Result of Inspection: Conclusion

RESULT OF INSPECTION
Customer / User PT Elnusa Tbk Report Number LDS-JKT-0370-ELN-3

P.O Number / Project No. - / LDS-JKT-0370-ELN Date of Inspection January 29, 2022
Location of Inspection PT Elnusa Yard Cakung Next of Inspection July 29, 2022
Jakarta - Indonesia Other / Division HWU EHR#08
EQUIPMENT DETAILS
Description Skid BOP 4-1/16" Date of last examination :
Serial Number / Aset No. SKID-20 / 100000032838 05-Aug-19
Dimension 1140 (L) x 740 (W) x 1440 (H) mm Tested by of last exam. : Type of last examination :
Manufacture N/A Visual (V)
Date of Mnf N/A PT SES Visual & NDT (VN)
Colour Code Solid Blue Visual, NDT & Loadtest (T)
Tare Mass - Kg NOTE (If any comments) :
Payload - Kg
Max. Gross Mass 1500 Kg
Load Test - Kg
LIFTING SET DETAILS
Wire rope sling Shackle
Four Legged Wire Rope Slings Serial No : 14/5207 Serial No. Manufacture
Bow Anchor Shackle Bolt and
Thimble eyes type, with ferrule Dimensional : Ø 18 x (L) 1520 mm - FJ21F 0741 - Van Beest
Nut Type With Safety Pin
secure each end sling c/w WLL : 8.9 Tons at 0 - 45º - FJ21F 0738 - Van Beest
Master Link Assembly at Manufacture : WAL Size : 7/8 Inch - FJ21F 0696 - Van Beest
Upper End Date of Mnf. : N/A WLL : 6.50 Tons - FJ21F 2172 - Van Beest
INSPECTION SUMMARY
Inspection Type Document Review Proof Load Test
Visual Inspection DropTest
Dimensional check Deformation Record
NDT (Non Destructive Test) Color code / Stamping Name Plate
Magnetic Particle Test Marking Information
Dye Penterant Test Other
Applicable Ref. Code DNV 2.7-1 BS EN 13414-1 & BS EN 13414-2

BS EN 12079 BS EN 13889
BS 7072 Customer Requirement
Internal Procedure MPI-LDS-02 Rev. 01 LPT-LDS-06 Rev. 01
PICTURE OF EQUIPMENT
INSPECTION RESULTS
The unit should be periodically examined and tested at interval not exceeding 6 (six) month, but more frequent interval is needed with the objectives of
enviromental condition, result of previous examination, length of service time and statutory requirements.
No apparent discountinuities were detected through Magnetic Particle Inspection in welds of the critical areas of lifting points.
There is no apparent discountinuities were detected along critical area of lifting point during Magnetic Particle Inspection after Drop Test
Conclusion :
Based on document evaluation and field inspection PT LD Servis concluded that the lifting equipment can be used according to codes and standards and we
recommend the lifting equipment to be used for operations with safe workloads and Max Gross Mass. as stated above.
Name of person inspect and Client's Representative

Reviewed By
making this report Approved
Rahmat Febriansyah Khoirul Mashuda

ASNT NDT Lv. II QA/QC Representative PT Elnusa Tbk
PT LD SERVIS - MT Haryono Street Gg. PLN RT 38 No 15 - Balikpapan, East Kalimantan.

Telp.No : +62542 – 7204212 & +6542 - 878709 & +62812-5558-245
Email: marketing@ldservis.com website : www.ldservis.com
Document code: LD-F-OPR-L-04.01 Revision: 03 Effective date: 10 Januari 2022
VISUAL & DIMENSIONAL REPORT
Location of Inspection PT Elnusa Yard Cakung Next Of Inspection July 29, 2022
EQUIPMENT DETAILS
Description Skid BOP 4-1/16" Manufacture N/A
Serial Number SKID-20 / 100000032838 Date of Manufacture N/A
Dimension 1140 (L) x 740 (W) x 1440 (L) mm Colour Code Solid Blue
GENERAL CONDITION
Essntial and Non Redundanct Availabelity Corrosion Deformation Crack Result Remarks
Top & bottom side rails Yes No Yes No Yes No Yes No Accepted
Top & bottom end rails Yes No Yes No Yes No Yes No Accepted
Primary Structures
Corner post Yes No Yes No Yes No Yes No Accepted

Pad eye Yes No Yes No Yes No Yes No Accepted
Forklift Pocket Yes No Yes No Yes No Yes No Accepted
Non Essential
Floor Plate Yes No Yes No Yes No Yes No Accepted
Coverage Area
Deflector plate Yes No Yes No Yes No Yes No - N/A

Stacking fitting Yes No Yes No Yes No Yes No - N/A
End plate Yes No Yes No Yes No Yes No - N/A
Door, wall & roof panel Yes No Yes No Yes No Yes No - N/A
Secondary Structure
Panel stiffeners Yes No Yes No Yes No Yes No - N/A

Corrugations Yes No Yes No Yes No Yes No - N/A
Tank protection Yes No Yes No Yes No Yes No - N/A
Internal securing point Yes No Yes No Yes No Yes No - N/A
Draining hole Yes No Yes No Yes No Yes No - N/A
Door Closure Yes No Yes No Yes No Yes No - N/A
cover on skid Yes No Yes No Yes No Yes No - N/A
INSPECTION SUMMARY
PAD EYE-1 PAD EYE-1 PAD EYE-1 PAD EYE-1
PAD EYES DIMENSIONS REMARK
( mm ) ( mm ) ( mm ) ( mm )
Hole Diameter ( A ) 30 30 30 30
Thickness at Pin Hole ( B ) 20 20 20 20
Thickness Check Plate (Total Thickness) ( C ) 23 23 23 23
Distance from Hole to top Pad eye ( D ) 37 37 37 37
Height ( E ) 110 110 110 110
Length Plate Pad eyes ( F ) 176 176 176 176
INSPECTION RESULTS
The dimensional examination (s) have been satisfactorily completed in accordance with standard reference used and customer requirement, Dimensional check
were done based on above reference standard
Conclusion :
Based on document evaluation and field inspection PT LD Servis concluded that the lifting equipment can be used according to codes and standards and we
recommend the lifting equipment to be used for operations with safe workloads and Max Gross Mass. as stated above.

Reviewed By
making this report Approved


Telp.No : +62542 – 7204212 & +6542 - 878709 & +62812-5558-245
WIRE ROPE SLING INSPECTION REPORT
EQUIPMENT DETAILS
Description Type of Inspection :
Four Legged Wire Rope Slings Thimble eyes type, with ferrule
Visual Inspection NDT NDT (Non Destructive Test)
secure each end sling c/w Master Link Assembly at Upper End
Function Test Magnetic Particle Test
Serial Number 14/5207 Dimensional check Dye Penterant Test
Manufacture WAL Last of examination
Date of Manufacture N/A • Date : August 5, 2019
Work. Load Limit (WLL) 8.9 Tons @ 0 - 45º • Tested by : PT SES
Colour Code Solid Blue • Type examination :
Internal Procedure LDS-LT-20 LDS-LT-07 Visual NDT NDT (Non Destructive Test)
Ref. Code BS EN 13414 ANSI B30.9 Dimensional check Magnetic Particle Test
BS EN 1677 ANSI B30.20 Function Test Dye Penterant Test
GENERAL CONDITION
WIRE ROPE SLINGS MASTER LINK AND SUB. LINKS
Broken wire >1 wire Yes No Reduction of rope diameter > 10% Yes No Missing / Illegible Identification Yes No Pitting
External wear Yes No Basket or lantern deformation Yes No Exessive Wear Yes No Yes No
Decrease elasticity Yes No Wire protrusion Yes No Nick Yes No Weld Spater
Fracture of strand Yes No Local increase in rope diameter Yes No Gouges Yes No Yes No
Defect
Defect
Flattened protion Yes No Core of strand protrusion Yes No Stretched Link or Component Yes No 10% Reduction dim.
Waviness Yes No distorsion Yes No Bend Yes No Yes No
Kink Yes No Corrosion Yes No Twisted Yes No
Damage Yes No Severe Rust Yes No Deformation Yes No
Bend Yes No Other : Yes No Heat Damage Yes No
INSPECTION SUMMARY
Dimension
Evaluation
Diameter Length Width
Wire Rope Data REMARK
(A) (B) (C)
Accepted Rejected
mm mm mm
Wire Rope 18 1520 N/A √ -
Master Link 27 271 146 √ -
Ordinary Link 22 183 95 √ -
INSPECTION RESULTS
The dimensional examination (s) have been satisfactorily completed in accordance with standard reference used and customer requirement, Dimensional check were done based on
above reference standard
Conclusion :
Based on document evaluation and field inspection PT LD Servis concluded that the lifting equipment can be used according to codes and standards and we recommend the lifting
equipment to be used for operations with working load limit as stated above.
Name of person inspect and making

Reviewed By Client's Representative Approved
this report


Telp.No : +62542 – 7204212 & +6542 - 878709 & +62812-5558-245
SHACKLE INSPECTION REPORT
EQUIPMENT DETAILS
Description Bow Anchor Shackle Bolt and Nut Type With Safety Pin Ref. Code : BS EN 13889 ANSI B30.26
Serial Number See Table BS 3551 ANSI B30.20
Manufacture Crosby Vanbeest Gunnebo Internal Procedure : LDS-LT-02
Other Type of Inspection :
Size 7/8 Inch Visual Inspection NDT NDT (Non Destructive Test)
Work. Load Limit (WLL) 6.5 Tons Function Test Magnetic Particle Test
Type Bolt & Nut Anchor Screw Pin Dimensional check Dye Penterant Test
Model G-2130 G-4163 855 Colour Code : Solid Blue
GENERAL CONDITION
Missing / Illegible Identification Exessive Wear Weld Spater Last of examination
Yes No Yes No Yes No Date : August 5, 2019
Stretched Component Twisted Pitting Tested by : PT SES
Yes No Yes No Yes No Type examination :
Defect
10% Reduction dimesional Nick Other Visual NDT NDT (Non Destructive Test)
Yes No Yes No Dimensional check Magnetic Particle Test
Exessive Wear Gouges Function Test Dye Penterant Test
Yes No Yes No NOTE (If any comments) :
Heat Damage Bend
Yes No Yes No
INSPECTION SUMMARY
Shackle Dimension Evaluation
Serial Number Width Inside (D) Length Inside Remarks
Ø Bow (A) mm Ø Pin (B) mm Ø Eye (C) mm Accepted Rejected
mm (E) mm
FJ21F 0741 22 25 52 36 83 √ - -
FJ21F 0738 22 25 52 36 83 √ - -
FJ21F 0696 22 25 52 36 83 √ - -
FJ21F 2172 22 25 52 36 83 √ - -
INSPECTION RESULTS
The dimensional examination (s) have been satisfactorily completed in accordance with standard reference used and customer requirement, Dimensional check were done
based on above reference standard
Conclusion :
Based on document evaluation and field inspection PT LD Servis concluded that the lifting equipment can be used according to codes and standards and we recommend the
lifting equipment to be used for operations with working load limit as stated above.
Name of person inspect and making

Reviewed By Client's Representative Approved
this report


Telp.No : +62542 – 7204212 & +6542 - 878709 & +62812-5558-245
Email: marketing@ldservis.com Website : www.ldservis.com
MAGNETIC PARTICLE INSPECTION REPORT

P.O Number / Project No. - Date of Inspection January 29, 2022
Location of Inspection PT Elnusa Yard Cakung Next Date Inspection July 29, 2022
GENERAL DATA
Description Skid BOP 4-1/16" Date of last examination :
Serial Number SKID-20 / 1000000328 June 19, 2020
Dimension ( L x W x H ) 1140 x 740 x 1440 mm Tested by of last exam. : Type of last examination :
Manufacture N/A Visual (V)
Date of Manufacture N/A PT SES Visual & NDT (VN)
Colour Code Solid Blue Visual, NDT & Loadtest (T)
EQUIPMENT USED
Magnetic Equip. Used Yoke Other Particle Visible Fluorescent
Current Type AC DC Permanent Wet Dry
Light Intensity 1076 Lux Particle application Spray Other
Lifting Force 40 Lb / 18.2 Kg 10 Lb / 4.5 Kg Particle Brand's / Type : White Contrast
Light Source Sun Light Magnaflux / WCP-2 Oikosh / M-47
Serial Number 1112 2876 3278 Particle
11200 15084 Magnaflux / 7HF Oikosh / I-72
Temperature Ambient Pole Spacing 6 Inch
Verification Cal. Block CB-LD-40LB CB-LD-10LB Other -
INSPECTION SUMMARY
Examination Method Continuous Field strength check Minimum twice in each area, right angle each other
Surface Prep. / cleaning Wire Brush As machined As ground Solvent Wipe
Stage of Examination As welded After Heat treated Before Load Test After Load Test
Scope of Examination Base Metal Edge Prep Back Chipping
Weld Area Weld Repair Others
Acceptance criteria ASME SEC V Article 7 Internal Procedure MPI-LDS 02 Rev. 1
AWS D1.1 MPI-LDS 03 Rev. 1
Customer Requirement MPI-LDS 04 Rev. 1
PICTURES AND ACCOMPLISHMENT
NDT AREA ACCEPTED REJECTED REMARKS

Pad Eyes 1 √ - No permanent defect
Other Structural Weld (Critical Area) - - -
NDE Before Load Test on : N/A NDE After Load Test on : N/A
INSPECTION RESULTS
No apparent discontinuities defect were detected through Magnetic Particle Inspection in welds of the critical areas of lifting points both was performed
No permanent defect or damage issue was detected at the time of process - The unit FIT for its intended use

Reviewed By:
making this report: Approved


Telp.No : +62542 – 7204212 & +6542 - 878709 & +62812-5558-245
Document code: LD-F-OPR-NDT-01.02 Revision: 03 Effective date: 10 Januari 2022

Result of Inspection: Conclusion

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RESULT OF INSPECTION

Customer / User PT Elnusa Tbk Report Number LDS-JKT-0370-ELN-3

Applicable Ref. Code DNV 2.7-1 BS EN 13414-1 & BS EN 13414-2

Internal Procedure MPI-LDS-02 Rev. 01 LPT-LDS-06 Rev. 01

Name of person inspect and Client's Representative

Rahmat Febriansyah Khoirul Mashuda

PT LD SERVIS - MT Haryono Street Gg. PLN RT 38 No 15 - Balikpapan, East Kalimantan.

Corner post Yes No Yes No Yes No Yes No Accepted

Deflector plate Yes No Yes No Yes No Yes No - N/A

Panel stiffeners Yes No Yes No Yes No Yes No - N/A

Name of person inspect and Client's Representative

Rahmat Febriansyah Khoirul Mashuda

PT LD SERVIS - MT Haryono Street Gg. PLN RT 38 No 15 - Balikpapan, East Kalimantan.

Master Link 27 271 146 √ -

Ordinary Link 22 183 95 √ -

Name of person inspect and making

Rahmat Febriansyah Khoirul Mashuda

PT LD SERVIS - MT Haryono Street Gg. PLN RT 38 No 15 - Balikpapan, East Kalimantan.

Name of person inspect and making

Rahmat Febriansyah Khoirul Mashuda

PT LD SERVIS - MT Haryono Street Gg. PLN RT 38 No 15 - Balikpapan, East Kalimantan.

Customer / User PT Elnusa Tbk Report Number LDS-JKT-0370-ELN-3

NDT AREA ACCEPTED REJECTED REMARKS

Name of person inspect and Client's Representative

Rahmat Febriansyah Khoirul Mashuda

PT LD SERVIS - MT Haryono Street Gg. PLN RT 38 No 15 - Balikpapan, East Kalimantan.

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