DOC. NO.

W53-8543-OK-ITP-01A
INSPECTION TEST & PLAN
( ITP )
REV. 01
SHEET 0 OF 2

INSPECTION TEST & PLAN

CONCRETE WORK

CONTRACT NO. : PACKAGE C NO. 8543 OK

USER : PT. CHEVRON PACIFIC INDONESIA

PROJECT : CONSTRUCTION SERVICES - WORK UNIT RATE

Prepared By: Checked By: Approved By:

AK-QA/QC TF-QA/QC CPI

K UNIT RATE

Approved By:

CPI
 Doc. No. : W53-8543-OK-ITP-01A
Revision No. :1
PT. ADHI KARYA (Persero) Tbk Revision Date : 19/08/2008
Prepared by : PT ADHI KARYA
INSPECTION & TEST PLAN Reviewed by : TF-FPM
Approved by : [Link]
Description : CONCRETE WORKS Legend : I : Information
Contract No. : 8543 OK R : Review & Comment
Client : PT. CPI W : Witness Inspection
Owner : PT. CPI A : Approve Document
H : Hold Point
P : Prepare
SW : Spot / Witness Inspection
D : Verification for report
REFERENCE VERIFYING ADK TF CPI

NO. INSPECTION / TEST ITEM ACCEPTANCE CRITERIA

Status

Status

Status
DOCUMENT(S) DOCUMENT

Sign.

Sign

Sign
0 Contract Document, Tech. Specifiction, Scope of Work Review Contract Document

Review Client`s or owner approved technical specification, project procedures, Site Instruction Form
a - Approved Tech. Spec. R R R/A
vendor manual, drawing or other documents as the reference to be followed. Scope of work
b Finalize deviation, amendments or queries and generate new procedures as required. Drawing, Tech, Spec`s

1 MATERIAL CONTROL Drawing, Tech, Spec`s Approved Material Receiving,

1.1 Material Receiving, Handling and storage procedure. PP-CO-GG-005
Tech. Spec & Procedure R R R/A
1.2 Check compliance with specification, generate new procedure, if required. PP-CO-GG-006 Handling, Storage Procedure
PP-CO-GG-007

2 MATERIAL RECEVING INSPECTION Drawing, Tech, Spec`s Inspection Report/Advise or

I/R R R
2.1 Verivication Documents/ Mill certificate PP-CO-GG-005 Spec`s, Visual, BOM Release notes
W W W
2.2 Check for overage, shortage, Damage. PP-CO-GG-006 Mill Certificate

3 REINFORCING BAR WORK

3.1 Material Receiving Inspection Drawing, Tech, Spec`s H H H
Drawing, Tech, Spec`s
3.2 Storing condition to prevent corotion SW SW SW
3.3 Workmanship in work bending operation PP-CO-GG-005
3.4 Surface cleaning PP-CO-GG-006 Inspection Report SW SW SW
3.5 Location, Slope, size, number, cleaning-checking.
SP-CI-CC-001
3.6 Length and location of lap splice
3.7 Rigidity to rebar assembly to withstand concrete

4 CONCRETE WORK
4.1 Cement type of quality, quantity and compliance applicable standard Drawing, Tech, Spec`s ASTM C150 SW SW SW
Inspection Report
4.2 Quality and quantity aggreate PP-CI-CC-005 ASTM C136 W W W
4.3 Storing Condition of cement and aggregate PP-CI-GG-005 ASTM D15557 SW SW SW
 Doc. No. : W53-8543-OK-ITP-01A
Revision No. :1
PT. ADHI KARYA (Persero) Tbk Revision Date : 19/08/2008
Prepared by : PT ADHI KARYA
INSPECTION & TEST PLAN Reviewed by : TF-FPM
Approved by : [Link]
Description : CONCRETE WORKS Legend : I : Information
Contract No. : 8543 OK R : Review & Comment
Client : PT. CPI W : Witness Inspection
Owner : PT. CPI A : Approve Document
H : Hold Point
P : Prepare
SW : Spot / Witness Inspection
D : Verification for report
REFERENCE VERIFYING ADK TF CPI

NO. INSPECTION / TEST ITEM ACCEPTANCE CRITERIA

Status

Status

Status
DOCUMENT(S) DOCUMENT

Sign.

Sign

Sign
4.4 Mixing proportion SP-CI-CC-001 ASTM D698 R R R/A
4.5 Formwork SP-CI-CC-004 ASTM C94 W W SW
4.6 Anchor bolt A 307 Gr B or equivalent W W SW
4.7 Cleaning prior to concrete placing ACI 347 W W SW
4.8 Preparation for placing P SW SW
4.9 Temperature and air content of concrete Inspection Report SW SW SW
4.10 Location of construction joint SW SW SW
4.11 Workmanship of placing and consolidation ( thickness of layer, proper vibration, etc) W W SW
4.12 Concrete Finishing SW SW SW
4.13 Curing ( period, method of preventing moisture loss) SW SW SW
4.14 Appearance of surface after formwork remove SW SW SW
4.15 Mortar finishing (level, chamfer, crack mortar, preparation, etc) SW SW SW
4.16 Concrete Test slump test, Compressive strength, storage, conduction of test cubes) Laboratory Result W W W

5 DOCUMENTATION
5.1 QA/QC Review of site generated document Drawing, Tech. Specs Approved Document Turn-over Document
P/R R R/A
All Inspection Report

Prepared By, Reviewed by, Approved by,

PT. ADK TF-FPM PT. CPI
REMARK
REMARK
 DOC. NO.
W53-8543-OK-ITP-01B
INSPECTION TEST & PLAN
( ITP )
REV. 01
SHEET 0 OF 1

INSPECTION TEST & PLAN

EART WORK

CONTRACT NO. : PACKAGE C NO. 8543 OK

USER : PT. CHEVRON PACIFIC INDONESIA

PROJECT : CONSTRUCTION SERVICES - WORK UNIT RATE

Prepared By: Checked By: Approved By:

AK-QA/QC TF-QA/QC CPI

K UNIT RATE

Approved By:

CPI
 Doc. No. : W53-8543-OK-ITP-01B
Revision No. :1
PT. ADHI KARYA (Persero) Tbk Revision Date : 19/08/2008
Prepared by : PT ADHI KARYA
INSPECTION & TEST PLAN Reviewed by : TF-FPM
Approved by : [Link]
Description : EARTH WORKS Legend : I : Information
Contract No. : 8543 OK R : Review & Comment
Client : PT. CPI W : Witness Inspection
Owner : PT. CPI A : Approve Document
H : Hold Point
P : Prepare
SW : Spot / Witness Inspection
D : Verification for report
REFERENCE VERIFYING ADK TF CPI

NO. INSPECTION / TEST ITEM ACCEPTANCE CRITERIA REMARK

Status

Status

Status
DOCUMENT(S) DOCUMENT

Sign.

Sign

Sign
0 Contract Document, Tech. Specifiction, Scope of Work Review Contract Document

Review Client`s or owner approved technical specification, project procedures, Site Instruction Form
a - Approved Tech. Spec. R R R/A
vendor manual, drawing or other documents as the reference to be followed. Scope of work
b Finalize deviation, amendments or queries and generate new procedures as required. Drawing, Tech, Spec`s

1 EXCAVATION
1.1 Investigationof existing underground facilities Drawing, Tech, Spec`s As Built Drawing H H H
1.2 Demolition, Relocation or Protection of existing facilities SW SW SW
Drawing, Tech. Spec`s
1.3 Excavation method Approved Method Approved Procedure P R R/A
1.4 Depth & Width of Excavation AFC Drawing SW SW SW
PP-CI-GG-001
1.5 Stability of side protection against earth sliding (slope angle, sheet pile, etc) Stabilize SW SW SW
1.6 Dewatering (pump, well point, etc) ASTM D1557 SW SW SW
PP-CI-GG-005
1.7 Condition Excavation bottom(compactio and cleaning) ASTM D 1556 Inspection Report W W W

2 BACKFILLING
2.1 Quality of backfill material ASTM D2487
SW SW SW
2.2 Cleaning ( Removal of trash, debris, etc) Drawing, Tech, Spec`s ASTM D 1557
2.3 Compaction Method (compaction equipment method) ASTM D 1556 Inspection Report W W W

3 DISPOSAL OF SURLUS SOIL

PP-CO-WW-001 ASTM D2453 D R R/A
3.1 Disposal Area Location

4 DOCUMENTATION
4.1 QA/QC Review of site generated document Drawing, Tech, Spec`s Approved Document Turn-over Document
P/R R R/A
All Inspection Report

Prepared By, Reviewed by, Approved by,

PT. ADK TF-FPM PT. CPI
 DOC. NO.
W53-8543-OK-ITP-01C

INSPECTION TEST & PLAN ( ITP )

REV. 02
SHEET 0 OF 3

INSPECTION TEST & PLAN ( ITP )

PIPING CONTRUCTION

CONTRACT NO. : PACKAGE C NO. 8543 OK

USER : PT. CHEVRON PACIFIC INDONESIA

PROJECT : CONSTRUCTION SERVICES - WORK UNIT RATE

Prepared By: Checked By: Approved By:

AK-QA/QC TF-QA/QC CPI

UNIT RATE

Approved By:

CPI
 Doc. No. : W53-8543-OK-ITP-01C
Revision No. :2
PT. ADHI KARYA (Persero) Tbk Revision Date : 12/09/2008
Prepared by : PT ADHI KARYA
INSPECTION & TEST PLAN Reviewed by : TF-FPM
Approved by : [Link]
Description : PIPING WORKS Legend : I : Information
Contract No. : 8543 OK R : Review & Comment
Client : PT. CPI W : Witness Inspection
Owner : PT. CPI A : Approve Document
H : Hold Point
P : Prepared
SW : Spot / Witness Inspection
D : Verification for report
REFERENCE VERIFYING ADK TF CPI

NO. INSPECTION / TEST ITEM ACCEPTANCE CRITERIA REMARK

Status

Status

Status
DOCUMENT(S) DOCUMENT

Sign.

Sign

Sign
0 Contract Document, Tech. Specifiction, Scope of Work Review Contract Document
Check that all documents are
Review Client`s or owner approved technical specification, project procedures,
a Site Instruction Form revision, control copies and - R A A
vendor manual, drawing or other documents as the reference to be followed.
approved for construction
b Finalize deviation, amendments or queries and generate new procedures as required. Scope of work

1 MATERIAL CONTROL Contract Document Approved Material

Receiving,
1.1 Material Receiving, Handling and storage procedure. PP-CO-GG-005 Technical Specification R R R/A
Handling, Storage
1.2 Check compliance with specification, generate new procedure, if required. PP-CO-GG-006 Procedure

2 MATERIAL RECEVING INSPECTION

Check material received are in line with delivery note, purchase (material Material Receiving , Handling Inspection Report / advise
2.1 W W W
spec`s / size quantity), wisualy inspect for irregularities of surface and storage Procedure Ensure Material are correct or release notes
grade, rating and size, alloys to
2.2 Check mill ertificate against material received PP-CO-GG-005 be verified, heat no`s checked Mill Certificate R R R
2.3 Dimensional Check PP-CO-GG-007 Inspection Report SW SW SW

3 PREPARATION BEFORE STARTING WORK

3.1 Prepare WPS/PQR PP-QC-GG-006 Approved WPS WPS/PQR approved W W/R W/R/A
3.2 Welder Performance Qualification Record PP-QC-GG-007 Welder Qualification Record Welder Certificated W W W

4 FABRICATION AND ERECTION OF PIPING WORKS

4.1 Marking and Check before cutting, dimensional, material identification Drawing, Tech, Spec`s Drawing, Tech, Spec`s SW SW SW
4.2 Dimensional check after cutting PP-PI-PP-008 All dimensions and fit-up are Inspection Report SW SW SW
4.3 Alligment and Fit up Check PP-QC-GG-003, PP-QC-GG-004 wthin tolerance before welding SW SW SW
4.4 Verification of WPS and qualified welder WPS/PQR WPS/PQR, Welder Cert. WPS/Welder Certificate SW SW SW
4.5 Visual Inspection of weldment Code, Drawing, CPI Spec`s Code, Drawing Inspection Report W SW SW
 Doc. No. : W53-8543-OK-ITP-01C
Revision No. :2
PT. ADHI KARYA (Persero) Tbk Revision Date : 12/09/2008
Prepared by : PT ADHI KARYA
INSPECTION & TEST PLAN Reviewed by : TF-FPM
Approved by : [Link]
Description : PIPING WORKS Legend : I : Information
Contract No. : 8543 OK R : Review & Comment
Client : PT. CPI W : Witness Inspection
Owner : PT. CPI A : Approve Document
H : Hold Point
P : Prepared
SW : Spot / Witness Inspection
D : Verification for report
REFERENCE VERIFYING ADK TF CPI

NO. INSPECTION / TEST ITEM ACCEPTANCE CRITERIA REMARK

Status

Status

Status
DOCUMENT(S) DOCUMENT

Sign.

Sign

Sign
All Examinations has been
4.6 Non Destructive Testing (RT, UT, PT, MT) ASME V, ASME B31.3 carried out and comlies with NDE Report SW R R/A
code
4.7 Welding Repair, if any ASME B31.3 ASME B31.3
4.7.1 Defect type erification, re-welding, visual insp. and NDE as per original we WPS/PQR No unacceptable defect visible NDE Report W SW SW

5 PIPE SUPPORT INSTALATION

5.1 Inspect pipe support set-ups Drawing, Tech, Spec`s Drawing, Tech, Spec`s SW SW SW
Inspection Report
5.2 Visual Inspection of pipe support welment SP-PP-PP-003 Visual Check SW SW SW

6 BOLTING AND GASKET INSTALATION

6.1 Gasket Verification Drawing, Tech, Spec's Drawing, Tech, Spec's Mill Certificate W/R W/R W/R
6.2 Bolt Tightening PP-PI-PP-010 SW SW SW

7 LINE CHECK / PUNCHLIST

7.1 Line layout, size, rating verification PP-PI-PP-008 Punch listing W W W
Ensure all installed as per isometric
7.2 Valve, Fitting, Vent, Drain arrangements SP-PI-PP-001
Ensure all support are fitted
7.3 Pipe support completion PP-PI-PP-003 Inspection Report SW SW SW
in correct position
7.4 Completion of Hydrotest package arangements PP-SC-GG-001 ASME B31.3 NDE Clearance P/R R R/A
 Doc. No. : W53-8543-OK-ITP-01C
Revision No. :2
PT. ADHI KARYA (Persero) Tbk Revision Date : 12/09/2008
Prepared by : PT ADHI KARYA
INSPECTION & TEST PLAN Reviewed by : TF-FPM
Approved by : [Link]
Description : PIPING WORKS Legend : I : Information
Contract No. : 8543 OK R : Review & Comment
Client : PT. CPI W : Witness Inspection
Owner : PT. CPI A : Approve Document
H : Hold Point
P : Prepared
SW : Spot / Witness Inspection
D : Verification for report
REFERENCE VERIFYING ADK TF CPI

NO. INSPECTION / TEST ITEM ACCEPTANCE CRITERIA REMARK

Status

Status

Status
DOCUMENT(S) DOCUMENT

Sign.

Sign

Sign
8 PRESSURE TESTING
8.1 Pipe Cleaning PP-PI-PP-001 Clean from foreign Mat`l Inspection Report W W W
8.2 Hydrosatic Test PP-SC-GG-001 No leaks / deformation Hydrotest Report
8.3 Reistatement for all pipng system ASME B31.3 Drawing Test Package Release Status

9 FINAL INSPECTION Contract Document No Punch List Item Inspection Report, Punch List

10 DOCUMENTATION Contract Document

Inspection complete prior to
Site Instruction Form dispatch and all work complete Turn Over Document P/R R R/A
and satifactory
Scope of Work

Prepared By, Reviewed by, Approved by,

PT. ADK TF-FPM PT. CPI
 DOC. NO.
W53-8543-OK-ITP-01D
INSPECTION TEST & PLAN
( ITP )
REV. 02
SHEET 0 OF 3

INSPECTION TEST & PLAN ( ITP )

STRUCTURAL CONSTRUCTION

CONTRACT NO. : PACKAGE C NO. 8543 OK

USER : PT. CHEVRON PACIFIC INDONESIA

PROJECT : CONSTRUCTION SERVICES - WORK UNIT RATE

Prepared By: Checked By: Approved By:

AK-QA/QC TF-QA/QC CPI

UNIT RATE

Approved By:

CPI
 Doc. No. : W53-8543-OK-ITP-01D
Revision No. :2
PT. ADHI KARYA (Persero) Tbk Revision Date : 12/09/2008
Prepared by : PT ADHI KARYA
INSPECTION & TEST PLAN Reviewed by : TF-FPM
Approved by : [Link]
Description : STRUCTURAL WORKS Legend : I : Information
Contract No. : 8543 OK R : Review & Comment
Client : PT. CPI W : Witness Inspection
Owner : PT. CPI A : Approve Document
H : Hold Point
P : Prepare
SW : Spot / Witness Inspection
D : Verification for report
REFERENCE VERIFYING ADK TF CPI

NO. INSPECTION / TEST ITEM ACCEPTANCE CRITERIA REMARK

Status

Status

Status
DOCUMENT(S) DOCUMENT

Sign.

Sign

Sign
0 Contract Document, Tech. Specifiction, Scope of Work Review Contract Document
Check that all documents are
Review Client`s or owner approved technical specification, project procedures,
a Site Instruction Form revision, control copies and - R A A
vendor manual, drawing or other documents as the reference to be followed.
approved for construction
b Finalize deviation, amendments or queries and generate new procedures as required. Scope of work

1 MATERIAL CONTROL Contract Document Approved Material

Receiving,
1.1 Material Receiving, Handling and storage procedure. PP-CO-GG-005 Technical Specification R R R/A
Handling, Storage
1.2 Check compliance with specification, generate new procedure, if required. PP-CO-GG-006 Procedure

2 MATERIAL RECEIVING INSPECTION

Check material received are in line with delivery note, purchase (material Material Receiving , Handling Inspection Report / advise
2.1 W W W
spec`s / size quantity), wisualy inspect for irregularities of surface and storage Procedure Ensure Material are correct or release notes
grade, rating and size, alloys to
2.2 Check mill certificate against material received PP-CO-GG-005 be verified, heat no`s checked Mill Certificate R R R
2.3 Dimensional Check PP-CO-GG-007 Inspection Report SW SW SW

3 PREPARATION BEFORE STARTING WORK

3.1 Prepare WPS/PQR PP-QC-GG-006 Approved WPS WPS/PQR approved W W/R W/R/A
3.2 Welder Performance Qualification Record PP-QC-GG-007 Welder Qualification Record Welder Certificated W W W

4 FABRICATION AND ERECTION OF PIPING WORKS

4.1 Marking and Check before cutting, dimensional, material identification Drawing, Tech, Spec`s Drawing, Tech, Spec`s SW SW SW
4.2 Dimensional check after cutting PP-PI-PP-008 All dimensions and fit-up are Inspection Report SW SW SW
4.3 Alligment and Fit up Check PP-QC-GG-003, PP-QC-GG-004 wthin tolerance before welding SW SW SW
4.4 Verification of WPS and qualified welder WPS/PQR WPS/PQR, Welder Cert. WPS/Welder Certificate SW SW SW
4.5 Visual Inspection of weldment Code, Drawing, CPI Spec`s Code, Drawing Inspection Report W SW SW
 Doc. No. : W53-8543-OK-ITP-01D
Revision No. :2
PT. ADHI KARYA (Persero) Tbk Revision Date : 12/09/2008
Prepared by : PT ADHI KARYA
INSPECTION & TEST PLAN Reviewed by : TF-FPM
Approved by : [Link]
Description : STRUCTURAL WORKS Legend : I : Information
Contract No. : 8543 OK R : Review & Comment
Client : PT. CPI W : Witness Inspection
Owner : PT. CPI A : Approve Document
H : Hold Point
P : Prepare
SW : Spot / Witness Inspection
D : Verification for report
REFERENCE VERIFYING ADK TF CPI

NO. INSPECTION / TEST ITEM ACCEPTANCE CRITERIA REMARK

Status

Status

Status
DOCUMENT(S) DOCUMENT

Sign.

Sign

Sign
All Examinations has been
4.6 Non Destructive Testing (RT, UT, PT, MT) ASME V, ASME B31.3 carried out and complies with NDE Report SW R R/A
code
4.7 Welding Repair, if any ASME B31.3 ASME B31.3
4.7.1 Defect type verification, re-welding, visual insp. and NDE as per original w WPS/PQR No unacceptable defect visible NDE Report W SW SW

5 PIPE SUPPORT INSTALLATION

5.1 Inspect pipe support set-ups Drawing, Tech, Spec`s Drawing, Tech, Spec`s SW SW SW
Inspection Report
5.2 Visual Inspection of pipe support welment SP-PP-PP-003 Visual Check SW SW SW

9 FINAL INSPECTION Contract Document No Punch List Item Inspection Report, Punch List

10 DOCUMENTATION Contract Document

Inspection complete prior to
Site Instruction Form dispatch and all work complete Turn Over Document P/R R R/A
and satisfactory
Scope of Work
 DOC. NO.
W53-8543-OK-ITP-01E
INSPECTION TEST & PLAN
( ITP )
REV. 02
SHEET 0 OF 3

INSPECTION TEST & PLAN ( ITP )

SANDBLASTING & COATING

CONTRACT NO. : PACKAGE C NO. 8543 - OK

USER : PT. CHEVRON PACIFIC INDONESIA

PROJECT : CONSTRUCTION SERVICES - WORK UNIT RATE

Prepared By: Checked By: Approved By:

AK-QA/QC TF-QA/QC CPI

)

K UNIT RATE

Approved By:

CPI
 PAGE : 21 OF 3

Doc. No.
PT. ADHI KARYA (Persero) Tbk Revision No.
Revision Date
Reviewed by
INSPECTION & TEST PLAN
Approved by
Description : SANDBLASTING AND COATING
Contract No. : 8543-OK Legend : I = Information
Owner : PT. CHEVRON PACIFIC INDONESIA R = Review & Comment
W = Witness Inspection
A = Approve Document
H = Hold Point
SW = Spot / Witness Inspection
D = Verification by Report

TF-FPM
PT AK
REFERENCE ACCEPTANCE

CPI
NO INSPECTION / TEST ITEM DOCUMENT'S) CRITERIA VERIFYING DOCUMENT

I REVIEW OF QUALITY DOCUMENT, SPECIFICATION & PROCEDURE

- Coating Procedure Coating Procedure Coating Procedure Coating Procedure I/D R A

Touch Up & Repair Procedure

- T/U Repair Procedure Coating Procedure Coating Procedure I/D R A

Data Sheet Paint Manufacture Data Sheet Paint Manufacture

- Product Data Sheet Product Data Sheet I/D R A
- Coating Schedule Coating Schedule Coating Schedule Coating Procedure I/D R A
- Equipment Contract Document Contract Document Inspection Report I/D R A

II Pre Surface Preparation SP - ME - ME - 025 SP - ME - ME - 025 Inspection Report D R A

NACE RP0178 / ISO 8501 NACE RP0178 / ISO 8502

- Steel Surface Condition Inspection Report W SW SW/A

- Blasting Equipment ASTM D-4285 ASTM D-4285 Inspection Report W SW SW/A

- Compressed Air ASTM D-4264 ASTM D-4264 Inspection Report W SW SW/A

- Air Supply Cleanlines ASTM D-4285 ASTM D-4285 Inspection Report D R A

- Quantity/Quality of Paint & Batch # Batch Certificate Batch Certificate Inspection Report I/D R A
 PAGE : 22 OF 3

Doc. No.
PT. ADHI KARYA (Persero) Tbk Revision No.
Revision Date
Reviewed by
INSPECTION & TEST PLAN
Approved by
Description : SANDBLASTING AND COATING
Contract No. : 8543-OK Legend : I = Information
Owner : PT. CHEVRON PACIFIC INDONESIA R = Review & Comment
W = Witness Inspection
A = Approve Document
H = Hold Point
SW = Spot / Witness Inspection
D = Verification by Report

TF-FPM
PT AK
REFERENCE ACCEPTANCE

CPI
NO INSPECTION / TEST ITEM DOCUMENT'S) CRITERIA VERIFYING DOCUMENT

- Abrasive ASTM E-136 ASTM E-137 Inspection Report W SW SW/A

III During Surface Preparation

EMS-S-4743 ASTM E 337

- Weather/Ambient Condition EMS-S-4743 Inspection Report I/D/W R/SW A
- Air Filter SP - ME - ME - 025 SP - ME - ME - 025 Inspection Report I/D/W R/SW A
- Oil & Moisture Trap/Separator SP - ME - ME - 025 SP - ME - ME - 025 Inspection Report I/D/W R/SW A

IV Finalizing Surface Preparation

- Blasted Cleanlines Degree SSPC-SP 10 SSPC-SP 10 Inspection Report D R A
- Anchor Profile ASTM D-4417A 2-3 mil Inspection Report I/W W A
- Steel surface condition SSPC Vis 1 SSPC Vis 1 Inspection Report I/W SW A
- Blotter Test SSPC Vis 1 SSPC Vis 1 Inspection Report I/W SW A

V Paint Application
- Preparation Paint Material Product Data Sheet Product Data Sheet Inspection Report I/W SW A
- Any Contamination SP - ME - ME - 025 SP - ME - ME - 025 Inspection Report I/W SW A
 PAGE : 23 OF 3

Doc. No.
PT. ADHI KARYA (Persero) Tbk Revision No.
Revision Date
Reviewed by
INSPECTION & TEST PLAN
Approved by
Description : SANDBLASTING AND COATING
Contract No. : 8543-OK Legend : I = Information
Owner : PT. CHEVRON PACIFIC INDONESIA R = Review & Comment
W = Witness Inspection
A = Approve Document
H = Hold Point
SW = Spot / Witness Inspection
D = Verification by Report

TF-FPM
PT AK
REFERENCE ACCEPTANCE

CPI
NO INSPECTION / TEST ITEM DOCUMENT'S) CRITERIA VERIFYING DOCUMENT

- Visual Appeareance EMS-S-4743 EMS-S-4744 Inspection Report I/W SW A

- WFT Test Perlayer SSPC-PA2 SSPC-PA3 Inspection Report I/W SW A
- DFT Test SSPC-PA2 SSPC-PA3 Inspection Report I/W SW A

VI Final Completion
- Inspection Report SP - ME - ME - 025 SP - ME - ME - 025 Inspection Report D R A
- House Keeping Contract Document Contract Document Inspection Report W SW SW
- Final Document CPI Spec. Completion Hand Over D R A
 PAGE : 24 OF 3

: W53-8543-OK-ITP-01E
:2
: 12/09/2008
: TF-FPM
: PT . CPI

I = Information
R = Review & Comment
W = Witness Inspection
A = Approve Document
H = Hold Point
SW = Spot / Witness Inspection
D = Verification by Report

REMARKS
 PAGE : 25 OF 3

: W53-8543-OK-ITP-01E
:2
: 12/09/2008
: TF-FPM
: PT . CPI

I = Information
R = Review & Comment
W = Witness Inspection
A = Approve Document
H = Hold Point
SW = Spot / Witness Inspection
D = Verification by Report

REMARKS
 PAGE : 26 OF 3

: W53-8543-OK-ITP-01E
:2
: 12/09/2008
: TF-FPM
: PT . CPI

I = Information
R = Review & Comment
W = Witness Inspection
A = Approve Document
H = Hold Point
SW = Spot / Witness Inspection
D = Verification by Report

REMARKS
 DOC. NO.
W53-8543-OK-ITP-01F
INSPECTION TEST & PLAN ( ITP
)
REV. 02
SHEET 0 OF 3

INSPECTION TEST & PLAN ( ITP )

ELEKTRICAL

CONTRACT NO. : PACKAGE C NO. 8543 OK

USER : PT. CHEVRON PACIFIC INDONESIA

PROJECT : CONSTRUCTION SERVICES - WORK UNIT RATE

Prepared By: Checked By: Approved By:

AK-QA/QC TF-QA/QC CPI

 P)

ORK UNIT RATE

Approved By:

CPI
 PAGE : 29 OF 3

Doc. No.
PT. ADHI KARYA (Persero) Tbk Revision No.
Revision Date

INSPECTION & TEST PLAN Prepared by

Reviewed by
Approved by
Description : ELECTRICAL Legend : I : Information & Verification Report
Contract No. : 8543-OK R : Review & Comment
Owner : PT. CHEVRON PACIFIC INDONESIA W : Witness Inspection
A : Approved Document
H : Hold Point
SW : Spot / Witness Inspection
D : Verification by report

REFERENCE VERIFYING

TF-FPM
ACCEPTANCE
NO. INSPECTION / TEST ITEM

CPI
CRITERIA
DOCUMENT(S) DOCUMENT

AK
0 Contrac Documents, Tech. Specification, Procedures Review Contract Document Contract Document Approved Project I/R R A
A Review Client's or Owners approved technical specification,project procedures Spec. & Procedure

vendor manual, drawing or other documents as the reference to be followed and

B Finalise deviation, amandement or queries and generate new procedure as required

A.1. Electrical On Line Inspection

A.1.1. Inspect Lights & Alarm Annunciator Inspection Report W SW SW
SP-EL-EE-004/ SP-EL-EE- SP-EL-EE-004/ SP-EL-EE-
A.1.2. Inspect Electric Motor
006 006/Manufacture Data
Inspection Report W SW SW
A.1.3 Inspect Cable Connections Inspection Report W SW SW

A.2. Clean -up Panel Control and Junction Box

A.2.1. Check Panel Control, Terminal Cable Connection, Relays, Timer and Others Electrical Apparatus STD-DPNL-00/ Procedure STD-DPNL-00 Inspection Report
W SW SW

A.3 Retighten Cable Connection

A.3.1. Check All Bolt Torque levels SP-EL-EE-004 SP-EL-EE-004 all bolt tight Inspection Report W SW SW

A.4 Check Magnetic Starter and Overload Relay Control

A.4.1. Check Coil Magnetic Starter and Overload Relays are in Good Condition. Inspection Report W SW SW
STD-DPNL-00/Manufacture
A.4.2. Inspect & clean off presence of foreign material on moisture STD-DPNL-00
Data/Manual Book
Inspection Report W SW SW
A.4.3. Inspect condition of the magnetic starter & overload relay control Inspection Report W/I SW SW

A.5. Check and Service all Breakers

A.5.1 Inspect circuit breakers for proper mounting STD-VCB-00 Inspection Report W SW SW
A.5.2. Inspect case, handle breakers for cracks or the other defects STD-VCB-00 STD-VCB-00/ Manual Book Inspection Report W SW SW
zone interlocking , and electrical close and trip operation.

A.5.3. Check tighness of bolted connections and / or cable connection by calibrated STD-VCB-00 STD-VCB-00/ all bolt tight Inspection Report W SW SW
torque wrench
 PAGE : 30 OF 3

Doc. No.
PT. ADHI KARYA (Persero) Tbk Revision No.
Revision Date

INSPECTION & TEST PLAN Prepared by

Reviewed by
Approved by
Description : ELECTRICAL Legend : I : Information & Verification Report
Contract No. : 8543-OK R : Review & Comment
Owner : PT. CHEVRON PACIFIC INDONESIA W : Witness Inspection
A : Approved Document
H : Hold Point
SW : Spot / Witness Inspection
D : Verification by report

REFERENCE VERIFYING

TF-FPM
ACCEPTANCE
NO. INSPECTION / TEST ITEM

CPI
CRITERIA
DOCUMENT(S) DOCUMENT

AK
A.5.4. Check Bolt-torque levels shall be in accordance with the below acceptance criteria STD-VCB-00 STD-VCB-00/ all bolt tight Inspection Report W SW SW
unless specified by manufacturer

A.5.5. Inspect mechanism contact & arch cutes STD-VCB-00 Inspection Report W SW SW
STD-VCB-00/Manual
A.5.6. Perform adjustment for final setting in accordance with breaker setting STD-VCB-00
Book/Manufacture Data
Inspection Report W SW SW
A.5.7. Inspect condition of the equipment STD-VCB-00 Inspection Report W/I SW SW

A.6 Check and service cable Labeling and numbering System

A.6.1. Inspect labeling and numbering cable , panel control and junction box STD-DPNL-00 STD-DPNL-00/ tag number Inspection Report W/I SW SW
A.6.2. Check Complete labeling & numbering system STD-DPNL-00 STD-DPNL-00 / tag number Inspection Report W/I SW SW
A.6.3. Retighten cable connection at all terminal connections STD-DPNL-00 STD-DPNL-00/ all bolt tight Inspection Report W SW SW

A.7 Insulation Resistance Test

A.7.1. Check Cable insulation resistance test PP-EL-EE-004/ PP-EL-EE- Inspection Report W SW SW
Manufacture Data/ Manual Book
A.7.2. Check Circuit breaker insulation resitance test 005 Inspection Report W SW SW

A.8 Check and Service Grounding Cable

A.8.1. Ispect & record ground system for compliance with drawing Inspection Report W/I SW SW
PP-EL-EE-004/ PP-EL-EE-
A.8.2. Retighten all bolts and connections PP-EL-EE-004/ PP-EL-EE-005 Inspection Report W SW SW
005
A.8.3. Check Ground Cable Connecting, Ground bar & Bonding Jumper. Inspection Report W/I SW SW

A.9 Service Electric Motors

A.9.1. Check resistance temperature detector (RTD) circuit for conformance with drawing. Inspection Report W SW SW
Check whether those mastering or relaying devices using the RTD's are of the

proper rating PP-EL-EE-005 PP-EL-EE-005Manuak Book

A.9.2. Check wether the motor space heater is operation Inspection Report W SW SW
A.9.3. Check Perform a rotation test to ensure proper shaft direction Inspection Report W SW SW
 PAGE : 31 OF 3

Doc. No.
PT. ADHI KARYA (Persero) Tbk Revision No.
Revision Date

INSPECTION & TEST PLAN Prepared by

Reviewed by
Approved by
Description : ELECTRICAL Legend : I : Information & Verification Report
Contract No. : 8543-OK R : Review & Comment
Owner : PT. CHEVRON PACIFIC INDONESIA W : Witness Inspection
A : Approved Document
H : Hold Point
SW : Spot / Witness Inspection
D : Verification by report

REFERENCE VERIFYING

TF-FPM
ACCEPTANCE
NO. INSPECTION / TEST ITEM

CPI
CRITERIA
DOCUMENT(S) DOCUMENT

AK
A.10 Check and Service Relay Control
A.10.1. Inspect thermostat and timing relay for phisical damage ,such as broken wires & Inspection Report W/I SW SW
defective thermostat and timing relays
A.10.2. Inspect the contact to see they are not greasy or dirty STD-DPNL-00/Manufacture Inspection Report W SW SW
STD-DPNL-00
data/ Manual Book
A.10.3. Inspect & cleaning presence of foreign material or moisture Inspection Report W SW SW
A.10.4. Check Relays are in Good Condition Inspection Report W/I SW SW

A.11 AREA HOUSEKEEPING Contract Document Contract Document - I/W SW W/A

Inspection Report,
A.12 FINAL INSPECTION Contract document no punch list I/W SW SW
punch list
A.13 DOCUMENTATION Contract Document Contract Document - I/D R A
 PAGE : 32 OF 3

: W53-8543-OK-ITP-01F
:1
: 19/08/2008
: PT. ADHI KARYA
: TF-FPM
: [Link]
I : Information & Verification Report
R : Review & Comment
W : Witness Inspection
A : Approved Document
H : Hold Point
SW : Spot / Witness Inspection
D : Verification by report

REMARK
 PAGE : 33 OF 3

: W53-8543-OK-ITP-01F
:1
: 19/08/2008
: PT. ADHI KARYA
: TF-FPM
: [Link]
I : Information & Verification Report
R : Review & Comment
W : Witness Inspection
A : Approved Document
H : Hold Point
SW : Spot / Witness Inspection
D : Verification by report

REMARK
 PAGE : 34 OF 3

: W53-8543-OK-ITP-01F
:1
: 19/08/2008
: PT. ADHI KARYA
: TF-FPM
: [Link]
I : Information & Verification Report
R : Review & Comment
W : Witness Inspection
A : Approved Document
H : Hold Point
SW : Spot / Witness Inspection
D : Verification by report

REMARK
 DOC. NO.
W53-8543-OK-ITP-01G
INSPECTION TEST & PLAN
( ITP )
REV. 02
SHEET 0 OF 3

INSPECTION TEST & PLAN ( ITP )

INSTRUMENT

CONTRACT NO. : PACKAGE C NO. 8543 OK

USER : PT. CHEVRON PACIFIC INDONESIA

PROJECT : CONSTRUCTION SERVICES - WORK UNIT RATE

Prepared By: Checked By: Approved By:

AK-QA/QC TF-QA/QC CPI

)

K UNIT RATE

Approved By:

CPI
 pAGE : 37 OF52

Doc. No.
PT. ADHI KARYA (Persero) Tbk Revision No.
Revision Date

INSPECTION & TEST PLAN Prepared by

Reviewed by
Approved by
Description : INSTRUMENT Legend : I : Information & Verification Report
Contract No. : 8543-OK R : Review & Comment
Owner : PT. CHEVRON PACIFIC INDONESIA W : Witness Inspection
A : Approved Document
H : Hold Point
SW : Spot / Witness Inspection
D : Verification by report

TF-FPM
REFERENCE ACCEPTANCE VERIFYING
NO. INSPECTION / TEST ITEM

CPI
CRITERIA

AK
DOCUMENT(S) DOCUMENT
A REVIEW QUALITY DOCUMENT, SPECIFICATION AND PROCEDURE Contract Document CPI Spec. and Procedure Approved Project I/R R A

B PRE INSPECTION BEFORE DISCONNECT LINE /EQUIPMENT SP-IN-II-001 SP-IN-II-001 Inspection Report W SW SW
a. Identification Check
b. Check connected tubing, cable and Tag number instrument with equipment

C PANEL BOX Inspection Report W SW SW

a. Clean up panel box SP-IN-II-004/ no missing
SP-IN-II-004
b. Check connetion cable / tag number cable cable and tag number
c. Check lamp indicator/ pass button

D DISCONNECT CABLE (BEFORE CLEAN UP, REPAIR & REPLACE) Inspection Report W SW SW
a. Dismantle Pressure Gauge SP-IN-II-001/
SP-IN-II-001 Manufacture Data /
b. Disconnect diffrential transmitter and flow transmitter Manual Book
c. Disconnect cable to limit swith / micro swith of control valve

E CLEAN UP, REPAIR, REPLACE & CALIBRATE

1 Inspect Air Regulator Inspection Report W SW SW
a. Clean Up Air Regulator
SP-IN-II-016/SP-IN-II-
b. Inspect Visual check at Regulator, Internal Part and bolt in Good condition. SP-IN-II-016/SP-IN-II-
001/Manufacture Data
c. Inspect All Bolts tightly Correctly 001
Manual Book
d. Inspect connecting tubing to air regulator
e. Replace air regulator

2 Clean Up and Calibrate of Pressure Gauge Inspection Report W/I SW SW

a. Inspect Pressure Gauge Housing in Good Condition SP-IN-II-001 /SP-IN-II-
SP-IN-II-001 /SP-IN-II-
003/Manufacture Data
b. Inspect Re-Install Pressure Gauge. 003
Manual Book
c. Set the Pointer zero before Presssurizing
 pAGE : 38 OF52

Doc. No.
PT. ADHI KARYA (Persero) Tbk Revision No.
Revision Date

INSPECTION & TEST PLAN Prepared by

Reviewed by
Approved by
Description : INSTRUMENT Legend : I : Information & Verification Report
Contract No. : 8543-OK R : Review & Comment
Owner : PT. CHEVRON PACIFIC INDONESIA W : Witness Inspection
A : Approved Document
H : Hold Point
SW : Spot / Witness Inspection
D : Verification by report

TF-FPM
REFERENCE ACCEPTANCE VERIFYING
NO. INSPECTION / TEST ITEM

CPI
CRITERIA

AK
DOCUMENT(S) DOCUMENT
d. Calibrate of pressure gauge

3 Check and Service Solenoid Valves Inspection Report W SW SW

a. Chect Internal Valve Parts Includes Valve Strainers/ Filter and Coil Selenoids are SP-IN-II-016/SP-IN-II-
SP-IN-II-016/SP-IN-II-001 001/Manufacture Data/
in good Condition.
Manual Book
b. Check the Coil Selenoid with Multi-Tester.

4 Clean Up, Leak and Function Test of Control Valve Inspection Report W/I SW W
a. Leak test and stroke test of control valve Leak Test Procedure/ SP-IN-II-016/PP-QC-
b. Check indicator direction (open / close position)
SP-IN-II-016/PP-QC- GG-002/003/ API-598
GG-002/003 Para 3.9/ Manual Book

c. Bolt / Nut tightening & use Anti Seize Compound PP-PI-PP-008 PP-PI-PP-008 Inspection Report I/W SW SW

5 Clean Up and Function Test of Limit Switch Inspection Report W SW SW

a. Inspect Pressure Switch Cable the Part Inside the Housing and Switch Body in Good SP-IN-II-001 /SP-IN-II- SP-IN-II-001 /SP-IN-II-
Condition.
003 003/ Manual Book

b. Check coppler of control valve

6 Clean Up and Function Test of Difrential Transmiter Indicator & Inspection Report W SW SW
SP-IN-II-001 /SP-IN-II- SP-IN-II-001 /SP-IN-II-
Flow Transmitter Indicator 003 003/ Manual Book

7 Clean Up and Calibration Transmitter and Analog Output Loop Test Inspection Report W SW SW
SP-IN-II-003/SP-IN-II- SP-IN-II-003/SP-IN-II-
a. Check Transmitter Body, Inside Parts, Bolts, Transmitter Lid are in Good Condition 004 004/ Manual Book
 pAGE : 39 OF52

Doc. No.
PT. ADHI KARYA (Persero) Tbk Revision No.
Revision Date

INSPECTION & TEST PLAN Prepared by

Reviewed by
Approved by
Description : INSTRUMENT Legend : I : Information & Verification Report
Contract No. : 8543-OK R : Review & Comment
Owner : PT. CHEVRON PACIFIC INDONESIA W : Witness Inspection
A : Approved Document
H : Hold Point
SW : Spot / Witness Inspection
D : Verification by report

TF-FPM
REFERENCE ACCEPTANCE VERIFYING
NO. INSPECTION / TEST ITEM

CPI
CRITERIA

AK
DOCUMENT(S) DOCUMENT
F CONNECTING CABLE (AFTER CLEAN UP, REPAIR, REPLACE AND Inspection Report W SW SW
CALIBRATE)
1 Install / connect Pressure Gauge
SP-IN-II-001 /SP-IN-II- SP-IN-II-001 /SP-IN-II-
2 Install / connect diffrential and pressure transmitter 003/Tech. Spec/ Tech. 003/Tech. Spec/ Tech.
Drawing Drawing
3 Connect cable to limit swith of control valve
4 Connect tubing to controll valve

G FUNCTION TEST CONTROL VALVE (AFTER REFIT TO SISTEM) SP-IN-II-016 SP-IN-II-016 Inspection Report W/I SW W

H AREA HOUSEKEEPING Contract Document Contract Document - I/W SW W/A

Inspection Report,
I FINAL INSPECTION Contract document no punch list I/W SW SW
punch list
J DOCUMENTATION Contract Document Contract Document - I/D R A
 pAGE : 40 OF52

: W53-8543-OK-ITP-01 I
:1
: 19/08/2008
: PT. ADHI KARYA
: TF - FPM
: [Link]
I : Information & Verification Report
R : Review & Comment
W : Witness Inspection
A : Approved Document
H : Hold Point
SW : Spot / Witness Inspection
D : Verification by report

REMARK
 pAGE : 41 OF52

: W53-8543-OK-ITP-01 I
:1
: 19/08/2008
: PT. ADHI KARYA
: TF - FPM
: [Link]
I : Information & Verification Report
R : Review & Comment
W : Witness Inspection
A : Approved Document
H : Hold Point
SW : Spot / Witness Inspection
D : Verification by report

REMARK
 pAGE : 42 OF52

: W53-8543-OK-ITP-01 I
:1
: 19/08/2008
: PT. ADHI KARYA
: TF - FPM
: [Link]
I : Information & Verification Report
R : Review & Comment
W : Witness Inspection
A : Approved Document
H : Hold Point
SW : Spot / Witness Inspection
D : Verification by report

REMARK
 DOC. NO.
W53-8543-OK-ITP-01H

INSPECTION TEST & PLAN

REV. 0
SHEET 0 OF 3

INSPECTION TEST & PLAN ( ITP )

MECHANICAL

CONTRACT NO. : PACKAGE C NO. 8543 - OK

USER : PT. CHEVRON PACIFIC INDONESIA

PROJECT : CONSTRUCTION SERVICES - WORK UNIT RATE

Prepared by, Reviewed by, Approved by,

AK-QA/QC TF-QA/QC CPI
)

UNIT RATE

Approved by,
CPI
 PAGE : 47 OF 52

Doc. No.
PT. ADHI KARYA (Persero) Tbk Revision No.
Revision Date

INSPECTION & TEST PLAN Prepared by

Reviewed by
Approved by
Description : MECHANICAL Legend : I : Information & Verification Rep
Contract No. : 8543-OK R : Review & Comment
Owner : PT. CHEVRON PACIFIC INDONESIA W : Witness Inspection
A : Approved Document
H : Hold Point
SW : Spot / Witness Inspection
D : Verification by report

REFERENCE ACCEPTANCE VERIFYING

CPI
NO. INSPECTION / TEST ITEM CRITERIA

AK
DOCUMENT(S) DOCUMENT

TF
A REVIEW QUALITY DOCUMENT, SPECIFICATION AND PROCEDURE

CPI Spec. and

1 Review contract specifications, and Class requirements, finalise deviations, amendments or queries Contract Document Approved Project
Procedure I/R R A
2 Construction Drawing

3 Mechanical Specification
B MECHANICAL EQUIPMENT
Procedure/ Manufacture
1 Equipment receiving and Identifications SP-ME-ME-001 ~ 026 Inspection Report W SW SW
data

Check equipment is identified, conforms to Delivery Note and has all associated documentation

Procedure/ Manufacture
2 Equipment Inspection SP-ME-ME-001 ~ 026 Inspection Report W SW SW
data/ Material Certificate
Check material condition, quantity, size, type are as per specification
Manual Book/Storage
3 Yard stock items SP-ME-ME-001 ~ 026 Inspection Report W SW SW
Procedure
Check material size, condition, quantity, type and specification
4 Equipment preservation / maintenance SP-ME-ME-001 ~ 026 CPI Spec. and Procedure Inspection Report W SW SW
Preserve an maintain as per CLIENT Instruction

Procedure/ Manufacture
5 Non-Conforming Equipment SP-ME-ME-001 ~ 026 Inspection Report W SW SW
data/ Material Certificate

Deficiency note shall be raised to material / equipment department that doesn't conform to
specification, defective material to be segregated to quarantine area or inspection status identified
 PAGE : 48 OF 52

Doc. No.
PT. ADHI KARYA (Persero) Tbk Revision No.
Revision Date

INSPECTION & TEST PLAN Prepared by

Reviewed by
Approved by
Description : MECHANICAL Legend : I : Information & Verification Rep
Contract No. : 8543-OK R : Review & Comment
Owner : PT. CHEVRON PACIFIC INDONESIA W : Witness Inspection
A : Approved Document
H : Hold Point
SW : Spot / Witness Inspection
D : Verification by report

REFERENCE ACCEPTANCE VERIFYING

CPI
NO. INSPECTION / TEST ITEM CRITERIA

AK
DOCUMENT(S) DOCUMENT

TF
Procedure/ Manufacture
6 Equipment Substitution SP-ME-ME-001 ~ 026 Inspection Report W SW SW
data/ Material Certificate
Material / equipment substitution shall be raised and submit to CLIENT for approval

Procedure/ Manufacture
7 Refurbished Equipment SP-ME-ME-001 ~ 026 Inspection Report W SW SW
data/ Material Certificate

Identify, Inspect, Overhaul & Retest, CLIENT instruction as agreed by

Tech. Spec / Approved

C EQUIPMENT FOUNDATION SP-ME-ME-001 ~ 026 Inspection Report W SW SW
Drawing
Check material to be used as per specification
Check dimensions as per approved drawing
Check welding requirement & NDT as per specification Welding Procedure PQR/WPS Welding Report W SW SW

D EQUIPMENT INSTALLATION
Installation Check installation requirements and sequence including bolting / Manufacture Data /
1 Sequence SP-ME-ME-001 ~ 026 Inspection Report W SW SW
packing / torque settings Manual

Alignment and Approved Drawing /

2 Orientation
Check equipment, alignment vibration and orientation SP-ME-ME-001 ~ 026 Alignment Report W SW SW
Manual book

Check joint preparation, alignment and cleanliness of weld zone. If

3 Joint Fit-Up
applicable verify requirement for weld sequence.
SP-ME-ME-001 ~ 026 Approved Drawing Inspection Report W SW SW

4 Visual Inspection Check surface appearance and weld soundless. Check structural components SP-ME-ME-001 ~ 026 Visual Procedure Visual Report W SW SW

E MECHANICAL COMPLETION
 PAGE : 49 OF 52

Doc. No.
PT. ADHI KARYA (Persero) Tbk Revision No.
Revision Date

INSPECTION & TEST PLAN Prepared by

Reviewed by
Approved by
Description : MECHANICAL Legend : I : Information & Verification Rep
Contract No. : 8543-OK R : Review & Comment
Owner : PT. CHEVRON PACIFIC INDONESIA W : Witness Inspection
A : Approved Document
H : Hold Point
SW : Spot / Witness Inspection
D : Verification by report

REFERENCE ACCEPTANCE VERIFYING

CPI
NO. INSPECTION / TEST ITEM CRITERIA

AK
DOCUMENT(S) DOCUMENT

TF
Manufacture Data /
Check alignment coupling and piping SP-ME-ME-001 ~ 026 Inspection Report W SW SW
Manual
Approved Drawing /
Check holding bolt & locking nuts and support arrangement SP-ME-ME-001 ~ 026 Inspection Report W SW SW
Manual book
Approved Drawing /
Check cables and electrical connection SP-ME-ME-001 ~ 026 Manual book / all Inspection Report W SW SW
connection tight

Check pipe, tubing and valves connection and safety valve settings as Approved Drawing /
necessary SP-ME-ME-001 ~ 026 Inspection Report W SW SW
Manual book / no leak

Check Instrumentation connection SP-ME-ME-001 ~ 026 Tight / no leak Inspection Report W SW SW

Ensure system is completed and that all punchlist items are completed and
sign-off SP-ME-ME-001 ~ 026 punch list cleared Inspection Report W SW SW

Approved Drawing /
G REFURBISHMENT EQUIPMENT SP-ME-ME-001 ~ 026 Manual book / Inspection Report
manufacture data W/I SW SW

H AREA HOUSEKEEPING Contract Document Contract Document - I/W W W/A

CPI ENGINEERING Inspection Report,

I FINAL INSPECTION PROJECT SPECIFICATION no punch list I/W W SW
punch list

J DOCUMENTATION Contract Document Contract Document - I/D R A

 PAGE : 50 OF 52

: W53-8543-OK-ITP-01 H
:0
: 12/09/2008
: PT. ADHI KARYA
: TF-FPM
: [Link]
I : Information & Verification Report
R : Review & Comment
W : Witness Inspection
A : Approved Document
H : Hold Point
SW : Spot / Witness Inspection
D : Verification by report

REMARK
 PAGE : 51 OF 52

: W53-8543-OK-ITP-01 H
:0
: 12/09/2008
: PT. ADHI KARYA
: TF-FPM
: [Link]
I : Information & Verification Report
R : Review & Comment
W : Witness Inspection
A : Approved Document
H : Hold Point
SW : Spot / Witness Inspection
D : Verification by report

REMARK
 PAGE : 52 OF 52

: W53-8543-OK-ITP-01 H
:0
: 12/09/2008
: PT. ADHI KARYA
: TF-FPM
: [Link]
I : Information & Verification Report
R : Review & Comment
W : Witness Inspection
A : Approved Document
H : Hold Point
SW : Spot / Witness Inspection
D : Verification by report

REMARK