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
