INSPECTION AND TEST PLAN RECERTIFICATION FOR GENERATOR
COMPANY : PT. Perusahaan Gas Negara Tbk.
PERUSAHAAN INSPEKSI : PT SRI
PROJECT/ORDER NO.: 030800.I/LG.01/OMM/2022
No Activity
A DOCUMENTS REVIEW
1. Standard Operation Procedure
Drawing ( General Arrangement
Layout , Single Line Diagram , Wiring
Diagram, Grounding Layout,
2.
Hazardous Area Classification,
Equipment Detail Drawing and
Equipment Layout )
Maintenance Report ( Alternator and
3.
Engine )
B VISUAL INSPECTION & VERIFICATION
1 Check the Condition of Generator
Check the Condition of Name Plate
2 IEC 60034 Part 10
Verification With Data Sheet
DOC. NO. : ITP-OMM-RIM-SW-22-002-00 CTR : CONTRACTOR CPY : COMPANY
PI : PERUSAHAAN INSPEKSI MIGAS : DITJEN MIGAS
DATE ISSUE : 09/08/2022
(GOVERNMENT/REGULATOR)
REV : 0
Inspection Level
Verifying Document Acceptance Criteria Reference
CPY PI MIGAS
Client document number – Inspection
Procedure
Power Generator SOP P R
• Permen ESDM Nomor 32 Tahun
2021 Tentang Pemeriksaan Keselamatan
Instalasi dan Peralatan Pada Kegiatan
Usaha Minyak dan Bumi,
• NFPA 70B : Recommended Practice
for Electrical Equipment Maintenance
• NETA ATS : Acceptance Testing
Specification
Client document number – Drawing • NETA MTS : Maintenance Testing As Built Drawing P R
Specification
• API RP 500 : Recommended Practice
for Classification of Locations for
Electrical Installations at Petroleum
Facilities Classified as Class I, Division 1
and Division 2
• NEMA M.G-1 : Motors and
Generator
Client document number – Maintenance Report Maintenance Report P R
Visual Inspection Checklist, Maintenance
NETA ATS Part 7.15.2
Document Record W V,I
Visual Inspection Checklist, Maintenance
W V,I
Document Record
 3 Inspection of Generator Layout API RP 500 Part 6 Visual Inspection Checklist, Maintenance
W V,I
Based on Classification Area Document Record

Inspection of The Generator and

Visual Inspection Checklist, Maintenance
4 Components Condition From NETA ATS Part 7.15.2 Document Record W V,I
Physical Damages

Check The Generator are Grounded Visual Inspection Checklist, Maintenance

5 NETA ATS Part 7.15.2 W V,I
Properly Document Record

Check The Power Cables Are Visual Inspection Checklist, Maintenance

6 PUIL 2011 Part 5210 W V,I
Properly Colour Coded and Labelled Document Record

8 Inspection Of Safety Personal and ISO 7010 Visual Inspection Checklist, Maintenance
W V,I
Warning Sign Document Record

Inspection Of Gauge Indicator ( Oil

Pressure Gauge, Oil Level Gauge, Visual Inspection Checklist, Maintenance
9 Water Temperature Gauge, Oil Operation and Maintenance Manual
Document Record W V,I
Temperature Gauge, rpm meter, )

C MONITORING OPERATION CONDITION

Maintenance Report and Monitoring Operation

1 Grounding Measurement NETA ATS Part 7.13 Log Book
W V,I

2 Check the Volltage, Current , NETA ATS Part 7.11.1 Equipment Datasheet, Monitoring Operation
W V,I
Frequency ,rpm and Power Log Book

Equipment Datasheet, Monitoring Operation

3 Temperature Measurement IEC 60034 Part 8.10 Log Book
W V,I

Equipment Datasheet, Monitoring Operation

4 Vibration Measurement BS 5000-3 Part 4.2 Log Book and Maintenance Report
W V,I

Peraturan Menteri Tenaga Kerja dan

Equipment Datasheet, Monitoring Operation
5 Noise Measurement Transmigrasi Nomor Log Book and Maintenance Report
W V,I
PER.13/MEN/X/2011 Bab II Pasal 5

D REPORTING
1. Berita Acara Inspeksi dan Pemeriksaan
Keselamatan Inspection Result Per Men ESDM No.32 tahun 2021 Per Men ESDM No.32 tahun 2021 H H H

Tindak Lanjut Berita Acara Inspeksi dan Berita Acara Inspeksi dan Pemeriksaan
2. Corrective Action Pemeriksaan Keselamatan Keselamatan Per Men ESDM No.32 tahun 2021 P V,H R
 Instruksi Kerja Power Generator dan Instruksi Kerja Power Generator dan
3. Final Report Inspection Report & MDR Transformer Terpasang No. F-IK-EE-SRI- Transformer Terpasang No. F-IK-EE-SRI- R, A P
02.A 02.A

4. Certificate of Inspection Final Report Per Men ESDM No.32 tahun 2021 Per Men ESDM No.32 tahun 2021 R P R

LEGENDS
P : Provide/ Perform
A : Approval
R : Review
I : Inspect
W : Witness
V : Verify
H : Hold Point

PT Perusahaan Gas Negara Tbk. PT Sertifikasi Raharja Indonesia Ditjen Migas

Mahar Prasetyo Agiesta Pradios Ayustinura

 INSPECTION AND TEST PLAN EXISTING DISTRIBUTION PANEL

COMPANY : PT. Perusahaan Gas Negara Tbk. DOC. NO. : ITP-OMM-RIM-SW-22-003-00 CTR : CONTRACTOR CPY : COMPANY

PI : PERUSAHAAN INSPEKSI MIGAS : DITJEN MIGAS

PERUSAHAAN INSPEKSI : PT SRI DATE ISSUE : 09/08/2022
(GOVERNMENT/REGULATOR)

PROJECT/ORDER NO.: 030800.I/LG.01/OMM/2022 REV : 0

Inspection Level
No Stage Verifying Document Acceptance Criteria Reference
CPY PI MIGAS

A DOCUMENTS REVIEW
1. Design Information ● NFPA 70B :
(i.e. General Arrangement Layout, Single Line Recommended
Diagram, Wiring Diagram, Grounding Layout, Practice for Electrical
Hazardous Area Classification, Equipment Equipment
Detail Drawing and Equipment Layout, Maintenance
Auxiliary & Safety Devices Spec, Distribution Drawing, Datasheet, Equipment Layout FAT and SAT Record, Datasheet P R
Panel Electrical Load list)

●
Inspection Report & Record, Maintenance NETA ATS :
2. Inspection History Log Book
Acceptance Testing Specification Previous Inspection Report P R

●
NETA MTS :
3. Operation Procedure Operation Procedure Maintenance Testing Specification Operation Procedure P R

API RP 500 :
Recommended
4 Maintenance Report Maintenance Report Practice for Operation & Maintenance Manual P R
Classification of
Locations for Electrical Installations at
Petroleum
Facilities Classified as
Class I, Division 1 and Division 2

B VISUAL INSPECTION
Visual Inspection Checklist ● PHKT Specification Inspection Checklist, Instruksi Kerja
1. Visual Peralatan Listrik PT. SRI
 Visual Inspection Checklist Inspection Checklist, Instruksi Kerja
Peralatan Listrik PT. SRI
- Name Plate ● Permen ESDM Nomor 32 Tahun 2021
- Layout Based on Classification Area Tentang Pemeriksaan Keselamatan
- Grounding System Instalasi dan Peralatan Pada Kegiatan
- Power Cables Usaha Minyak dan Bumi
- Busbar Distribution Panel
- Safety Personal and Warning Sign
- Enclosure
- Cooling Fan

W V,I
 - Name Plate
- Layout Based on Classification Area
- Grounding System
- Power Cables
- Busbar Distribution Panel
- Safety Personal and Warning Sign
- Enclosure
- Cooling Fan ●

NFPA 70B :
Recommended Practice for Electrical
Equipment Maintenance

●
NETA ATS :
Acceptance Testing Specification W V,I

●
NETA MTS:
Maintenance Testing Specification

API RP 500 :
Recommended
Practice for
Classification of
Locations for Electrical Installations at
Petroleum
Facilities Classified as
Class I, Division 1 and Division 2

C MONITORING OPERATION CONDITION

Permen ESDM Nomor 32 Tahun 2021

Tentang Pemeriksaan Keselamatan Maintenance Report and Monitoring
1. Grounding Measurement Inspection Report ● Installasi dan Peralatan Pada Kegiatan Operation Log Book W V,I
Usaha Minyak dan Bumi

NFPA 70B :
Recommended
2. Voltage, Current, Frequency and Power
Measurement Inspection Report ●
Practice for Electrical
Equipment
Equipment Datasheet, Monitoring
Operation Log Book W V,I
Maintenance

NETA ATS : Equipment Datasheet, Monitoring

3. Temperature Measurement Inspection Report ● Acceptance Testing Specification
Operation Log Book W V,I

NETA MTS :
● Maintenance Testing Specification

Equipment Datasheet, Monitoring

4. Test On / Off Each Feeder Inspection Report Operation Log Book R P
 API RP 500 :
Recommended Equipment Datasheet, Monitoring
4. Test On / Off Each Feeder Inspection Report Operation Log Book R P
Practice for
Classification of
● Locations for Electrical Installations at
Petroleum
Facilities Classified as
Class I, Division 1 and Division 2

D REPORTING

1. Berita Acara Inspeksi dan Pemeriksaan

Keselamatan
Inspection Result Per Men ESDM No.32 tahun 2021 Per Men ESDM No.32 tahun 2021 H H H

Tindak Lanjut Berita Acara Inspeksi dan Berita Acara Inspeksi dan Pemeriksaan
2. Corrective Action Pemeriksaan Keselamatan Keselamatan Per Men ESDM No.32 tahun 2021 P V,H R

Instruksi Kerja Panel Distribusi Terpasang Instruksi Kerja Panel Distribusi

3. Final Report Inspection Report & MDR No. F-IK-EE-SRI-02.B Terpasang No. F-IK-EE-SRI-02.B R, A P

4. Certificate of Inspection Final Report Per Men ESDM No.32 tahun 2021 Per Men ESDM No.32 tahun 2021 R P R

LEGENDS
P : Provide/ Perform
A : Approval
R : Review
I : Inspect
W : Witness
V : Verify
H : Hold Point

PT Perusahaan Gas Negara Tbk. PT Sertifikasi Raharja Indonesia Ditjen Migas

Mahar Prasetyo Agiesta Pradios Ayustinura