Campany's Name : Doc. No.

: SSP/ITP/CJP-009
PT. SATYAMITRA SURYA PERKASA INSPECTION & TEST PLAN (ITP)
Revision : 0
Scope : CIVIL WORKS Sheet No. : 1 of 4
Project : CENTRAL JAVA 2 X 1000 MW POWER PLANT
Loc. / Structure : CONSTRUCTION JETTY AREA Print Date : July 9th 2017
Job No. : 1607 - C
Document Distribution
Copy No. Receipient Doc. Type
1 PM Controlled Copy
2 QAM Controlled Copy
3 SM Controlled Copy
4 QC Controlled Copy

INSPECTION / TEST VERIFICATION CODE

CODE DESCRIPTION
SSP MES
PM / QAM PM / QAM A1 100% ACTUAL Inspection / Test
NAME Originator
Approval Approval A2 Sample Inspection / Test
H Hold Point
Name
S Surveillance
W1 100% Witness Inspection/Test
Position
W2 Sample Witness Inspection/Test
R1 100% Documentation Review
Date
R2 Sample Document Review
FI For Information Only
Signature
N/A Not Applicable
Campany's Name :
PT. SATYAMITRA SURYA PERKASA INSPECTION & TEST PLAN (ITP) Doc. No. : SSP/ITP/CJP-009

Scope : CIVIL WORKS Print Date : July 9th 2017

Project : CENTRAL JAVA 2 X 1000 MW POWER PLANT
Loc. / Structure : CONSTRUCTION JETTY AREA Revision : 0 Sheet No. : 2/4
Job No. : 1607 - C
STANDARD / PROCEDURE ACTIVITY / INSPECTION CODE
ACCEPTANCE VERIFYNG
No Activity / Operations Frequency RECORD
Specify Docs. Control Docs. CRITERIA DOC. SSP SC/MES E&M OWNER

A. RAW MATERIAL
Receiving Material
Material Handling
a) PC Sheet Pile Product At delivery on site each delivery and Manufacture's spec Visual MRIR A1 W1 N/A N/A
b) Material for Bracing (H-beam & Product At delivery on site before
each install and
delivery Manufacture's spec inspection
Visual MRIR A1 W1 N/A N/A
Rebar)
c) Material Capping Beam (Rebar, steel Product At delivery on site before
each install and
delivery Manufacture's spec inspection
Visual MRIR A1 W1 N/A N/A
wire
d) & plywood
Material ) & Fender
Bollard Product At delivery on site before
each install and
delivery Manufacture's spec inspection
Visual MRIR A1 W1 N/A N/A
B. EARTH WORK before install inspection
B.1 Surveying Work : Once/Year or ever Calibration Certificate Certificate
N/A A1 R1 N/A N/A
A.1.1 Equipment Tool deviation Certificate or Record or Record
Project Spec. &
A.1.2 Bench Marks & Gridline
Approved Method of Work
A.1.3 Setting Out & Positioning All Item of Work Joint Survey - Record A1 W1 N/A N/A
Construction dwg
A.1.4 Drawing
B.2 Earth Work :
Prior/During/After Approved Project Spec. & Inspection
A.2.1 Backfilling - Joint Survey Record A1 W1 N/A W2
Application Construction dwg Method of Work Record
A.2.2 Compaction - Lab. Test Result
C. INSTALLATION PC SHEET PILE
C.1 Erection / Installation :
C.1.1 Setting Out and Position Prior/During/After Approved Project Spec. &
- Record A1 W1 N/A R1
C.1.2 Alignment Application Construction dwg Method of Work Joint Survey
C.1.3 Bracing
D. CONCRETE, FORMWORK & REBARWORK
Prior/During/After Approved Project Spec. & Field Inspection Inspection
D.1 Lean Concrete thick 50 mm Record A1 W1 N/A W2
Application Construction dwg Method of Work Report Record
BBS Approved Rebar
Prior/During/After Project Spec. & Field Inspection
D.2 Rebar Work (Fabrication & Installation) Construction dwg Supply Check Sheet A1 W1 N/A W2
Application Method of Work Report
ASTM A 615 Request
D.3 Formwork :

- Plywood & Timber Material Approved Project Spec. & Purchase Delivery
Every Delivery Design Formwork A1 W1 N/A W2
Construction dwg Method of Work Order (P/O) Sheet
- Tie Rod / Proping
Campany's Name :
PT. SATYAMITRA SURYA PERKASA INSPECTION & TEST PLAN (ITP) Doc. No. : SSP/ITP/CJP-009

Scope : CIVIL WORKS Print Date : July 9th 2017

Project : CENTRAL JAVA 2 X 1000 MW POWER PLANT
Loc. / Structure : CONSTRUCTION JETTY AREA Revision : 0 Sheet No. : 3/4
Job No. : 1607 - C
STANDARD / PROCEDURE ACTIVITY / INSPECTION CODE
ACCEPTANCE VERIFYNG
No Activity / Operations Frequency RECORD
Specify Docs. Control Docs. CRITERIA DOC. SSP SC/MES E&M OWNER

D.4 Concrete Work :

D.4.1 Before Concreting
Prior/During/After Project Spec. & Field Inspection Inspect.&
D.4.1.1 Form Material Quality Check - Check List A1 W1 N/A R1
Application Method of Work Report Test Report
Prior/During/After Approved Project Spec. & Inspect.& Inspect.
D.4.1.2 Form Alignment Position Check Joint Survey A1 W1 N/A R1
Application Construction dwg Method of Work Test Report Record
Prior/During/After Approved Bar Bending Field Inspection
D.4.1.3 Rebar Cutting, Bending Check Check Sheet Check List A1 W1 N/A R1
Application Construction dwg Schedule Report
D.4.1.4 Inspection Before Placing Concrete Prior/During/After Approved Field Inspection Inspect.& Inspect.
A1 W1 N/A R1
for Rebar & Form Application Construction dwg Report Test Report Record
D.4.2 During Placing Concrete
Operation
Prior/During/After Approved Project Spec. & Field Inspection
D.4.2.1 Placing Concrete Check Record A1 W1 N/A R1
Application Construction dwg Method of Work Report
(Visual)
Operation
Prior/During/After Project Spec. & Field Inspection
D.4.2.2 Compacting Concrete - Check Record A1 W1 N/A R1
Application Method of Work Report
(Visual)
Operation
Prior/During/After Project Spec. &
D.4.2.3 Finishing - Design Drawing Check Record A1 W1 N/A R1
Application Method of Work
(Visual)
D.4.3 After Placing Concrete
Prior/During/After Project Spec. &
D.4.3.1 As Built Inspection - Design Drawing Field Check Record A1 W1 N/A N/A
Application Method of Work
D.4.3.2 Curing & Temperature Prior/During/After Project Spec. & Field Inspection
- Field Check Check List A1 W1 N/A N/A
Measurement Application Method of Work Report

D.4.3.3 Construction Joint Treatment Prior/During/After Project Spec. & Field Inspection
- Check Sheet Record A1 W1 N/A N/A
Inspection Application Method of Work Report

D.4.3.4 Structure Concrete After Remove Prior/During/After Project Spec. & Field Inspection Inspect.&
- Record A1 W1 N/A N/A
Formwork Application Method of Work Report Test Report
Campany's Name :
PT. SATYAMITRA SURYA PERKASA INSPECTION & TEST PLAN (ITP) Doc. No. : SSP/ITP/CJP-009

Scope : CIVIL WORKS Print Date : July 9th 2017

Project : CENTRAL JAVA 2 X 1000 MW POWER PLANT
Loc. / Structure : CONSTRUCTION JETTY AREA Revision : 0 Sheet No. : 4/4
Job No. : 1607 - C
STANDARD / PROCEDURE ACTIVITY / INSPECTION CODE
ACCEPTANCE VERIFYNG
No Activity / Operations Frequency RECORD
Specify Docs. Control Docs. CRITERIA DOC. SSP SC/MES E&M OWNER

E. INSTALLATION FENDER & BOLLARD

E.1 Erection / Installation :
Prior/During/After Approved Project Spec. &
E.1.1 Setting Out and Position Joint Survey - Record A1 W1 N/A R1
Application Construction dwg Method of Work
E.1.2 Alignment