BLOK A GAS DEVELOPMENT PROJECT

REQUEST FOR INSPECTION (RFI) / INSPECTION RESULT

ISSUE DATE: 11/06/2019
RI. NO.: IR/QC/M/JMN-001
TO : COMPANY
TO : SECTION QA/QC

This is to inform that the following inspection /test will be carried out at the scheduled time and scope of inspection of each party mentioned
below:

INSPECTION
INSPECTION RESULT
SCOPE

ATPIA/MIGAS
CONTRACTOR
ITP No. /

COMPANY
INSPECTION INSPECTION ITEMS

STATUS
TIME LOCATION INSPECTION
DATE
POINT REMARK

Inside outside EPC Inspection for Plumbing pipes Instalation of -

12/06/2019 14.00 M/W R
3B Area buildings
-
M/W R
-

Signature for RI Stage Signature for Inspection Result Stage

CONTRACTOR COMPANY CONTRACTOR COMPANY ATPIA/MIGAS/DEPNAKER

N/A

Name : Name : Name : Name : Name :