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FIELD INSPECTION REPORT

WELDING INSPECTION REPORT


Project Title : Pertashop 3 KL GEN 3 Report No : CPI/MDR/WIR/VIII/2021/001
Owner : PT. Pertamina Date : 25-Aug-21
Contractor : PT. CPI Ref. Drawing :-
Subject : CPI-Pertashop-3KL-GEN3-001 Type of Inspection : Visual Inspection

Applicable Code : ASME Sec. IX

Welding Welder Result


No Joint Type of Joint Thick. Remark
Process Stamp Accept Reject
1 Plate SMAW Fillet 6 mm CPI-001 √ -
2 Pipe 1 1/2", 2", 4", 6" SMAW Fillet SCH 40 CPI-001 √ -
3 Elbow 1 1/2", 2" SMAW Fillet SCH 40 CPI-002 √ -
4 Tie 2" SMAW Fillet 2x2 CPI-002 √ -
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

Notes :
Visual Inspection

Prepared & Inspected by, Checked by, Reviewed by, Approved by,
FIELD INSPECTION REPORT

WELDING INSPECTION REPORT


Project Title : Pertashop 3 KL GEN 3 Report No : CPI/MDR/WIR/VIII/2021/002
Owner : PT. Pertamina Date : 28-Aug-21
Contractor : PT. CPI Ref. Drawing :-
Subject : CPI-Pertashop-3KL-GEN3-002 Type of Inspection : Visual Inspection

Applicable Code : ASME Sec. IX

Welding Welder Result


No Joint Type of Joint Thick. Remark
Process Stamp Accept Reject
1 Plate SMAW Fillet 6 mm CPI-001 √ -
2 Pipe 1 1/2", 2", 4", 6" SMAW Fillet SCH 40 CPI-001 √ -
3 Elbow 1 1/2", 2" SMAW Fillet SCH 40 CPI-002 √ -
4 Tie 2" SMAW Fillet 2x2 CPI-002 √ -
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

Notes :
Visual Inspection

Prepared & Inspected by, Checked by, Reviewed by, Approved by,
FIELD INSPECTION REPORT

WEING INSPECTION REPORT


Project Title : Pertashop 3 KL GEN 3 Report No : CPI/MDR/WIR/VIII/2021/001
Owner : PT. Pertamina Date : 30-Aug-21
Contractor : PT. CPI Ref. Drawing :-
Subject : CPI-Pertashop-3KL-GEN3-003 Type of Inspection : Visual Inspection

Applicable Code : ASME Sec. IX

Welding Welder Result


No Joint Type of Joint Thick. Remark
Process Stamp Accept Reject
1 Plate SMAW Fillet 6 mm CPI-001 √ -
2 Pipe 1 1/2", 2", 4", 6" SMAW Fillet SCH 40 CPI-001 √ -
3 Elbow 1 1/2", 2" SMAW Fillet SCH 40 CPI-002 √ -
4 Tie 2" SMAW Fillet 2x2 CPI-002 √ -
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

Notes :
Visual Inspection

Prepared & Inspected by, Checked by, Reviewed by, Approved by,
DIMENSIONAL INSPECTION REPORT

Project Title : Pertashop 3 KL GEN 3 Report No : CPI/MDR/DIR/VIII/2021/001


Owner : PT. Pertamina Date : 23-Aug-21
Contractor : PT. CPI Ref. Drawing :-
Subject : CPI-Pertashop-3KL-GEN3-001 Type of Inspection : Inner Tank Assy

Drawing Ref.:
Actual Result
Standard
No Item Tolerance Dimensio Thickness Remark
Dimension Accept Reject
nal
1 A 1740 3 1741 6 √ -
2 B 1741 2 1739 6 √ -
3 C 1742 1.5 1740 6 √ -
4 D 1743 2 1742 6 √ -
5 E 1744 1.5 1744 6 √ -
6 R 1745 1.5 1746 6 √ -
7 G 1746 2 1746 6 √ -
8 H 1747 2 1746 6 √ -
9 I 1748 3 1749 6 √ -
10 J 1749 2 1748 6 √ -
11 K 1750 2 1750 6 √ -
12 L 1751 3 1751 6 √ -
13 M 1752 2 1751 6 √ -
14 N 1753 1.5 1753 6 √ -
15 O 1754 3 1756 6 √ -
16 P 1755 2 1754 6 √ -

Notes :
Dimensional Inspection

Prepared & Inspected by, Checked by, Reviewed by, Approved by,
DIMENSIONAL INSPECTION REPORT

Project Title : Pertashop 3 KL GEN 3 Report No : CPI/MDR/DIR/VIII/2021/002


Owner : PT. Pertamina Date : 26-Aug-21
Contractor : PT. CPI Ref. Drawing :-
Subject : CPI-Pertashop-3KL-GEN3-002 Type of Inspection : Inner Tank Assy

Drawing Ref.:
Actual Result
Standard
No Item Tolerance Dimensio Thickness Remark
Dimension Accept Reject
nal
1 A 1740 3 1739 6 √ -
2 B 1741 2 1742 6 √ -
3 C 1742 1.5 1741 6 √ -
4 D 1743 2 1744 6 √ -
5 E 1744 1.5 1744 6 √ -
6 R 1745 1.5 1745 6 √ -
7 G 1746 2 1746 6 √ -
8 H 1747 2 1746 6 √ -
9 I 1748 3 1748 6 √ -
10 J 1749 2 1748 6 √ -
11 K 1750 2 1750 6 √ -
12 L 1751 3 1751 6 √ -
13 M 1752 2 1752 6 √ -
14 N 1753 1.5 1752 6 √ -
15 O 1754 3 1754 6 √ -
16 P 1755 2 1754 6 √ -

Notes :
Dimensional Inspection

Prepared & Inspected by, Checked by, Reviewed by, Approved by,
DIMENSIONAL INSPECTION REPORT

Project Title : Pertashop 3 KL GEN 3 Report No : CPI/MDR/DIR/VIII/2021/003


Owner : PT. Pertamina Date : 28-Aug-21
Contractor : PT. CPI Ref. Drawing :-
Subject : CPI-Pertashop-3KL-GEN3-003 Type of Inspection : Inner Tank Assy

Drawing Ref.:
Actual Result
Standard
No Item Tolerance Dimensio Thickness Remark
Dimension Accept Reject
nal
1 A 1740 3 1741 6 √ -
2 B 1741 2 1740 6 √ -
3 C 1742 1.5 1742 6 √ -
4 D 1743 2 1742 6 √ -
5 E 1744 1.5 1744 6 √ -
6 R 1745 1.5 1746 6 √ -
7 G 1746 2 1746 6 √ -
8 H 1747 2 1747 6 √ -
9 I 1748 3 1747 6 √ -
10 J 1749 2 1749 6 √ -
11 K 1750 2 1750 6 √ -
12 L 1751 3 1751 6 √ -
13 M 1752 2 1752 6 √ -
14 N 1753 1.5 1754 6 √ -
15 O 1754 3 1754 6 √ -
16 P 1755 2 1756 6 √ -

Notes :
Dimensional Inspection

Prepared & Inspected by, Checked by, Reviewed by, Approved by,
BLASTING COATING INSPECTION REPORT

Project Title : Pertashop 3 KL GEN 3 Report No : CPI/MDR/BCIR/VIII/2021/002


Owner : PT. Pertamina Date : 30-Aug-21
Contractor : PT. CPI Ref. Drawing :-
Subject : CPI-Pertashop-3KL-GEN3-002 Type of Inspection : Inner Tank

Aplicable code: SSPC

Recoat Specified Coating Ops.


No Coating Specification Thinner Mbdng Ratio Remark
Internal WFT Criteria Actual
1 Primer Coat 339 1:04 4H 50 - 75 30 Micron 38 - 52
2 Second Coat - - - -
3 Top Coat 664 1:02 18 H 150 - 170 70 Micron 133 - 178

Notes :
N/A: Orange peel, Saging, Shrinkage, Blistering

Prepared & Inspected by, Checked by, Reviewed by, Approved by,
BLASTING COATING INSPECTION REPORT

Project Title : Pertashop 3 KL GEN 3 Report No : CPI/MDR/BCIR/VIII/2021/001


Owner : PT. Pertamina Date : 30-Aug-21
Contractor : PT. CPI Ref. Drawing :-
Subject : CPI-Pertashop-3KL-GEN3-001 Type of Inspection : Inner Tank

Aplicable code: SSPC

Recoat Specified Coating Ops.


No Coating Specification Thinner Mbdng Ratio Remark
Internal WFT Criteria Actual
1 Primer Coat 339 1:04 4H 50 - 75 30 Micron 38 - 52
2 Second Coat - - - -
3 Top Coat 664 1:02 18 H 150 - 170 70 Micron 133 - 178

Notes :
N/A: Orange peel, Saging, Shrinkage, Blistering

Prepared & Inspected by, Checked by, Reviewed by, Approved by,
BLASTING COATING INSPECTION REPORT

Project Title : Pertashop 3 KL GEN 3 Report No : CPI/MDR/BCIR/VIII/2021/003


Owner : PT. Pertamina Date : 30-Aug-21
Contractor : PT. CPI Ref. Drawing :-
Subject : CPI-Pertashop-3KL-GEN3-003 Type of Inspection : Inner Tank

Aplicable code: SSPC

Recoat Specified Coating Ops.


No Coating Specification Thinner Mbdng Ratio Remark
Internal WFT Criteria Actual
1 Primer Coat 339 1:04 4H 50 - 75 30 Micron 38 - 52
2 Second Coat - - - -
3 Top Coat 664 1:02 18 H 150 - 170 70 Micron 133 - 178

Notes :
N/A: Orange peel, Saging, Shrinkage, Blistering

Prepared & Inspected by, Checked by, Reviewed by, Approved by,
PNEUMATIC TESTING REPORT

Project Title : Pertashop 3 KL GEN 3 Report No : CPI/MDR/PTR/VIII/2021/001


Owner : PT. Pertamina Date : 28-Aug-21
Contractor : PT. CPI Ref. Drawing :-
Subject : CPI-Pertashop-3KL-GEN3-001 Type of Inspection : Inner Tank

Aplicable code:
Any Result
Actual Area of
No Start/Stop Sounding Any Lackage Deformati Remark
Pressure Leackage Accepted Not Accepted
on
1 08:45:00 - 10:00:02 7.3 Psi N/A N/A N/A Yes -

Holding Time
Pressure (PSI)

30 Menit

Notes :
N/A: Not Leak, Holding Time 30 minute
Test Medium: Angin/Udara

Prepared & Inspected by, Checked by, Reviewed by, Approved by,
PNEUMATIC TESTING REPORT

Project Title : Pertashop 3 KL GEN 3 Report No : CPI/MDR/PTR/VIII/2021/002


Owner : PT. Pertamina Date : 28-Aug-21
Contractor : PT. CPI Ref. Drawing :-
Subject : CPI-Pertashop-3KL-GEN3-002 Type of Inspection : Inner Tank

Aplicable code:
Any Result
Actual Area of
No Holding Time Any Lackage Deformati Remark
Pressure Leackage Accepted Not Accepted
on
1 9:45 7.3 Psi N/A N/A N/A Yes -
10:15

Notes :
N/A: Not Leak, Holding Time 30 minute

Prepared & Inspected by, Checked by, Reviewed by, Approved by,
PNEUMATIC TESTING REPORT

Project Title : Pertashop 3 KL GEN 3 Report No : CPI/MDR/PTR/VIII/2021/003


Owner : PT. Pertamina Date : 28-Aug-21
Contractor : PT. CPI Ref. Drawing :-
Subject : CPI-Pertashop-3KL-GEN3-003 Type of Inspection : Inner Tank

Aplicable code:
Any Result
Actual Area of
No Holding Time Any Lackage Deformati Remark
Pressure Leackage Accepted Not Accepted
on
1 11:05 7.3 Psi N/A N/A N/A Yes -
11:36

Notes :
N/A: Not Leak, Holding Time 30 minute

Prepared & Inspected by, Checked by, Reviewed by, Approved by,
WELDER LIST

Project Title : Pertashop 3 KL GEN 3 Report No : CPI/MDR/WL/VIII/2021/001


Owner : PT. Pertamina Date : 20-Aug-21
Contractor : PT. CPI Ref. Drawing :-
Subject : CPI-Pertashop-3KL-GEN3-001 Type of Inspection : WPQT

Aplicable code:
Result
No Welder Name Stamp Welder Matr'l THK Position Remark
Passed Failed
1 Wage Saputera CPI-001 Plate 6 mm 4G Passed -
2 Saiful Anwar CPI-002 Plate 6 mm 4G Passed -

Notes :

Prepared & Inspected by, Checked by, Reviewed by, Approved by,
INCOMING MATERIAL INSPECTON REPORT

Project Title : Pertashop 3 KL GEN 3 Report No : CPI/MDR/MTR/VIII/2021/001


Owner : PT. Pertamina Date : 12-Aug-21
Contractor : PT. CPI Ref. Drawing :-
Subject : CPI-Pertashop-3KL-GEN3-001 Type of Inspection : Verification Material

Aplicable code:

Schedule Result
No Dimension Item Grade Qty Remark
Pipe Accepted Failed
1 Plate 2 mmx4x8 Plate A36 - - Acepted -
2 Plate bordes 3.2mmx4x8 Plate SS400 - - Acepted -
3 Plate 6mmx6x20 Plate SS400 - - Acepted -
4 Plate 5.8mmx6x20 Plate SS400 - - Acepted -
5 WF150x75x5x7mm-12M WF SS400 - - Acepted -
6 H Beam 100x100x6x8mm-12M H Beam SS400 - - Acepted -
7 Pipe SGP Dia 1/2"x2.6mm-6M Pipe SNI 039 - - Acepted -
8 Pipe Sch 40 Dia 1"-6M Pipe SA53B/A106B/API5LB - 40 Acepted -
9 Pipe Sch 40 Dia 1 1/2"6M Pipe SA53B/A106B/API5LB - 40 Acepted -
10 Pipe Sch 40 Dia 2"-6M Pipe SA53B/A106B/API5LB - 40 Acepted -
11 Pipe Sch 40 Dia 4"-6M Pipe SA53B/A106B/API5LB - 40 Acepted -
12 Pipe Sch 40 Dia 6"-6M Pipe SA53B/A106B/API5LB - 40 Acepted -
13 Angel 50x50x5mm-6M Angel SA53B/A106B/API5LB - - Acepted -
14 UNP 200x75mm-6M UNP SA53B/A106B/API5LB - - Acepted -

Notes :
Material Verification:

Prepared & Inspected by, Checked by, Reviewed by, Approved by,
DIMENSIONAL INSPECTION REPORT

Project Title : Pertashop 3 KL GEN 3 Report No : CPI/MDR/DIR/VIII/2021/001


Owner : PT. Pertamina Date : 23-Aug-21
Contractor : PT. CPI Ref. Drawing :-
Subject : CPI-Pertashop-3KL-GEN3-001 Type of Inspection : Outer Tank

Drawing Ref.:
Actual Result
Standard
No Item Tolerance Dimensio Thickness Remark
Dimension Accept Reject
nal
1 A 1880 3 1881 6 √ -
2 B 300 2 301 6 √ -
3 C 450 1.5 449 6 √ -
4 D 184 2 183 6 √ -
5 E 646 1.5 645 6 √ -
6 R 48/48 1.5 47/46 6 √ -
7 G 1400 2 1401 6 √ -
8 H 315 2 316 6 √ -
9 I 316 3 315 6 √ -
10 J 458 2 457 6 √ -
11 K 630/630 2 629/631 6 √ -
12 L 700 3 701 6 √ -
13 M 1800 2 1801 6 √ -

Notes :
Dimensional Inspection

Prepared & Inspected by, Checked by, Reviewed by, Approved by,
DIMENSIONAL INSPECTION REPORT

Project Title : Pertashop 3 KL GEN 3 Report No : CPI/MDR/DIR/VIII/2021/002


Owner : PT. Pertamina Date : 23-Aug-21
Contractor : PT. CPI Ref. Drawing :-
Subject : CPI-Pertashop-3KL-GEN3-002 Type of Inspection : Outer Tank

Drawing Ref.:
Actual Result
Standard
No Item Tolerance Dimensio Thickness Remark
Dimension Accept Reject
nal
1 A 1880 3 1879 6 √ -
2 B 300 2 299 6 √ -
3 C 450 1.5 451 6 √ -
4 D 184 2 183 6 √ -
5 E 646 1.5 645 6 √ -
6 R 48/48 1.5 49/46 6 √ -
7 G 1400 2 1401 6 √ -
8 H 315 2 316 6 √ -
9 I 316 3 317 6 √ -
10 J 458 2 457 6 √ -
11 K 630/630 2 629/631 6 √ -
12 L 700 3 701 6 √ -
13 M 1800 2 1799 6 √ -

Notes :
Dimensional Inspection

Prepared & Inspected by, Checked by, Reviewed by, Approved by,
DIMENSIONAL INSPECTION REPORT

Project Title : Pertashop 3 KL GEN 3 Report No : CPI/MDR/DIR/VIII/2021/003


Owner : PT. Pertamina Date : 23-Aug-21
Contractor : PT. CPI Ref. Drawing :-
Subject : CPI-Pertashop-3KL-GEN3-003 Type of Inspection : Outer Tank

Drawing Ref.:
Actual Result
Standard
No Item Tolerance Dimensio Thickness Remark
Dimension Accept Reject
nal
1 A 1880 3 1878 6 √ -
2 B 300 2 299 6 √ -
3 C 450 1.5 452 6 √ -
4 D 184 2 183 6 √ -
5 E 646 1.5 645 6 √ -
6 R 48/48 1.5 49/47 6 √ -
7 G 1400 2 1401 6 √ -
8 H 315 2 316 6 √ -
9 I 316 3 317 6 √ -
10 J 458 2 457 6 √ -
11 K 630/630 2 629/631 6 √ -
12 L 700 3 699 6 √ -
13 M 1800 2 1799 6 √ -

Notes :
Dimensional Inspection

Prepared & Inspected by, Checked by, Reviewed by, Approved by,

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