saic-l-2118 rev 0

7/27/2019 SAIC-L-2118 Rev 0

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Name, Initials and Date:T&I Witnessed QC Record Reviewed

Name, Organization,

Initials and Date:

T&I Witnessed QC Record Reviewed

Work Verified

QC Inspector PID Representative

QC Record Reviewed

Performed Inspection Work / Rework May Proceed

Work is Complete and Ready for Inspection:

ACCEPTANCE CRITERIA REFERENCE N/A

WORK PERMIT REQUI

PASS FAIL

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

EQUIPMENT ID NUMBER(S) EQUIPMENT DESCRIPTION EQPT CODE

SAUDI ARAMCO INSPECTION LEVEL

ITEM

No.

CONTRACTOR INSPECTION LEVEL

QC Supervisor Proponent and Others

Contractor / Third-Party

REMARKS:

Name, Initials and Date:


T&I Witnessed


RE-INSP DA

A. General:

A4

Name, Sign and Date:

Quality Record Approved: Work Verified

Construction Representative* PMT RepresentativeWork Verified

SAUDI ARAMCO TIP NUMBER SAUDI ARAMCO ACTIVITY NUMBER

SAUDI ARAMCO USE ONLYMH's SP ENT TRAVEL TIMQUANTITY INSP.SCHEDULED INSPECTION DATE & TIME ACTUAL INSPECTION DATE & TIME

PROJ ECT TITLE WBS / BI / J O NUMBER CONTRACTOR / SUBCONTRACTOR

PLANT NO.

SAUDI ARAMCO ID/PID - 2/19/05 - REV 0 (Standards Cutoff - August 2004)

SAUDI ARAMCO INSPECTION CHECKLISSAIC NUMBER DATE APPROVED QR NUMBER

Inspection of Culvert Crossing SAIC-L-2118 25-May-05 MECH.

SYSTEM ID.

REFERENCE DOCUMENTS:

Saudi Aramco

1. SAES-L-460, Pipeline Crossings Under Roads and Railroads, (30 September, 2003)

2. SAES-B-064, Onshore and Nearshore Pipeline Safety, (30 J anuary, 2002)

Transition from pipeline spacing within corridors and that stipulated at

box culverts shall be made within the road or railroad right-of-way.

SAES-B-064

Para. 10.13

Y =YES N =NO F =FA*Person Responsible for Completion of Quality Work / Test

The minimum spacing between any pipe and the overhead or side

portion of the culvert structure shall be 1.5 pipe diameters, but in no case

less than 1 meter.

SAES-B-064

Para. 10.12

A5

A1

The culvert length or bridge width does exceed 20 times the clearance

between the top of the highest pipeline in a culvert and the ceiling of the

culvert, or from the top of a pipeline to the bottom of the bridge beams.

SAES-L-460

Para. 6.3

A2Box culverts are not used in areas where moving sand can bury the

pipeline unless the pipeline is coated in accordance with SAES-H-002.

SAES-L-460

Para. 6.4

A3

The minimum spacing between any two pipes when pipelines cross

under roads or railroads through box culverts shall be twice the diameter

of the larger pipe.

SAES-B-064

Para. 10.12

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saic-l-2118 rev 0

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