AGP-22050-ITP-PIP-Q01-0002 00 - ITP For Piping Erection and Assembly
AGP-22050-ITP-PIP-Q01-0002 00 - ITP For Piping Erection and Assembly
Document INSPECTION AND TEST PLAN FOR PIPING ERECTION AND ASSEMBLY
Title
Project/JOA
No. 22050 Solid Kiln 4 New Cement Line Expansion Project / 22050
Batangas Heavy Fabrication Yard Bauan-Mabini Road, San Roque, Bauan, Batangas 4201, Philippines
Phone: +63 (43) 740 5800 l www.agpglobal.com
This document is strictly confidential and the exclusive property of AG&P. It cannot be No. of Pages Attachments Rev.
copied, used, modified, adapted, disseminated, published or communicated, in whole
or in part, by any means, for any purpose, without express prior written authorization of 46 36 0
AG&P. Any violation of this clause may give rise to civil or criminal liability - © AG&P.
This document and all information and data herein or herewith is the confidential and proprietary property of AG&P and is not to be used,
reproduced or disclosed in whole or in part by or to anyone without the written confirmation from AG&P.
Page : 1 of 9 .
INSPECTION & TEST PLAN AGP-22050-ITP-PIP-
Doc. No. :
Q01-0002.00
Piping Erection and Assembly for Rev. No. : 0
Solid Kiln 4 New Cement Line Expansion Project Date : 12-Aug-22
INSPECTION/TEST/
REV. DATE DETAILS PREPARED REVIEWED APPROVED DOCUMENTATION
VERIFICATION CODES
1 CONTRACT REVIEW
AGP-00000-P-Z-03-0001.00 Contract
1.1 Review Contract/Project Specification Contract Document Contract Documents R1 IN
Review
Applicable Codes and Standards, IFC AGP-00000-P-Z-03-0001.00 Contract
1.2 Review Fabrication Drawings Approved Drawings R1 IN
Drawings Review
2 DOCUMENT APPROVAL
2.1 Project Assurance Execution Plan PC Quality Control AGP-22050-PLN-QLY-Q01-0001.00 Approved PAEP R1-AP-C IN
AGP-00000-P-K-12.0018 Preparation
2.2 Inspection and Test Plan PC Quality Control Approved ITP R1-AP-C IN
of Inspection and Test Plan
2.2 Piping Erection and Asssembly Procedure PC Quality Control - Approved Procedure R1-AP IN
3 PERSONNEL APPROVAL
WQTR
AGP-00000-FR-L-12-0007.00
Construction Mechanical Works sec. AGP-0000-P-K-12-0001.00 (Control
(Qualified Welders' List)
3.1 Welder's Qualification 5.2.4.1 of Welders and Welding Operators R1-AP-C IN
AGP-00000-FR-L-12-0008.00
ASME IX Qualification and Certification)
(Welder's and Welding Operator's
Continuity Record)
AGP-00000-P-N-12-0001 00
Construction Mechanical Works sec.
(Personnel Qualification and
3.2 NDE Personnel Qualification 5.3.1.3, Qualification Certificates R1-AP-C IN
Certification in Nondestructive
Applicable Codes & Standards
Examination)
1
5 CONTRACTCONSUMABLE
WELDING REVIEW CONTROL
AGP-00000-FR-T-13-0001.00
Construction Mechanical Works sec. AGP-00000-P-L-91-0002.00(Storage (Material Inspection Report) Material
5.1 Consumable Receipt and Inspection 5.2.1.2 Drying Handling Issuance of Welding Test Report A1-R1-C S
Applicable Code and Standards Consumables) AGP-00000-FR-U-84-0001.00
(Discrepancy Report Form)
AGP-00000-FR-L-91-0004.00 (Welding
Construction Mechanical Works sec. AGP-00000-P-L-91-0002.00(Storage Consumable Drying Log Sheet)
Monitor Consumable Baking and Holding Oven Required
5.3 5.2.1.2 Drying Handling Issuance of Welding AGP-00000-FR-L-91-0003.00 S S
Temperature
Applicable Code and Standards Consumables) (Welding Consumable Holding Log
Sheet and Quantity Record)
AGP-00000-FR-L-91-0003.00
(Welding Consumable Holding Log
Construction Mechanical Works sec. AGP-00000-P-L-91-0002.00(Storage
Sheet and Quantity Record)
5.4 Electrode/Flux Oven Temperature Calibration 5.2.1.2 Drying Handling Issuance of Welding S S
AGP-00000-FR-L-91-0005.00
Applicable Code and Standards Consumables)
(Welding Consumable Requisition
Card)
AGP-00000-FR-L-91-0003.00
(Welding Consumable Holding Log
Construction Mechanical Works sec.
AGP-00000-P-E-93-0004.00 (Oven and Sheet and Quantity Record)
5.5 Consumable Issue to Workforce 5.2.1.2 S S
Quiver Temperature Calibration) AGP-00000-FR-L-91-0005.00
Applicable Code and Standards
(Welding Consumable Requisition
Card)
1 CONTRACT REVIEW
AGP-00000-P-T-13-0001.00
Project Specification , (Inspection and Testing) AGP-00000-FR-T-13-0014.00
6.2 Check Markings / Tagging A1-R1 W1-R1
Applicable Code and Standards AGP-00000-P-Z-91-0002.00 (Material (Inspection Release Note)
Traceability)
7 FIT UP INSPECTION
Check WPS
• Check Markings / Shop Marks and Tagging Piping Erection and Asssembly AGP-00000-FR-Z-91-
Project Specification ,
7.1 • Root Gap Procedure 0004.00(Inspection Request) A1/A2 S
Applicable Code and Standards
• Edge Preparation AGP-00000-P-T-13-0001.00 Approved Fabrication Drawings
• Alignment and Straightness/Squareness (Inspection and Testing)
Check
WPS
• Orientation
Piping Erection and Asssembly AGP-00000-FR-Z-91-
• Proper Elevation and Plumbness Project Specification ,
7.2 Procedure 0004.00(Inspection Request) A1/A2 S
• Assembly Applicable Code and Standards
AGP-00000-P-T-13-0001.00 Approved Fabrication Drawings
• Dimension of spools and pipe supports
(Inspection and Testing)
8 WELDING INSPECTION
AGP-00000-FR-L-12-0012.00(Welding
Construction Mechanical Works sec. Procedure Specification Index)
Check Welders Qualification and WPS parameters AGP-0000-P-K-11-0005.00 (Production
8.1 5.2.2, 5.2.3, 5.2.4 Approved WPS S S
application Welding Inspection)
ASME IX AGP-00000-FR-L-12-0007.00
(Qualified Welders' List)
Page : 5 of 9 .
INSPECTION & TEST PLAN AGP-22050-ITP-PIP-
Doc. No. :
Q01-0002.00
for Piping Erection and Assembly for Rev. No. : 0
Solid Kiln 4 New Cement Line Expansion Project Date : 12-Aug-22
ACCEPTANCE STANDARD/PROCEDURE ACTIVITY CODE
REF.
PROCESS DESCRIPTION CERTIFYING/ VERIFYING DOC. REMARKS
NO. CUSTOMER SPEC. REF. AG&P DOC. NO. AG&P CEMEX
9 BOLT INSPECTION
Conduct PMI for all alloy and welding consumables prior Project Specification , AGP-00000-P-T-13-0008.00 AGP-00000-FR-N-13-0008.00 (Positive
10.2 A1-C W1-R1
to use Applicable Code and Standards Positive Material Identification Material Identification Bulk Material)
1 CONTRACT REVIEW
AGP-00000-FR-Ab-93-0001.00 (Heat
Project Specification , Treatment Instruction Sheet)
11.1 Verify Heat Treatment Instruction R1 IN
Applicable Code and Standards AGP-00000-FR-Ab-93-0002.00 (Heat
AGP-00000-P-X-91-0008.00
Treatment Record)
(Local Heat Treatment of Pipespools)
AGP-00000-FR-Ab-93-0001.00 (Heat
Project Specification , Treatment Instruction Sheet)
11.2 Monitor Heat Treatment Execution A1-C W1-R1
Applicable Code and Standards AGP-00000-FR-Ab-93-0002.00 (Heat
AGP-00000-P-X-91-0008.00 Treatment Record)
(Local Heat Treatment of Pipespools)
12 NON-DESTRUCTIVE EXAMINATION
1
13 CONTRACTINSPECTION
PAINTING REVIEW (REFER TO SURFACE PREPARATION/PROTECTIVE COATING INSPECTION)
AGP-00000-PRO-GEN-Q01-0003.00
Project Specification , AGP-00000-FR-Z-91-0004.00
13.2 Pickling and Passivation (if required) (Pickling and Passivation (by Pickling A1-C W1-R1
Applicable Code and Standards (Inspection Request)
Paste))
14 REPAIRS
AGP-00000-P-L-91-0004.00
Project Specification , AGP-00000-FR-L-91-0002.00 (Weld
14.1 Register / Approve All Weld Repairs Repair of Weld and Base Metal R1 IN
Applicable Code and Standards Repair Log Sheet)
Defects
As-built drawings
Project Specification , AGP-00000-P-T-13-0001.00
15.1 Pre-line Checking AGP-00000-FR-Z-13-0001.00 A1-C W1-R1
Applicable Code and Standards (Inspection & Testing)
(Punchlist)
As-built drawings
Project Specification , AGP-00000-P-T-13-0001.00
15.2 Issues and identify punchlist category AGP-00000-FR-Z-13-0001.00 A1-C W1-R1
Applicable Code and Standards (Inspection & Testing)
(Punchlist)
As-built drawings
Project Specification , AGP-00000-P-T-13-0001.00
15.3 Check Rectified/Cleared Punch Items AGP-00000-FR-Z-13-0001.00 A1-C W1-R1
Applicable Code and Standards (Inspection & Testing)
(Punchlist)
Page : 8 of 9 .
INSPECTION & TEST PLAN AGP-22050-ITP-PIP-
Doc. No. :
Q01-0002.00
for Piping Erection and Assembly for Rev. No. : 0
Solid Kiln 4 New Cement Line Expansion Project Date : 12-Aug-22
ACCEPTANCE STANDARD/PROCEDURE ACTIVITY CODE
REF.
PROCESS DESCRIPTION CERTIFYING/ VERIFYING DOC. REMARKS
NO. CUSTOMER SPEC. REF. AG&P DOC. NO. AG&P CEMEX
1
16 CONTRACT REVIEW
HYDROTESTING
EETIM75010/13900 Selection of
AGP-0000-P-K-12-0001.00
Pipes, Valves and Accessories Calibration Certificates,
16.1 Check Gauge Calibration (Control of Monitoring, Measuring A1-C R1
sec. 600 Test Package
and Test Equipment)
ASME B31.3
EETIM75010/13900 Selection of
AGP-22050-FRM-IAT-Q01-0013.00
Verify that final Visual Inspection and NDE requirements Pipes, Valves and Accessories AGP-0000-P-X-91-0004.00
16.2 (Line Inspection Summary List) H-R1-C R1
are met and Category A Punchlist Cleared sec. 600 (Piping Pressure Testing)
Test Package
ASME B31.3
EETIM75010/13900 Selection of
Pipes, Valves and Accessories AGP-0000-P-X-91-0004.00
16.3 Check water/medium requirement Test Package A1-C R1
sec. 600 (Piping Pressure Testing)
ASME B31.3
EETIM75010/13900 Selection of
Pipes, Valves and Accessories AGP-0000-P-X-91-0004.00
16.4 Check actual pressure test and duration Test Package A1-C W1
sec. 600 (Piping Pressure Testing)
ASME B31.3
EETIM75010/13900 Selection of
Pipes, Valves and Accessories AGP-0000-P-X-91-0004.00
16.5 Visual Examination of all weld joints for leakage. Test Package A1-C W1
sec. 600 (Piping Pressure Testing)
ASME B31.3
17 FLUSHING/CLEANING REINSTATEMENT
AGP-00000-P-X-91-0005.00 AGP-00000-FR-X-91-0005.00
Line/System Cleaning by Water Flushing for Blowing with Project Specification ,
17.1 (Flushing-Cleaning-Reinstatement of (Line/System Cleaning Report) A1-C W1
Air Applicable Code and Standards
Piping System) Test Package
AGP-00000-P-X-91-0005.00 AGP-00000-FR-X-91-0005.00
Project Specification ,
17.2 Ensure Draining/Drying of Pipe Line (Flushing-Cleaning-Reinstatement of (Line/System Cleaning Report) A1-C W1
Applicable Code and Standards
Piping System) Test Package
AGP-00000-P-X-91-0005.00 AGP-00000-FR-X-91-0005.00
Project Specification ,
17.3 Check reinstatement of the tested test pack (Flushing-Cleaning-Reinstatement of (Line/System Cleaning Report) A1-C W1
Applicable Code and Standards
Piping System) Test Package
19 CONTROL OF NON-CONFORMITY
Page : 9 of 9 .
INSPECTION & TEST PLAN AGP-22050-ITP-PIP-
Doc. No. :
Q01-0002.00
for Piping Erection and Assembly for Rev. No. : 0
Solid Kiln 4 New Cement Line Expansion Project Date : 12-Aug-22
ACCEPTANCE STANDARD/PROCEDURE ACTIVITY CODE
REF.
PROCESS DESCRIPTION CERTIFYING/ VERIFYING DOC. REMARKS
NO. CUSTOMER SPEC. REF. AG&P DOC. NO. AG&P CEMEX
AGP-00000-P-T-13-0001.00 AGP-00000-FR-T-13-0013.00
20.1 Issuance of Certificate of Conformance - AP-C R1-AP
(Inspection & Testing) (Certificate of Conformance)
21 FINAL DOCUMENTATION
TO : NITRM No. :
DEPARTMENT/SECTION : LOCATION OF INSPECTION :
FROM : PROJECT :
DEPARTMENT/SECTION : J.O.A. NO./CUSTOMER :
REF. DOC. NO. :
We would like to request for the following materials: SUPPLIER :
INSPECTION TESTING (PMI) DATE RECEIVED :
PO NO. :
Item
Item Code Material Description Qty. Unit Material Identification Markings Remarks
No.
Note: Material Identification Markings include but not limited to Heat No./Lot No. or Batch No.
: :
Project Doc. Reference No.
: :
JOA No. Date
: :
P.O. No. Doc. Recv'ng Ref. No.
:
Supplier
Ordered
Delivery Receipt or
Item No. Item Code Description Delivered QTY Packing List Quantity Variance Remarks
UOM QTY QTY
ERROR TYPE:
Purchase Order Discrepancy No Traceability Markings Others (Pls. specify)
Incomplete Documents (MTC, Calibration Cert. etc.) Physical Condition (damaged, defective, etc.)
Qty Different from DR Incomplete/Inaccurate packing list
DATE
Sheet of
Note: Material Identification Markings include but not limited to Manufacturer, Specifications, Type, Grade, Heat No., Lot No. or Batch No.
INSPECTED BY REVIEWED BY
Customer Representative
QC Inspector QC Supervisor
SIGN
NAME
DATE
Rev. 1, 18 Oct, 2018
AGP-00000-FR-Z-91-0004.00
INSPECTION REQUEST
Sheet of
PROJECT : IR No. :
J. O. A. No./CUSTOMER : REQUEST DATE :
MODULE No. : AREA :
INSPECTION REQUIREMENT :
LAYOUT WELDING PAINTING OTHERS (Pls. Specify) :
HEAT No. TRANSFER DIMENSIONAL / VISUAL INSULATION
FORMING PRESSURE TESTING FINAL
FIT-UP SURFACE PREPARATION PACKING
REQUEST INFORMATION INSPECTION RESULT
Sch. / Weight Welder's Welding Result
SN Drawing No. Item Description / Spool Number Joint No. Heat No. Remarks
/Surface Area Code Process Acc Rej
LEGEND: N/A - Not Applicable Sch. - Schedule LEGEND: Acc - Accepted Rej - Rejected
NOTE: NOTE:
SIGN
NAME
DATE
Rev. 7, 16 May 2022
AGP-00000-FR-L-12-0007.00
QUALIFIED WELDERS LIST Sheet of
Notes:
NAME
SIGN
DATE
Rev. 2, 18 Oct.2018
AGP-00000-FR-L-12-0008.00
WELDER'S AND WELDING OPERATOR'S CONTINUITY RECORD of
Sheet
No. Reference WPS No. Process/Position Base Metal Qualified Date Qualified Code/ Standard
JANUARY
FEBRUARY
MARCH
APRIL
MAY
JUNE
JULY
AUGUST
SEPTEMBER
OCTOBER
NOVEMBER
DECEMBER
Rev. 3, 18 Oct. 2018
AGP-00000-FR-L-12-0012.00
WELDING PROCEDURE SPECIFICATION INDEX
KD-PRESSURE VESSELS/TANKS/BOILERS KS-STRUCTURAL KX-PIPING Sheet of
Notes:
QUANTITY
SIZE DRYING HOUR
DATE LOT No. TRADENAME IN OVEN DRYING START TIME DRYING STOP TIME DRYING TEMPERATURE REMARKS
(mm) (hr)
(pcs)
REMARKS :
QUANTITY IN QUANTITY
HOLDING QUANTITY QUANTITY USED BALANCED QUANTITY
DATE LOT No. TRADENAME SIZE (mm) OVEN ISSUED
START TIME RETURNED (pcs) (pcs) (pcs)
(pcs) (pcs)
REMARKS :
PROJECT : DATE :
JOA NO. / CUSTOMER :
PREPARED BY:
(NAME/DATE/SIGN)
TIME ISSUED
QUANTITY (pcs /
RETURNED kg)
PREPARED BY:
(NAME/DATE/SIGN)
TIME RETURNED
REMARKS :
WELDING CONSUMABLE
AGP-00000-FR-L-91.0005.00
REQUISITION CARD
PROJECT : DATE :
JOA NO. / CUSTOMER :
PREPARED BY:
(NAME/DATE/SIGN)
TIME ISSUED
QUANTITY (pcs /
RETURNED kg)
PREPARED BY:
(NAME/DATE/SIGN)
TIME RETURNED
REMARKS :
A B C D E F G
Welding Process / Welder's
Negative to Indication
Source-film-weld position
Misalignment (MA)
Burn Through (BT)
Lack of Fusion (LF)
Slag Inclusion (SL)
Location Marker
Excessive Scatter
Viewing (S or C)
Undercut (UC)
Porosity (PR)
Sensitivity
Crack (CR)
Accepted
Rejected
Density
Others
Line No. / Weld
Code
mm
REMARKS
Identification
NDE LEVEL I/II (ASNT) NDE LEVEL II (ASNT) CUSTOMER / TPI REP.
NAME/SIGN/DATE NAME/SIGN/DATE NAME/SIGN/DATE
Rev. 1, 04 Nov. 2019
AGP-00000-FR-N-13-0002.00
LIQUID PENETRANT EXAMINATION
REPORT Sheet of
WELDING
DESCRIPTION PROCESS /
DRAWING JOINT NO. DISCONTINUITIES DISPOSITION
(SHOP MARK) WELDER'S
CODE
NOTE:
CHEMICAL BRAND BATCH NO.
REPORT
Sheet of
(ATTACHMENT)
Report No.
SKETCH OF INDICATION
EXAMINATION REPORT
Sheet of
INSPECTION METHOD :
DC WET
AC CONTINUOUS
WELDING
DESCRIPTION PROCESS /
DRAWING JOINT NO. DISCONTINUITIES DISPOSITION
(SHOP MARK) WELDER'S
CODE
NOTE:
CHEMICAL BRAND BATCH NO.
EXAMINATION REPORT of
Sheet
Report No.
SKETCH OF INDICATION
TECHNIQUE
INSTRUMENT TYPE CALIBRATION BLOCK
INSTRUMENT
DAMPING SETTING
SERIAL No.
CALIBRATION
REJECT SETTING
CERTIFICATE
SPECIAL EQUIPMENT Search Unit COUPLANT BRAND / TYPE
ELEMENT %
POSITION / LOT /
P.O. NO. MATERIAL DESCRIPTION IN EACH TESTED CERTIFICATE HEAT NO.
LOCATION BATCH NO.
HEAT / LOT NO. Cr Ni Mo Co Nb Mn Cu C
REMARKS
POSITION / ELEMENT %
ITEM
NO.
REMARKS
LOCATION DATE
Hr. Min.
Time
4. LOCATION OF THERMOCOUPLE
To show locations of temporary skids during heat treatment.
To show extent of insulation for sectioning and local heat treatment.
See attachment/s. T: Thermocouple
OVERALL SKETCH
LOCATION: SPECS./CODE:
MATERIAL PROCEDURE
RESULTS
A. ACTUAL DATA
HEATING RATE
SOAKING TEMP.
SOAKING TIME
COOLING RATE
B. SKETCH
ILLUSTRATION : CL Where:
1 - Parent Metal, Left
1 2 3 4 5
2 - HAZ, Left
3 - Weld Center Line
4 - HAZ, Right
5 - Parent Metal, Right
NAME
SIGN
DATE
REMARKS:
SIGN
DATE
AMBIENT CONDITIONS :
MORNING AFTERNOON EVENING
RELATIVE HUMIDITY
DRY BULB TEMPERATURE
WET BULB TEMPERATURE
DEW POINT TEMPERATURE
SURFACE TEMPERATURE
SURFACE PREPARATION :
COATING :
COATING EQUIPMENT :
MEASURING INSTRUMENTS :
APPEARANCE :
REMARKS
PROJECT : J. O. A. No. :
CUSTOMER : DATE :
MODULE No. :
CLEANING METHOD
CLEANING RESULT
ACCEPTED REJECTED
CLEANING LIMIT/EXTENT
FROM :
TO :
REMARKS
PREPARED BY WITNESSED BY
NAME
SIGN
DATE
PROJECT : J. O. A No. :
PREPARED BY APPROVED BY
SIGN
NAME
DATE
FINAL ACCEPTANCE
REMARKS
PROJECT : DATE :
J. O. A. No. / CUSTOMER : REPORT No. :
CLEANING DATA :
ACID USED :
METAL TEMPERATURE :
CLEANING DURATION :
CLEANING RESULT :
ACCEPTED REJECTED
REMARKS :
NAME
SIGN
DATE
Report No :
Line Inspection Summary List Date :
Page : of
Shop Field
Radiographic
Isometric / Spool Information Welding Details Mat'l Information Item 1 Mat'l Information Item 2
Testing Liquid Magnetic
VI Ferrite PMI Report PWHT HT Report
Penetrant Particle
AG&P Isometric Rev. Piping Mat'l Spool Joint Joint Date Welder Welder Material Material Result RT Report Report No. No. Report No. No.
Line No. Size Sch WPS No. Heat No. Heat No. Result Report No. Report No.
Drawing No. No. Class Type No. No. Type Welded Code 1 Code 2 Specification Specification No.
Name
Signature
Date
Rev. 0, 4-June-2022
AGP-00000-FR-Z-13-0001.00
PUNCHLIST
Sheet of
NAME
SIGN
DATE
BLOCK DIAGRAM:
TRACER SHOT
TRACER SHOT33 TRACER SHOT 3 TRACER SHOT 3 TRACER SHOT 3
TRACER SHOT
TRACER SHOT11 TRACER SHOT 1 TRACER SHOT 1 TRACER SHOT 1
TRACER SHOT
TRACER SHOT44 TRACER SHOT 4 TRACER SHOT 4 ORIGINAL JOINT TRACER SHOT 4
ORIGINAL JOINT
ORIGINAL JOINT ORIGINAL JOINT ORIGINAL JOINT
TRACER SHOT
TRACER SHOT22 TRACER SHOT 2 TRACER SHOT 2 TRACER SHOT 2
TRACER SHOT
TRACER SHOT33 TRACER SHOT 3 TRACER SHOT 3 TRACER SHOT 3
TRACER SHOT
TRACER SHOT11 TRACER SHOT 1 TRACER SHOT 1 TRACER SHOT 1
TRACER SHOT
TRACER SHOT44 TRACER SHOT 4 TRACER SHOT 4 ORIGINAL JOINT TRACER SHOT 4
ORIGINAL JOINT
ORIGINAL JOINT ORIGINAL JOINT ORIGINAL JOINT
TRACER SHOT
TRACER SHOT22 TRACER SHOT 2 TRACER SHOT 2 TRACER SHOT 2
TRACER SHOT
TRACER SHOT33 TRACER SHOT 3 TRACER SHOT 3 TRACER SHOT 3
TRACER SHOT
TRACER SHOT11 TRACER SHOT 1 TRACER SHOT 1 TRACER SHOT 1
TRACER SHOT
TRACER SHOT44 TRACER SHOT 4 TRACER SHOT 4 ORIGINAL JOINT TRACER SHOT 4
ORIGINAL JOINT
ORIGINAL JOINT ORIGINAL JOINT ORIGINAL JOINT
TRACER SHOT
TRACER SHOT22 TRACER SHOT 2 TRACER SHOT 2 TRACER SHOT 2
Reference Document/Standard: State document no., rev. no, clause,section/para describing the nonconformity
detected or identfied OFI.
Description of Findings:
Approved by:
Approved by:
Remarks*:
Result of Follow-up/Verification:
STATUS Open Closed
Initiator
QA/MR
Note: Use additional sheet for further follow-up/verification, if necessary. Customer Rep./TPI/AI(if req'd)
Rev. 6, 14 Apr. 2021
AGP-00000-FR-K-11-0001.00
CORRECTIVE ACTION REPORT
Sheet of
2 of 2
PART I - To be filled-out by the CAR Initiator
Additional Sheet for Follow-up/Verification Report No.:
Second Verification
Details:
STATUS Open Closed
Corrective Action
Status
Implemented?
Yes No
Initiator
Effective?
Yes No
QA/MR
Third Verification
Details:
STATUS Open Closed
Corrective Action
Status
Implemented?
Yes No
Initiator
Effective?
Yes No
QA/MR
As of. :
CORRECTION/ ACTION CLOSE-OUT
CAR ROOT CAUSE
CAR NO. ISSUED TO INITIATOR FINDINGS PROPOSED CORRECTIVE DATE ISSUED IMPLEMENTATION
SOURCE (as applicable)
ACTION DATE DATE REMARKS
CLOSED
OPEN
CERTIFICATE OF CONFORMANCE
QTY. / DESCRIPTION :
CONTRACT No. :
QC MANAGER DATE