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FABRICATORS NAME:
CITY, STATE:
CONTRACT
NUMBER:
CONTRACT
NUMBER:
CONTRACT
NUMBER:
BID ITEM
NUMBER:
BID ITEM
NUMBER:
BID ITEM
NUMBER:
INSPECTOR'S NAME
(PRINTED):
DATE:
DESCRIPTION
:
DESCRIPTION
:
DESCRIPTION
:
INSPECTION
DATE:
INSPECTION
DATE:
INSPECTION
DATE:
I. SPECIFICATION REVIEW:
1. Has QA reviewed the Special Provisions, Applicable Contract Documents and Codes?
2. Are Caltrans stamped drawings available at the shop?
3. Are contract specified codes available at the shop?
YES
CONFORMANCE
NO
YES
CONFORMANCE
NO
YES
CONFORMANCE
NO
YES
CONFORMANCE
NO
N/A
1.
2.
3.
4.
5.
6.
7.
8.
Are mill orders, mill test reports, and certificates of compliance available?
Do the items that were randomly inspected meet the contract requirements?
If toughness requirements specified, have Charpy V-notch tests been performed?
Do heat #'s correspond to mill test reports and marking?
If contract governed by "Buy America Act", are domestic certifications provided?
Are any obvious surface defects visible on material?
Have check test samples been selected and witnessed for FCMs?
Do MTRs meet physical and chemical test requirements?
N/A
1.
2.
3.
4.
5.
6.
7.
8.
9.
Was a Welding Quality Control Plan (WQCP) submitted, approved and available?
Is QC inspector currently certified as a CWI and approved in WQCP?
Are QC Assistants currently certified as AWS CAWIs?
Has QC inspected and approved Joint preparation and assembly practice?
Are randomly selected welders qualified by Caltrans, current, and listed in WQCP?
Are WPSs being used those specified in the WQCP?
Are WPSs available to each welder and inspector?
Is the QC Inspector present to ensure inspection does not lapse more than 30 min?
Are all NDT technicians listed in the WQCP?
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
N/A
October 2003
N/A
CONFORMANCE
NO
N/A
VI. DOCUMENTATION
1. Is a Daily Production Log kept by the QCM (location of welds, welder ID, and Daily CWI report?
Are Welding Reports being submitted to the Engineer for review (documentation of visual
2. inspection and Daily Production Log?
3. Is material used during production properly tracked by QC during production?
4. Are welds being properly tracked by QC during production per approved WQCP?
YES
CONFORMANCE
NO
N/A
ADDITIONAL COMMENTS:
N/A = non-applicable to this project or to the task assigned for this date.
NO= Option 1 answer to yes or no question as described per particular item without being construed as a nonconformance. Option 2 if relative to a non-conformance it shall be described in TL-6031 Welding
Inspection Report.
INSPECTOR'S SIGNATURE:
DATE:
October 2003