Material Receiving Inspection Report Discipline: Quality Control Form

PROJECT: PROCUREMENT, CONSTRUCTION AND COMMISSIONING ASSISTANCE FOR INSTALLATION OF
ADDITIONAL PUMP FOR MTBE SLOP WITH FLOW CONTROL AT UNIT-09 (WASHERY AREA) IN MAA
REFINERY
OWNER : KNPC
CONTRACT No : CA-CPC-440 CONTRACTOR JOB NO : 1038/2
QUALITY CONTROL FORM QC FORM NO : QCF-MIR-001 REV. A SH. 1 OF 1
MATERIAL RECEIVING INSPECTION REPORT LOCATION: REPORT NO: ______________
Discipline
CIVIL STRUCTURAL PIPING MECHANICAL PAINTING / COATING
Insulation ELECTRICAL INSTRUMENTATION HVAC NDE
Welding Buildings Pipelines
SL. PURCHASE ORDER SHIP NO. / TAG NO. / STATUS

MATERIAL DESCRIPTION UNIT QTY. VENDOR MTC / IRC REF.
NO. NO. DISPATCH NO HEAT NO.
ACCEPT EXCESS SHORT DAMAGE
NOTES:
FINAL ACCEPTANCE ACCEPTED NOT ACCEPTED
INSPECTORS CONTRACTOR COMPANY

ACCEPTED BY
NAME
ACCEPTED BY
SIGNATURE
DATE
MIR/Rev. 1
PROJECT: PROCUREMENT, CONSTRUCTION AND COMMISSIONING ASSISTANCE
FOR INSTALLATION OF ADDITIONAL PUMP FOR MTBE SLOP WITH FLOW
CONTROL AT UNIT-09 (WASHERY AREA) IN MAA REFINERY
Owner: KNPC
QC Form No: QCF-E-001 Rev.0 SH. 1 of 1
Report No.:
TEST EQUIPMENT LIST ( ELECTRICAL)
Date:
SL.No: Equipment Type Serial No. Certificate no Calibration Agency Calibration Date of Calibration Validity
Frequency until
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Remarks:
Accepted By Contractor Company
Name
Signature
Date
PROJECT: PROCUREMENT, CONSTRUCTION AND COMMISSIONING ASSISTANCE
FOR INSTALLATION OF ADDITIONAL PUMP FOR MTBE SLOP WITH FLOW
CONTROL AT UNIT-09 (WASHERY AREA) IN MAA REFINERY
Owner: KNPC
Report No.:
INEFFICIENCY REPORT
Date:
Tag No : Manufacturer :
Description : Serial No :
SUBCONTRACTOR CONTRACTOR
NAME
SIGNATURE
DATE
Corrective Actions :
Work Carried Out :
Name
Signature
Date
PROJECT: PROCUREMENT, CONSTRUCTION AND COMMISSIONING
ASSISTANCE FOR INSTALLATION OF ADDITIONAL PUMP FOR MTBE
SLOP WITH FLOW CONTROL AT UNIT-09 (WASHERY AREA) IN MAA
REFINERY
Owner: KNPC
Report No.:
ELECTRICAL CABLES
PRE-INSTALLATION CHECKS ON REEL Date:
CABLE REEL NO. CABLE SIZE
REEL LENGTH LOCATION
CABLE TYPE VOLTAGE GRADE
CABLE LIST No OTHER
1 REEL VISUAL CHECK Sub.Cont Contractor Company
A Physical damages Yes/ No/ NA
B Cable Identity correct Yes/ No/ NA
C Compliance with specification Yes/ No/ NA
2 INSULATION RESISTANCE AND CONTINUITY TESTS
TEST VOLTAGE :
IR VALUES ((Mega Ohms)

Core to Continuity
C1-C2 C2-C3 C3-C1 C1-E C2-E C3-E C1-N C2-N C3-N N-E
Core Check
TYPE/RATING:
INSULATION TEST (MEGGER)
MEGGER MANUF.: MODEL No:
SERIAL No: CALIBRATION DATE: CAL.DUE DATE:
REMARKS :
NAME
SIGNATURE
DATE
ASSISTANCE FOR INSTALLATION OF ADDITIONAL PUMP FOR MTBE SLOP
WITH FLOW CONTROL AT UNIT-09 (WASHERY AREA) IN MAA REFINERY
Owner: KNPC
Report No.:
MAIN EARTHING SYSTEMS
Date:
DRAWINGS
LOCATION
1 INSTALLATION CHECKS Sub.Cont Contractor Company
A Earthing conductors size and type correct YES / NO / NA
B Earthing conductor joints ( Thermal welds ) correct YES / NO / NA
C Earth electrode type and location correct YES / NO / NA
D Earth busbar type and location correct YES / NO / NA
E Stubup pipes provided for earthing cable rising above ground YES / NO / NA
F Earthing cable terminations correct and tight YES / NO / NA
G Identification tag provided for Earthpit / Earth busbar YES / NO / NA
2 EARTHING RESISTANCE & CONTINUITY TESTS
EARTH RESISTANCE
Sl .No. EARTH PIT NUMBER TEST-1 TEST-2 TEST-3 Sub.Cont Contractor Company
MEAN VALUE ( Ω )
10
11
12
Continuity between all earth pits has been verified YES/ NO/ NA
Overall Earth Resistance value in ohm YES/ NO/ NA
MEASURING INSTRUMENT USED :
MAKE SL NO
TYPE / MODEL CALIBRATION DUE DATE:
REMARKS
NAME
SIGNATURE
DATE
REFINERY
Owner: KNPC
Report No.:
SECONDARY EARTHING & LIGHTNING PROTECTION SYSTEMS
Date:
DRAWINGS
LOCATION
A Earthing conductors size and type correct YES/ NO/ NA
B Earthing plates location correct YES/ NO/ NA
C Terminations and joint correct/tight YES/ NO/ NA
D Earth plate identification done YES/ NO/ NA
2 CONTINUITY TESTS Sub.Cont Contractor Company
S.No. FROM TO RESISTANCE (Ω)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
MAKE TYPE / MODEL
SERIAL No CAL.DUE DATE:
REMARKS
NAME
SIGNATURE
DATE
REFINERY
Owner: KNPC
Report No.:
CABLE TRAY / CONDUIT INSTALLATION
Date:
AREA
CABLE TRAY SIZE
DRAWING No
A Cable trays / Conduit installed properly YES/NO/NA
B Cable trays / Conduit routing and sizing correct as per drawings YES/NO/NA
C Cable trays / Conduit trays fixed with supports YES/NO/NA
D Support welded and tight YES/NO/NA
E Cable tray entry sealing done wherever applicable YES/NO/NA
2 PAINTING AND TOUCHUP
A Painted and touchup done for cable trays YES/NO/NA
B Painted and touchup done for cable tray supports YES/NO/NA
3 EARTHING CONNECTION
A Earthing Connection correct and tight YES/NO/NA
Remarks :
NAME
SIGNATURE
DATE
REFINERY
Owner: KNPC
Report No.:
LV CABLES INSTALLATION
Date:
CABLE TAG NO. CABLE SIZE
FROM TO
CABLE TYPE VOLTAGE GRADE
CABLE LIST No LOCATION
A Cable and wires termination and marking correct Yes/ No/ NA
B Shields and armours earthing correct and tight Yes/ No/ NA
C Cable routing correct as per drawing. Yes/ No/ NA
D Cable dressing and Tagging done Yes/ No/ NA
F Single Core cables dressed in Trefoil formation Yes/ No/ NA
G Cable entry sealing done wherever applicable Yes/ No/ NA
2 CABLE JOINT / REPAIR
Cable straight through joint done wherever applicable as per manufacturer

A Yes/ No/ NA
instruction
B Cable outer sheath repairing done at_________________________ Yes/ No/ NA
3 INSULATION RESISTANCE AND CONTINUITY TESTS
TEST VOLTAGE :
IR VALUES ((Mega Ohms)
Core to Continuity
L1-L2 L2-L3 L3-L1 L1-E L2-E L3-E L1-N L2-N L3-N N-E
Core Check
TYPE/RATING

MAKE :
SERIAL No CAL.DUE DATE
REMARKS :
NAME
SIGNATURE
DATE
REFINERY
Owner: KNPC
Report No.:
L.V. SWITCHGEARS / MCCs
Date:
TAG No. RATED VOLTAGE
MANUFACTURER
LOCATION
DRAWING No
A Labelling correct Yes/No/NA
B Levelness and alignment correct Yes/No/NA
C External conditions Yes/No/NA
D Internal conditions Yes/No/NA
E Padlock facilities correct Yes/No/NA
F Seals and gaskets satisfactory Yes/No/NA
G Bolts and glands complete and tight Yes/No/NA
H Terminations correct/tight Yes/No/NA
I Earthing correct/tight Yes/No/NA
J Area Classification correct (Ex /Gas Group/Temp Class) Yes/No/NA
MAIN CIRCUITS INSULATION RESISTANCE TESTS (Mega ohms)

2 TEST VOLTAGE:
Phase to
A L1-L2 L2-L3 L3-L1
Phase
Phase to
B L1-E L2 - E L3- E
Earth
Phase to
C L1-N L2 - N L3- N N-E
Neutral/E
CONTROL CIRCUIT INSULATION RESISTANCE TESTS(Mega ohms)
3
MEASURING INSTRUMENT USED TEST VOLTAGE:
(A) a.Insulation resistance tests of D.C. circuit

+Ve to -Ve +Ve to E
-Ve to E
(B) b.Insulation resistance of A.C. circuits

L to N
L to E N to E
MAKE : TYPE/RATING
SL NO CAL.DUE DATE
Remarks :
NAME
SIGNATURE
DATE
Page : 1 of 2
ASSISTANCE FOR INSTALLATION OF ADDITIONAL PUMP FOR MTBE SLOP
WITH FLOW CONTROL AT UNIT-09 (WASHERY AREA) IN MAA REFINERY
Owner: KNPC
Report No.:
L.V. SWITCHGEARS / MCCs
Date:
TAG No. RATED VOLTAGE
MANUFACTURER LOCATION
DRAWING No
4 TORQUE & DUCTOR TESTS
Size of Bolt Applied Torque
CONTACT RESISTANCE ( in µΩ)

S.NO FROM TO Sub.Cont Contractor Company
PHASE L1 PHASE L2 PHASE L3 NEUTRAL
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
MEASURING INSTRUMENT USED:
S.NO SERIAL No MAKE TYPE / RATING CAL DATE CAL.DUE DATE
Remarks :
NAME
SIGNATURE
DATE
Page : 2 of 2
REFINERY
Owner: KNPC
Report No.:
L.V MOTOR
Date:
TAG No. RATED VOLT / FREQ
MOTOR RATING RATED CURRENT
LOCATION SERIAL NUMBER
ENCLOSURE
MANUFACTURER EX IP
PROTECTION
DRAWING No
B9.1 INSTALLATION CHECKS Sub.Cont Contractor Company
A Enclosure Protection type correct …………………………………… Yes / No / NA
B No Mechanical damage ……………………………………………………… Yes / No / NA
C Labelling correct……………………………………………………....……… Yes / No / NA
D Terminations correct and tight…………………………………..…………… Yes / No / NA
E Earthing correct and tight……………………………………………………. Yes / No / NA
F Bolts and screws complete and tight……………………………………… Yes / No / NA
G Glands and fittings tight………………….….…………………………… Yes / No / NA
H Area Classification correct (Ex /Gas Group /Temp Class) Yes / No / NA
I Cable supporting Installed ……………………………………………… Yes / No / NA
B9.2 INSULATION RESISTANCE TESTS(MΩ) TEST VOLTAGE
MEASURING INSTRUMENT USED

A Motor Insulation resistance Phase to earth
B9.3 IR TEST AFTER CABLE TERMINATION TEST VOLTAGE
A Phase to earth………………………………………
MAKE
SL NO TYPE/RATING CAL.DUE DATE
REMARKS :
NAME
SIGNATURE
DATE
REFINERY
Owner: KNPC
Report No.:
PUSH BUTTON / LOCAL CONTROL STATION
Date:
TAG No. TYPE :
EXECUTION/IP:
LOCATION
DRAWING No
A Push Button / Selector Switch Support installed ………………...……… YES/NO/NA
B Push Button / Selector Switch Fixed properly ……….………………… YES/NO/NA
C Cable Gland Tight ……………………………………………………………. YES/NO/NA
D Cable support / tray installed & covering done…………………… YES/NO/NA
2 AMMETER
A Ammeter available.……….……………………………………….. YES/NO/NA
B Ammeter Range………….…..…………………………….……….. YES/NO/NA
3 CONNECTION
A Wiring Connection According To Drawing……………………… YES/NO/NA
4 EARTHING
A Earthing Connection correct and tight……………………… YES/NO/NA
Remarks :
NAME
SIGNATURE
DATE

Material Receiving Inspection Report Discipline: Quality Control Form

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PROJECT: PROCUREMENT, CONSTRUCTION AND COMMISSIONING ASSISTANCE FOR INSTALLATION OF

CONTRACT No : CA-CPC-440 CONTRACTOR JOB NO : 1038/2

QUALITY CONTROL FORM QC FORM NO : QCF-MIR-001 REV. A SH. 1 OF 1

MATERIAL RECEIVING INSPECTION REPORT LOCATION: REPORT NO: ______________

Insulation ELECTRICAL INSTRUMENTATION HVAC NDE

Welding Buildings Pipelines

SL. PURCHASE ORDER SHIP NO. / TAG NO. / STATUS

FINAL ACCEPTANCE ACCEPTED NOT ACCEPTED

INSPECTORS CONTRACTOR COMPANY

Accepted By Contractor Company

QC Form No: QCF-E-002 Rev.0 SH. 1 of 1

Work Carried Out :

Accepted By Contractor Company

QC Form No: QCF-E-003 Rev.0 SH. 1 of 1

CABLE REEL NO. CABLE SIZE

REEL LENGTH LOCATION

CABLE TYPE VOLTAGE GRADE

CABLE LIST No OTHER

1 REEL VISUAL CHECK Sub.Cont Contractor Company

A Physical damages Yes/ No/ NA

B Cable Identity correct Yes/ No/ NA

C Compliance with specification Yes/ No/ NA

2 INSULATION RESISTANCE AND CONTINUITY TESTS

IR VALUES ((Mega Ohms)

MEGGER MANUF.: MODEL No:

SERIAL No: CALIBRATION DATE: CAL.DUE DATE:

Accepted By Contractor Company

QC Form No: QCF-E-004 Rev.0 SH. 1 of 1

1 INSTALLATION CHECKS Sub.Cont Contractor Company

A Earthing conductors size and type correct YES / NO / NA

B Earthing conductor joints ( Thermal welds ) correct YES / NO / NA

C Earth electrode type and location correct YES / NO / NA

D Earth busbar type and location correct YES / NO / NA

F Earthing cable terminations correct and tight YES / NO / NA

G Identification tag provided for Earthpit / Earth busbar YES / NO / NA

2 EARTHING RESISTANCE & CONTINUITY TESTS

Overall Earth Resistance value in ohm YES/ NO/ NA

MEASURING INSTRUMENT USED :

TYPE / MODEL CALIBRATION DUE DATE:

Accepted By Contractor Company

QC Form No: QCF-E-005 Rev.0 SH. 1 of 1

1 INSTALLATION CHECKS Sub.Cont Contractor Company

A Earthing conductors size and type correct YES/ NO/ NA

B Earthing plates location correct YES/ NO/ NA

C Terminations and joint correct/tight YES/ NO/ NA

D Earth plate identification done YES/ NO/ NA

2 CONTINUITY TESTS Sub.Cont Contractor Company

S.No. FROM TO RESISTANCE (Ω)

MEASURING INSTRUMENT USED :

MAKE TYPE / MODEL

SERIAL No CAL.DUE DATE:

Accepted By Contractor Company

QC Form No: QCF-E-006 Rev.0 SH. 1 of 1

CABLE TRAY SIZE

1 INSTALLATION CHECKS Sub.Cont Contractor Company

A Cable trays / Conduit installed properly YES/NO/NA

C Cable trays / Conduit trays fixed with supports YES/NO/NA

D Support welded and tight YES/NO/NA

E Cable tray entry sealing done wherever applicable YES/NO/NA