Supplier Name

Inspection & Test Plan (ITP)

Customer Name : PT. Indonesia Power Ref. No. : 001 - UBM - ITP/IP-BVMBV4/II/2020
Customer PO : Issued Date : 18 Februari 2020
Part/Drawing : Issued By : PT. Utiliti Bina Mandiri
MLI : Approved By : PT. IP SMG PGU
Description : Rev : 0
Project Name : Pengadaan Dan Penggantian Butterfly valve Triton XL 1HRC-MBV-4 (Discharge Valve CWP 1B) Rev Date :
Semarang Power Generation Unit (SMG PGU)

D = Document Review, M = Witness, H = Hold Point

Inspection Level - Customer Representative
Inspection Level - Supplier Representative
Step Process/ Operation Verifying Inspection
Description Characteristic Applicable Acceptance Documents/ Freq Notes Performed Inspection Comments
Pocedure Criteria Reference By : Signoff
1 Fabricated General Manufacturing AWWA C504/C516 Manufacture 100% QA
Butterfly Valve Fabrication/ Pocedure Drawings Inspector
Design
Material Manufacturing Mill Certificate 100% Certificate Material QA
Traceability Pocedure Complies to PO/ Inspector
BOM upon receipt
Dimensional Manufacturing BOM/Certificate 10% Drawing and QA
Checks Pocedure measurement Inspector

Quality/ Manufacturing QA
AWWA C504/C516 100%
Hydrostatic and
Preservation Pocedure Leakage Certificate Inspector
 Supplier Name
Inspection & Test Plan (ITP)
Customer Name : PT. Indonesia Power Ref. No. : 001 - UBM - ITP/IP-BVMBV4/II/2020
Customer PO : Issued Date : 18 Februari 2020
Part/Drawing : Issued By : PT. Utiliti Bina Mandiri
MLI : Approved By : PT. IP SMG PGU
Description : Rev : 0
Project Name : Pengadaan Dan Penggantian Butterfly valve Triton XL 1HRC-MBV-4 (Discharge Valve CWP 1B) Rev Date :
Semarang Power Generation Unit (SMG PGU)

D = Document Review, M = Witness, H = Hold Point

Inspection Level - Customer Representative
Inspection Level - Supplier Representative
2 Fabricated General Supplier ASME Sec. 1 Pipe Spool Freg Notes Inspection
Finning Tube Fibrication & Procedure Drawings Performed Inspection Comments
Design By : Signoff
Material Supplier ASME Sec. 1 Drawing 100% Verify Material complies Project
Traceability Procedure to PO/BOM upon receipt Manager
Fit Up/ Supplier ASME Sec. 1 Spool Drawings/ 100% Operator
Alignment Procedure
Dimensional Supplier ASME Sec. 1 Spool Drawings/ 100% Operator
Checks Procedure
Finning Inspection Supplier ASME Sec. 1 Drawing 100% Operator
Procedure
Painted Supplier Supplier Inspection 100% QA
Procedure Procedure Report Inspector
Preservation Supplier Customer Inspection QA
Procedure Spec Report Inspector
3 Fabricated General Supplier ASME Sec. 1 Pipe Spool Freg Notes Inspection
Header Fibrication & Procedure Drawings Performed Inspection Comments
Design By : Signoff
Material Supplier ASME Sec. 1 BOM/Weld 100% Verify Material complies Project
Traceability Procedure Maps to PO/BOM upon receipt Manager
Fit Up/ Supplier ASME Sec. 1 Spool Drawings/ 100% Operator
Alignment Procedure Weld Maps
 Supplier Name
Inspection & Test Plan (ITP)
Customer Name : PT. Indonesia Power Kantor Pusat Document : 001 - UBM - ITP/IP-Retubing/2017
Customer PO : Issue Date : 22 Februari 2017
Part/Drawing : Issue By : Rusliana
MLI : Approved By : Teja Purnomo
Description : Rev :
Project Name : Pengadaan Pekerjaan Retubing HP Economizer, LP Superheater Dan Penggantian U-Bend HP Evaporator, Rev Date :
U-Bend HP Super Heater, Downcomer, Venting HP Eco-Hp Eva-Hpdrum, Drain, Line Discharge Condensate Pump
HRSG 1.2 dan LP Super Heater HRSG 2.2 PLTGU Tambak Lorok
D = Document Review, M = Witness, H = Hold Point
Inspection Level - Customer Representative
Inspection Level - Supplier Representative
Dimensional Supplier ASME Sec. 1 Spool Drawings/ 100% Operator
Checks Procedure Weld Maps
Weld Inspection Supplier ASME B31.3 WPS/Weld Maps/ 100% All butt Welds must have Operator
Procedure GTAW roots/100% Visual
Liquid Penetrant Supplier ASME Sec. V Test Report 100% QA
Testing Procedure Inspector
Painted Supplier Supplier Inspection 100% QA
Procedure Procedure Report Inspector
Preservation Supplier Customer Inspection QA
Procedure Spec Report Inspector
4 Fabricated General Supplier ASME Sec. 1 Pipe Spool Freg Notes Inspection
U Bend and Fibrication & Procedure Drawings Performed Inspection Comments
Connection Design By : Signoff
Material Supplier ASME Sec. 1 BOM/Weld 100% Verify Material complies Project
Traceability Procedure Maps to PO/BOM upon receipt Manager
Fit Up/ Supplier ASME Sec. 1 Spool Drawings/ 100% Operator
Alignment Procedure Weld Maps
Dimensional Supplier ASME Sec. 1 Spool Drawings/ 100% Operator
Checks Procedure Weld Maps
Painted Supplier Supplier Inspection 100% QA
Procedure Procedure Report Inspector
Preservation Supplier Customer Inspection QA
Procedure Spec Report Inspector
 Supplier Name
Inspection & Test Plan (ITP)
Customer Name : PT. Indonesia Power Kantor Pusat Document : 001 - UBM - ITP/IP-Retubing/2017
Customer PO : Issued Date : 22 Februari 2017
Part/Drawing : Issued By : Rusliana
MLI : Approved By : Teja Purnomo
Description : Rev :
Project Name : Pengadaan Pekerjaan Retubing HP Economizer, LP Superheater Dan Penggantian U-Bend HP Evaporator, Rev Date :
U-Bend HP Super Heater, Downcomer, Venting HP Eco-Hp Eva-Hpdrum, Drain, Line Discharge Condensate Pump
HRSG 1.2 dan LP Super Heater HRSG 2.2 PLTGU Tambak Lorok
D = Document Review, M = Witness, H = Hold Point
Inspection Level - Customer Representative
Inspection Level - Supplier Representative
5 Skid P & ID Supplier P & ID Inspection 100% Verify Components QA
Assembly Compliance Procedure Reports Tagged per P & ID / BOM Inspector
Mechanical U Bend Supplier ASME B31.3 WPS and PQR 100% QA
Connections Procedure Inspector
Dimensional Supplier ASME B31.3 Drawings 100% QA
Procedure Inspector
6 Skid P & ID Supplier P & ID Inspection 100% Verify components QA
Assembly Compliance Procedure Report Tagged per P & ID/BOM Inspector
Mechanical Pieces Supplier ASME B31.3 WPS and PQR 100% QA
Connections Procedure Inspector
Dimensional Supplier ASME B31.3 Drawings 100% QA
Procedure Inspector
7 Skid P & ID Supplier P & ID Inspection 100% Verify components QA
Assembly Compliance Procedure Report Tagged per P & ID/BOM Inspector
Mechanical Header Supplier ASME B31.3 WPS and PQR 100% QA
Connections Procedure Inspector
Dimensional Supplier ASME B31.3 Drawings 100% QA
Procedure Inspector
8 Performance Testing Component Supplier ASTM E2491-06 Inspection 100% NDT Test QC
Testing Procedure Report Inspector
Hydrotest Supplier Inspection 100% 130% normal pressure QA
Procedure Report w/ water Inspector
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