Itp Structure

8/10/2019 Itp Structure

1/47

ATTACHMENT 7.1

Project Inspection and Test Plan-SITE

CIVIL AND STRUCTURE


2/47

Discipline Legend

H : Hold Point A : AProject Title : P&G PROJECT W : Witness R : R

Job No : p : Perform M : M

Description : Project Inspection and Test Plan-Site

Equipment Tag No. : -

Location : -

a.

b.

c.

d.

e.

a.

b.

c. Dimensional, Welding, NDT, and Coating Inspection Inspect

As applicable WPS/PQR,NDT procedure

- SNO-S-ES-002 Standard Specification for

Stuctural Steel Construction

Comply with sp

Welder Performance test Inspect As applicable WPS/PQR Comply w

8.3 Inspection During Fabrication

WPS/PQR Qualification Test Inspect As applicable WPS/PQR Comply w

8.2 Material Inspection Inspect- SNO-S-TS-001 Specification for structural

steel material Comply w

Chipping and Padding Work Review- SNO-S-ES-002 Standard Specification for

Stuctural Steel ConstructionComply with s

Grouting Work Review- SNO-C-ES-015 Standard Specification for

Grouting of stuctural and equipmentComply with s

General Structure Erection Work Review- SNO-X-PR-007 Steel Structure Erection

ProcedureComply with s

General Fabrication Work Review-SNO-S-TS-002 Specification Standard for

structural steel fabricationComply with s

8.1 Procedure

Welding Procedure Specification / Procedure

Qualification Record ( WPS/PQR )Review As applicable WPS/PQR Comply with s

8 STEEL STRUCTURE

PROJECT INSPECTION & TES

STEEL STRUCTURE

No. DESCRIPTIONINSPECTION

METHODREFERENCE DOCUMENT ACCEPTANCE


3/47

Discipline Legend

H : Hold Point A :Project Title : P&G PROJECT W : Witness R :

Job No : p : Perform M :



Location : -

PROJECT INSPECTION & TES

STEEL STRUCTURE


METHODREFERENCE DOCUMENT ACCEPTANC

a.

b.

c.

d.

e.

1.

2.

3.

4.

5.

6.

f.

f.

Steel erection work8.5

Steel Structure Installation Acceptance Inspect- SNO-S-ES-002 Standard Specification for

Stuctural Steel ConstructionComply w

Fire Proofing Inspect- SNO-S-ES-002 Standard Specification for


Grout test (compressive strength) Inspect- SNO-C-ES-015 Standard Specification for

Grouting of stuctural and equipmentComply w

Cleaning prior to placing Inspect- SNO-C-ES-015 Standard Specification for


Anchor bolts and embedded items Inspect- SNO-C-ES-015 Standard Specification for

Grouting of stuctural and equipmentComply with

Form-work Inspect- SNO-C-ES-015 Standard Specification for

Grouting of stuctural and equipmentComply with

Mixing proportion Inspect

- SNO-C-ES-015 Standard Specification for

Grouting of stuctural and equipment Comply w

Material Inspection Inspect- SNO-C-ES-015 Standard Specification for


Welding and NDT Inspection Inspect

As applicable WPS/PQR,NDT procedure

- SNO-S-ES-002 Standard Specification for

Stuctural Steel Construction

Comply w

Grouting Work

Bolt Tightening Inspect- SNO-S-ES-002 Standard Specification for


Plumbness check Inspect Comply with

8.4 Installation

Chipping and Padding check Inspect- SNO-S-ES-002 Standard Specification for

Stuctural Steel ConstructionComply with


4/47

Discipline Legend

H : Hold Point A :Project Title : P&G PROJECT W : Witness R :

Job No : p : Perform M :



Location : -

PROJECT INSPECTION & TE

STEEL STRUCTURE


METHODREFERENCE DOCUMENT ACCEPTAN

a.

b.

c.

1.

2.

3.

d.

1.

e.

f.

1.

2.

3.

4.

5.

Form Code : SNO-Q-FM-0039 Rev.0

Inspect Comply

Inspect Comply

Inspect Comply

Overlap joint sheet Inspect Comply

Inspect Comply

3. Damage

Inspect all Roofing/Walling & accessories after

installation, Including:

Visual (cleaning) Inspect Comply

Connection metal Sheet ( Sheet to Sheet)

Inspect Comply

Inspect Comply

1. hard Stamping

Inspect Comply

Inspect Comply

Inspect all Roofing/Walling work for:

4. Complete to marking plan

Inspect Comply3. Touch up paint & Cleaning

Inspect Comply

Inspect Comply

2. Tension of Bolts

Aligment of Structure

Inspect All Steel work After erection,including: Inspect Comply

Complete to marking plan Inspect Comply

Touch up paint & Cleaning

Tension of Bolts Inspect Comply

Inspect Comply

3. Paint touch up later concealed areas

Inspect all steel work after Modules Ground

Assembly, Including:

Inspect ComplyInspect Comply2. Damage

Prepare JSEA Inspect Approv

Complete to marking plan

Joint plashing, Silent, Gutter

Inspect Comply

Inspect Comply

2. Quantity

Inspect Comply

1. Hard Stamping Inspect Comply

Inspect all steel work ( Handling Material Process) Inspect Comply


5/47

Project Title Senoro Gas Development Project Sub-Contractor

Job No 9608/SU2573 Report No.

Client JOB Pertamina Medco E & P Tomori Sulawesi Date DD/MM/YYMain Contractor Tripatra-Samsung Consortium Page of

(Client Name) : Attn. Mr.

Project Manager

Gentlemen,

We would like to have your presence for inspection according to the following schedules.

Date and time Place/Area Inspection Item Remarks

Piping Civil Instrument Mechanical

Pipeline Structural Electrical

COMMENT :

Name

Sign Date

Job TitleForm Code : SNO-Q-FM-0001 Rev.0

Signature

REQUEST FOR INSPECTION

Involvement Party Performed By Approved By Reviewed By TPI (If applicable)Sub-Contractor TSC JOB PMTS

(subcon

logo)


6/47



Client JOB Pertamina Medco E & P Tomori Sulawesi Date DD/MM/YY

Main Contractor Tripatra-Samsung Consortium Page of

Material Arrival Date :

PO.No. / Packing List No :

Mill Certificate

Conform to

- Chemical Composition

- Mechanical Properties

Note:

1) If Necessary

2) Put check mark () on the selected result.

Name

Sign Date


TPI (If applicable)Sub-Contractor TSC JOB PMTS

Signature

4 Other

Involvement PartyPerformed By Approved By Reviewed By

2

3 Manufacturer Data Sheet1)

1 Visual

Surface Condition

Dimension

EQUIPMENT /MATERIAL RECEIVING INSPECTION

REPORT

NO. INSPECTION ITEMRESULT

2)

RemarksACCEPTED REJECTED

(subcon

logo)


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Main Contractor TRIPATRA-SAMSUNG CONSORTIUM Page of

Location :

1. Type Inspection Item :

Inspection / Test /Examination / Check

2. Inspection Report :

`

3. Remarks :

Supporting document attached

YES NO

Name

Sign Date


Signature

INSPECTION REPORT

Performed By Approved By Reviewed By

Involvement Party Sub-Contractor TSC JOB PMTS

TPI(If applicable)

(subcon

logo)


8/47





REFERENCES :

Item Name : Location :

Drawing No. :

Revision :

Sheet : Of

E = East

N = North

Signature

Sign Date


Involvement

Party Sub-Contractor TSC JOB PMTS

TPI(If applicable)

Signature

E

E

E

N

N

DESCRIPTION

E

N

No.

N

E

N

N

N

N

E

E

E

E

N

N

N

SURVEY REPORT


RemarksPlan Actual Difference

ElevationCoordinate

Plan Actual Difference

E

E

(subcon

logo)


9/47





REFERENCES :

Drawing No. : Location :

Revision :

Sheet :

COMMENT :

Name

Sign Date


Approved Reviewed

TPI(If applicable)

Involvement Party

Signature

Sub-Contractor TSC JOB PMTS

Remarks

STABLE EXISTING AREA FOR SUPPORT THE WEIGHT OF HAULING EQUIPMENT

TSCItem of Inspection

Result

Cut off flush of selected trees without

removing its roots

EXISTING AREA / LOW SWAMPY

Other unsatisfactory soil material

removal

Organic soil material removal and

disposal

Accepted Sub-ConRejected

Trees, brush, stump and resting

vegetation removal and disposal.

CLEARING AND GRUBBING INSPECTION REPORT

Performed By Approved By Reviewed by

Quality of Cleaning.

Demolition, relocation, elevation and

protection of existing facilities.

JOB PMTS

(subcon

logo)


10/47




Main Contractor TRIPATRA-SAMSUNG CONSORTIUM Page of From KP ... To KP

REFERENCES :


Revision :

Sheet :

Name

Sign Date

Job Title


Involvement


TPI

(If applicable)

COMMENT

Quality Cleaning of Bottom Surface

Dewatering

Safety regarding excavation works,

confirmed and Protection of Slope

Depth of Excavation, confirmed

Result

Sub-Con TSC JOB PMTSAccepted

ReviewedApproved

Rejected

Investigation of Existing under-ground

Facilities

Demolition or Protection of Existing Facility

RemarksItem of Inspection

Signature

EXCAVATION INSPECTION REPORT


Line, Slope and Grades according to

approved drawing

Setout location, based on shop drawing andendorsed Benchmark

(subcon

logo)


11/47





REFERENCES :


Revision :

Sheet :

Legend Supporting document attachedLS : Lime StoneCLY : Clay Silt YES NO

SCLY : Sandy Clay

COMMENT

Name

Sign Date


b.

4 VISUAL SOIL MATERIAL PLASTICITY

5 COHESIVENESS OF SOIL MATERIAL

Cohesive / Little Cohesive / Loose

Cohesive / Little Cohesive / Loose

a.

NO INSPECTION ITEMS

LS / CLY / SCLY

LS / CLY / SCLY

DISTRIBUTION QUALITY OF MATERIAL2

QUALITY OF MATERIAL USED1

REMARKS(Sub-Con) TSC JOB PMTS

REVIEWEDAPPROVED

TPI

a.

b.

c.

LS / CLY / SCLY

3 VISUAL SOIL MATERIAL GRADATION

7 SLOPE PROTECTION

6 CLEANING ( REMOFAL OF TRASH, DEBRIS )

c. Cohesive / Little Cohesive / Loose

BACKFILL MATERIAL INSPECTION REPORT

Performed by Approved by Reviewed By

Signature

Involvement


(subcon

logo)


12/47





REFERENCES :


Revision :

Sheet :

Total Unit : pc(s)

Running Unit : pc(s)

Stand Unit : pc(s)

Total Unit : pc(s)

Running Unit : pc(s)

Stand Unit : pc(s)

COMMENT

Name

Sign Date


Rejected

Accepted

Water Quantity Due to Wet

Compaction Check

Water Source Check

Accepted

TSC JOB PMTSREMARKS

Rejected

NO INSPECTION ITEMS

Fill material quality

2

1

Accepted

RESULT

Rejected (Sub-Con)

REVIEWEDAPPROVED

Optimum water content

Vibratory Compactors

8

7 Compactor trip number

EQUIPMENT

COMPACTION INSPECTION REPORT

Approved By Reviewed By

Sheep Foot Compactors

Area location marking for layer

thickness

Soil spreading methods

Thickness of loose soil

Water spreading methods

Compaction test number for

covered area

3

4

5

6

Signature


Involvement

Party

TPI

(If applicable)

Performed By

(subcon

logo)


13/47



Client JOB Pertamina Medco E & P Tomori Sulawesi Date DD/MM/Main Contractor TRIPATRA-SAMSUNG CONSORTIUM Page

Date Of Test

Test No.

Type of Layer

Location Of Test

Weight of Sand + Cone + Jar ( before ) gram a

Weight of Sand + Cone + Jar ( after ) gram b

Weight of Sand in Hole + Cone gram c

Weight of Sand in Cone gram d

Weight of Sand in Hole gram e=c-d

Unit Weight of Sand gram/cm3

fVolume Of Hole cm3 g=e/f

Weight of Wet Soil + Container gram i

Weight of Dry Soil + Container gram j

Weight of Water gram k=i-j

Weight of Container gram l

Weight of Dry Soil gram m=j-l

Moisture Content % n=(k/m)x100

Weight of Soil from Hole + Container gram o

Weight of Container gram p

Weight of Soil from Hole gram q=o-p

WET DENSITY gram/cm3 r=q/g

DRY DENSITY gram/cm3 s=r/(1+(n/100))

Maximum LAB DENSITY gram/cm3 t

Optimum Moisture Content % u

Present Compaction % v=(s/t)x100

Remarks :

Name

Sign Date

Job Title

Form Code : SNO Q FM 0009 1 Rev 0

13

14

9

1 2

Container No.UNIT FORMULAMOISTURE CONTENT DETERMENATION

VOLUME DETERMINATION UNIT FORMULA

Container No.

Vibro smooth drum = ..X 2 passing Vibro smooth drum = ..X 2 passing

A B

Sheep foot = .X 2 passing Sheep foot = ..X 2 passing

1

2

3

4

Container No. Container No.

1

5

5

4

3

76

2

6

DENSITY DETERMENATION UNIT FORMULA21

7

8

10

11

12

FIELD DENSITY TEST (SAND CONE METHOD)

Performed By Approved By Reviewed ByInvolvement Party

Signature


TPI(If Applica

(sub

log


14/47




Main Contractor TRIPATRA-SAMSUNG CONSORTIUM Page o

Min soil Density :

Compactor Trip :

Compactor Trip :

Name

Sign DateJob Title

Form Code : SNO-Q-FM-0009-2 Rev.0

RENo.Date of

Test

DRY

DENSITY

(gr/cm3)

WET

DENSITY

(gr/cm3)

WATER

CONTENT

(gr/cm3)

LOOSE SOIL

THICKNESS (mm)TEST NO / LAYER / ELEVATION RESULT (%)

SUMMARY SAND CONE TEST REPORT

Involvement PartySub-Contractor TSC JOB PMTS

TPI(If Applicabl

Signature

Performed by Approved by Reviewed By

(sub

log


15/47





Drawing No : Hammer Type :

Point No : Weight of RAM :

Total Length of Pile : Type of Pile :

Location :

JUDGEMENT

The piles under tested are

ACCEPTED REJECTED

according to selected standards, code and specification.

Attachment

1)

2)

3)

Name

Sign Date

Job Title

Form Code: SNO-Q-FM-0010 Rev.0

Signature


PILE DRIVING ANALYZER (PDA) TEST REPORT

Perform By Approved By Reviewed ByInvolvement Party

TPI(If applicable)

Test

Load

PointDate / Time Pile StatementNo

Reading

Static Load

Capacity

Pile

Stress

Pile Energy

TransferPile

Integrity

(subcon

logo)


16/47


17/47




Main Contractor TRIPATRA-SAMSUNG CONSORTIUM Page of PILE SPECIFICATION ITEM NO. :

Number : LOCATION :

Diameter : PILE DRIVING TYPE :

Length : HAMMER SPECIFICATION

Weight : Type :

Weight :

DRIVING Drop Height :

Start/ End : CUSHION

Delay : Material Type :

Splicing Joint I : Thickness :

Joint II : Final Set : cm / blow

Joint III : Settlement : cm/blow

PENETRATION

Name

Sign Date

Job TitleForm Code : SNO-Q-FM-0011-1 Rev.0

Signature

31

50

Approved By50

44

Performed By Reviewed By

50

50

50

1

50

14

PENETRATION

Involvement PartyTPI

(If applicable)TSCSub-Contractor JOB PMTS

50

50

50

3

50

50 50

15

16

50

5 18

4 17

50

29

50

30

50

41

DRIVING RECORD

13

m cm

2

50

28

5050

4027

0

PENETRATION BLOW

COUNTm cm

BLOW

COUNTm cm

26

50

39

5050

BLOW COUNTPENETRATION BLOW

COUNTm cm

50

50

50

50

50

50

50

50

43

50

42

50

45

46

47

48

49

50

50

50

50

50

50

PILE DRIVING RECORD

50

50 50

6

7

8

9

10

11

12

50

50

50

50

50

50

50

50

50

50

50

50

51

19

20

23

24

21

22

25

32

33

34

35

36

37

38

(subcon

logo)


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PILE DRIVING RECORD

(subcon

logo)


19/47



Client JOB Pertamina Medco E & P Tomori Sulawesi Date DD/

Main Contractor TRIPATRA-SAMSUNG CONSORTIUM Page

1 :

2 :

2 :

3 :

3 :

4 :

4 :

5 :

NOTES :

1) FORMAT MM/DD/YY

2) FORMAT HH:SS

Name

Sign Date


APPROVED REVIEW

Signature

Involvement PartyT

(If appSub-Contractor TSC JOB PMTS

Accepted Rejected SUB-CON TSC

WELDING INSPECTION

JOINT

NO

WEATHER

CONDITION JOB PM

RESULTDATE

1)START /

FINISH2)PILE NUMBERPOINT NO.

WELDING INSPECTION REPORT (PILE)



20/47




Main Contractor TRIPATRA-SAMSUNG CONSORTIUM Page 1 of 2

STD REFERENCE : TESTING DATE :

MATERIAL : SAMPLING DATE :

SOURCE : PIC :

SUPPLIER : TESTING DATE :

Visual Test (Color)


Total

Sand Equivalent

ResultSieve No. mm

Weight

Retain Parameter

Absorption

PassingTotal

Weight% Retain

ASTM C33

min max

Washing Loss

Silt Content

Spec.

Additional Test

Specific Gravity

Sedimentation

Clay Lumps & Friable

Organic Impurities

FINE AGGREGATE (subconlogo)


21/47

FINE AGGREGATE (subconlogo)





STD REFERENCE : TESTING DATE :

MATERIAL : SAMPLING DATE :

SOURCE : PIC :

SUPPLIER : TESTING DATE :

Silt Content

Washing Loss

Sedimentation

Clay Lumps & Friable

Organic Impurities

Visual Test (Color)

NameSign Date


Involvement Party

Signature

TPI(If applicable)Sub-Contractor TSC JOB PMTS

Total

minSieve No. mm

Weight

Retain max Parameter Spec. Result

ASTM C33 Additional TestTotal

Weight

%.

RetainPassing

Specific Gravity

Absorption

max 12%

max 3%

max 3%


22/47





DESIGN MIX :

Slump : mm

W/C Ratio :

Cement : Kg/m3

Fly Ash : Kg/m3

Silica Fume : Kg/m3

Fine Aggregates : %

COMPOSITION FOR 1 CuM (SSD CONDITION)

Water : L

CementType : Kg

Fly Ash : Kg

Silica Fume : Kg

Admixture : L

Retarder : L

Superplasticise : L

Other : L

AGGREGATES VOLUME

Aggregates : Kg

Sand 1 : Kg

Sand 2 : Kg

Gravel - 01 : KgGravel - 02 : Kg

Gravel - 03 : Kg

Total : Ton

Density : T/CuM

Name

Sign Date


Sub-Contractor TSC JOB PMTSTPI

(If applicable)

Signature

Involvement Party

MIX DESIGN CONCRETE


(subcon

logo)


23/47





Equipment / Location :

Drawing no :

Revision :

Sheet :

Surveying Location

Elevation

Plumbness

Rebar Diameter Bending Footing/Pedestal

Lap LengthSurface Cleaning of Rebar

Rigidity

Form Work Dimension Alignment Footing/Pedestal

Form Oil Coating

Stability

Top Elevation

Chamfer Spacer

Concrete Cleaning Pouring Place Footing/Pedestal

Slump Test

Using Vibrator

Removal Laitance

Curing

Appearance of Surface

Anchor Bolt or Box Emb- Size Type Number

bedded Steel, Water Location Orientation Level

Stop Stability

Protection of Anchor Bolt Screw

Misc, Opening, Sleeve, Dimension, Location, Orientation, Material

etc

COMMENT

Name

Sign Date


RESULT

Accepted Rejected

Signature


FOUNDATION CHECK LIST


6

1

2

3

4

5

REMARKDESCRIPTION

TPI(If applicable)

NO

(subcon

logo)


24/47





Drawing No. : Equipment / Location :

Revision :

Sheet :

Design Mix : A(fc' = 35 Mpa) B (fc' = 28 Mpa)

: C(fc' = 20.7 Mpa) D (fc' = 10.3 Mpa)

Slump : Cm

Quantity : m3

APPROVED BY :

Civil

Piping

Mechanical

Electrical / Instrument

Survey

Engineering

WEATHER Sunny Cloudy Rainy

Placement Start Date : Time :

Placement Completed Dat : Time :

Number of Cube : QTY : (Nos)

Concrete Tested by :

REMARKS:

Name

Sign Date


Signature

CONCRETE POUR PERMIT


(Print name)

JOB SignaturesDiscipline

(Print name) DateDate

TSC Signatures


(If applicable)Sub-Contractor

REVIEWED BY

TSC JOB PMTS

(subcon

logo)


25/47

Project Title Senoro Gas Development ProjectJob No 9608/SU2573

Client JOB Pertamina Medco E & P Tomori Sulawesi

Main Contractor TRIPATRA-SAMSUNG CONSORTIUM

Testing Laboratory :

Name

Sign Date



Signature

CONCRETE COMPRESSIVE STRENGTH TEST REPORT

Performed By Approved By Reviewed B

ITEM

NOPOURING LOCATION

TESTCAST

Actual

Slump

(cm)

INSPECTION DATE AND REPORT OF TESTPOURING DATA AND DELIVERY

SAMPLE NO.

DATEWeight

( kg )

Cube Size

( p x l x t )

Cylinder

Size

( d x h )

AGE

(days)


26/47





Drawing No :

Revision :

Sheet :

COMMENT :

Name

Sign Date

Job Title



(If applicable)

Signature


RELEASE OF FOUNDATION


Attachment Document Hand Over

Acc Rej

No Document DescriptionStatus Attachment

Remark

3 Punch List report

1 Related Inspection Reports

2 Final Survey after pouring concrete

Equipment / Location Reference Document

THE ABOVE FOUNDATION HAS BEEN COMPLETED, AND COMPLIES WITH THE DRAWING REQUIREMENT,

ALL SURVEY'S HAVE BEEN COMPLETED WITHNESSED AND APPROVED

(subcon

logo)


27/47





SKETCH Drawing No :

Revision :

Sheet :

WPS/PQR Check : Visual Check :

Process : Dimension Check :

Electrode : NDT :

Parameter :

Welder ID :

Painting System :

Painting Brand :

Surface Preparation :

Primer / DFT :

Intermediate / DFT :

To / DFT :

TOTAL DFT :

Signature

Name

Sign Date



(If applicable)Sub-Contractor TSC JOB PMTS

DIMENSIONAL, WELDING, NDT & PAINTING

INSPECTION RECORD


#DIV/0!average

8

9

7

5

6

3

4

2

(Sub-Con) TSC

COATING / PAINTING INSPECTION RECORD

JOB PMTSRejected

1

DFT (micron) Actual

(micron)

RESULT

SAMPLE Std Tol Accepted



JOB PMTS(Sub-Con) TSC

TSC JOB PMTS

D

(Sub-Con)

WELDING & NDT INSPECTION RECORDS

E E

D

B

A

C

A

C

B

Tol

DIMENSION (mm)

Actual Rejected

RESULT

RejectedAcceptedMark Design

DIMENSION (mm) RESULT

Mark Design Tol Accepted

DIMENSIONAL INSPECTION RECORD

Actual


(subcon

logo)


28/47

Project Title Senoro Gas Development Project

Job No 9608/SU2573

Client JOB Pertamina Medco E & P Tomori Sulawesi

Main Contractor TRIPATRA-SAMSUNG CONSORTIUM

Discipline : RT : A

Request No. : UT :

Request Date : MT :

Area / Unit : PT :

Name

Sign Date


Involvement Party

Signature


NON DESTRUCTIVE EXAMINATION REQUEST


NO. Drawing Number Sheet Member Section No. Profile MaterialWelding

Process

Welder

StampShoot DRevision


29/47






Revision :

Sheet :

N :

E :

N :

E :

N :E :

N :

E :

N :

E :

N :

E :

N :

E :

N :

E :

N :

E :N :

E :

N :

E :

N :

E :

N :

E :

N :

E :

Name

Sign Date


Involvement Party

Signature


TPI

(If applicable)

PLUMBNESS INSPECTION REPORT


REMARKTOLERANCE

ACTUALTOP

ELEVATION BASE PLATE

BOT

STRUCTURE

NAMEPOSITION

PLAN

PLUMBNESS

DIFFERENCE

LOCATION

(subcon

logo)


30/47





Drawing No : Equipment / Location :

Revision :

Sheet :

NOTE :

Name

Sign Date


APPROVED REVIEWED

Signature

GROUTING INSPECTION REPORT

Performed By Approved By Reviewed ByInvolvement Party


CURING

BASE PLATE

LOCATION

SURFACE FINISHING

Accepted Rejected JOB PMTS

MIXING PROPORTION

SURFACE ROUGHNESS

(Sub-Con)NO CHECKING ITEM

RESULT

TSC

CLEANING

REMARKS

TOP ELEVATION OF FORM

WORK

CHAMFER

DIMENSION, ALIGNMENT &

STABILITY OF FORM WORK

(subcon

logo)


31/47





Drawing No : Equipment / Location :

Revision :

Sheet :

Name

Sign Date


BOLT TIGHTENING CHECK

Performed By Approved by Reviewed byInvolvement Party


Signature

STRUCTURE NAME BOLT SPEC./SIZETENSION STD.

(NM)

RESULTBOLT CHECK LOCATION

ACCEPTED REJECTED

(subcon

logo)


32/47





Drawing No :

Revision :

Sheet :

COMMENT :

Name

Sign Date

Job Title


Signature


(If applicable)TSCSub-Contractor JOB PMTS

RELEASE OF STEEL STRUCTURE INSTALLATION


2 Final Survey (Plumbness)

3 Punch List report

1 Related Inspection Reports

Attachment Document Hand Over

RemarkNo Document Description

Status Attachment

Acc Rej

Equipment / Location Reference Document

THE ABOVE STEEL STRUCTURE INSTALLATION HAS BEEN COMPLETED, AND COMPLIES WITH THE DRAWING

REQUIREMENT, ALL SURVEY'S HAVE BEEN COMPLETED WITHNESSED AND APPROVED

(subcon

logo)


33/47





Sample No. :

Source of Aggregate:

Name

Sign Date


Signature


(If applicable)TSCSub-Contrcator JOB PMTS

AGGREGATE GRADATION REPORT

( SIEVE TEST )


NOTE :

TOTAL

Inch mm Wt.Ret ( gr ) ( gr )

REMARKIndividual Wt.Ret

Pass

SAMPLE ISieve Size

% Ret % Pass Spec %

(subcon

logo)


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REFERENCES :


Revision :

Sheet :

Name

Sign Date


COMMENT

Check Thickness and Width of Gravelling

Signature

JOB PMTSTSCSub-ContractorTPI

(If applicable)Involvement Party

GRAVEL INSPECTION REPORT


Result

Rejected

Quality of Cleaning before Spreading

Quality of Cleaning after Spreading

Remarks

Condition of Compaction

JOB PMTSItem of Inspection

Accepted

ReviewedApproved

Sub-Con TSC

(subcon

logo)


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Location :

Test Date :

Ap=

Load= Reading x CF

CBR 0.1"

Corrected load x 100%

Ap x 1000 Psi

CBR 0.2"

Corrected load x 100%

Ap x 1500 Psi

Cf = Calibration Factor

Ap = Area of Plunger

Note :

Name

Sign Date


CALIFORNIA BEARING RATIO (CBR) INSITU


Remarks

900

1000

1100

Involvement Party

1200

1300

1400

Signature


TPI(If applicable)

150

Penetration Inc

x 10-2

450

500

600

400

Time second

200

250

300

700

800

Remarks

Cf=

50

0

1500

350

Reading x 10-2 Load (lbs)

100

(subcon

logo)


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Location :

Test Date :

CBR 0.1" = Remarks :

CBR 0.2" =

Name

Sign Date

Job Title


Signature

Involvement

Party

TPI



Penetration of Plunger ( inch )

CALIFORNIA BEARING RATIO ( CBR )REPORT

Load

(lbs)

(subcon

logo)


37/47






Revision :

Sheet :

COMMENT

Name

Sign Date


TPI


Signature

Reviewed ByApproved ByPerformed ByInvolvement

Party

SEWER PIPING AND DRAINAGE INSPECTION

REPORT

Result

JOB PMTSRemarks

Check Dimensional ( Location, Elevation &

Slope )

Accepted Rejected Sub-Con

Check Installation of Pipes

TSCItem of Inspection

Approved Reviewed

Concrete

Surface Finishing

Water Flow / Service test

Check Connection of pipe and manhole

(subcon

logo)


38/47






Revision :

Sheet :

COMMENT

NameSign Date


Involvement Party

Signature


BRICK INSPECTION REPORT

Performed By Approved by Reviewed By

Approved Reviewed

Location, wall centre, vertical board

Result

Finish of surface

Reinforcement and installation of accessories

(Horizontal Dowels, Veltical Dowels, etc)

Proportioning and Mixing Mortar

Location of door and windows

BRICK WORK

Sub-Con TSCRemarks

Installation of Column Practice

Rejected JOB PMTSAcceptedItem of Inspection

(subcon

logo)


39/47






Revision :

Sheet :

Name

Sign Date


Overlap Joint

TPI

(If applicable)

Signature


WATER PROOFING INSPECTION REPORT

Performed by Approved by Reviewed by

RemarksResult

JOB PMTSSub-ConItem of Inspection

TSC

Condition & Application of Material

COMMENT

Approved Reviewed

Leakage Test

Accepted

Surface Preparation

Rejected

(subcon

logo)


40/47






Revision :

Sheet :

Name

Sign Date


COMMENT

Functional Test

Signature

Involvement


DOORS & WINDOWS INSPECTION REPORT


Item of Inspection

Installation of Frames and doors & windows

Result

Accepted

TPI(If applicable)

RemarksJOB PMTSSub-Con TSCRejected

Approved Reviewed

Installation of Hardware

Fixed condition of glass

Condition of Cleaning

(subcon

logo)


41/47






Revision :

Sheet :

Name

Sign DateJob TitleForm Code : SNO-Q-FM-0032 Rev.0

Signature


TPI(If applicable)

Performed By Approved by Reviewed By

WALL , CEILING AND FLOOR INSPECTION REPORT

Surface

Flatness

Surface

Cleaning and Waxing

Condition of Joint

Condition of Cleaning

Layout and Pattern

Pattern and Layout of Installation

Condition of Joint

COMMENT

Painting

Condition Cleaning and Protection

III. FLOOR WORK

Treatment of Joint

RemarksItem of InspectionResult

Accepted JOB PMTSTSCSub-ConRejected

I. WALL FINISHING (Brick, Concrete, Gypsum or Partition)

Approved Reviewed

II. CEILING (Acoustic Board or Gypsum Board)

Setting Frame

Flatness

Painting or Wall Paper

(subcon

logo)


42/47






Revision :

Sheet :

Name

Sign Date


Approved Reviewed

TPI(If applicable)

Signature



PLUMBING & SANITARY FIXTURE INSPECTION

REPORT

TSC JOB PMTSRejectedItem of Inspection

Result

Check Location, Elevation & Slope

RemarksSub-ConAccepted

COMMENT

Function Test

Installation of Pipes

II. SANITARY FIXTURE

Equipment Location

I. PLUMBING WORK

Tightness of screw and / or bolts & nuts

Cleaning Condition

Connection of Sanitary Hardware to Pipe

Accepted

Alignment and Level of Installation

Water Flow & Service Test

(subcon

logo)


43/47





Drawing No. : Equipment / Location Name :

Revision :

Sheet :

Name

Sign Date


TPI(If applicable)

Involvement Party

Signature


ROOFING AND SIDING INSPECTION REPORT

Performed By Approved by Reviewed by

COMMENT

Installation of Roof & Accessories

Condition of Fastening

Lapped Joint ( Length & Width )

RemarksRejected

Item of InspectionResult

Accepted Sub-Con TSC JOB PMTS

Approved Reviewed

Installation of Framing

(subcon

logo)


44/47

SYSTEM / SUB SYSTEM NO. :SYSTEM DISCRIPTION :

TEST PACKAGE NUMBER :

REFERENCE DOC/DWG/SPEC. :

Category A - Item must be complete before Mechanical Completion The System at Approval of JOB Pertamina Medco E & P Tomori SulawesiCategory B - Item can be complete after Mechanical Completion The System at Approval of JOB Pertamina Medco E & P Tomori Sulawesi

Name

Sign Date

Job Title


DESCRIPTIONPLAN

Signature

Involvement PartySub-Contractor TSC

Performed by Approved by

GENERAL PUNCH LI

COMPLETION DATE

ACTUALORIITEM


45/47

Subcontractor Name :


INSPECTION, MEASUREMENT & TEST E

NO.EQUIPMENT / INSTRUMENT

IDENTIFICATION NO.

DESCRIPTION

SIZE-RANGE

MANUFACTURER

MODEL No.

MANUFACTU

NUM


46/47

Project Title : Senoro Gas Development Project

Job No : 9608/SU2573

Client : JOB Pertamina Medco E & P Tomori Sulawesi.

Main Contractor : Tripatra-Samsung Consortium

Sub-Contractor :

NO WELDER NAMEWELDER

STAMPWPS / PQR NO

STANDARD /

REFERENCES

TEST

BASE

METAL

JOINT

DISEGN

DIAMETER

(Inch)

TH


47/47

Project Title : Senoro Gas Development Project

Job No : 9608/SU2573

Client : JOB Pertamina Medco E & P Tomori Sulawesi.

Main Contractor : Tripatra-Samsung Consortium

Sub-Contractor :

Name

Sign Date

Signature

Involvement PartySub-Contractor TSC

WPS / PQR MATRIX

Performed By Approved by

NO DESCRIPTION WPS/PQR NOSTANDARD /

REFERENCES

TEST COUPON

BASE

METAL

JOINT

DISEGN

DIAMETER

(Inch)

THICKNESS

(mm)

WELDING

PROCESSESPOSITION

WELDING

PROGRESS

BAS

MET

Documents

Itp Structure