INSPECTION REPORT

1. ASSIGNMENT Details
Report No : IR-
Filename : VINC IR-
Contract/PO/WO No : WO#
Report issued :
Reported by :
Circulate copy :
No of pages :
Date reported :
Date issued :
Next inspections :

2. Job Details
Assignment :
Location : Goro plant
Area :
Equipment No :
Section/Compartment :

3. OVERVIEW

4. DEPICTION & ILLUSTRATIONS

Below are photographs used to assist clear interpretation of inspection findings. Any aspect not
understood should be referred to the author for further clarification.

Fig-1 Fig-2

Fig-3 Fig-4

5. GENERAL OBSERVATIONS / COMMENTS / METHOD STATEMENT

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6. Final Inspection conclusion

7. INSPECTION Sign-off

Name Signature Date Stamp / ID

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