CONTRACT NO.

TANK DIOl.I
REPAIR AND CLEANING SERVICES PBL-2017-056

DOCUMENT NO.
38 Sheets
007/QC/Prod/FonnIG KP I 2017

FORM INSPECTION

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Rev. Date Description
PT. GATRA KILANG PERSADA PETROGAS PETROGAS
 FORM INSPECTION

]:J
I I TANK D101.1 REPAIR AND CLEANING
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sERVIcES
OGATRA
PBL-2017-056

TABLE OF CONTENT

1, FINAL DIMENSIONAL REPORT

2. FIT - UP INSPECTION REPORT

3. IN PROCESS DIMENSIONAL REPORT

4. LEAKTESTREPORT

5. WELDER LIST

o 6. iIATERIALIDENTIFICATION

7. SKECTH PLUMBNESS REPORT

8. SKECTH OF PEAKING & BANDING

9. PEAKTNG & BANDING REPORT

10. FIELD INSPEGTION REPORT

11. INSPECTION RECORD FOR SHEEL PLATE

12. INSPECTION RECORD FOR BOTTOM PLATE

13. INSPECTION RECORD FOR ROOF PLATE

14. VISUAL INSPECTION REGORD

15. FONDATION REPORT

16. LEVELNESS REPORT

17. INSPEGTION REPORT

18. MATERIAL TRACEABILIry

19. KALIBRASI

20. PLUMBNESS REPORT

21. ROUNDNESS INSPECTION REPORT

22. PNEUMATIC TEST REPORT

23. SEfiLEMENT REPORT

 FORM INSPECTION

TANK Dl01.1 REPAIR AND CLEANING

SERVICES
GATRA
PBL-2017-056

24, VACUUM TEST REPORT

25. WATER FILLING TEST REPORT
26. WELDING REGISTER

27. WELDING TRACEABILITY RECORD

28. REPORT DAILY AGTIVITY

29. REPORT WEEKLY AGTMry

30.
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REPORT i'ONTHLY ACTIVITY

WEATHER REPORT

32. CIRCUM INSPECTION REPORT

33. BLASTING & PAINTING REPORT

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Demikianlah hasii laporan ini di buat, supaya dapat di pergunakan sebagaimana mestinya,

BALAI METROLOGI PT. GATRA KILAT\G PERSADA

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W TANK D.i:1 .I REPAIR & SERVICES
P=TRCGAS (BASIN) LTD
^rPetroGas

)ct Legend
No Equipment
city
rfacture Velocity
Item
iion
Of lnsp

Report of wall thickness measurument

Dimension n mm

DIMENTION t-min t-m in DIHENTloN

PARTS IDENT, RESULT
Lxw(mml A B c D F H I J K L Actua Seismic REPLACE (m)

Inspected By, Reviewed By, Acknowledge By

PT Gatra Kilang Persada PT Gatra Kilang Persada Petrogas (Basjn) Ltd

 TANK O-101.1 REPAIR & CLEANING SERVICES
RH PetroGas
laEil{lE'!
PETROGAS (BASIN) LTD C'GATRA
Subject Legend
Tank No - Equipment
Capacity
Manufacture Date Of lnsp
Year Location

lnspection Report

I ns pectl o n Dimention Resu t

No Parts ldent. Fg
Visual Thick, Min Actual/Dwg Replace OK Replace

Tota 0 0

lnspected By, Review By, Approved By,

PT. Gatra Kilang Persada PT. Gatra Kilang Persada Petrogas (Basin) Ltd
 TANK [Link].I REPAIR & CLEAXIXG SERYICES
RH PetroGas
--.r-
!lnlll!-r
PETROGAS (BASIN) LTO
OGATRA
Su@ Legend
Tank No. Equiprnent
Capacrty
Manuf;adure Date Of lnsp.
Year Location

Dismantling Report

Thk. Dimension
No. Parts ldent. Drawing No. Mark No. Sheet No. otv (mml Fig.
{mm)

Total 0
SKETCH

lnspected By, Reviewed By, Acknowledge By,

PT, Gatra Kilang Persada PT Gatra Kilang Persada Petrogas (Basin) Ltd
WRH PetroGas TANK D-101.1 REPAIR & CLLEANING SERVICES
PETROGAS(BASIN) LTD. OGATRA
BLASTING & PAINTING INSPEGTION REPORT

D E F

Painting Material Surface Preparation

Manufacturer Metal Surface :

Type Status lnspection

Color l-lAcceptabte
Product [----lne,lecteo
Ta rckness of Coating Specification Aplication
Coat
F rst . l---l Brrsh
Second Coat :
I lRotter
TopCoat . J lspray

Coding system to be lnspected Weather of Painting

Humidity
Second Coat : Temp
Top Coat : Dew Point

Prepared & lnspected By, Reviewed By,