Rev.

0
MAINTENANCE WORK REPORT
SEML-
PT Supreme Enery Muara Laboh

QUALITY CONTROL SHEET Date 04-05-2020

1-M VIB MEAS HWP-B WO No. 20001694

Equip No. ML01LCA22AP001
Location Power Plant

MAINTENANCE ACTIVITIES Y/N REMARK

Check Items

1. Check Vibration pump Y By CSI

2. Check pressure suction Y By CSI

3. Opening Valve LCV Y By DCS

4. Check Flow MCW Y By DCS

POST MAINTENANCE ACIVITIES

Clean and Restore/Surrender the Permit To Work and LOTO as Y

per current Procedure.
Record any defect found during this inspection and Raise New Y
or Sub Work Order in the CMMS as per current Procedure.
Close Work Order
If any critical or urgent issue that need immediate action, advise Y
the Maintenance Supervisor or Department Person In Charge

SE-ML-ONM-MAI-INS-0000 Page 1 of 4 Print Date: 7 August 2021

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MAINTENANCE WORK REPORT
SEML-
PT Supreme Enery Muara Laboh

QUALITY CONTROL RECORD

Measures Actual Remarks

Check Pressure Suction (barg) -0.443 By DCS

Check Pressure Discharge (barg) 12 By DCS

H : 0.26

Vibration (mm/s RMS) V : 0.44 By CSI

A : 0.50

Flow MCW (kg/s) 3862

Opening Valve LCV (%) 65.1

Additional Information

Fig.1 Vibrasi HWP B Horizontal

SE-ML-ONM-MAI-INS-0000 Page 1 of 4 Print Date: 7 August 2021

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MAINTENANCE WORK REPORT
SEML-
PT Supreme Enery Muara Laboh

Fig.2 Vibrasi HWP B Vertical

SE-ML-ONM-MAI-INS-0000 Page 2 of 4 Print Date: 7 August 2021

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MAINTENANCE WORK REPORT
SEML-
PT Supreme Enery Muara Laboh

Fig.3 Vibrasi HWP B Axial

Performed By Supervisor

SE-ML-ONM-MAI-INS-0000 Page 3 of 4 Print Date: 7 August 2021

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MAINTENANCE WORK REPORT
SEML-
PT Supreme Enery Muara Laboh

Name: Novin & Obi Name:

Sign : ____________________
Sign : ____________________
Date : 04-05-2020 Date

SE-ML-ONM-MAI-INS-0000 Page 4 of 4 Print Date: 7 August 2021