SAUDI ARAMCO ID/PID - 3/01/05 - REV 0 (Standards Cutoff - August 2004)

SATR NUMBER DATE APPROVED QR NUMBER

SAUDI ARAMCO TEST REPORT
Re-Instatement Punch List Form
SATR-A-2011 25-May-05 MECH -
(Punch List by the Contractor)
PROJECT TITLE WBS / BI / JO NUMBER CONTRACTOR / SUBCONTRACTOR

EQUIPMENT ID NUMBER(S) EQUIPMENT DESCRIPTION EQPT CODE SYSTEM ID. PLANT NO.

LAYOUT DRAWING NUMBER REV. NO. PURCHASE ORDER NUMBER EC / PMCC / MCC NO.

SCHEDULED TEST DATE & TIME ACTUAL TEST DATE & TIME QUANTITY INSP. MH's SPENT TRAVEL TIME
SAUDI ARAMCO USE ONLY
SAUDI ARAMCO TIP NUMBER SAUDI ARAMCO ACTIVITY NUMBER WORK PERMIT REQUIRED?

SAUDI ARAMCO INSPECTION LEVEL CONTRACTOR INSPECTION LEVEL

ITEM
TEST PROCEDURE ACCEPTANCE CRITERIA REFERENCE PASS FAIL N/A RE-TEST DATE
No.

MCC No.: Test Package No.:

System Description:
Originator/Agency: Approved By:
ITEM Covered Start-Up Completion Accep.
No.
Description Y/N Y/N Date By:
Remarks

REMARKS:

Contractor / Third-Party Saudi Aramco

Technician Performing Test*
Name, Title, Department,
Company, Initials and
Date:
QC Inspector
Name, Initials and Date:
PMT Representative
Test Performed Successfully and Results are Acceptable: T&I Witnessed QC Record Reviewed Work Verified
Name, Initials and Date:
PID Representative
Witnessed Test Work / Rework May Proceed T&I Witnessed QC Record Reviewed Work Verified
Name, Initials and Date:

QC Supervisor Proponent and Others

Quality Record Approved: T&I Witnessed QC Record Reviewed Work Verified
Name, Organization,
Name, Sign and Date:
Initials and Date:
*Person Responsible for Implementation of Test and Analysis of Results Y = YES N = NO F = FAILED

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