Activity Monitoring Report (Field Survey/Inspection Report) LR Brian Minchin

• Name

• Add media

  Media

• Designation

• Monitor.

• Designation

• Office & Control Number

• Client / Location

• Client / Location
  Address

• Conducted on

  Date

• Prepared by

Surveys / Inspection undertaken. (Note : The Surveyors identified fields of activities should be assessed at least once in every 4 (four) years.) Appropriate evidence must be collected and included within or annexed to this report!

• New construction - Pressure Equipment / Boilers / Vessels / Pipework / Assemblies.

  Yes

  No

• Was this activity covered in the last report?

• Design Appraisal activities (Specify)

  Yes

  No

• Was this activity covered in the last report?

• iSIS -Pressure systems / Refrigeration / Power Station / Process Plant (Specify type)

  Yes

  No

• Was this activity covered in the last report?

• EC Directive Work E.G. PED / TPED / Machinery / ATEX

  Yes

  No

• Was this activity covered in the last report?

• Welding & NDE

  Yes

  No

• Was this activity covered in the last report?

• Materials / Machinery

  Yes

  No

• Was this activity covered in the last report?

• Administration activities - Review of notebook / Reporting / accuracy of reporting.

  Yes

  No

• Was this activity covered in the last report?

• Other Surveys / Inspections / Specific business stream monitoring requirements (Specify) e.g. Marines, Oil & Gas

  Yes

  No

• Was this activity covered in the last report?

• Container / Tank Inspections -Standards and procedures listed in MS39-00-CCS Rev 3July 2005

  Yes

  No

• Was this activity covered in the last report?

• Other activities - including management and activity monitoring of sub- contract staff

  Yes

  No

• Was this activity covered in the last report?

• Previous findings:<br>(The previous activity monitor has being reviewed and all outstanding actions closed out.)f<br>If NO please identify below:

  Yes

  No

  N/A

• MS02-04-04 app1 R6
  (Amended for local UK energy purposes 01-2010

Commercial awareness (RFS / contracts)/client interaction

• Is the Surveyor fully aware of the Clients requirements, including latest applicable amendments, requirements for statutory surveys and the requirements of national authorities? (All as applicable)

  Yes

  No

  N/A

• Is the Surveyor/inspector fully conversant with all the specified requirements for work i.e. Technical notices, guidance documents and contractual requirements etc.

  Yes

  No

  N/A

• Is there a request for services in place?

  Yes

  No

  N/A

• Has a control number been raised with all the correct parameters?

  Yes

  No

  N/A

• Is the individual authorised for work list codes

  Yes

  No

  N/A

• Does the Surveyor have necessary PPE?

  Yes

  No

  N/A

• Is the individuals relationship with the client satisfactory

  Yes

  No

  N/A

• If no identify actions below

  Yes

  No

  N/A

• Is the individuals conduct on the clients premises satisfactory?

  Yes

  No

  N/A

• If no identify actions below

  Yes

  No

  N/A

• MS02-04-04 app1 R6
  (Amended for local UK energy purposes 01-2010

Technical awareness

• Are welding procedures, specifications together with their supporting procedure qualification records verified by the Surveyor/inspector? Are qualified welder a being used?

  Yes

  No

  N/A

• Is the storage and distribution of welding consumables satisfactorily monitored?

  Yes

  No

  N/A

• Is the Surveyors NDE qualification up to date?

  date of expiry

• Are any measuring instruments used by the manufacturer/repairer been reviewed by the Surveyor/inspector

  Yes

  No

  N/A

• Has this been verified?

  Yes

  No

  N/A

• If no what corrective action has been taken?

  Safe

  At Risk

  N/A

• Has this been recorded (e.g on a pro forma, job control record, visit report, certificate or any other document) and placed on file.

  Yes

  No

  N/A

• MS02-04-04 app1 R6
  (Amended for local UK energy purposes 01-2010

Sample inspections by the Surveyor witnessed by me were :

• Found to be in order

• Found not to be in order - recommendation made and suitable corrective actions shown in findings section.

• No recommendations made

Documentation.

• Are the reporting documents issued satisfactory, e.g. Checklists, progress reports, job control records etc.

  Yes

  No

  N/A

• Is the individuals performance and competency considered satisfactory for the work undertaken.

  Yes

  No

  N/A

• Is there any evidence that previous training has benefited the individuals performance? If yes give evidence or examples.

  Yes

  No

  N/A

• Is the Surveyor aware of his job description and is it applicable to his role today?

  Yes

  No

  N/A

• MS02-04-04 app1 R6
  (Amended for local UK energy purposes 01-2010

Record below all references through the process of the monitoring activity. I.e. Equipment identification, serial numbers, document references, materials, codes/specifications used etc

• Add media

  Media

Monitors/ line managers comments on review

Findings identified which require corrective action.

• MS02-04-04 app1 R6
  (Amended for local UK energy purposes 01-2010

• Monitor

  Sign

• Select date

  Date

• Signed as accepted Surveyor /inspector

  Sign

• Select date

  Date

• Signed as accepted line manager.

  Sign

• Select date

  Date

• Acceptance can be made by confirmation email which will be addended to report.

• MS02-04-04 app1 R6
  (Amended for local UK energy purposes 01-2010