8/3/2019 Form 001 - Trace Ability Tracking - Rev 1-6-20-09(3)

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Traceability Tracking

Laboratory NameAyed Eid Al Osaimi

Engineering Consulting OfficeLocation Al Khobar

Form Completed By Muhammad Masood Abbas Date January 05,2012

Purpose

This form is used to identify the traceability chain for all equipment, reference standards and reference materials utilizedwithin the laboratory for scope activities. This form also identifies all in-house calibrations performed by the laboratorythat support the scope.

Instructions

1. List all types of calibrated Equipment and Reference Standards utilized by the laboratory to support scope

parameters. This includes all equipment calibrated in-house by the laboratory.

NOTE It is not required to list every individual piece of equipment; just the types of equipment

2. List all Types of Reference Materials utilized by the laboratory to support scope parameters.

3. List the Calibration Service Provider or Reference Material Provider utilized for the above. If the calibration is

performed in-house please list in-house.4. List who the Calibration Service Provider or Reference Material Provider is accredited by.

5. List the Accreditation / Scope number of the Calibration Service Provider or Reference Material Provider.

6. For equipment calibrated in-house, list the line item number (from the far left column) of the equipment or Referen

Material utilized to perform the calibration.

7. If more than one Calibration Service Provider is used for the same Equipment or Reference Standard a separateline should be used to provide the all traceability links.

Instruction # 1 / 2 3 4 5 6

No.

Calibrated Equipment

Calibrated Reference Standards

Reference Materials

Calibration ServiceProvider

Reference MaterialProvider

Accredited ByAccreditation

/ Scope #

In-HouseCalibration

Ref No.

1 Dial indicator 0-25 mm Gems A2la L0001

2 Dial indicator 0-10 inch Gems A2la L0001

3 Thermometer ( 0-260 c) Gems A2la L0003

4 Digital caliper ( 0-150 mm) Gems A2la 8

5 Steel rule (1 meter long) Gems A2la 2

6 Precision Balance Gems A2la 1

7 Electronic Balace Gems A2la 8

8 Digital Balance Gems A2la 3

9 Laboratory Oven Gems A2la L0001

10 Water Bath Gems A2la 9, 11

11 Wall Thermometer Gems A2la L0001

Form 001 Rev 1 06/20/09 Page 1 of 2

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8/3/2019 Form 001 - Trace Ability Tracking - Rev 1-6-20-09(3)

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Traceability Tracking

No.

Calibrated Equipment

Calibrated Reference Standards

Reference Materials

Calibration ServiceProvider

Reference MaterialProvider

Accredited ByAccreditation

/ Scope #

In-HouseCalibration

Ref No.

12 Master Proving Ring Gems A2la

13 Compression Machine Al Hoty SASO

14Ultrasonic Coating, thickness

GaugeAl Hoty SASO

15 Surface Profile Gauge Al Hoty SASO

16 RTD Probe Geo Probe Model Al Hoty SASO

17 Pile integrity Tester Al Hoty SASO

18 Bond Tester Al Hoty SASO

19 Digital Min- Max Thermometer General Tech DAC

20 Pull off Tester Al Hoty SASO

21 Sieves Al Hoty SASO

22 Muffle Furnace Al Hoty SASO

23 Hot Plate Al Hoty SASO

24 Melting Pot Al Hoty SASO

25 Air Entrainment meter Al Hoty SASO

26 Surface Moisture Density Gauge Al Kaabi SASO

27 Reference Weights DM DAC

28

18

19

20

21

22

23

24

25

26

27

Form 001 Rev 1 06/20/09 Page 2 of 2