CONCESSION REQUEST ( CR )

Part A - To be completed by VENDOR

Project No. : 44-LK-5100

1. Name & Location

Client : HPCL - DHT

Page 1 of 2
2. Request No. CR

3. Issue No.

4. Date raised

5. PO No.

6. Description

7. PO Item No.

8. Vendor Ref. No.

9. Sub-Order No.

10. Tag/Equipment No.

11. Sub-Vendor

12. Sub Assembly Part No.

13. Drawing & documents affected by Request:

14. Description of Request

15. Attachments

Yes

No
LIST:-

Wt Control state wt in excess

of 500kg for complete PO
......................................Kg.

16. Justification
Signature:
17. Effect on delivery:
______________If Granted

Position:
18. Effect on Cost if granted

______________If not

Increase ?
Granted
OTHER FACTORS AFFECTED: (Delete if not applicable)

Strength

Function



Maintenance

Performance



Contractual

Approval by CA

PART B:- To be completed by Jacobs

1.Resolution Category
2.Amendment to PO
Level 1
- Engineering,
Procurement & Client
Level 2
- Level 1 + Cert.
Authority

5.
6.

Yes

No

Reference No.

Decrease ?

Code Compliance
Interchangeability
Safety/Fitness

Unchanged ?

Integrity/Reliability
QA/QC
Item Life

3.Design Change

4.CA Approval

Requirement
Yes

Yes

No

Reference No.

No

Letter No.

Conditions of Acceptance/Usage/Reason for rejection

Decisions

Approved

Engg. Discipline

Yes

No

Signature

Date

Name

Purchase

Yes

No

Signature

Inspector/Inspectio
n Co-ordinator

Yes

No

Date

Client

Yes

No

Inspection Report Ref:

Certifying
Authority

Yes

No

7.

CR Close-out

CONCESSION REQUEST ( CR )
Page 2 of 2

Procedure for Concession Request origination & Completion.

When a vendor wants to request for a Concession Request, he shall contact the Inspection
Manager (or Inspection Co-ordinator) who shall provide a serial number for the request. The
Concession Request, properly numbered, shall be addressed to the Inspection
Manager.

The QC Report with a completed Concession Request section or a Concession Request shall
be submitted to the Originating Engineer for their evaluation by Inspection Manager (or
Inspection Co-ordinator). The request may be submitted to the Client Representative and/or a
Certifying Authority when the Originating Engineer has confirmed that this is required.

The Inspection Co-ordinator shall notify the vendor/contractor of the final decision by returning
a copy of the completed Concession Request form. Distribution to other project personnel
shall conform to the project requirements

The Inspection Co-ordinator/Inspector shall verify that the deviation approved by the
Concession Request has been incorporated into the design and/or project documentation.

The Inspection Co-ordinator/Inspector, when the vendor/contractor has complied with the
conditions approved by the Concession Request, shall complete the CR Close Out box on
the sellers copy of the CR form attachment. If a concession has been requested for an order
with no inspection, the CR will be closed out by the appropriate discipline.