved by:
Name Signature Date
DANEM
QAPCO
 QATAR PETROCHEMICAL COMPANY

PROJECT: CONTRACT NO: 7000010671 ENGINEERING,

PROCUREMENT, CONSTRUCTION AND COMMISSIONING OF
NEW SALES EDC TANK IN QAPCO VINYL PLANT
CONTRCTOR: DANEM ENGINEERING Job No : 5268
Checklist CL-CIVIL-002 FQP No. : RFI No.

No.

SURVEY REPORT SHEET

Drawing No.: Equipment / Structure: Report No.:
Location: Date:
Survey Instrument: Serial No. Date Surveyed:
Reference Point: Acceptance Criteria: Time Surveyed:
REF. DESIGN ACTUAL VARIANCE
POINT REMARK
N E ELE N E ELE N E ELE S

SURVEYED BY : REMARKS
NAME:

SIGNATURE:

DATE:

QA/QC (Danem Engineering) QAPCO

Name:

Signature:

Date:
 QATAR PETROCHEMICAL COMPANY

PROJECT: CONTRACT NO: 7000010671 ENGINEERING, PROCUREMENT,

CONSTRUCTION AND COMMISSIONING OF NEW SALES EDC TANK IN QAPCO VINYL
PLANT

CONTRACTOR : DANEM ENGINEERING Job No : 5268

Area FQP No. RFI No.

Check list For Concrete Works (Lean Concrete)

ITEM ACTIVITY Danem QAPCO Remarks

Engineering

1 Check that all existing services are released.

2 Polyethylene sheet material Acceptable

3 Polyethylene sheet Installation conforms to

specification
4 Correct and current Drawing.

5 Guide Rails set for Lean Concrete Thickness.

6 All setting out verified by surveyor including,

Dimension,

QA/QC (Danem Engineering) QAPCO Representative

Name:

Signature:

Date:
 QATAR PETROCHEMICAL COMPANY

PROJECT: CONTRACT NO: 7000010671 ENGINEERING, PROCUREMENT,

CONSTRUCTION AND COMMISSIONING OF NEW SALES EDC TANK IN QAPCO VINYL
PLANT
CONTRACTOR : DANEM ENGINEERING Job No : 5268

Checklist No. CL-CIVIL-004 FQP No. RFI No.

Check list For Concrete Works (Post ‐ Pour Inspection for Concrete
Structures)
ITEM ACTIVITY Sub Contractor SADELMI Power Remarks

1 Initial protection of exposed surface adequate

Removal of formwork within the time and strength

2
requirements

3 Openings (Size and location) correct

Cast in items correct

4
(separate survey for anchor bolts)
No defects in surfaces (line and level) or cracks and
5
other surface defects
Curing adequate or curing compound applied and
6
continuous
All critical items checked by survey
7 (e.g. Anchor Bolts) and correct.

QA/QC (Danem Engineering) QAPCO Representative

Name:

Signature:

Date:
 QATAR PETROCHEMICAL COMPANY

PROJECT: CONTRACT NO: 7000010671 ENGINEERING, PROCUREMENT,

CONSTRUCTION AND COMMISSIONING OF NEW SALES EDC TANK IN
QAPCO VINYL PLANT
CONTRACTOR : DANEM ENGINEERING Job No : 5268

Checklist No. CL-CIVIL-005 FQP No. RFI No.

Check list For Earthworks

ITEM ACTIVITY Sub Contractor SADELMI Power Remarks

1 Excavation :

A.) Setting Out / Control Points

□ Acceptable □ Rejected □N/A

B.) Rock Base Exist ?

□ Acceptable □ Rejected □N/A

C.) Sub-grade condition after excavation.

□ Acceptable □ Rejected □N/A

D.) Dewatering (If Applicable).

□ Acceptable □ Rejected □N/A

E.) Compaction (If Applicable).

□ Acceptable □ Rejected □N/A

2 Back Filling :

A.) Release for Backfilling.

□ Acceptable □ Rejected □N/A

B.) Materials.
□ Acceptable □ Rejected □N/A

C.) Thickness of Layer (Loose Condition).

□ Acceptable □ Rejected □N/A

D.) Compaction for each layer @ 95% modified proctor.

□ Acceptable □ Rejected □N/A

3 Final Elevation :
□ Acceptable □ Rejected □N/A

A.) Survey Report data match IFC Dwgs within allowed tolerances.
□ Acceptable □ Rejected □ N/A

B.) Visual Inspection.

□ Acceptable □ Rejected □N/A

QA/QC (Danem Engineering) QAPCO Representative

Name:

Signature:

Date:
 QATAR PETROCHEMICAL COMPANY
PROJECT: CONTRACT NO: 7000010671 ENGINEERING, PROCUREMENT,
CONSTRUCTION AND COMMISSIONING OF NEW SALES EDC TANK IN
QAPCO VINYL PLANT
CONTRACTOR : DANEM ENGINEERING Job No : 5268
Checklist No. CL-CIVIL-006 FQP No. RFI No.
Check list For Roads and Pavement Works
ITEM ACTIVITY DANEM Remarks

Check that the full width of the surface to be treated is clean, swept with power
broom if necessaryto remove all loose dirt and other
1
objectionable material.

Check that adjacent surfaces are protected except items finally will be In contact
2 with asphalt layers.

Check that the existing surface to receive the material is dry and
shall not be applied when the ambient temperature is less than 13°C nor during
3
rain, fog, dust storms or other unsuitable weather.

Check that a pressure distributor was used in the application of material and shall
4 have satisfactory healing equipment and
thermometers to provide full range of application temperatures for
Check that the application temperature for prime coal is between 60°C and 85°C
5 and for tack coat shall be between 10°C and 60°C

Check that surface after material application is allowed to cure without being
6 disturbed, no sooner than 48 hours after application.

Ensure edge of existing paving shall be saw-cut square to assure

7 a neat junction throughout compaction and bonded when preparing for
construction joints.

QA/QC (Danem Engineering) QAPCO Representative

Name:

Signature:

Date:
 QATAR PETROCHEMICAL COMPANY
PROJECT: CONTRACT NO: 7000010671 ENGINEERING, PROCUREMENT, CONSTRUCTION AND
COMMISSIONING OF NEW SALES EDC TANK IN QAPCO VINYL PLANT

CONTRACTOR : DANEM ENGINEERING Job No : 5268

Checklist No. CL-CIVIL-007 FQP No. RFI No.

Check list For Grouting of Structures / Equipment

Foundation
ITEM ACTIVITY DANEM Remarks

1 Verify the grouting material as per the specification

2 Check the cleanliness of grouting area

3 Check the Formworks

4 Check the soaking (24 hrs before grouting)

Check the mixing and pouring

5
(as per manufarer's Recommendation)

6 Check the curing and acceptability

7 Check the cube samples

QA/QC (Danem Engineering) QAPCO Representative

Name:

Signature:

Date:
 QATAR PETROCHEMICAL COMPANY

PROJECT: CONTRACT NO: 7000010671 ENGINEERING, PROCUREMENT,

CONSTRUCTION AND COMMISSIONING OF NEW SALES EDC TANK IN QAPCO
VINYL PLANT
CONTRACTOR : DANEM ENGINEERING Job No : 5268

Checklist No. CL-CIVIL-008 FQP RFI

No. No.

CONCRETE STRUCTURES INSPECTION REPORT

ITEM: FOOTING/PIPE SUPPORT COLUMN

AREA: FOUNDATION / BEAMS WALLS
DWG. ELEVATED BEAMS PITS / MH
PAVING BLINDING
Rev.
CAST IN SITU
PRECAST

NA A R INSPECTORS SIGNATURE & DATE

PRE-POUR
QA/QC DANEM QAPCO
1 Lean Concrete Top Elev

2 Coordinates Check
3 Protective Coating / Membrane
4 Formwork Check Geometry & Position Stability
& Plumbness Clearness Oil Coating Holes &
Penetrations

5 Reinforcement Dowels (if any) Lap Splice

Number, Size & Spacing Welded Wire Mesh (if
Any)

6 Anchor Bolts (Number / Size Position)

7 Embedded Items / Box-Out (Position &
Geometry)
8 Water Stops Position Type
9 Anchor Bolts Position Elevation Check
10 Protection Check:Surface Preparation
Membrane & Hard Board

APPROVE FOR CASTING YES NO

NA = Not Applicable A = Acceptable R = Rejected

Note:

DANEM QAPCO
Name
Signature
Date
 QATAR PETROCHEMICAL COMPANY

PROJECT: CONTRACT NO: 7000010671 ENGINEERING, PROCUREMENT,

CONSTRUCTION AND COMMISSIONING OF NEW SALES EDC TANK IN
QAPCO VINYL PLANT
Contractor : DANEM ENGINEERING Job No : 5268

Checklist No. CL-CIVIL-009 FQP No. RFI No.

CURING LOGSHEET

Report No : Date Poured :

Location Area : Equipment Fdn :
Ref. Drawings : Rev.

nth Day DATE Site Engineer/Supervisor DANEM QAPCO

Day 1

Day 2

Day 3

Day 4

Day 5

Day 6

Day 7

REMARKS:

Note:

DANEM QAPCO
Name
Signature
Date
 QATAR PETROCHEMICAL COMPANY

PROJECT: CONTRACT NO: 7000010671 ENGINEERING, PROCUREMENT,

CONSTRUCTION AND COMMISSIONING OF NEW SALES EDC TANK IN
QAPCO VINYL PLANT
Contractor : DANEM ENGINEERING Job No : 5268

Checklist No. CL-CIVIL-010 FQP No. RFI No.

ANCHOR BOLT INSPECTION CHECKLIST

Report No : Date :
Location Area : Equipment Fdn :
Ref. Drawings : Rev.

INSPECTION RESULT
ITEM DESCRIPTION REQUIREMENT
ACCEPT REJECT
1 Anchor Bolt Type / Quality AFC Drawing

without sleeve =
2 Anchor Bolt Location ±3mm
(RG 1700.02 Rev. 3 section 16.3) with sleeve = 5mm
±
3 Anchor Bolt Top Elevation +5mm or -0mm
(RG 1700.02 Rev. 3 section 16.3)

4 Fix Condition
5 Projection Protection
(Polyethylene sht, masking tape, etc.)

6 Release note From Mechanical

Note:

DANEM QAPCO
Name
Signature
Date
 QATAR PETROCHEMICAL COMPANY

PROJECT: CONTRACT NO: 7000010671 ENGINEERING, PROCUREMENT,

CONSTRUCTION AND COMMISSIONING OF NEW SALES EDC TANK IN QAPCO
VINYL PLANT
Contractor : DANEM ENGINEERING Job No : 5268

Checklist No. CL-CIVIL-011 FQP No. RFI No.

RELEASE NOTICE

Report No : Date :
Location Area : Equipment Fdn :
Ref. Drawings : Rev.

Activity Site Engineer/Supervisor DANEM QAPCO

Name Released For:

Position -Further Activities

Discipline
Signature
Name Released For:
Position
Discipline
Signature
Name Released For:
Position
Discipline
Signature
Remarks:

DANEM QAPCO

Name

Signature

Date
 QATAR PETROCHEMICAL COMPANY
PROJECT: CONTRACT NO: 7000010671 ENGINEERING, PROCUREMENT,
CONSTRUCTION AND COMMISSIONING OF NEW SALES EDC TANK IN
QAPCO VINYL PLANT
Contractor : DANEM ENGINEERING Job No : 5268

Checklist No. CL-CIVIL-012 FQP RFI No.

SLUMP TEST FOR CONCRETE

Report No :
Location Area : Date :
Equipment/Structure: Rev.
Ref. Drawings :

CRITERIA :
Required Slump Actual Slump
Concrete Mix Design :
a) Blinding Concrete 150(-20/+50)mm mm
b) Mass Concrete 150(-20/+50)mm mm

c) Structural Concrete 150(-20/+50)mm mm

Note:

DANEM QAPCO

Name

Signature

Date
 QATAR PETROCHEMICAL COMPANY
PROJECT: CONTRACT NO: 7000010671 ENGINEERING, PROCUREMENT,
CONSTRUCTION AND COMMISSIONING OF NEW SALES EDC TANK IN
QAPCO VINYL PLANT
Contractor : DANEM ENGINEERING Job No :Job No : 5268

Report No. CL-CIVIL-013 FQP No. RFI No.

Type of Report Generated By the Contractor

Note:

DANEM QAPCO
Name
Signature
Date