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INSPECTORS QC DAILY REPORT

Name of Inspector: #REF!


Name of SH Site Engineer -
Location:
Specific Location
Date: #REF!
Time: #REF!
Weather: Sunny

Activity Documents Complian


Type of work required Yes No EE Inspector SH Site Engineer Yes
Top Soil Excavation x Design Drawing x x
Construction Sequences x x
Method Statement x x
Drainage x Design Calculation x x
Design Drawing x x
Construction Sequences x x
Method Statement X x

PICTURES
Activity
No Activity

FINDINGS/ IMPORTANT NOTES


No Method Statement/ No Design Drawing/ no stacking top soil

Reported
Name #REF!
Date #REF!
Time 10.09
Signiture
ORS QC DAILY REPORT

Compliance
No
x
x
x
x
x
x
x

p soil
INSPECTORS QC DAILY REPORT
Name of Inspector: #REF!
Name of SH Site Engineer -
Location: R3 /Marancar (Power House)
Specific Location STA: K13+600 (1°32´28´´,99°8´22´´)
Date: #REF!
Time:
Weather: Sunny

Activity Documents Complian


Type of work required Yes No EE Inspector SH Site Engineer Yes
Opencut Excavation x Design Drawing x x
Construction Sequences x x
Method Statement v x
Drainage x Design Calculation x x
Design Drawing x x
Construction Sequences x x
Method Statement x x
Slope Protection x Design Calculation x x
Design Drawing x x
Construction Sequences x x
Method Statement x x

PICTURES
Landslide

FINDINGS/ IMPORTANT NOTES


No Slope Protection/ Landslide potential/ No Design Drawing/No contruction sequences

Reported
Name #REF!
Date #REF!
Time
Signiture
ORS QC DAILY REPORT

)
8´22´´)

Compliance
No
x
x
x
x
x
x
x
x
x
x
x

g/No contruction sequences


INSPECTORS QC DAILY REPORT
Name of Inspector: Sariadi & Akim Lubis
Name of SH Site Engineer -
Location: Quarry /Marancar (Power House)
Specific Location STA: . . . (1°31'13'', 99°8'43'')
Date: 01/02/2019
Time: 10.12 - 10.21
Weather: Sunny

Activity Documents
Type of work required Yes No EE Inspector SH Site Engineer
Design Calculation x
Design Drawing x
Opencut Excavation x
Construction Sequences x
Method Statement v
Design Calculation x
Design Calculation x
Drainage x Design Drawing x
Construction Sequences x
Method Statement x
Design Calculation x
Design Calculation x
Slope Protection x Design Drawing x
Construction Sequences x
Method Statement x

PICTURES
No Activity

FINDINGS/ IMPORTANT NOTES


No Method Statement/ No Design Drawing/ No contruction sequences/ No Design Calculation

Reported
Name Sariadi & Akim Lubis
Date 01/02/2019
Time 10.12
Signiture
Compliance
SH Site Engineer Yes No
x x
x x
x x
x x
x x
x x
x x
x x
x x
x x
x x
x x
x x
x x

ation
INSPECTORS QC DAILY REPORT
Name of Inspector: #REF!
Name of SH Site Engineer -
Location: R10 /Marancar (Power House)
Specific Location STA: . . . (1°31´5´´,99°8´16´´)
Date: 01/02/2019
Time: 13.57 - 14.10
Weather: Sunny

Activity Documents Complian


Type of work required Yes No EE Inspector SH Site Engineer Yes
Opencut Excavation v Design Drawing x x
Construction Sequences x x
Method Statement v x
Drainage x Design Calculation x x
Design Drawing x x
Construction Sequences x x
Method Statement x x
Slope Protection x Design Calculation x x
Design Drawing x x
Construction Sequences x x
Method Statement x x

PICTURES
Excavation Road
FINDINGS/ IMPORTANT NOTES
No Slope Protection / No Design Drawings / No construction sequence (Wasted Wood Waste Down And Wood Made As Road
Shoulder Protection)
Reported
Name #REF!
Date 01/02/2019
Time 13.57
Signiture
ORS QC DAILY REPORT

e)

Compliance
No
x
x
x
x
x
x
x
x
x
x
x
n sequence (Wasted Wood Waste Down And Wood Made As Road
INSPECTORS QC DAILY REPORT
Name of Inspector: #REF!
Name of SH Site Engineer -
Location: R19 /Marancar (Power House)
Specific Location STA: . . . (1°31´13´´,99°8´41´´)
Date: 01/02/2019
Time: 15.13 - 15.33
Weather: Sunny

Activity Documents Complian


Type of work required Yes No EE Inspector SH Site Engineer Yes
Opencut Excavation x Design Drawing x x
Construction Sequences x x
Method Statement v x
Drainage x Design Calculation x x
Design Drawing x x
Construction Sequences x x
Method Statement x x
Slope Protection x Design Calculation x x
Design Drawing x x
Construction Sequences x x
Method Statement x x

PICTURES
No Activity

FINDINGS/ IMPORTANT NOTES


No Design Drawing/ No contruction sequences

Reported
Name #REF!
Date 01/02/2019
Time 15.13
Signiture
ORS QC DAILY REPORT

e)
)

Compliance
No
x
x
x
x
x
x
x
x
x
x
x
INSPECTORS QC DAILY REPORT
Name of Inspector: #REF!
Name of SH Site Engineer -
Location: R4 /Marancar (Power House)
Specific Location STA: (1°32´37´´,99°8´28´´ 298 , 8 m )
Date: #REF!
Time:
Weather: Sunny

Activity Documents
Type of work required Yes No EE Inspector SH Site Engineer
Opencut Excavation x Design Drawing x x
Construction Sequen x x
Method Statement x
Drainage x Design Calculation x x
Design Drawing x x
Construction Sequen x x
Method Statement x x
Slope Protection x Design Calculation x x
Design Drawing x x
Construction Sequen x x
Method Statement x x

PICTURES
Nothing Activity

FINDINGS/ IMPORTANT NOTES


No Slope Protection/ No Design Drawing/No contruction sequences

Reported
Name #REF!
Date #REF!
Time
Signiture
Compliance
Yes No
x
x
x
x
x
x
x
x
x
x
x
INSPECTORS QC DAILY REPORT
Name of Inspector: #REF!
Name of SH Site Engineer
Location: R17 Near Aggregate Processing Plant / Marancar (Power House)
Specific Location STA : . . . (1°31'12'', 99°8'42'')
Date: #REF!
Time:
Weather: Sunny

Activity Documents Complian


Type of work required Yes No EE Inspector SH Site Engineer Yes
Design Drawing x x
Opencut Excavation x Construction Sequences x x
Method Statement v x
Design Calculation x x
Design Drawing x x
Drainage x
Construction Sequences x x
Method Statement x x
Design Calculation x x
Design Drawing x x
Slope Protection x
Construction Sequences x x
Method Statement x x

PICTURES
Dumping Soil

FINDINGS/ IMPORTANT NOTES


No Design Drawing/Method Statement

Reported
Name #REF!
Date #REF!
Time
Signiture
ORS QC DAILY REPORT

Compliance
No
x
x
x
x
x
x
x
x
x
x
x
INSPECTORS QC DAILY REPORT
Name of Inspector: Rahmat Hidayat , Paulus Saragih
Name of SH Site Engineer -
Location: R-17 Marancar (Power House)
Specific Location STA : (1°31´9´´,99°8´59´´)
Date: 21 Jan 2019
Time: 09.39 - 09.43
Weather: Sunny

Activity Documents Complian


Type of work required Yes No EE Inspector SH Site Engineer Yes
Opencut Excavation x Design Drawing x x
Construction Sequences x x
Method Statement v x
Drainage x Design Calculation x x
Design Drawing x x
Construction Sequences x x
Method Statement x x
Slope Protection x Design Calculation x x
Design Drawing x x
Construction Sequences x x
Method Statement x x

PICTURES
Activity
Road Construction (Compaction)

FINDINGS/ IMPORTANT NOTES


No Design Drawing/ No contruction sequences

Reported
Name Rahmat Hidayat , Paulus Saragih
Date 21 Jan 2019
Time 09.39
Signiture
ORS QC DAILY REPORT
ragih

se)

Compliance
No
x
x
x
x
x
x
x
x
x
x
x

ragih
INSPECTORS QC DAILY REPORT
Name of Inspector: #REF!
Name of SH Site Engineer -
Location: Adit-5 / Marancar (Power House)
Specific Location STA : (1°31'34'',99°8'27'')
Date: #REF!
Time: 10.38 - 10.47
Weather: Sunny

Activity Documents
Type of work required Yes No EE Inspector
Design Calculation
Design Drawing v
PORTAL SLOPE PROTECTION v
Construction Sequences
Method Statement v
Design Calculation
Design Drawing
UNDERGROUND EXCAVATION x
Construction Sequences
Method Statement
Design Calculation
Design Drawing
DRAINAGE x
Construction Sequences
Method Statement
Design Calculation
Design Drawing
ROCK SUPPORT x
Construction Sequences
Method Statement

PICTURES
Actifity
Formwork installation
FINDINGS/ IMPORTANT NOTES
No Violation

Reported
Name #REF!
Date #REF!
Time 10.38
Signiture
ORT

Documents Compliance
EE Inspector SH Site Engineer Yes No
x x x
x x
x x x
x x
x x x
x x x
x x x
x x x
x x x
x x x
x x x
x x x
x x x
x x x
x x x
x x x
INSPECTORS QC DAILY REPORT
Name of Inspector: #REF!
Name of SH Site Engineer -
Location: Access R-3 to Adit 4 / Marancar (Power House)
Specific Location STA : K 13 + 200 (1°32´28´´,99°8´22´´)
Date: #REF!
Time: 11.18 - 11.20
Weather: Sunny

Activity Documents Complian


Type of work required Yes No EE Inspector SH Site Engineer Yes
Design Drawing x x
Opencut Excavation x Construction Sequences x x
Method Statement v x
Design Calculation x x
Design Drawing x x
Drainage x
Construction Sequences x x
Method Statement x x
Design Calculation x x
Design Drawing x x
Slope Protection x
Construction Sequences x x
Method Statement x x

PICTURES
Activity

FINDINGS/ IMPORTANT NOTES


Landslide/ No slope protection

Reported
Name #REF!
Date #REF!
Time 11.18
Signiture
ORS QC DAILY REPORT

Compliance
No
x
x
x
x
x
x
x
x
x
x
x
INSPECTORS QC DAILY REPORT
Name of Inspector: Nanda Rf Nst, Rahmad, Akin Lubis
Name of SH Site Engineer
Location: SB-11/Marancar (Power House)
Specific Location STA: (1°30'58'',99°8'14'')
Date: 25 Oct 2018
Time: 10.10-10.15
Weather: Sunny

Activity Documents Complian


Type of work required Yes No EE Inspector SH Site Engineer Yes
Opencut Excavation x Design Calculation x x
Design Drawing x x
Construction Sequences x x
Method Statement v x
Drainage x Design Calculation x x
Design Drawing x x
Construction Sequences x x
Method Statement v x
Slope Protection x Design Calculation x x
Design Drawing x x
Construction Sequences x x
Method Statement v x
Disposal Material v Design Calculation x x
Design Drawing x x
Construction Sequences x x
Method Statement v x
PICTURES
Dumping Soil from excavation R17 and Land Levelling

FINDINGS/ IMPORTANT NOTES

Reported
Name M.Jufri Pratama, M.Affandi, Sariadi
Date 24 Oct 2018
Time 10.14
Signiture
ORS QC DAILY REPORT

use)

Compliance
No
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x

Sariadi
INSPECTORS QC DAILY REPORT
Name of Inspector: #REF!
Name of SH Site Engineer -
Location: Quarry /Marancar (Power House)
Specific Location STA: . . . (1°31'13'', 99°8'45'')
Date: #REF!
Time: 15.44 - 15.55
Weather: Sunny

Activity Documents
Type of work required Yes No EE Inspector SH Site Engineer
Design Calculation x
Design Drawing x
Opencut Excavation x
Construction Sequences x
Method Statement v
Design Calculation x
Design Calculation x
Drainage x Design Drawing x
Construction Sequences x
Method Statement x
Design Calculation x
Design Calculation x
Slope Protection x Design Drawing x
Construction Sequences x
Method Statement x

PICTURES
Activity
No Activity

FINDINGS/ IMPORTANT NOTES


No Design Drawing/No contruction sequences/ No Design Calculation

Reported
Name #REF!
Date #REF!
Time 15.44
Signiture
Compliance
SH Site Engineer Yes No
x x
x x
x x
x x
x x
x x
x x
x x
x x
x x
x x
x x
x x
x x
INSPECTORS QC DAILY REPORT
Name of Inspector: #REF!
Name of SH Site Engineer -
Location: R19 /Marancar (Power House)
Specific Location STA: (1°31´16´´,99°8´46´´)
Date: 27 Dec 2018
Time: 14.12 - 14.17
Weather: Sunny

Activity Documents Complian


Type of work required Yes No EE Inspector SH Site Engineer Yes
Opencut Excavation x Design Drawing x x
Construction Sequences x x
Method Statement v x
Drainage x Design Calculation x x
Design Drawing x x
Construction Sequences x x
Method Statement x x
Slope Protection x Design Calculation x x
Design Drawing x x
Construction Sequences x x
Method Statement x x

PICTURES
No Activity

FINDINGS/ IMPORTANT NOTES


No Design Drawing/No Construction Sequences

Reported
Name #REF!
Date 27 Dec 2018
Time 14.12
Signiture
ORS QC DAILY REPORT

e)

Compliance
No
x
x
x
x
x
x
x
x
x
x
x
INSPECTORS QC DAILY REPORT
Name of Inspector: Akin Lubis, Sariadi, Paulus Saragih
Name of SH Site Engineer -
Location: R17 /Marancar (Power House)
Specific Location STA: (1°31´7´´,99°8´21´´)
Date: 27 Dec 2018
Time: 11.24 - 11.33
Weather: Sunny

Activity Documents Complian


Type of work required Yes No EE Inspector SH Site Engineer Yes
Opencut Excavation x Design Drawing x x
Construction Sequences x x
Method Statement v x
Drainage x Design Calculation x x
Design Drawing x x
Construction Sequences x x
Method Statement x x
Slope Protection x Design Calculation x x
Design Drawing x x
Construction Sequences x x
Method Statement x x

PICTURES
No Activities

FINDINGS/ IMPORTANT NOTES


No Design Drawing / No Contruction Sequences/ No Drainage

Reported
Name Akin Lubis, Sariadi, Paulus Saragih
Date 27 Dec 2018
Time 11.25
Signiture
ORS QC DAILY REPORT
aragih

e)

Compliance
No
x
x
x
x
x
x
x
x
x
x
x

ge

aragih
INSPECTORS QC DAILY REPORT
Name of Inspector: #REF!
Name of SH Site Engineer -
Location: R4 /Marancar (Power House)
Specific Location STA: (1°30´57´´,99°7´56´´ & 1°30´55´´,99°7´53´´)
Date: #REF!
Time:
Weather: Sunny

Activity Documents Complian


Type of work required Yes No EE Inspector SH Site Engineer Yes
Opencut Excavation v Design Drawing x x
Construction Sequences x x
Method Statement v x
Drainage x Design Calculation x x
Design Drawing x x
Construction Sequences x x
Method Statement x x
Slope Protection x Design Calculation x x
Design Drawing x x
Construction Sequences x x
Method Statement x x

PICTURES
Exacavation
FINDINGS/ IMPORTANT NOTES
No Design Drawing/ No Construction Sequence/ No slope protection

Reported
Name #REF!
Date #REF!
Time
Signiture
ORS QC DAILY REPORT

)
1°30´55´´,99°7´53´´)

Compliance
No
x
x
x
x
x
x
x
x
x
x
x
rotection
INSPECTORS QC DAILY REPORT
Name of Inspector: Nanda Rf Nst, Rahmad, Akin Lubis
Name of SH Site Engineer Mr. Chuen
Location: Pioneer Road R3/Marancar (Power House)
Specific Location STA: (1°33'8'',99°8'58'')
Date: 25 Oct 2018
Time: 10.43-10.55
Weather: Sunny

Activity Documents Complian


Type of work required Yes No EE Inspector SH Site Engineer Yes
Opencut Excavation v Design Calculation x x
Design Drawing x x
Construction Sequences x x
Method Statement v x
Drainage x Design Calculation x x
Design Drawing x x
Construction Sequences x x
Method Statement v x
Slope Protection x Design Calculation x x
Design Drawing x x
Construction Sequences x x
Method Statement v x
Disposal Material x Design Calculation x x
Design Drawing x x
Construction Sequences x x
Method Statement v x

PICTURES

FINDINGS/ IMPORTANT NOTES


No Pipe Drainage

Reported
Name Nanda Rf Nst, Rahmad, Akin Lubis
Date 25 Oct 2018
Time 10.43/10.55
Signiture
ORS QC DAILY REPORT

(Power House)

Compliance
No
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x

Lubis
INSPECTORS QC DAILY REPORT
Name of Inspector: Akin Maulana , Nanda RF Nst , Sahala Ronitua
Name of SH Site Engineer Peng Yong
Location: R3 Pioneer/Marancar (Power House)
Specific Location STA:……………….. (1°33'3'',99°8'55''330.1 m)
Date: 31 Oct 2018
Time: 10.43-10.46
Weather: Sunny

Activity Documents Complian


Type of work required Yes No EE Inspector SH Site Engineer Yes
Opencut Excavation v Design Drawing x x
Construction Sequences x x
Method Statement v x
Drainage x Design Calculation x x
Design Drawing x x
Construction Sequences x x
Method Statement x x
Slope Protection x Design Calculation x x
Design Drawing x x
Construction Sequences x x
Method Statement x x

PICTURES
Actifity
Pioneer R3

FINDINGS/ IMPORTANT NOTES


The excavation of the soil is discharged down

Reported
Name Akin Maulana , Nanda RF Nst , Sahala Ronitua
Date 31 Oct 2018
Time 10.45
Signiture
ORS QC DAILY REPORT
t , Sahala Ronitua

er House)
°8'55''330.1 m)

Compliance
No
x
x
x
x
x
x
x
x
x
x
x

t , Sahala Ronitua
INSPECTORS QC DAILY REPORT
Name of Inspector: Akin Lubis, Sahala Ronitua, Nanda R.F Nst
Name of SH Site Engineer -
Location: SB-10 /Marancar (Power House)
Specific Location STA: (1°32'45'',99°8'40'')
Date: 5 Nov 2018
Time:
Weather: Sunny

Activity Documents Complian


Type of work required Yes No EE Inspector SH Site Engineer Yes
Top Soil Excavation x Design Drawing x x
Construction Sequences x x
Method Statement x x
Drainage x Design Calculation x x
Design Drawing x x
Construction Sequences x x
Method Statement X x

PICTURES
No Actifity

FINDINGS/ IMPORTANT NOTES


No Stacking Top Soil / No Drainage

Reported
Name Akin Lubis, Sahala Ronitua, Nanda R.F Nst
Date 5 Nov 2018
Time
Signiture
ORS QC DAILY REPORT
Nanda R.F Nst

use)

Compliance
No
x
x
x
x
x
x
x

Nanda R.F Nst


INSPECTORS QC DAILY REPORT
Name of Inspector: Sariadi, M.Jufri Pratama, M.Affandi
Name of SH Site Engineer Mr. Liu
Location: Acces Road R5 /Marancar (Power House)
Specific Location STA:................. (1°29'14'',99°5'55'')
Date: 21 Oct 2018
Time: 14.48 - 15.10
Weather: Sunny

Activity Documents Complian


Type of work required Yes No EE Inspector SH Site Engineer Yes
Opencut Excavation v Design Calculation x x
Design Drawing x x
Construction Sequences x x
Method Statement v x
Drainage x Design Calculation x x
Design Drawing x x
Construction Sequences x x
Method Statement v x
Slope Protection x Design Calculation x x
Design Drawing x x
Construction Sequences x x
Method Statement v x
DISPOSAL MATERIAL x Design Calculation x x
Design Drawing x x
Construction Sequences x x
Method Statement v x

PICTURES

FINDINGS/ IMPORTANT NOTES


Not Drainage / No Slopping Protetion/ Landslide potential

Reported
Name Sariadi, M.Jufri Pratama, M.Affandi
Date 21 Oct 2018
Time 14.31
Signiture
ORS QC DAILY REPORT
Affandi

ower House)
°5'55'')

Compliance
No
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x

Affandi

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