VISIT REPORT

TUV Control No.: TUV SAP No: Branch: Report No:

FNPDC-LTHE-
8115236437 78000-10828-IR 001
(FARABI/NOI/0071 R0)
DEC/PMC Name(if any) ----- DEC Assignment number
(If applicable): ---

Client : M/s. FARABI YANBU Project:

PETROCHEMICALS COMPANY FARABI NORMAL PARAFFIN
M/s.L&T HYDROCARBON AND DERIVATIVES COMPLEX
ENGINEERING
Vendor Name and Sub M/s.ION EXCHANGE IND LTD Client’s PO No.(on vendor) LTHE UAE/78000-10828/SD
vendor name
(if applicable) :
Vendor’s PO No. on sub HMDI/78000-10828/SD DATED 27- Place of Inspection:
JULY-2017 RABALE, NAVI MUMBAI &
vendor(if applicable): WADA
Inspection Call No. & FARABI/NOI/0071 Inspection Date:
Requested Date Dt.11-01-18 17.01.2018 & 18.01.2018

Stage of inspection:

Kick off/Pre – inspection meeting Material Identification Interim stage

 Document review  Final Re-inspection

Sr. No P. O. Item Description PO quantity Quantity offered Remarks

item no.

Demineralization Package including PRE INSPECTION

1 --- Erection and Commissioning 1NOS. 1NOS. MEETING ( QAP
Spares (Tag No. 810-ME-01) STAGE NO.1)

Reference Documents:
Sr. No Document Title Vendor document no. Client Document no. Approval Status
(Specify the details)
1 GA Drawing Ion Exchange Drawing Approval balance

2 QAP G446-0828-2810-ITP-0100-
CODE-2
0046

All measuring instruments/ equipment were verified for continued suitability for intended use, proper identification and maintenance, calibration status, traceability
verified.
Disclaimer: This issue of inspection report does not relieve the supplier / manufacturer from their responsibility towards the client to supply the item(s) concerned in
full compliance with requirements of its order specification.

Distribution list:  Client Vendor  TUV Branch

Form No. : F / INSP/VR / 11 – R5 Revision date 14/10/2017 Page 1 of 4

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3 Specification G446-2999-JSS-0195-0101
067401-0000-1800-001 REV.D
067401-0000-6300-002 REV.KO Client Spec
067401-0000-2310-001 REV.B
067401-0000-6300-004 REV.A

Inspection Activities carried out / Remarks:-

1) As per QAP Stage no.1 Pre Inspection Meeting carried out at M/s. Ion Exchange, Rable & Goble Composite, Wada.

2) Please find attached PIM for details.

Documentation work carried out / Remarks :

1) As per PIM

Details of Instrument / Equipment used in Inspection:

SR INSTRUMENT / EQUIPMENT INSTRUMENT CERTIFICATE NABL NON-NABL*
RANGE VALIDITY UPTO
NO. DETAIL ID No. WITH DATE TICK WHICHEVER IS APPLICABLE

*For NON-NABL: Documents referred / Attached : 1) Master Instrument details with calibration certificate traceable to National/International standard.
2) Mail from the concerned lab, mentioning about their system of working/procedure, which is in line with ISO 17025 Standard.

Conclusion (Accepte d/Accepted with comments/Rejected): Satifactory

Identification of inspected item/equipment: Nil

Areas of concern: As per PIM

Non Conformities raised(if any) (mention NCR no’s): NIL

Attachments (Vendor records, NCR’s, Deviation requests etc.):

Name of inspector : Faiyaz M Date: 17.01.2018 & 18.01.2018

All measuring instruments/ equipment were verified for continued suitability for intended use, proper identification and maintenance, calibration status, traceability
verified.
Disclaimer: This issue of inspection report does not relieve the supplier / manufacturer from their responsibility towards the client to supply the item(s) concerned in
full compliance with requirements of its order specification.

Distribution list:  Client Vendor  TUV Branch

Form No. : F / INSP/VR / 11 – R5 Revision date 14/10/2017 Page 2 of 4

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Signature & TUV stamp:

Mr. Nitin Thorat (Ion Exchange Representative)

Vendor signature & stamp

DETAILS OF THE COMPONENT/PHOTOGRAPH DETAILS OF THE COMPONENT/PHOTOGRAPH

DETAILS OF THE COMPONENT/PHOTOGRAPH DETAILS OF THE COMPONENT/PHOTOGRAPH

All measuring instruments/ equipment were verified for continued suitability for intended use, proper identification and maintenance, calibration status, traceability
verified.
Disclaimer: This issue of inspection report does not relieve the supplier / manufacturer from their responsibility towards the client to supply the item(s) concerned in
full compliance with requirements of its order specification.

Distribution list:  Client Vendor  TUV Branch

Form No. : F / INSP/VR / 11 – R5 Revision date 14/10/2017 Page 3 of 4

 VISIT REPORT

DETAILS OF THE COMPONENT/PHOTOGRAPH DETAILS OF THE COMPONENT/PHOTOGRAPH

All measuring instruments/ equipment were verified for continued suitability for intended use, proper identification and maintenance, calibration status, traceability
verified.
Disclaimer: This issue of inspection report does not relieve the supplier / manufacturer from their responsibility towards the client to supply the item(s) concerned in
full compliance with requirements of its order specification.

Distribution list:  Client Vendor  TUV Branch

Form No. : F / INSP/VR / 11 – R5 Revision date 14/10/2017 Page 4 of 4