GAS DEVELOPMENT PROJECT :

FOR UNITIZATION OF
Form No : QI-L.02 THE JAMBARAN - TIUNG BIRU FIELD Report No : JTB-DWR-L-SWC-
Rev :0 Project No : 171612 Contract No : 4650000076 Date
CLIENT : PT. PERTAMINA EP CEPU Pages No : 1 of 1

SUBJECT : DAILY WELDING REPORT FOR PIPING

Joint No. FIT UP PMI NDE (%) PWHT Final Visual

Filler Metal PIPING
No. Component Material Material Heat No. WPS No. Drawing No. / Line No. REV Sheet Dia SCH Welder Stamp REMARKS
/ AWS No. CLASS
Shop Field RT/PT/M
Date Result YES/NO YES/NO Accept Reject
Weld Weld T

420-WF-1020-K420 SWC-01
WPS-QC-ASME-042- GTAW-ER70S-6 28 Sep
1 0 1 OF 7 01A1 3 S-40 001 ACC No 5 / 10 No ACC
2017-A SMAW-E7018H4R 2020
420-WF-1020-3"-01A1-K420 SWC-01

420-WF-1020-K420 SWC-01
WPS-QC-ASME-042- GTAW-ER70S-6 28 Sep
2 0 1 OF 7 01A1 3 S-40 002 ACC No 5 / 10 No ACC
2017-A SMAW-E7018H4R 2020
420-WF-1020-3"-01A1-K420 SWC-01

420-WF-1020-K420 SWC-01
WPS-QC-ASME-042- GTAW-ER70S-6 28 Sep
3 0 1 OF 7 01A1 3 S-40 002A ACC No 5 / 10 No ACC
2017-A SMAW-E7018H4R 2020
420-WF-1020-3"-01A1-K420 SWC-01

NOTE : RT ( Radiography Test ), UT ( Ultrasonic Test ), PT ( Penetrant Test ), MT ( Magnetic Test ), SW ( Shop Weld ), BW ( Butt Weld ), FW ( Field Weld ), BC ( Branch Connection Weld ), TRD ( Thread Connection ), G ( GTAW ), S ( SMAW ), PMI ( Positive Material Identification )

SUBCONTRACTOR CONTRACTOR COMPANY

Prepared and Inspected by, Inspected, Reviewed and Approved by, Reviewed and Witnessed by,

SIGNATURE

NAME

DATE
Generated by Rekind Welding Management System (WMS)