CERTIFICATE No.

B
OF
INSPECTION

CLIENT : PT. SURYA BIRU MURNI

SUBJECT : Re - Certification of Lifting Equipment
DESCRIPTION : Oxygen Rack
ITEM NUMBER :
PLACE OF INSPECTION : W/S. PT. Surya Biru Murni, Balikpapan, East Kalimantan
DATE OF INSPECTION : June 9, 2010
REFERENCES : - AWS D1.1
- BS EN 12079

Result:

1. Visual inspection & dimensional was performed with satisfactory result.

2. NDT was performed with satisfactory result.

- Tare Weight : 160 kg

- Safe Working Load : 1000 kg
- Max Gross Weight : 1160 kg

Conclusion:

Based on the above result, we recommend that the lifting equipment can be used for operation
with Safe Working Load as stated above and should be re inspected on December 9, 2010

This certificate reflects our findings at time and place of inspection only and is issued without
prejudice.

Balikpapan, May 31, 2010

PT. GERBANG KRENINDO SAKTI
 SUMARDI
Representative Manager
 PT.GERBANG KRENINDO SAKTI
INDEPENDENT TESTING, INSPECTION AND CERTIFICATION AGENCY
ISO 9001 : 2000 & OHSAS 18001 : 1999 CERTIFIED COMPANY
Telephone : 62 – 542 – 7026372 Facsimile : 62 – 542 – 7204387

VISUAL INSPECTION & DIMENSIONAL REPORT

Client : PT. SURYA BIRU MURNI Date of Insp. : June 9, 2010
Name of Equip. : Oxygen Rack Location of Insp : W/S. PT. Surya Biru Murni, Balikpapan,
Item Number : 0 East Kalimantan
Color Code : Yellow

General Condition
Corrotion Painting Dim. S C Joint P E Struc.

Not done

Rejected

Rejected

Rejected
Medium

Medium
No Part of Inspection Remark

Repair
Heavy

Done
Good
Light

Poor

Acc

Acc

Acc

Acc
1 Structure Completeness (SC)
- Structure Straightness P
- Structure Type P
- Top Plate
- Base Plate P
- Wall Plate
- Frame P
2 Joint
- Weld Soundness P
- Weld Completeness P
3 Pad Eye ( PE )
- Pad Eye Straightness P
- Weld Soundness P
Tare Weight : 1200
5 Dimensional P Safe Working Load : 4000
L : 688Cm x W :122Cm x H :122Cm Max Gross Weight : 5200
6 Result of General Inspection Accepted
Conclusion ;
Based on Visual Inspection The Above Equipment can be used for operation with safe working load stated above
* Note:
1 Corrotion 2 Painting
Light : Less Than 10 % up to 15 % on surface area of CTU Good : All surface area was good painted condition
Medium : More than 16 % up to 40 % on surface area of CTU Medium : Half of surface area having paint in peeled off
Heavy : More than 41 % from surface area of CTU Poor : All surface area having paint in peeled off

PADEYES: 4 EA
THICKNESS: 20 mm

25mm

 22mm

67mm

107mm

Inspected by
 MUKTI SEKTIADI
PT. Gerbang Krenindo Sakti
Kgs
Kgs
Kgs
 PT. GERBANG KRENINDO SAKTI
INDEPENDENT TESTING, INSPECTION AND CERTIFICATION AGENCY
ISO 9001:2000 & OHSAS 18001 :1999 CERTIFIED COMPANY
Telephone : 62 - 542 - 7026372 Facsimile: 62 - 542 - 7204387
SHACKLE INSPECTION AND DIMENSIONAL REPORT

Client : Location of Inspection :

Name of Equip :
Item Number : Refference :
Date of Inspection : Color Code : Solic Yellow

INSPECTION ITEM RESULT REMARK

1. Shackle Data
- Manufacturer Crosby,
- Type Bolt Type Anchor Shackle
- Safe Working Load Tones
2 Inspection
- Shackle Good
- Pin Shackle Good
3 Dimensional A B C D
- Dimensional Nominal Open  Pin Pin to Top  Shackle
mm mm mm mm
- Dimensional Actual Open  Pin Pin to Top  Shackle
Item No. : SC 01 mm mm mm mm
: SC 02 mm mm mm mm
: SC 03 mm mm mm mm
: SC 04 mm mm mm mm
4 Nondestructive Examination
- Dye Penetrant Inspection Good
- Magnetic Partical Inspection Good

SLING INSPECTION AND DIMENSIONAL REPORT

Client : Location of Inspection :
Name of Equip :
Item Number : Refference :
Date of Inspection : Color Code :

WIRE ROPE DATA RESULT MASTER LINK SUB LINK REMARK

- DIAMETER A= Diameter A= Diameter
- LENGTH B= Length B= Length
- SAFE WORKING LOAD (SWL) C= Width C= Width
- ROPE CONDITION Good Link Condition Good Link Condition Good

A-A' C-
C'
B-B'

Inspected By
PT. Gerbang Krenindo Sakti
Bolt Type Anchor Shackle BS6, Good mm
Bolt Type Chain Shackle Crosby, Rejected tones
Screw Pin Shackles GRS, - kg
OMS mtr
 PT.GERBANG KRENINDO SAKTI
INDEPENDENT TESTING, INSPECTION AND CERTIFICATION AGENCY
ISO 9001 : 2000 & OHSAS 18001 : 1999 CERTIFIED COMPANY

MAGNETIC PARTICLE INSPECTION REPORT

MUKTI SEKT
Report No : / MPI-GKS / V / ### RUSDIANSY
Description : Oxygen Rack BENNY SETY
Item Number : 0 ANDI BASRI
Date of Test : June 9, 2010 Inspector : MUKTI SEKTIADI WISNU HATT
Illumination : - Sun Light Method : CONTINUOUS METHOD AGUS WAHY
Equipment : YOKE SMAW
Type : YOKE PERMANENT GMAW
Chemical : - WCP 2 WHITE CONTRAST PAINT GTAW
- 7HF PREPARED BATH After Repair
Procedure No : IP - 55 - SKC - S CLEANER Before Repai
Acc. Criteria : AWS D1.1 - After Load Te
Welding Process : Location : W/S. PT. Surya Biru Murni, Balikpapan, East Before Load
Client : PT. SURYA BIRU MURNI Kalimantan Before & Afte
Sheet : 1 of 1
Result Type of
No. Part of. Observetion Remaks
Accepted Rejected Discontinuties
1 Pad Eyes No.1 No indication of defect ü - - -
2 Pad Eyes No.2 No indication of defect ü - - -

Pad Eyes No.1 Pad Eyes No.2 Pad Eyes No.3 Pad Eyes No.4

INSPECTED BY
Name MUKTI SEKTIADI

Sign
MT & PT Level II

Balikpapan Representative Office:

Ruko Balikpapan Baru, Sentra Eropa, AB.4, No.24, Balikpapan 76125, Kalimantan Timur
Telp:62-542-7026372 Fax: 62-542-7204387
 Sign
MT & PT Level II

Balikpapan Representative Office:

Ruko Balikpapan Baru, Sentra Eropa, AB.4, No.24, Balikpapan 76125, Kalimantan Timur
Telp:62-542-7026372 Fax: 62-542-7204387
EKTIADI I MPI-GKYOKE ELECTRIC No indication of defect ü WET MAGNETIC METHOD SKC - S
NSYAH II PT-GKS YOKE PERMANENT Indication of defect - SOLVENT REMOVABLE SKL - SP1
SETYA NUGROHO III IP - 55 SURFACE CLEANINGMAGNETIC PARTICLE INSPECTION REPORT SKD - S2
SRI IV IP - 56 APPLY WHITE CONTRDYE PENETRANT INSPECTION REPORT WCP - 2
HATTA V AWS D1.1 MAGNETIZATION 7HF
AHYUDI VI ASME V APPLY MAGNETIC INK
VII INSPECTION
VIII CLEANING
IX APPLY RED PENETRANT
air X APPLY DEVELOPER
epair XI INSPECTION
d Test XII
oad Test
After Load Test

Balikpapan Representative Office:

Ruko Balikpapan Baru, Sentra Eropa, AB.4, No.24, Balikpapan 76125, Kalimantan Timur
Telp:62-542-7026372 Fax: 62-542-7204387
CLEANER
PENETRANT
DEVELOPER
WHITE CONTRAST PAINT
PREPARED BATH

Balikpapan Representative Office:

Ruko Balikpapan Baru, Sentra Eropa, AB.4, No.24, Balikpapan 76125, Kalimantan Timur
Telp:62-542-7026372 Fax: 62-542-7204387