Request For Inspection: EPIC For Facilities Modifications at RG Plant

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REQUEST FOR INSPECTION

Contractor: ROOTS ENERGY & ENGINEERING SERVICES, W.L.L.

Project Title: EPIC for Facilities Modifications at RG Plant

Project No. 4222

Contract No.: GC20103000

TO : QATAR PETROLEUM Attn: MR. PHILIPPE LAVAL (PND/412)

RFI No.: 4222-1-RFI- 0063

Date: 7-Dec-21

Inspection Date: 8-Dec-21

Inspection Time: 8:00

Location of Inspection: Roots Energy Yard, Zekreet

Ref. Doc. No. : 4222-RG-1-58-0014 Rev"C", 4222-RG-1-58-0006 Rev"C"

Involvement: Client (QP) W/S TPIA N/A Contractor H

LEGEND: H -Hold, W - Witness, R - Review, S - Surveillance, M - Monitoring

INVOLVED DISCIPLINE: Mechanical Civil Electrical Instrumentation

Painting-Coating Telecom Others (Specify)

Inspection / Item Description:

Rebars formworks & concrete pouring of Precast part of (P-9524A, P-9524B Condensate Transfer Pumb) Foundations as highlighted in the
attached drawing.

Requested by ROOTS CONST. Verified by ROOTS QA/QC


Name: SIVAELANGO JOHN BOSCO S
Designation: CIVIL ENGINEER QA/QC ENGINEER
Signature:
Date: December 7, 2021 December 7, 2021
Remarks:

Approved Approved with Comments Rejected Cancelled

ROOTS QA/QC TPI Qatar Petroleum

Name: JOHN BOSCO S MR. PHILIPPE LAVAL (PND/412)

Designation: QA/QC ENGINEER N/A CONSTRUCTION SUPERVISOR

Signature:
Date:
ROOTS-QC-001B, Rev.0
INSPECTION & TEST RECORD- CIVIL

A-003
CHECKLIST FOR PLACING/POURING OF CONCRETE

Project Title Company: QP


EPIC for Facilities Modifications at RG Plant
Report No. A-003- 0063 Contractor #REF!

RFI No. 4118-1-RFI- 0063 Requested By SIVAELANGO

Inspection Date /Time 8-Dec-21 8:00 AM Project No: #REF!

System/Subsystem No. Tag No:

Area/Location Roots Energy Yard, Zekreet Work Type Civil


4222-RG-1-58-0014 Rev"C", 4222-RG-1-58-0006 P-9524A, P-9524B Condensate
Reference Drawing No. Rev"C"
Structure No. Transfer Pumb

Time Volume of Comulative


Delivery Concrete Pour
Truck Concrete Pour Start concrete volume of Concrete Air Cubes
Tickect Batch Finish Slump
No. Arrived on Time arrived concrete Temp Ambient Made
Number Time Time
Site (m3) placed (m3)

Reference Attachment:
Remarks:concrete pouring of Precast part of (P-9524A, P-9524B Condensate Transfer Pumb) Foundations as
highlighted in the attached drawing.

ROOTS CONSTRUCTION ROOTS QA/QC QP

Name: SIVAELANGO JOHN BOSCO S MR. PHILIPPE LAVAL (PND/412)

Signature:

Date:
INSPECTION & TEST PLAN- CIVIL

A-002
CHECKLIST FOR PRE-POUR CONCRETE
Project Title Company: QP
EPIC for Facilities Modifications at RG Plant
Report No. A-002- 0063 Contractor #REF!

RFI No. 4222-1-RFI- 0063 Requested By SIVAELANGO

Inspection Date /Time 8-Dec-21 8:00 AM Project No: 4222/GC20103000

System/Subsystem No. Tag No:

Area/Location
Roots Energy Yard, Zekreet
Work Type Civil
4222-RG-1-58-0014 Rev"C", 4222-RG-1-58-0006 P-9524A, P-9524B
Reference Drawing No. Structure No.
Rev"C" Condensate Transfer Pumb

No: Description Result Remark


1 Check location & tyoe of structure as per AFC drawing. Accept Reject
Setting out of diagonal distances is verified by Surveyor and all dimensions &
2
level checked and correct within tolerance as per AFC.
Accept Reject

3 Dimension / diameter of the spacer Accept Reject


Check quantity / size of bar / mesh, cover space, overlap length and tying,
4
spacing thickness of binding wire.
Accept Reject
5 Rebar arrangement and installed as per AFC drawing. Accept Reject
Formworks support & struts are installed / fixed properly. It should be level,
6
plumb parallel to the ground and straight
Accept Reject

7 Side bottom spacer are installed. Accept Reject


All embedded item like anchor bolts, insert plates, lugs, corner angle are
8
installed as required in the AFC drawing.
Accept Reject
Scaffolds, temporary anchor supports, cranes, concrete pumps, vibrator
9 compactor, generator, equipment (JBC, bobcat, shovel) and transit mobile mixer Accept Reject
are properly in safe position.
10 MEP Inspection completed and clearance document issued. Accept Reject
Reference Attachment:
Remarks :Rebars formworks of Precast part of (P-9524A, P-9524B Condensate Transfer Pumb) Foundations as
highlighted in the attached drawing.

ROOTS CONSTRUCTION ROOTS QA/QC QP


Name: SIVAELANGO JOHN BOSCO S MR. PHILIPPE LAVAL (PND/412)

Signature:
Date:
BLACK CAT CONSULTING AND
ENGINEERING SERVICES W.L.L.
P.O. Box: 22867, Doha, Qatar
MMUP Reg. # : M/223 Tel: (+974) 44019666
Fax: (+974) 44019777
Website:www.roots-energy.com
BLACK CAT CONSULTING AND
ENGINEERING SERVICES W.L.L.
P.O. Box: 22867, Doha, Qatar
MMUP Reg. # : M/223 Tel: (+974) 44019666
Fax: (+974) 44019777
Website:www.roots-energy.com
BLACK CAT CONSULTING AND
ENGINEERING SERVICES W.L.L.
P.O. Box: 22867, Doha, Qatar
MMUP Reg. # : M/223 Tel: (+974) 44019666
Fax: (+974) 44019777
Website:www.roots-energy.com
BLACK CAT CONSULTING AND
ENGINEERING SERVICES W.L.L.
P.O. Box: 22867, Doha, Qatar
MMUP Reg. # : M/223 Tel: (+974) 44019666
Fax: (+974) 44019777
Website:www.roots-energy.com

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