INSPECTION REPORT - SKM (RTIO) - CHUBB - CV450 FIRE SPRINKLER SYSTEM

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

PROJECT DETAILS

• Inspection Report Number

• Project

  CLB

  CLBB

  DIN

  CWP

• Project Number

  CLB-M-SM-2574

• Supplier

  CHUBB, 120 Cutler Road, Jandakot WA

  Contact - Bruce 9499 6900

• Sub-Contractor

• Supplier Contract

• Description Of Inspection

  CV450 Fire Sprinkler System including piping calculations, supply of Control Cabinets, Sprinklers, Paddle switch & Isolation Valve

• Inspection Engineer (Inspected By)

  Select Biju Kurian Pottayil Simon Rigg Lloyd Danny D Collin Clay Barry Ebert

  • Biju Kurian Pottayil
  • Simon Rigg
  • Lloyd
  • Danny D
  • Collin
  • Clay
  • Barry Ebert

DETAILS OF INSPECTION

• Materials/Equipments Inspected :

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  Media

• Standards/Specifications Applicable

  AS4041, AS3992, AS2980

• Drawing Numbers Applicable

  CL-4120-P-00001 Rev 6, CL-4120-P-00002 Rev 6, CL-4120-P-00003 Rev 7, CL-4120-P-00004 Rev 7, CL-4120-P-00005 Rev 5, CL-4120-P-00006 Rev 7, CL-4120-P-00007 Rev 4

INSPECTION/EXPEDITING DETAILS & COMMENTS

DOCUMENTATION STATUS

• Contract Documents Available

  Yes

  No

  N/A

• ITP's Current Rev & Approval Status

  Yes

  No

  N/A

• Drawings Current & AFC

  Yes

  No

  N/A

• Manufacturing Schedules current Rev

  Yes

  No

  N/A

• Contractor's Procedure Available

  Yes

  No

  N/A

RAW MATERIALS

• All Materials Received

  Yes

  No

  N/A

• All Materials Stored correctly

  Yes

  No

  N/A

• All Material Certificates Received

  Yes

  No

  N/A

INSPECTION & TEST STATUS

• All Materials Conforming

  Yes

  No

  N/A

• NCR's Raised (NCR Numbers)

• Non-Conforming item's disposition

• Non-Conforming items identified & Segregated

  Yes

  No

  N/A

IN-PROCESS INSPECTION & TEST STATUS

• All materials inspected on receipt

  Yes

  No

  N/A

• ITP's progressively signed

  Yes

  No

  N/A

• ITP Hold & Witness Points attended

  Yes

  No

  N/A

• Inspection & Test Records verified

  Yes

  No

  N/A

• NDT by authorized personnel

  Yes

  No

  N/A

• Inspection, Measuring & Test Equipment calibrated

  Yes

  No

  N/A

MANUFACTURING STATUS

• All Work done safely

  Safe

  At Risk

  N/A

• Resources available for completing job on time

  Yes

  No

  N/A

• SKM jobs prioritized to avoid any potential delays on contract

  Yes

  No

  N/A

• Appropriate number of personnel on job

• Appropriate supervision on job

  Yes

  No

  N/A

• Progress in accordance with Schedule

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• Technical Queries recorded on Register

  Yes

  No

  N/A

• Technical Queries outstanding

• ITP & MDR Status reflect current job status

  Yes

  No

  N/A

HANDLING, STORAGE & PACKAGING

• Materials and equipment are handled as per the contract requirement

  Yes

  No

  N/A

• Materials and equipment stored safely and in designated areas<br>

  Yes

  No

  N/A

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• Packing and Protection in accordance with contract

  Yes

  No

  N/A

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TRANSPORT

• Inspection Release Certificate completed and issued to Contractor and QA/QC Supt:

  Yes

  No

  N/A

• Consignment Note complete and accurate

  Yes

  No

  N/A

• IRC and Con Note affixed to goods/equipment

  Yes

  No

  N/A

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• Goods/equipment marked in accordance with contract

  Yes

  No

  N/A

• Equipment loaded and secured on transport in accordance with contract

  Yes

  No

  N/A

COMPONENTS/MATERIALS

• Estimated overall Percent Complete

• All Materials Ordered (No materials outstanding to be ordered)

  Yes

  No

  N/A

• All Materials Delivered to Contractors Facility

  Yes

  No

  N/A

INSPECTION STAGE

• Inspection Status

  FIRST

  INTERIM

  FINAL

• Inspection Engineer Signature

  Sign

• Signed On

  Date