PT ANGKASA PURA II (PERSERO) PT GANESHATAMA CONSULTING

WORK INSPECTION REQUEST

Nomor : 016/JRT.WIR/NK/III/2017
DISCIPLINE LOCATION DESCRIPTION OF ACTIVITY / CHARRACTERS TO BE VERIFIED DATE TIME INSPECTION LEVEL
NO
START FINISH CONTRACTOR
1 Prepared NP 53 - Mobilisasi Peralatan 16-Mar-2017 8:00 17:00 P

H= HOLD POINT, A= APPROVAL, C= CHECK ON SITE, W= WITNESS, R= REVIEW DOCUMENT, I= INSPECTION / SURVEILLANCE, SW= SPOTWITNESS, P= PERFORM, PROPIDE
Prepared by Contractor acknowledge by PMC
 PT. NINDYA KARYA (PERSERO) PT GANESHATAMA CONSULTING

………………………………………………... ......................................................
 PT. NINDYA KARYA (PERSERO)

INSPECTION LEVEL REMARKS

PMC

ge by PMC
MA CONSULTING

...........................
 PT ANGKASA PURA II (PERSERO) PT GANESHATAMA CONSULTING
WORK INSPECTION REQUEST
Nomor : 017/JRT.WIR/NK/III/2017
DISCIPLINE LOCATION DESCRIPTION OF ACTIVITY / CHARRACTERS TO BE VERIFIED DATE TIME INSPECTION LEVEL
NO
START FINISH CONTRACTOR
1 Civil Gardu NP 53 Cargo - Mobilisasi Peralatan Kerja Excavator 17-Mar-2017 8:00 17:00 P

2 Civil Gardu NP 53 Cargo - Penggalian Basement 17-Mar-2017 8:00 17:00 P

H= HOLD POINT, A= APPROVAL, C= CHECK ON SITE, W= WITNESS, R= REVIEW DOCUMENT, I= INSPECTION / SURVEILLANCE, SW= SPOTWITNESS, P= PERFORM, PROPIDE
Prepared by Contractor acknowledge by PMC
 PT. NINDYA KARYA (PERSERO) PT GANESHATAMA CONSULTING

………………………………………………... ......................................................
 PT. NINDYA KARYA (PERSERO)

INSPECTION LEVEL REMARKS

PMC

ge by PMC
MA CONSULTING

...........................
 PT ANGKASA PURA II (PERSERO) PT GANESHATAMA CONSULTING
WORK INSPECTION REQUEST
Nomor : 018/JRT.WIR/NK/III/2017
DISCIPLINE LOCATION DESCRIPTION OF ACTIVITY / CHARRACTERS TO BE VERIFIED DATE TIME INSPECTION LEVEL
NO
START FINISH CONTRACTOR
1 Civil Gardu NP 53 Cargo - Mobilisasi Peralatan Kerja 18-Mar-2017 8:00 17:00 P

2 Civil Gardu NP 53 Cargo - Penggalian Basement 18-Mar-2017 8:00 17:00 P

3 Civil Gardu NP 53 Cargo - Pembuangan Tanah Galian 18-Mar-2017 8:00 17:00 P

H= HOLD POINT, A= APPROVAL, C= CHECK ON SITE, W= WITNESS, R= REVIEW DOCUMENT, I= INSPECTION / SURVEILLANCE, SW= SPOTWITNESS, P= PERFORM, PROPIDE
Prepared by Contractor acknowledge by PMC
 PT. NINDYA KARYA (PERSERO) PT GANESHATAMA CONSULTING

………………………………………………... ......................................................
 PT. NINDYA KARYA (PERSERO)

INSPECTION LEVEL REMARKS

PMC

ge by PMC
MA CONSULTING

...........................
 PT ANGKASA PURA II (PERSERO) PT GANESHATAMA CONSULTING
WORK INSPECTION REQUEST
Nomor : 019/JRT.WIR/NK/III/2017
DISCIPLINE LOCATION DESCRIPTION OF ACTIVITY / CHARRACTERS TO BE VERIFIED DATE TIME INSPECTION LEVEL
NO
START FINISH CONTRACTOR
1 Civil NP 52, NP 53, P 55 - Mobilisasi Peralatan Kerja 19-Mar-2017 8:00 17:00 P

2 Civil NP 52, NP 53, P 55 - Penggalian Basement 19-Mar-2017 8:00 17:00 P

3 Civil NP 52, NP 53, P 55 - Pembuangan Tanah Galian 19-Mar-2017 8:00 17:00 P

H= HOLD POINT, A= APPROVAL, C= CHECK ON SITE, W= WITNESS, R= REVIEW DOCUMENT, I= INSPECTION / SURVEILLANCE, SW= SPOTWITNESS, P= PERFORM, PROPIDE
Prepared by Contractor acknowledge by PMC
 PT. NINDYA KARYA (PERSERO) PT GANESHATAMA CONSULTING

………………………………………………... ......................................................
 PT. NINDYA KARYA (PERSERO)

INSPECTION LEVEL REMARKS

PMC

ge by PMC
MA CONSULTING

...........................
 PT ANGKASA PURA II (PERSERO) PT GANESHATAMA CONSULTING PT. NINDYA KARYA (PERSERO)
WORK INSPECTION REQUEST
Nomor : 020/JRT.WIR/NK/III/2017
DISCIPLINE LOCATION DESCRIPTION OF ACTIVITY / CHARRACTERS TO BE VERIFIED DATE TIME INSPECTION LEVEL REMARKS
NO
START FINISH CONTRACTOR PMC
1 Civil NP 52, NP 53, P 55 - Mobilisasi Peralatan Kerja 20-Mar-2017 8:00 17:00 P

2 Civil NP 52, NP 53, P 55 - Penggalian Basement 20-Mar-2017 8:00 17:00 P

3 Civil NP 52, NP 53, P 55 - Pembuangan Tanah Galian 20-Mar-2017 8:00 17:00 P

H= HOLD POINT, A= APPROVAL, C= CHECK ON SITE, W= WITNESS, R= REVIEW DOCUMENT, I= INSPECTION / SURVEILLANCE, SW= SPOTWITNESS, P= PERFORM, PROPIDE
Prepared by Contractor acknowledge by PMC
PT. NINDYA KARYA (PERSERO) PT GANESHATAMA CONSULTING

………………………………………………... ......................................................
 PT ANGKASA PURA II (PERSERO) PT GANESHATAMA CONSULTING PT. NINDYA KARYA (PERSERO)
WORK INSPECTION REQUEST
Nomor : 021/JRT.WIR/NK/III/2017
DISCIPLINE LOCATION DESCRIPTION OF ACTIVITY / CHARRACTERS TO BE VERIFIED DATE TIME INSPECTION LEVEL REMARKS
NO
START FINISH CONTRACTOR PMC
1 Civil NP 52, P 55 - Mobilisasi Peralatan Kerja 21-Mar-2017 8:00 17:00 P

2 Civil NP 52, P 55 - Penggalian Basement 21-Mar-2017 8:00 17:00 P

3 Civil NP 52, P 55 - Pembuangan Tanah Galian 21-Mar-2017 8:00 17:00 P

4 Civil NP 53 - Pekerjaan Pemadatan Tanah 21-Mar-2017 8:00 17:00 P

H= HOLD POINT, A= APPROVAL, C= CHECK ON SITE, W= WITNESS, R= REVIEW DOCUMENT, I= INSPECTION / SURVEILLANCE, SW= SPOTWITNESS, P= PERFORM, PROPIDE
Prepared by Contractor acknowledge by PMC
PT. NINDYA KARYA (PERSERO) PT GANESHATAMA CONSULTING

………………………………………………... ......................................................
 PT ANGKASA PURA II (PERSERO) PT GANESHATAMA CONSULTING PT. NINDYA KARYA (PERSERO)
WORK INSPECTION REQUEST
Nomor : 022/JRT.WIR/NK/III/2017
DISCIPLINE LOCATION DESCRIPTION OF ACTIVITY / CHARRACTERS TO BE VERIFIED DATE TIME INSPECTION LEVEL REMARKS
NO
START FINISH CONTRACTOR MK
1 Civil NP 52, NP 53 - Mobilisasi Peralatan Kerja 22-Mar-2017 8:00 17:00 P

2 Civil NP 52, NP 53 - Pemadatan Lahan Basement 22-Mar-2017 8:00 17:00 P

3 Civil P 55 - Pekerjaan Penggalian Basement dan 22-Mar-2017 8:00 17:00 P

- Pembuangan Tanah Bekas Galian

H= HOLD POINT, A= APPROVAL, C= CHECK ON SITE, W= WITNESS, R= REVIEW DOCUMENT, I= INSPECTION / SURVEILLANCE, SW= SPOTWITNESS, P= PERFORM, PROPIDE
Prepared by Contractor acknowledge by PMC
PT. NINDYA KARYA (PERSERO) PT GANESHATAMA CONSULTING

………………………………………………... ......................................................
 PT ANGKASA PURA II (PERSERO) PT GANESHATAMA CONSULTING PT. NINDYA KARYA (PERSERO
WORK INSPECTION REQUEST
Nomor : 023/JRT.WIR/NK/III/2017
DISCIPLINE LOCATION DESCRIPTION OF ACTIVITY / CHARRACTERS TO BE VERIFIED DATE TIME INSPECTION LEVEL
NO
START FINISH CONTRACTOR MK
1 Civil NP 52, NP 53 - Mobilisasi Peralatan Kerja 23-Mar-2017 8:00 17:00 P

2 Civil NP 52, NP 53 - Pemadatan Lahan Basement 23-Mar-2017 8:00 17:00 P

4 Civil P 55 - Pekerjaan Penggalian Basement dan 23-Mar-2017 8:00 17:00 P

- Pembuangan Tanah Bekas Galian

H= HOLD POINT, A= APPROVAL, C= CHECK ON SITE, W= WITNESS, R= REVIEW DOCUMENT, I= INSPECTION / SURVEILLANCE, SW= SPOTWITNESS, P= PERFORM, PROPIDE
Prepared by Contractor acknowledge by PMC
 PT. NINDYA KARYA (PERSERO) PT GANESHATAMA CONSULTING

………………………………………………... ......................................................
PT. NINDYA KARYA (PERSERO)

REMARKS
LTING

.........
 PT ANGKASA PURA II (PERSERO) PT GANESHATAMA CONSULTING PT. NINDYA KARYA (PERSERO)
WORK INSPECTION REQUEST
Nomor : 024/JRT.WIR/NK/III/2017
DISCIPLINE LOCATION DESCRIPTION OF ACTIVITY / CHARRACTERS TO BE VERIFIED DATE TIME INSPECTION LEVEL REMARKS
NO
START FINISH CONTRACTOR MK
1 Civil NP 52 - Mobilisasi Peralatan Kerja 24-Mar-2017 8:00 17:00 P
- Pemadatan Lahan Basement
- Pekerjaan Pengecoran Lantai Kerja
- Pabrikasi Bekisting

2 Civil P 55 - Pekerjaan Penggalian Basement dan 24-Mar-2017 8:00 17:00 P

- Pembuangan Tanah Bekas Galian

H= HOLD POINT, A= APPROVAL, C= CHECK ON SITE, W= WITNESS, R= REVIEW DOCUMENT, I= INSPECTION / SURVEILLANCE, SW= SPOTWITNESS, P= PERFORM, PROPIDE
Prepared by Contractor acknowledge by PMC
PT. NINDYA KARYA (PERSERO) PT GANESHATAMA CONSULTING

………………………………………………... ......................................................
 PT ANGKASA PURA II (PERSERO) PT GANESHATAMA CONSULTING PT. NINDYA KARYA (PERSERO)
WORK INSPECTION REQUEST
Nomor : 025/JRT.WIR/NK/III/2017
DISCIPLINE LOCATION DESCRIPTION OF ACTIVITY / CHARRACTERS TO BE VERIFIED DATE TIME INSPECTION LEVEL REMARKS
NO
START FINISH CONTRACTOR PMC
1 Civil P 55 - Mobilisasi Peralatan Kerja 25-Mar-2017 8:00 17:00 P
- Pekerjaan Galian Basement

2 Civil NP 52 - Marking koordinat gardu 25-Mar-2017 8:00 17:00 P

- Pabrikasi Bekisting

3 Civil NP 53 - Pekerjaan Perataan Sirtu 25-Mar-2017 8:00 17:00 P

- Pekerjaan Pengecoran lantai kerja

H= HOLD POINT, A= APPROVAL, C= CHECK ON SITE, W= WITNESS, R= REVIEW DOCUMENT, I= INSPECTION / SURVEILLANCE, SW= SPOTWITNESS, P= PERFORM, PROPIDE
Prepared by Contractor acknowledge by PMC
PT. NINDYA KARYA (PERSERO) PT GANESHATAMA CONSULTING

………………………………………………... ......................................................
 PT ANGKASA PURA II (PERSERO) PT GANESHATAMA CONSULTING
WORK INSPECTION REQUEST
Nomor : 026/JRT.WIR/NK/III/2017
DISCIPLINE LOCATION DESCRIPTION OF ACTIVITY / CHARRACTERS TO BE VERIFIED DATE TIME INSPECTION LEVEL
NO
START FINISH CONTRACTOR
1 Civil P 55 - Koordinasi Perijinan Pemindahan Pohon 26-Mar-2017 8:00 17:00 P
- Mobilisasi Peralatan Kerja
- Pekerjaan Galian Basement

2 Civil Gudang Kerja - Pabrikasi Bekisting 26-Mar-2017 8:00 17:00 P

3 Civil NP 53 - Pemadatan Lahan Basement 26-Mar-2017 8:00 17:00 P

- Pekerjaan Pengecoran lantai kerja

H= HOLD POINT, A= APPROVAL, C= CHECK ON SITE, W= WITNESS, R= REVIEW DOCUMENT, I= INSPECTION / SURVEILLANCE, SW= SPOTWITNESS, P= PERFORM, PROPIDE
Prepared by Contractor acknowledge by PMC
 PT. NINDYA KARYA (PERSERO) PT GANESHATAMA CONSULTING

………………………………………………... ......................................................
 PT. NINDYA KARYA (PERSERO)

INSPECTION LEVEL REMARKS

PMC

ge by PMC
MA CONSULTING

...........................
 PT ANGKASA PURA II (PERSERO) PT GANESHATAMA CONSULTING
WORK INSPECTION REQUEST
Nomor : 027/JRT.WIR/NK/II/2017
DISCIPLINE LOCATION DESCRIPTION OF ACTIVITY / CHARRACTERS TO BE VERIFIED DATE TIME INSPECTION LEVEL
NO
START FINISH CONTRACTOR
1 Civil P 55 - Koordinasi Pemindahan Pohon dan Pemangkasan 27-Mar-2017 8:00 17:00 P
- Mobilisasi Peralatan Kerja

2 Civil Gudang Kerja - Pabrikasi Bekisting 27-Mar-2017 8:00 17:00 P

- Setting Alat Pabrikasi Besi

3 Civil NP 53 - Marking as kolom bangunan 27-Mar-2017 8:00 17:00 P

H= HOLD POINT, A= APPROVAL, C= CHECK ON SITE, W= WITNESS, R= REVIEW DOCUMENT, I= INSPECTION / SURVEILLANCE, SW= SPOTWITNESS, P= PERFORM, PROPIDE
Prepared by Contractor acknowledge by PMC
 PT. NINDYA KARYA (PERSERO) PT GANESHATAMA CONSULTING

………………………………………………... ......................................................
 PT. NINDYA KARYA (PERSERO)

INSPECTION LEVEL REMARKS

PMC

ge by PMC
MA CONSULTING

...........................
 PT ANGKASA PURA II (PERSERO) PT GANESHATAMA CONSULTING
WORK INSPECTION REQUEST
Nomor : 012/JRT.WIR/NK/III/2017
DISCIPLINE LOCATION DESCRIPTION OF ACTIVITY / CHARRACTERS TO BE VERIFIED DATE TIME INSPECTION LEVEL
NO
START FINISH CONTRACTOR
1 Prepared Cargo NP 53 & NP 52, P55 - Pemasangan Pagar Pengaman 12-Mar-2017 8:00 17:00 P

2 Civil Cargo NP 53 & NP 52, P55 Pekerjaan Sondir/Boring Tanah 12-Mar-2017 8:00 17:00 P

3 Civil Cargo NP 53 & NP 52, P55 Bongkaran Conblock 12-Mar-2017 8:00 17:00 P

4 Civil Cargo NP 53 & NP 52, P55 Test Pit 12-Mar-2017 8:00 17:00 P

H= HOLD POINT, A= APPROVAL, C= CHECK ON SITE, W= WITNESS, R= REVIEW DOCUMENT, I= INSPECTION / SURVEILLANCE, SW= SPOTWITNESS, P= PERFORM, PROPIDE
Prepared by Contractor acknowledge by PMC
 PT. NINDYA KARYA (PERSERO) PT GANESHATAMA CONSULTING

………………………………………………... ......................................................
 PT. NINDYA KARYA (PERSERO)

INSPECTION LEVEL REMARKS

PMC

ge by PMC
MA CONSULTING

...........................
 PT ANGKASA PURA II (PERSERO) PT GANESHATAMA CONSULTING
WORK INSPECTION REQUEST
Nomor : 030/JRT.WIR/NK/III/2017
DISCIPLINE LOCATION DESCRIPTION OF ACTIVITY / CHARRACTERS TO BE VERIFIED DATE TIME INSPECTION LEVEL
NO
START FINISH CONTRACTOR
1 Civil Perakitan alat pancang Threefoot 02-May-2017 8:00 17:00 P
NP53 Pengadaan Material Tiang Pancang 03-May-2017 8:00 17:00 P
Pekerjaan Pancang 03-May-2017 8:00 17:00 P

2 Civil Pengadaan Material Tiang Pancang 03-May-2017 8:00 17:00 P

NP52

3 Civil NP55 Pengadaan Tiang Pancang 03-May-2017 8:00 17:00 P

Pemindahan existing pipa air bersih dan air hujan 05-May-2017 8:00 17:00 P

4 Civil PUSPIPTEK Uji Tekuk dan Uji Tarik Besi 04-May-2017 8:00 17:00 P

H= HOLD POINT, A= APPROVAL, C= CHECK ON SITE, W= WITNESS, R= REVIEW DOCUMENT, I= INSPECTION / SURVEILLANCE, SW= SPOTWITNESS, P= PERFORM, PROPIDE
Prepared by Contractor acknowledge by PMC
 PT. NINDYA KARYA (PERSERO) PT GANESHATAMA CONSULTING

………………………………………………... ......................................................
 PT. NINDYA KARYA (PERSERO)

INSPECTION LEVEL REMARKS

PMC

ge by PMC
MA CONSULTING

...........................
 PT ANGKASA PURA II (PERSERO) PT GANESHATAMA CONSULTING PT. NINDYA KARYA (PERSER
WORK INSPECTION REQUEST
Nomor : 030/JRT.WIR/NK/V/2017
DISCIPLINE LOCATION DESCRIPTION OF ACTIVITY / CHARRACTERS TO BE VERIFIED DATE TIME INSPECTION LEVEL
NO
START FINISH CONTRACTOR PMC
1 Civil Perakitan alat pancang Threefoot 02-May-2017 8:00 17:00 P
NP53 Pengadaan Material Tiang Pancang 03-May-2017 8:00 17:00 P
Pekerjaan Pancang 03-May-2017 8:00 17:00 P

2 Civil Pengadaan Material Tiang Pancang 03-May-2017 8:00 17:00 P

NP52

3 Civil NP55 Pengadaan Tiang Pancang 03-May-2017 8:00 17:00 P

Pemindahan existing pipa air bersih dan air hujan 05-May-2017 8:00 17:00 P

4 Civil PUSPIPTEK Uji Tekuk dan Uji Tarik Besi 04-May-2017 8:00 17:00 P

H= HOLD POINT, A= APPROVAL, C= CHECK ON SITE, W= WITNESS, R= REVIEW DOCUMENT, I= INSPECTION / SURVEILLANCE, SW= SPOTWITNESS, P= PERFORM, PROPIDE
Prepared by Contractor acknowledge by PMC
 PT. NINDYA KARYA (PERSERO) PT GANESHATAMA CONSULTING

………………………………………………... ......................................................
PT. NINDYA KARYA (PERSERO)

REMARKS
LTING

.........