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Sama Global Quality Management Plan                                                                        January 2023

Appendix A Table 12: Contractor Quality Control Report (Follow-Up Phase)                                                      Date:

                                                                                      CONTRACTOR QUALITY CONTROL REPORT  Yes No

Phase                                                 Yes No
                                                                               Preliminary Work Was Done Properly
                                                                               Testing Plan Has Been Reviewed
                                                                               Work Method and Schedule Discussed
                                                                               Job Safety/Hazard Analysis Addressed
‫ﻟﻤﯿـــــــﺔ‬S‫ﻌﺎ‬A‫اﻟ‬M‫ـﺎ‬A‫ـــ‬G‫ـــ‬L‫ـــ‬O‫ﻤ‬B‫ﺳ‬ALPreparatory PhasePlans & Specs. Have been reviewed

                   The Submittals Have Been Approved

                   Materials Comply with Approved
                   Submittals
                   Materials Stored Properly

                   Preliminary Work Was Done Correctly       Test Results Are Acceptable
                   Sample Has Been Prepared/Approved         Work is in Compliance with the Contract
                   Workmanship is Satisfactory               Work Complies with Safety Requirements
                   Testing Performed and Who Performed Test
Initial Phase

Follow-up Phase    Work Complies with                        Work Complies with Safety
                   Contract as Approved                      Requirements

Rework Items Identified Today (Not Corrected by Close of Rework Items Corrected Today (From Rework List)
Business)

REMARKS

On behalf of the contractor, I certify that this report is completed and correct  _________________________________________
and equipment and material used and work performed during this
reporting period is in compliance with the contract drawings and                  Authorized QC Manager On Site          Date
specifications to the best of my knowledge except as noted in this report.

Quality Assurance Representatives Remarks and/or Exceptions to this report.

                                                             ___________________________________________

                                                                                  Government Quality Assurance Manager   Date

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