Inspection Department: Omission From Scope of Work: Description of Inspection Work Ordered
Inspection Department: Omission From Scope of Work: Description of Inspection Work Ordered
Inspection Department: Omission From Scope of Work: Description of Inspection Work Ordered
Objects
Material: Carbon Steel Drawing No.:
Inspected:
Subcontractor: Part of work :
(if applicable) Subcontracted Thickness: 4” sch80
1 0-10 Acc.
2 3 10-25 4" M4 Acc.
3 25-0 Acc.
4 0-10 Reshoot
5 15 10-25 4" L ACC.
6 25-0
M4 Reshoot
7 0-10 S.I @10-15 Rej.rep.
8 25 10-25 4" Acc.
M4 Acc.
9 25-0
AUTHORITY
Name Signature Level Date
Client Inspector
Inspection Department
RADIOGRAPHY
INSPECTION REPORT
D016
AUTHORITY
Name Signature Level Date
EMC NDE Examiner II
Client Inspector