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    QC Surveillance Report (SR) Circulation Sheet: Cancelled Activity On 017-PRK-31002

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    ulfa
    1) This QC surveillance report documents an issue found during a concrete pour at the Landfill Area where the concrete was being placed for over 45 minutes, which exceeds the project specification limit. 2) The report details the required actions and sign offs from the QC Manager, Discipline Leader, FE Manager, Construction Manager, and QC Inspector to review and address the non-conformance. 3) Once corrective actions are completed, verification of completion is required from the subcontractor, contractor QC, and Company if needed, to ensure the issue is properly resolved.

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    QC Surveillance Report (SR) Circulation Sheet: Cancelled Activity On 017-PRK-31002

    Uploaded by

    ulfa
    63 views3 pages
    1) This QC surveillance report documents an issue found during a concrete pour at the Landfill Area where the concrete was being placed for over 45 minutes, which exceeds the project specification limit. 2) The report details the required actions and sign offs from the QC Manager, Discipline Leader, FE Manager, Construction Manager, and QC Inspector to review and address the non-conformance. 3) Once corrective actions are completed, verification of completion is required from the subcontractor, contractor QC, and Company if needed, to ensure the issue is properly resolved.

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    Original Title

    FORM SR

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    1) This QC surveillance report documents an issue found during a concrete pour at the Landfill Area where the concrete was being placed for over 45 minutes, which exceeds the project specification limit. 2) The report details the required actions and sign offs from the QC Manager, Discipline Leader, FE Manager, Construction Manager, and QC Inspector to review and address the non-conformance. 3) Once corrective actions are completed, verification of completion is required from the subcontractor, contractor QC, and Company if needed, to ensure the issue is properly resolved.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    63 views3 pages

    QC Surveillance Report (SR) Circulation Sheet: Cancelled Activity On 017-PRK-31002

    Uploaded by

    ulfa
    1) This QC surveillance report documents an issue found during a concrete pour at the Landfill Area where the concrete was being placed for over 45 minutes, which exceeds the project specification limit. 2) The report details the required actions and sign offs from the QC Manager, Discipline Leader, FE Manager, Construction Manager, and QC Inspector to review and address the non-conformance. 3) Once corrective actions are completed, verification of completion is required from the subcontractor, contractor QC, and Company if needed, to ensure the issue is properly resolved.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    QC SURVEILLANCE REPORT (SR)

    Circulation Sheet Date : 05 November 2018

    SR No. :
    TEP-SR-MEI-MC-CIV-0001 Civil / Structure
    Action Required By :
    Cancelled Activity on 017-PRK-31002 Mechanical
    SR Subject :
    Piping
    E&I
    Discipline : Civil
    Paint & insulation
    QCM/DQCM Material
    Comments :

    Date / Initial / Comment if Any


    Action Required

    QC Manager ___________________________________  Review / Approval of SR item


    Date

    ___________________________________

    Discipline Leader /  Decision of recommendation


    Engineer ___________________________________  Request subcontractor for action to
    Date be taken

    ___________________________________

    FE Manager ___________________________________  Approve / Recommendations and


    Date comment if any

    ___________________________________

    Construction Manager ___________________________________  Review and Take required action with


    Date subcontractor

    ___________________________________

    QC Manager ___________________________________  Instruction to QC Inspection


    Date  Request subcontractor QC for
    action/Inspection Requirement as
    required
    ___________________________________

    QC Inspector ___________________________________  Orig-keep Centre File


    Date  Coordinate with subcontractor QC
     Witness close out inspection and /or
    review Record
    ___________________________________
     Close out Signature

    QC Admin. ___________________________________
     Register ?Update log sheet
    Date
     Distribute Discipline/ CSTS QC / CPY
    QC (if required)
    ___________________________________
    QC SURVEILLANCE REPORT
    Doc.No TEP-SR-LCI-CIV-0017 FORM-TEP-QA-012
    TANGGUH EXPANSION – PROJECT EXECUTE LNG EPC
    Date 13 December 2018 Revision No: 00
    Inspection Item : Placing concrete duration Reference Document No :
    - TEP-900-SPE-CV-BP4-0005
    Rev. B06

    Findings:

    Regarding the placing concrete duration, it was been found that Leighton at Landfill Area was concreting the foundation for the fence more
    than 45 minutes for 1 truck mixer. According to TEP-900-SPE-CV-BP4-0005 Revision B06 (Project Specification for Reinforced Concrete and
    Grouting Work) mention that “Discharge of the concrete shall be completed within 45 minutes after the introduction of the mixing water to
    the cement and aggregates or the introduction of the cement to the aggregates”.

    COMPANY INSPECTOR
    INVOLVEMENT CONTRACTOR QC CONTRACTOR QCM/FQCM
    (If required)

    SIGNATURE

    DATE : 05 November 2018 Ulfa Alfian Aziz Giulio Quarta


    Recommendation :
    ☐ NCR Required ☐No NCR Required

    ☐VENDOR NCR Required ☐ B/C to Vendor / Sub-Contractor


    CONTRACTOR DISCIPLINE CONTRACTOR FEM COMPANY INSPECTOR
    INVOLVEMENT LEADER (If required)

    SIGNATURE

    DATE

    Recommended Action Completion Verification

    SUBCONTRACTOR CONTRACTOR COMPANY


    DISCIPLINE QC DISCIPLINE QC (If Required)

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