Vertical Lity

Project : SORIK MARAPI GEOTHERMAL PROJECT
Project : Warehouse Expansion - Base Camp

Contract : -
Location : Mandailing Natal, Sumatera Utara
Client : PT. Sorik Marapi Geothermal Power
INSPECTION AND TEST PLAN
Field Inspection and Test Plan for Civil Works
Document No : SPC-QAQC-C001/CW-002 Legend : Prepared by, Checked by,

Project name : Warehouse Expansion H : Hold Point Sub. Contractor Contractor
W : Witness
SUPRACO SMGP
Contract No : tbd R : Review
Project Location : Base Camp PT. SMGP S : Surveillance
Description : Civil and Structural
Date : 7-Jun-17
Revision : A Printed Name Printed Name
Ref Process Description Inspection Document Inspection Status

Inspection type Refferences
No Inspection Activities Frequency Report Sub. Contractor Contractor
1 CIVIL & ARCHITECHTURAL
1.1 SURVEY
(1) Location, number, stability, area First Line up in H R
mapping and sectioning, every work section
construction stake out and Visual &
protection of coordinates and Dimensional
Benchmark
1.2 SITE PREPARATION

(1) Clearing of contaminated soil During Site H R
Clearance
Visual
(2) Grubbing of all stumps and roots During Site H R

Clearance
Visual
(3) Stripping of all turf and top soil During Site H R

Clearance
Visual
(4) Demolition During Site H R

Clearance
Visual
(5) Debris from clearing, grubbing, During Site H R

stripping and demolition operation Clearance
shall be remove to disposal areas Visual
(6) Temporary Drainage During Site H R

Clearance
Visual
1.3 EXCAVATION
A Preparation
(1) Setting out location, based on shop Set before start H R
drawings and endorsed excavation work
benchmarks Dimension
B Excavation Work
(1) Depth and width of excavation Set during H R
exavation work
Dimension
(2) Line, Slope and Grades according Set during H R

to approved drawings exavation work
Visual &
Dimensional
375207456.xlsx Page : 2 of 44

W : Witness
SUPRACO SMGP
Date : 7-Jun-17
(3) Quality of Cleaning Set after H R

exavation work
Visual
1.4 BACKFILL
A Preparation
(1) Quality of cleaning before backfill Set before start H R
Visual backfilling work
(2) Quality of back fill material Random H R
Review
(3) Quality of compaction of soil H R

disposal Test and review
B Placement of Fill
(1) Cleaning (removal of contaminants, Set during H R
debris, etc.) in fill material Visual backfilling work
(2) Final Elevation Set after H R

Dimension backfilling work
C Testing
(1) Compaction test by Sand cone test Set after H R
and Field CBR Test backfilling work
1.5 CONCRETE WORK

A Preparation
(1) Cement type, quality, quantity and Set before start H R
compliance with applicable Concrete work
standard Test & Review and Random
(2) Quality and quantity of aggregate Set before start H R

(sieve test, etc.), cement, water and Concrete work
addmixtures Laboratorium Test and every 50 m3
(3) Mix Design Set before start H R

and during
Review Concrete work
(4) Preparation for placing Set before start H R

(Construction equipment, tools, and during
labour, access, etc.) Visual Concrete work
(5) Storing condition of cement and Set before start H R

aggregate and during
Visual Concrete work
(6) Location and surface condition of Set before start H R

joints Visual & Dim. and during
Concrete work
(7) Cleaning prior to concrete placing Set before start H R
and during
Visual Concrete work
375207456.xlsx Page : 3 of 44

W : Witness
SUPRACO SMGP
Date : 7-Jun-17
B Concrete Pouring
(1) Workmanship of placing and Set before start H R
consolidation (drop height, Visual Concrete Pouring
thickness of layer, proper vibration, work
etc.)
(2) Concrete finishing and removal of Set after Concrete H R
laitance Visual Pouring work
C Post Concrete Pouring

(1) Curing (period, method of Set after Concrete H R
preventing moisture loss) work
Visual
(2) Appearance of surface after form Set after Concrete H R

removal (honeycomb, crack, etc.) work
Visual
(3) Mortar finishing (level, chamber, Set after Concrete H R

crack, mortar proportion, etc.) work
Visual
(4) Dimension inspection for completed Set after Concrete H R

casting work
Dimension
(5) Floor Hardener Work Set after Concrete H R

Visual and work
dimensional
D Test
(1) Concrete test (slump, compressive Set Before, during H R
strength, etc.) Test the concrete work
and every 50m3
1.6 REINFORCING BAR WORK

A Preparation
(1) Compliance of material with Set before start H R
standard, Mill Certificate review reinforcing bar
Visual & Dim. work
(2) Handling and storing Set during H R

reinforcing bar
Visual work
375207456.xlsx Page : 4 of 44

W : Witness
SUPRACO SMGP
Date : 7-Jun-17
(3) Workmanship in cold bending Set before start H R

operation reinforcing bar
Visual & Dim work
(4) Surface cleaning (to be free from Set before start H R

mud, dirt, grease, loose mill scale, reinforcing bar
etc.) Visual work
B Installation
(1) Location, shape, sizes, numbers, Set during H R
cleaning, spacing of bars and the Visual & Dim. reinforcing bar
concrete cover (concrete spacer) work
(2) Length and location of lap splice Set during H R
Visual & Dim. reinforcing bar
work
(3) Rigidity of rebar assembly to Set during H R
withstand concrete pouring reinforcing bar
Visual work
(4) Strong condition (to prevent Set during H R

corrosion and deformation) reinforcing bar
Visual work
(5) Wire tying Set during H R

reinforcing bar
Visual work
1.7 FORMWORK
A Preparation
(1) Quality and shape of material Set before start H R
formwork
Visual
(2) Formwork construction Set before start H R

Dimension formwork
B Installation
(1) Location, dimension, alignment, Set during H R
plumb and elevation formwork
Dimension
(2) Chamfers Set during H R

Visual formwork
(3) Installation of embedded materials Set during H R

including setting of water-stop formwork
board (location, elevation and
Visual & Dim.
rigidity)
375207456.xlsx Page : 5 of 44

W : Witness
SUPRACO SMGP
Date : 7-Jun-17
(4) Installation of embedded materials Set during H R

for pipe sleeper (level, elevation, formwork
location, length, rigidity)
Visual & Dim.
(5) Stability during concrete placing Set during H R

and vibration (sufficiency of support, formwork
shoring, form ties, etc.) Visual
(6) Surface treatment (cleaning and Set during H R

form release agent application) formwork
Visual
(7) Time of removal of formwork, Set during H R

shoring and supports formwork
Visual
(8) Protection or support for colom Set during H R

Brace and Floor slab of form Visual formwork
scaffolding
1.8 ANCHOR BOLT

A Preparation
(1) Compliance of material with Set before start H R
standard, Mill Certificate review setting Anchor
Dimension Bolt
B Installation
(1) Location, direction, elevation and Set during setting H R
upside of template Visual & Dim. Anchor Bolt
(2) Stability of template Set during setting H R
Anchor Bolt
Visual
(3) Location, elevation, plumbness, Set during setting H R

size and number of anchor bolts or Visual & Dim. Anchor Bolt
anchor boxes
(4) A. Bolt protection against movement Set during setting H R
Anchor Bolt
Visual
(5) Protection and cleaning anchor bolt Set during setting H R

threads before and after placing Anchor Bolt
concrete Visual
1.9 DRAINAGE / SWALES

A Preparation
(1) Compliance of material cover Set before start H R
(Grating) with standard drainage / ditch
Dimension & Type work
375207456.xlsx Page : 6 of 44

W : Witness
SUPRACO SMGP
Date : 7-Jun-17
(2) Area preparation Set before start H R

Visual drainage / ditch
work
1.10 Drainage / Ditch Work

(1) Excavation as per section Set during H R
Visual & Dim drainage / ditch
work
(2) Straightness, elevation, depth, Set during H R
width and side slope of ditch drainage / ditch
work
Dimension
(3) Form work, rebar installation, Set during H R

grating nosing installation and drainage / ditch
concreting as per section work
Visual & Dim.
(4) Surface finishing Set during H R

drainage / ditch
work
Visual
(5) Backfilling as per section Set during H R

drainage / ditch
work
Visual & Dim.
(6) Plumbing (Clean water and Set during H R

sewage), Sanitation installation drainage / ditch
Visual work
(7) Install Grating cover, Collection Pit Set during H R

and Control Pit Visual & Dim. drainage / ditch
work
C Test
(1) Water flowing test Set after H R
drainage / ditch
Visual
work
1.11 FENCING
A Preparation
(1) Material (conformity to specification Set before start H R
and drawing) fencing work
Visual, Dim. &
Review
375207456.xlsx Page : 7 of 44

W : Witness
SUPRACO SMGP
Date : 7-Jun-17
(2) Set-out location Set before start H R

fencing work
Dimension
B Installation
(1) Excavation work as per section Set during fencing H R
work
Visual
(2) Installation of Post (alignment, Set during fencing H R

elevation, location and stability) work
Visual & Dim.
(3) Installation of wire mesh Set during fencing H R

work
Visual
(4) Finishing Set during fencing H R

work
Visual
1.12 CEILING WORK
A Preparation
(1) Confirmation of material with Set before start H R
specification, drawings and acoustic ceiling
exposure placement drawing work
Visual & Dim
(2) Setting of frame Set before start H R

Visual acoustic ceiling
work
(3) Material storage and handling Set before start H R
work
B Installation
375207456.xlsx Page : 8 of 44

W : Witness
SUPRACO SMGP
Date : 7-Jun-17
(1) Layout and pattern Set during H R

work
(2) Condition of Installation accepted Set during H R
work
1.13 STEEL DOOR AND WINDOW

A Preparation
(1) Material (conformity to specification Set before start H R
and drawing) Visual & Dim. door and window
installation
(2) Storage & handling of material Set before start H R

Visual door and window
installation
(3) Fabrication Pre-check Set during door H R

Visual & Dim. and window
fabrication work
B Installation
(1) Door and window brick work Set during door H R
opening check complete with Dimensional and window
installation plumbness and level installation
(2) Hardware installation Set during door H R
Visual & Dim and window
installation
(3) Finishing Set during door H R
Visual and window
installation
1.14 STRUCTURAL STEEL

A Preparation
(1) Request Material for Approval Visual, Dimensinal Before start H R
and Review material purchase
and provide Shop
Drawing
(2) Approval of WPS, Cleaning and Visual Set before H R

Painting Procedure commence the
work
B Shop Drawings
(1) Prepare Shop Drawings Submittal Form After Proposed H R
Request for Material for
Approval Approval
approved
C Material Procurement
375207456.xlsx Page : 9 of 44

W : Witness
SUPRACO SMGP
Date : 7-Jun-17
(1) Check the Engineering Detail Visual & Every material H R

(conformity to specification and Dimentional arrived to shop
drawing)
D Shop Fabrication as per Vendor

Listed
(1) Cutting, fitting, welding and Visual & During shop H R
dimention check Dimentional fabrication
(2) Montage Attemp / Shop Assembly Visual and Before painting H R

dimensional work
(3) Surface Cleaning and Painting Visual and Test During shop H R
fabrication
(4) Packing and delivery to site Visual after painting work H R
E Site Instalation
(1) Material receiving and handling Visual every material site H R
(Storage, protection and transfering received
to installation location)
(2) Erection (Installation) : Visual and During Site H R

- Anchor Bolts Dimentional check Installation
- Steel Structure installation
- Leveling check
- Plumbness / verticallity
check - Bolts
Tightening - Site
Welding (if any)
C 'Roofing & Siding (Metal Sheet and Dimentional During Site H R

Clading) Installation: - Installation
Lapped Joint (Length & Width)
(1) -Caulking and sealing Visual During Site H R
Installation
(2) -Visual check Visual During Site H R

Installation
1.15 PAINTING FOR BUILDING

A Preparation
375207456.xlsx Page : 10 of 44

W : Witness
SUPRACO SMGP
Date : 7-Jun-17
(1) Request Material (as per vendor Visual, Dimensinal Before start H R
Listed) for Approval and Review material purchase
and provide Shop
Drawing
(2) Painting for Building Work Visual Submit before H R

Procedure commence the
work
(3) Material Receiving, Storage and Set before start H R

Handling Visual painting work
B Shop Drawings
(1) Prepare Shop Drawings Submittal Form After Proposed H R
Request for Material for
Approval Approval
approved
C Material Procurement
(1) Check the Engineering Detail Visual & Every material H R
(conformity to specification and Dimentional arrived to site
drawing)
D Site Aplication
(1) Preliminary activities Visual After Preparation, H R
Shop Drawing and
material
Procurement
completed
(2) Surface preparation Visual Each Area of H R

Building ready to
paint, clean and
smooth
(3) Painting Visual Each Area of H R

Building
(4) Pre-handover activities Visual All matters on H R

each Area of
Building finalised,
clean and tidy
375207456.xlsx Page : 11 of 44
SORIK MARAPI GEOTHERMAL PROJECT
Transmission Lines
ON SITE MATERIAL FOR APPROVAL

Project Location : ………………………Discipline : Civil Work - ......................................... Document: SPC-QAQC/_____- ITP01-1
Project No : ………………………Scope of Work : .............................................................. Revision : ........................................................................
Reference Documents : ...............................Area : .............................................................. Date : .........................................
............................................................... .............................................................. Page : ......... Of .............
We Hereby would like to propose material for your approval as mentioned below;
MANUFACTURER ORIGINAL PROPOSED SPECIFICATION DATA
NO. DESCRIPTION REMARKS
(BRAND) SPEC SPEC ORIGINAL PROPOSED
1 Fine Aggregate (Pasir) Lokal √ √ √ √
2 Coorx Aggregate (Gravel) Lokal 2/3 2/3 2/3 2/3
3 Reinforcement Bar BJ-40 BJ-40 BJ-40 BJ-40 BJ-40
4 Cement Semen Padang Type 1 Type 1 Type 1 Type 1
Having received this document, kindly be approved the proposal material within 7 (seven) days.
LEGEND : TYPE OF PROPOSED DOCUMENT : Note :

Org Copy
1. Shop Drawing
2. Sample
3. Brochure
4. Test Certificate
5. Photos
Proposed by, Approved by,

PT. Supraco Indonesia Huadong Engineering Coorporate
Transmission Lines
ON SITE MATERIAL FOR APPROVAL

Project Location : ………………………Discipline : Civil Work - ......................................... Document: SPC-QAQC/_____- ITP01-1
Project No : ………………………Scope of Work : .............................................................. Revision : ........................................................................
Reference Documents : ...............................Area : .............................................................. Date : .........................................
............................................................... .............................................................. Page : ......... Of .............
We Hereby would like to propose material for your approval as mentioned below;
MANUFACTURER ORIGINAL PROPOSED SPECIFICATION DATA
NO. DESCRIPTION REMARKS
(BRAND) SPEC SPEC ORIGINAL PROPOSED
1 Fine Aggregate (Pasir) Lokal √ √ √ √
DATE : DATE
AL FOR APPROVAL
: ........................................................................
al for your approval as mentioned below;
REMARKS
ved the proposal material within 7 (seven) days.
Note :
Huadong Engineering Coorporate

AL FOR APPROVAL
: ........................................................................
al for your approval as mentioned below;
REMARKS
Doc. No : SPC-QAQC/_____ - QI - S.0.01
SORIK MARAPI GEOTHERMAL

PROJECT
Transmission Line
-
Subject : Verticality Survey Report
Project : 66kV Transmission Line Project Type Tower
The type of measuring instrument used
Ref. Drawing :
Ref. BM. No. :
SKETCH
Verticality
Transversal (A-D) Longitudinal (B-C)

Section
Tilted to (mm) Tilted to (mm)
I
II
III
IV
V
Tolerance
H X 1/1000 =
REMARKS :
Prepare By Witnessed By Checked or Review
Survey SPC QA/QC - SPC, HDEC SMGP

Report No. :
Date : November , 2017
Page
of
Checked or Reviewed By
SMGP
Doc. No : SPC-QAQC/_____ - QI - S.0.02

Warehouse Expansion - Base Camp
-
Subject : SURVEY DATA REPORT
Project : Warehouse Expansion - Base Camp
Location :
Ref. Drawings :
ACTUAL COORDINATE ELEVATION ACTUAL

NO POINT
N E DESIGN / TOB ELEVATION 1 2 3 4 5 6 7
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
CONTRACTOR
Print Name
Signature
Date
Report No. :
Date
Page
of
ACTUAL
REMARKS
7 8
OWNER
Doc. No : SPC-HDEC QAQC/_____ - QI-C.0.01
Transmission Lines
Subject : EXCAVATION SET-OUT -
Project :Transmission Lines Project - TA 05 Location : Mandailing Natal, Sumatera Utara
Client :Huadong Engineering Corporate Reference Drawings : INSM-66TL-014-005-2
RESULT
NO ITEM TO CHECK DATE & SIGN REMARKS
YES N/A
1 Approval of drawings, confirmed √

Setout location, based on shop drawings and √
2
endorsed Benchmarks
3 Check as-built's for underground services √
4 Check geotechnical report (if any) √
5 Agreement of stockpile location, confirmed √
6 Verify stockpile location, confirmed √
7 Slope stabilization acceptable √
8 Check all records complete √
9 Complete red-line drawings (if any) √
10 Record punchlist items (if any) √
11
12
13
14
15
Remarks :
CONTRACTOR CONSULTANT / OWNER
Print Name
Signature
Date
Transmission Lines
Subject : EXCAVATION WORK -
Project :Transmission Lines Project - TA 05 Location : Mandailing Natal, Sumatera Utara
Client :Huadong Engineering Corporate Reference Drawings :
RESULT
YES N/A
1 Demolition or Protection of Existing Facility
2 Investigation of Existing under-ground Facilities

Setout location, based on shop drawings and
3
endorsed Benchmarks
Line, Slope and Grades according to approved
4
drawings
5 Depth of Excavation, confirmed
6 Protection of Slope, accepted
7 Temporary drainage and enviromental controls
8 Curing condition of Subgrade, confirmed
9 Condition of Compaction bottom surface
10 Safety regerding excavation works, confirmed
11 Quality of Cleaning
Result of Compaction Test after excavation,
12
confirmed (if necessary)
13 Check all records complete
14 Complete red-line drawings (if any)
15 Record punchlist items (if any)
Remarks :
CONTRACTOR CONSULTANT / OWNER
Print Name
Signature
Date
Doc. No : SPC-HDEC QAQC/_____
Transmission Lines
Subject : GROUNDING INSTALLATION -
Project :Transmission Lines Project - TA …. Location : Mandailing Natal, Sum
Client :Huadong Engineering Corporate Reference Drawing : INSM-66TL-013-021-
RESULT
NO ITEM TO CHECK DATE & SIGN
YES N/A
1 Material :
Flate Steel 160 x 45 x 4 mm
Round Steel ф 12 mm
Galvanized Boltz M16 x 50
2 The inner ring is 0,2 m outside of the tower foundation pad
The buried depth of the inner ring is same with the foundation pad
The inner ring is connected with the upward ring with ф12 round steel
3 The outer ring is outside the 4 inner rings
4 All the connections use welding
5 Backfilling soil without rock, 500 mm above original ground level
10
Remarks :
CONTRACTOR OWNER
Print Name
Signature
Date
-
Mandailing Natal, Sumatera Utara
INSM-66TL-013-021-1
REMARKS

Transmission Lines
Subject : PRE-POURING CONCRETE -
Test / Inspection Items
Placing Location Ref. Dwg.No. INSM-66TL-014-005-2

Area Transmission Lines - TA 05
FORMWORK REBAR
√ Orientation √ Size
√ Location ( Coord. ) √ Spacing
√ Size √ Clearance
√ Elevation √ Cleanliness
√ Clean & Oiled
X Chamfer
X Bracing
EMBEDMENTS MISCELLANEOUS
X Anchor Bolts ( Diameter, Length & Type ) X Blockouts

X Anchor Bolts ( Location & Projection ) √ Type of Finish
X Anchor Bolts Sleeves √ Curing Method
X Thread Protection X Const. Joints
X Angle Iron HOT / COLD Weather Condition
X Inserts Plate Sets/Test Specimen
X pipes X Truck Tickets
X Conduit
X Ground Wire
Remarks :
CONTRACTOR OWNER
Print Name
Signature
Date
PROJECT
Transmission Lines
Subject : REINFORCING BAR INSTALLATION -
Project :Transmission Lines - TA 05 Location : Mandailing Natal, Sumatera Utara
Client :Huadong Engineering Corporate Reference Drawing : INSM-66TL-014-005-2
RESULT
YES N/A
1 Size/Length/Quality √
2 Bending Radius / Shape √
3 Spacing B/W Re-bars √
4 Lap Splacing ( Length / Location ) √
5 Extra Length √
6 Hook ( Extra Length / Shape ) √
7 Hoop / Stirrup ( Shape / Location / Pitch / Hook ) √
8 Starter Bar ( Shape / Length / Location ) √
9 Concrete Cover √
10 Slab ( Direction / & Lower ) √
11 Reinforcing for Opening √
12 Column / Beam ( Untorsionality ) √
13 Quality of Cleaning √
14
15
Remarks :
CONTRACTOR OWNER
Print Name
Signature
Date

PROJECT
Transmission Lines
Subject : POURING CONCRETE RECORD
Proj : Transmission Lines - TA 05
Location : Mandailing Natal, Sumatera Utara
Cemen Type : ……………………………………………………………………………..
Specified Strength of Concrete : …………………………………Kg/cm2 ( …………psi )
Request No. / Delivery Time

Date Area / Block
Vol. Order Batch Plan On Site
Remarks :
CONTRACTOR OWNER
Print Name
Signature
Date
O
OF
Slump Poured Total

(inch) Vol. (m3) (m3)
Transmission Lines
Subject : PERMIT OF FORMWORK REMOVAL -
Client :Huadong Engineering Corporate Reference Drawing :
RESULT
YES N/A
1 Concrete Pouring Detail :
1.1 Facility Name .................................................
1.2 Concrete Quality Description .........................
1.3 Area Description ............................................
1.4 Date of Pouring .............................................
1.5 Time of Pouring ..............................................
2 Formwork Removal Date and Time
.................................,................. At .....................
3 Concrete surface acceptance
Area Mapping :
Remarks :
CONTRACTOR OWNER
Print Name
Signature
Date
Transmission Lines
Subject : CONCRETE FINISH WORK -
Client :PT. Sorik Marapi Geothermal Power Reference Drawing :
RESULT
YES N/A
1 Material Check
2 Water Proofing Work
3 Floor Hardener Work
4 Expansion Joint Work
5 Construction Joint Work
6 Grouting Work
7 Water Stop Work
8 Sealant Work
Area Mapping :
Remarks :
CONTRACTOR OWNER
Print Name
Signature
Date
Doc. No : SPC-QAQC/_____ - QI-C.2.08 Date

Page
Warehouse Expansion - Base Camp of
Subject : Hammer Test Report -
Project :Warehouse Expansion - Base Camp Location :
CONSTRUCTION TESTED DATA :

Structure Identification :
Structure Age Tested :
TECHNICAL DATA :
Reflection angle :
Anvil Calibration : ( Formula = 80/r) r = reflected value of the anvil
Age Estimation :
Test Points :
TEST DATA :
Reflection Values :
Average reflectance value : (A)
CALCULATION:
R1. : Kg / Cm2 (B) (Reading as per rebound curves value)
R2. : Kg / Cm 2
(C) (Reading as per rebound curves value)
(B - A ) : Kg / Cm 2
(D)
Urges stronger when testing :
(σ b) = ( 1 x (Zero Point 2 Decimal of (A) ) + (B) ) x 1,00 = Kg / Cm2 (E)
(D)
Strong urges estimated 28 days = 0,741 x (E) = Kg / Cm2
CONCLUSION :
Robust quality urged concrete characteristics comply with the quality of K - ______ equivalen of FC' _______
CONTRACTOR OWNER
Print Name
Signature
Date

Page
Warehouse Expansion - Base Camp of
Subject : WALL MASONRY WORK
Project :Warehouse Expansion - Base Camp Location : Mandailing Natal, Sumatera Utara
RESULT
YES N/A
1 Bricks material as approved material?
2 Bricks installed surfaces no crack?
3 Horizontal & vertical of bricks flatness accepted
4 Bricks watering treatment is done?
5 Finish plestering & coat of brick wall accepted ?
Remarks :
CONTRACTOR OWNER
Print Name
Signature
Date

Page
of
Subject : DOOR & WINDOW WORKS -
RESULT
YES N/A
1 Type and Condition of Materials Accepted
2 Wall Opening check
3 General Operation of Door / Window

Installation of Frames anchored Plumb and Level
4
Accepted
5 Hardware in Good Mechanical Operation
6 Glass Well Bedded and Putty Neatly Trimmed

Operatiom of Overhead or Telescoping Doors /
7
Windows (controls, smoothness and speed)
Telescoping Door Guides Installed, secured and
8
aligned
9 Installation of Hardware Accepted
10 Instruction Manuals for Special Materials Checked
11
12
13
14
15
Remarks :
CONTRACTOR OWNER
Print Name
Signature
Date
PROJECT Page
of
Subject : DRAINAGE / DITCH -
Project :Warehouse Expansion - Base Camp Location : to
RESULT
YES N/A
1 Excavation ( Location & Elevation )
2 Field Compaction test Accepted
3 Reinforcement Installation Accepted
4 Formwork Installation Accepted
5 Embedments Installation Accepted
6 Concrete Placement Accepted
7 Removal of Formwork
8 Drainable Slope Acceptable
9 Plumbing Installation Acceptable Clean Water
10 Sewage
11 Sanitation Acceptable
12 Collection Pit Acceptable
13 Control Pit Acceptable
14 Water Flow test Accepted
15
Remarks :
CONTRACTOR OWNER
Print Name
Signature
Date
Transmission Lines
Subject : INSPECTION OF STRUCTURAL STEEL ERECTION -
Client :Huadong Engineering Corporate Reference Drawing :
RESULT
YES N/A
Receiving of material component ( Type, Size, Grade,
1
Identification & Mill Certificate )
2 Anchor bolts
3 Dimensional check of anchor bolt holes
4 Location and Plan
Dimensional Inspection ( level, axis, lines,

5
perpendicular/Plumbness )
6 Bolts Specification, Tightening & Size
Welding ( Comsumable Control, Interpass Cleaning &

7
Visual Appearance )
Visual inspection for platform grating, hand rails and
8
ladders
9 Grouting of Base
10 Painting or galvanizing
11
12
13
14
15
Remarks :
CONTRACTOR OWNER
Print Name
Signature
Date

Page
of
Subject : ROOFING & SIDING (METAL SHEET & CLADING) -
RESULT
YES N/A
1 Condition of Matrial Accepted
2 Preparation of Framing Accepted
3 Dimensional (Size, Elevation & Slope)
4 Installation of Accessories Accepted
5 Roof thermal insulation (Rock wool) Acceptable
6 Alumunium Foil installation acceptable
7 Roof Mesh installation acceptable
8 Condition of Fastening Accepted
9 Condition of Cleaning Accepted
10
11
12
13
14
15
Remarks :
CONTRACTOR OWNER
Print Name
Signature
Date
HAWKINS - BCK JO Page

ENGINEERING, PROCUREMENT, CONSTRUCTION AND of
COMMISIONING
Subject : PAINTING FOR BUILDING -
RESULT
YES N/A
1 Preliminary activities :
- Access permission obtained
- Equipment approved/on site (Scaffold/Ladder,
Signage/barricades, Brushes/rollers/drop
sheets)
- Materials approved/on site
2 Surface preparation
3 Painting
- Paint applied to manufacturer’s instructions
- Each coat free of imperfections such as runs,
patchiness, pinholes, misses etc.
- Drying time between coats appropriate
4 Pre-handover activities :
- Touch up
- Final inspection confirms conforming
- Remove scaffold/ladders, clean up etc.
Remarks :
CONTRACTOR OWNER
Print Name
Signature
Date
HAWKINS - BCK JO Page

ENGINEERING, PROCUREMENT, CONSTRUCTION AND of
COMMISIONING
Subject : PAINTING FOR BUILDING -
RESULT
YES N/A
Form KRH/00/M/----------/MP/601 - QI-C.6.03 :
Revisi R.0
Material Received Inspection Form
Project :
No. Project :
Date : Record No . :
Location : Supplier :
Structure :
Actual size
No. Material Type / Size Quantity Certificate Verification
Ø Length Width Thickness
1
10
Comment :
Reported by, Inspected by, Witnessed/Reviewed by,

HILL - BCK JO HILL - BCK JO ALSTOM CONSORSIUM
Store Keeper Site Engineer Construction Engineer

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Project : SORIK MARAPI GEOTHERMAL PROJECT

Project : Warehouse Expansion - Base Camp

Document No : SPC-QAQC-C001/CW-002 Legend : Prepared by, Checked by,

Ref Process Description Inspection Document Inspection Status

1.2 SITE PREPARATION

(2) Grubbing of all stumps and roots During Site H R

(3) Stripping of all turf and top soil During Site H R

(4) Demolition During Site H R

(5) Debris from clearing, grubbing, During Site H R

(6) Temporary Drainage During Site H R

(2) Line, Slope and Grades according Set during H R

Document No : SPC-QAQC-C001/CW-002 Legend : Prepared by, Checked by,

(3) Quality of Cleaning Set after H R

(3) Quality of compaction of soil H R

(2) Final Elevation Set after H R

1.5 CONCRETE WORK

(2) Quality and quantity of aggregate Set before start H R

(3) Mix Design Set before start H R

(4) Preparation for placing Set before start H R

(5) Storing condition of cement and Set before start H R

(6) Location and surface condition of Set before start H R

Document No : SPC-QAQC-C001/CW-002 Legend : Prepared by, Checked by,

C Post Concrete Pouring

(2) Appearance of surface after form Set after Concrete H R

(3) Mortar finishing (level, chamber, Set after Concrete H R

(4) Dimension inspection for completed Set after Concrete H R

(5) Floor Hardener Work Set after Concrete H R

1.6 REINFORCING BAR WORK

(2) Handling and storing Set during H R

Document No : SPC-QAQC-C001/CW-002 Legend : Prepared by, Checked by,

(3) Workmanship in cold bending Set before start H R

(4) Surface cleaning (to be free from Set before start H R

(4) Strong condition (to prevent Set during H R

(5) Wire tying Set during H R

(2) Formwork construction Set before start H R

(2) Chamfers Set during H R

(3) Installation of embedded materials Set during H R

Document No : SPC-QAQC-C001/CW-002 Legend : Prepared by, Checked by,

(4) Installation of embedded materials Set during H R

(5) Stability during concrete placing Set during H R

(6) Surface treatment (cleaning and Set during H R

(7) Time of removal of formwork, Set during H R

(8) Protection or support for colom Set during H R

1.8 ANCHOR BOLT

(3) Location, elevation, plumbness, Set during setting H R

(5) Protection and cleaning anchor bolt Set during setting H R

1.9 DRAINAGE / SWALES

Document No : SPC-QAQC-C001/CW-002 Legend : Prepared by, Checked by,

(2) Area preparation Set before start H R

1.10 Drainage / Ditch Work

(3) Form work, rebar installation, Set during H R

(4) Surface finishing Set during H R

(5) Backfilling as per section Set during H R

(6) Plumbing (Clean water and Set during H R

(7) Install Grating cover, Collection Pit Set during H R

Document No : SPC-QAQC-C001/CW-002 Legend : Prepared by, Checked by,

(2) Set-out location Set before start H R

(2) Installation of Post (alignment, Set during fencing H R

Visual & Dim.

(3) Installation of wire mesh Set during fencing H R

(4) Finishing Set during fencing H R

1.12 CEILING WORK

(2) Setting of frame Set before start H R

Document No : SPC-QAQC-C001/CW-002 Legend : Prepared by, Checked by,