A

REQUEST FOR INSPECTION

Project Title
Job No
Client
Main Contractor

Senoro Gas Development Project

9608/SU2573
JOB Pertamina Medco E & P Tomori Sulawesi
Tripatra-Samsung Consortium

(Client Name) :

Attn.

Sub-Contractor
Report No.
Date
Page

SNO-Q-BPK-RFI-641
15-May-15
of

Mr. Sri Adi. W

QC Manager

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

Date and time

16-May-15

Place/Area

Inspection Item

CPP 2

Box Up

08.30 WITA

Remarks
PK-5201

V-5209
V-5207
V-5211

Piping

Civil

Instrument

Pipeline

Structural

Electrical

Mechanical

COMMENT :

Involvement
Party
Signature
Name
Sign Date
Job Title
Form Code : SNO-Q-FM-0001 Rev.0

Performed By

Approved By
TSC

Reviewed By
JOB PMTS

TPI

(If applicable)

PRESSURE VESSEL INSPECTION

Project Title
Job No
Client
Main Contractor

Senoro Gas Development Project

9608/SU2573
JOB Pertamina Medco E & P Tomori Sulawesi
TRIPATRA-SAMSUNG CONSORTIUM

Equipment Tag Number

V-5209

Reference Dr

Equipment Name

Refigerant Receiver

Revision

Manufacturer

New Tems

No.

ITEM TO CHECK

Equipment and parts are as specified in packing list, which

includes basic equipment, extras and materials of construction.

Nameplate detail comply with equipment.

Foundation bolts have been securely bolted.

The shell seal welded or otherwise treated to prevent corrosion

between the saddle and the shell.

Check sliding feet installed in a level position well guarded

and free to move in the correct direction.

Check shims are located on either side of each foundation bolt

and minimum amount has been used.

Check insulation and fireproofing are in line with the

requirements on the drawings.

Physically inspect for any damage to the shell during transport

or installation.

If a non- inspection vessel, particular attention shall be paid to

the quality of the welding.

10

The certificates supplied by the manufacturers should be clear

and unambiguous.

11

Check all pipe work adequately supported in such a manner

that no strain is placed on the vessel.

RESULT
ACC
REJ

PRESSURE VESSEL INSPECTION

Project Title
Job No
Client
Main Contractor

Senoro Gas Development Project

9608/SU2573
JOB Pertamina Medco E & P Tomori Sulawesi
TRIPATRA-SAMSUNG CONSORTIUM

Equipment Tag Number

V-5209

Reference Dr

Equipment Name

Refigerant Receiver

Revision

Manufacturer

New Tems

No.

RESULT
ACC
REJ

ITEM TO CHECK

12

Check internals are as per drawing. If any alterations are

required (temporary removal of weirs etc.) these should be fully
recorded.

13

Check insulation is intact and free from damages to ensure no

possibility of rain water ingress

14

Check for internal cleanliness.

15

Check gasket material as per drawing

16

Check platform and ladders are securely fastened, fitted with

permanent handrails.

17

Check Davits are straight and swing easily both with and
without load.

Remarks :

Involvement Party

Signature

Performed By

Approved By
TSC

PRESSURE VESSEL INSPECTION

Project Title
Job No
Client
Main Contractor

Senoro Gas Development Project

9608/SU2573
JOB Pertamina Medco E & P Tomori Sulawesi
TRIPATRA-SAMSUNG CONSORTIUM

Equipment Tag Number

V-5209

Reference Dr

Equipment Name

Refigerant Receiver

Revision

Manufacturer

New Tems

No.

Name
Sign Date
Job Title
Form Code : SNO-Q-FM-0158 Rev.0

ITEM TO CHECK

RESULT
ACC
REJ

L INSPECTION CHECK LIST

Sub-Contractor
Report No.
Date
Page

SNO-Q-BPK-PVI-093

15-May-15
of

Reference Drawing

SNO-M-4500120300-FD-028A

Revision

DATE

ACCEPTED
SUBCON

TSC

REVIEWED

JOB PMTS

REMARKS

L INSPECTION CHECK LIST

Sub-Contractor
Report No.
Date
Page

SNO-Q-BPK-PVI-093

15-May-15
of

Reference Drawing

SNO-M-4500120300-FD-028A

Revision

DATE

ACCEPTED
SUBCON

Reviewed By
JOB PMTS

TSC

REVIEWED

JOB PMTS

REMARKS

TPI (If applicable)

L INSPECTION CHECK LIST

Sub-Contractor
Report No.
Date
Page

SNO-Q-BPK-PVI-093

15-May-15
of

Reference Drawing

SNO-M-4500120300-FD-028A

Revision

DATE

ACCEPTED
SUBCON

TSC

REVIEWED

JOB PMTS

REMARKS

PRESSURE VESSEL INSPECTION

Project Title
Job No
Client
Main Contractor

Senoro Gas Development Project

9608/SU2573
JOB Pertamina Medco E & P Tomori Sulawesi
TRIPATRA-SAMSUNG CONSORTIUM

Equipment Tag Number

V-5207

Reference Dr

Equipment Name

Oil Separator

Revision

Manufacturer

New Tems

No.

ITEM TO CHECK

Equipment and parts are as specified in packing list, which

includes basic equipment, extras and materials of construction.

Nameplate detail comply with equipment.

Foundation bolts have been securely bolted.

The shell seal welded or otherwise treated to prevent corrosion

between the saddle and the shell.

Check sliding feet installed in a level position well guarded

and free to move in the correct direction.

Check shims are located on either side of each foundation bolt

and minimum amount has been used.

Check insulation and fireproofing are in line with the

requirements on the drawings.

Physically inspect for any damage to the shell during transport

or installation.

If a non- inspection vessel, particular attention shall be paid to

the quality of the welding.

10

The certificates supplied by the manufacturers should be clear

and unambiguous.

11

Check all pipe work adequately supported in such a manner

that no strain is placed on the vessel.

RESULT
ACC
REJ

PRESSURE VESSEL INSPECTION

Project Title
Job No
Client
Main Contractor

Senoro Gas Development Project

9608/SU2573
JOB Pertamina Medco E & P Tomori Sulawesi
TRIPATRA-SAMSUNG CONSORTIUM

Equipment Tag Number

V-5207

Reference Dr

Equipment Name

Oil Separator

Revision

Manufacturer

New Tems

No.

RESULT
ACC
REJ

ITEM TO CHECK

12

Check internals are as per drawing. If any alterations are

required (temporary removal of weirs etc.) these should be fully
recorded.

13

Check insulation is intact and free from damages to ensure no

possibility of rain water ingress

14

Check for internal cleanliness.

15

Check gasket material as per drawing

16

Check platform and ladders are securely fastened, fitted with

permanent handrails.

17

Check Davits are straight and swing easily both with and
without load.

Remarks :

Involvement Party

Signature

Performed By

Approved By
TSC

PRESSURE VESSEL INSPECTION

Project Title
Job No
Client
Main Contractor

Senoro Gas Development Project

9608/SU2573
JOB Pertamina Medco E & P Tomori Sulawesi
TRIPATRA-SAMSUNG CONSORTIUM

Equipment Tag Number

V-5207

Reference Dr

Equipment Name

Oil Separator

Revision

Manufacturer

New Tems

No.

Name
Sign Date
Job Title
Form Code : SNO-Q-FM-0158 Rev.0

ITEM TO CHECK

RESULT
ACC
REJ

L INSPECTION CHECK LIST

Sub-Contractor
Report No.
Date
Page

SNO-Q-BPK-PVI-094

15-May-15
of

Reference Drawing

SNO-M-4500120300-FD-026A

Revision

DATE

ACCEPTED
SUBCON

TSC

REVIEWED

JOB PMTS

REMARKS

L INSPECTION CHECK LIST

Sub-Contractor
Report No.
Date
Page

SNO-Q-BPK-PVI-094

15-May-15
of

Reference Drawing

SNO-M-4500120300-FD-026A

Revision

DATE

ACCEPTED
SUBCON

Reviewed By
JOB PMTS

TSC

REVIEWED

JOB PMTS

REMARKS

TPI (If applicable)

L INSPECTION CHECK LIST

Sub-Contractor
Report No.
Date
Page

SNO-Q-BPK-PVI-094

15-May-15
of

Reference Drawing

SNO-M-4500120300-FD-026A

Revision

DATE

ACCEPTED
SUBCON

TSC

REVIEWED

JOB PMTS

REMARKS

PRESSURE VESSEL INSPECTION

Project Title
Job No
Client
Main Contractor

Senoro Gas Development Project

9608/SU2573
JOB Pertamina Medco E & P Tomori Sulawesi
TRIPATRA-SAMSUNG CONSORTIUM

Equipment Tag Number

V-5211

Reference Dr

Equipment Name

Suction Knock Out Drum

Revision

Manufacturer

New Tems

No.

ITEM TO CHECK

Equipment and parts are as specified in packing list, which

includes basic equipment, extras and materials of construction.

Nameplate detail comply with equipment.

Foundation bolts have been securely bolted.

The shell seal welded or otherwise treated to prevent corrosion

between the saddle and the shell.

Check sliding feet installed in a level position well guarded

and free to move in the correct direction.

Check shims are located on either side of each foundation bolt

and minimum amount has been used.

Check insulation and fireproofing are in line with the

requirements on the drawings.

Physically inspect for any damage to the shell during transport

or installation.

If a non- inspection vessel, particular attention shall be paid to

the quality of the welding.

10

The certificates supplied by the manufacturers should be clear

and unambiguous.

11

Check all pipe work adequately supported in such a manner

that no strain is placed on the vessel.

RESULT
ACC
REJ

PRESSURE VESSEL INSPECTION

Project Title
Job No
Client
Main Contractor

Senoro Gas Development Project

9608/SU2573
JOB Pertamina Medco E & P Tomori Sulawesi
TRIPATRA-SAMSUNG CONSORTIUM

Equipment Tag Number

V-5211

Reference Dr

Equipment Name

Suction Knock Out Drum

Revision

Manufacturer

New Tems

No.

RESULT
ACC
REJ

ITEM TO CHECK

12

Check internals are as per drawing. If any alterations are

required (temporary removal of weirs etc.) these should be fully
recorded.

13

Check insulation is intact and free from damages to ensure no

possibility of rain water ingress

14

Check for internal cleanliness.

15

Check gasket material as per drawing

16

Check platform and ladders are securely fastened, fitted with

permanent handrails.

17

Check Davits are straight and swing easily both with and
without load.

Remarks :

Involvement Party

Signature

Performed By

Approved By
TSC

PRESSURE VESSEL INSPECTION

Project Title
Job No
Client
Main Contractor

Senoro Gas Development Project

9608/SU2573
JOB Pertamina Medco E & P Tomori Sulawesi
TRIPATRA-SAMSUNG CONSORTIUM

Equipment Tag Number

V-5211

Reference Dr

Equipment Name

Suction Knock Out Drum

Revision

Manufacturer

New Tems

No.

Name
Sign Date
Job Title
Form Code : SNO-Q-FM-0158 Rev.0

ITEM TO CHECK

RESULT
ACC
REJ

L INSPECTION CHECK LIST

Sub-Contractor
Report No.
Date
Page

SNO-Q-BPK-PVI-095

15-May-15
of

Reference Drawing

SNO-M-4500120300-FD-030A

Revision

C1

DATE

ACCEPTED
SUBCON

TSC

REVIEWED

JOB PMTS

REMARKS

L INSPECTION CHECK LIST

Sub-Contractor
Report No.
Date
Page

SNO-Q-BPK-PVI-095

15-May-15
of

Reference Drawing

SNO-M-4500120300-FD-030A

Revision

C1

DATE

ACCEPTED
SUBCON

Reviewed By
JOB PMTS

TSC

REVIEWED

JOB PMTS

REMARKS

TPI (If applicable)

L INSPECTION CHECK LIST

Sub-Contractor
Report No.
Date
Page

SNO-Q-BPK-PVI-095

15-May-15
of

Reference Drawing

SNO-M-4500120300-FD-030A

Revision

C1

DATE

ACCEPTED
SUBCON

TSC

REVIEWED

JOB PMTS

REMARKS