SAMPLE - FOR INFORMATION ONLY
INSPECTION AND TEST PLAN FOR OVERHEAD TANK SHOWER AND EYEWASH
IT PLAN NO:
MANUFACTURERS NAME:
HUGHES SAFETY SHOWER LTD
CUSTOMER NAME:
CONTRACTOR: CHT
DESCRIPTION: 87 X EMERGENCY SAFETY SHOWER, MODEL: EXP‐MH‐14KS/1500
PO NUMBER:
PROJECT:
H‐ HOLD POINT R ‐ REVIEW W ‐ WITNESS M ‐ MONITOR
INSPECTION BY:
STEP
ACTIVITY
PROCEDURE
VERIFYING DOCUMENT
ACCEPTANCE CRITERIA
SIGNATURE
HSS
OWNER
CHT
REVIEW OF THE APPROVED DOCUMENTATION
GA (A8RX‐VDR‐5009‐0000‐FF‐DWG‐001), WIRING DIAGRAM (A8RX‐VDR‐5009‐0000‐FF ‐SLD‐001), INSTRUMENT DATASHEET (A8RX‐VDR‐5009‐0000‐FF‐DST‐002), TEST & CERTIFICATION (A8RX‐VDR‐5009‐0000‐FF‐DBK‐005) ELECTRICAL PROTECTION CERTIFICATES (A8RX‐VDR‐5009‐0000‐FF‐HAC‐001)
APPROVED DOCUMENTATION
REVIEW OF MATERIAL CERTIFICATES
MATERIAL TEST CERTIFICATE
EN 10204
VISUAL INSPECTION ‐ HUGHES 100%
INSPECTION AND TEST PROCEDURE A8RX‐VDR‐5009‐0000‐FF‐ITP‐003
VISUAL & FUNCTIONAL INSPECTION CHECKLIST
FUNCTIONAL INSPECTION ‐ HUGHES 100%
INSPECTION AND TEST PROCEDURE A8RX‐VDR‐5009‐0000‐FF‐ITP‐003
VISUAL & FUNCTIONAL INSPECTION CHECKLIST
ELECTRICAL INSPECTION ‐ HUGHES 100%
INSPECTION AND TEST PROCEDURE A8RX‐VDR‐5009‐0000‐FF‐ITP‐003
VISUAL & FUNCTIONAL INSPECTION CHECKLIST
FINAL INSPECTION ‐ HUGHES 100%
INSPECTION AND TEST PROCEDURE A8RX‐VDR‐5009‐0000‐FF‐ITP‐003
FACTORY ACCEPTANCE TEST REPORT
PACKING AND MARKING
PACKING PROCEDURE A8RX‐VDR‐5009‐0000‐FF‐PRC‐001)
PACKING LIST
PASS
PASS
PASS
PASS
NCR’S
CLOSING NCR’S
CLOSE
NAMEPLATE & CE MARKINGARKING
A8RX‐VDR‐5009‐0000‐FF‐DWG‐002
FINAL QUALITY DOSSIER
FINAL QUALITY DOSSIER INDEX
APPROVED A8RX‐VDR‐5009‐0000‐FF‐DWG‐002
APPROVED A8RX‐VDR‐5009‐0000‐FF‐DBK‐002
IRN (INSPECTION RELEASE CERTIFICATE)
RELEASE CERTIFICATE
1
2
3
4
5
6
7
8
9
10
11
H
H
H
H
H
H
H
H
H
H
H
R
R
R
R
R
R
R
R
R
R
H
R
R
W‐10%
W‐10%
W‐10%
W‐10%
R
H
W‐10%
R
H
NOTE* 100% Functional Inspection will be carried out by Hughes Safety Showers prior to the Final Inspection by the customer.
NOTE** NOTE: All units for the purchase order will be available for Visual Inspection, however only 10% of the Units will be setup for Operational Test for the Final Inspection by customer
Hughes Safety Showers Ltd, Whitefield Road Bredbury Stockport SK6 2SS United Kingdom
Project: Q-21699 - Saipem COMP2 Folder: TC-01