S-000-1520-002 - 3b Quality Control Requirment To Vendor

JOB CODE DOCUMENT NO. REV.
0-0831-00-0000 S-000-1520-002 3B
PAGE 1 0F 17
SUMBAWA LNG TERMINAL &

REGAS FACILITY
QUALITY CONTROL REQUIRMENT TO VENDOR
APPROVED FOR CONSTRUCTION
CPY
REV. DATE PAGE DESCRIPTION PREP’D CHK’D APP’D
APP’D
1A 12-Sep-2022 All Issued for Review Arief R. Anthonius F.T. Zola M.
2A 5-Dec-2022 All Issued for Approval Arief R. Anthonius F.T. Zola M.
3A 17-Jan-2022 All Approved for Construction Arief R. Anthonius F.T. Zola M.
3B 17-Jul-2022 All Approved for Construction Arief R. Anthonius F.T. Zola M.
S
THIS DOCUMENT / DRAWING INCLUDING ATTACHEMENT EMBODIES PROPRIEATRY INFORMATION OF PT. JGC INDONESIA IN ANY FORM OR MEDIUM TO THIRD
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3
PERMITTED BY PT. JGC INDONESIA
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JOB CODE DOCUMENT NO. Rev.
0-0831-00-0000 S-000-1520-002 3B
SUMBAWA LNG TERMINAL & REGAS FACILITY
QC REQUIREMENT TO VENDOR Page 2 of 17
RECORD OF REVISION
The revisions listed below have been incorporated in this copy of the document.
REV. SECTION PAGE DESCRIPTION OF CHANGES
NO. NO.
3A 1 5 Add project description
Add sentences “to give the guideline for minimum quality requirement to
3A 1.2 5
vendor to proceed the works”
3A 3 6 Add the references of MFS and CPY specification
Add sentences “VENDOR shall implement quality management
4.1 7
system…”
3A 4.6 9 Add sentences “When outsource Testing Laboratory ….”
3A 4.8 9 Change word “Inspector” to “Personnel”
Change sentences “VENDOR’s non-destructive Testing (NDE)
3A 4.8 9 Inspector who sign the report shall be qualified and certified in
accordance with ASNT-TC-1A level 2….”
3A 5.1 11 Add word “by CONTRACTOR”
Add sentences “In case found serious or repeated non-conformity
3A 5.1 11
during in process inspection….”
3A 6.2 13 Add sentences “KOM minutes agenda…..”
Change sentences “After final step inspection is conducted,
3A 9 15 CONTRACTOR inspector shall prepare Punch List when found
following condition:”
3A 10.1 16 Delete sentences
3A 4.6 9 Add sentences “When outsource Testing Laboratory to….. “
Add sentence “(11) Prior to used, Measuring and testing equipment
3B 4.6 9
shall be ensured in normal and good condition”
3B 6.1 12 Add wording “as per procurement plan “
3B 7.5 15 Add sentence “(3) VENDOR shall provide required inspection report.. “
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Table of Contents
1. GENERAL............................................................................................................................. 5
1.1 SCOPE.................................................................................................................................. 5
1.2 PURPOSE ............................................................................................................................. 5
1.3 OBJECTIVES........................................................................................................................ 5
2. ABBREVIATIONS AND DEFINITIONS ................................................................................. 5
2.1 ABBREVIATIONS ............................................................................................................................. 5
2.2 DEFINITIONS .................................................................................................................................... 6
3. REFERENCES ...................................................................................................................... 6
4. VENDOR’S RESPONSIBILITIES FOR QUALITY CONTROL............................................... 7
4.1 GENERAL REQUIREMENTS ........................................................................................................... 7
4.2 CONFIRMATION AND CONTROL OF ADEQUATE DATA............................................................. 7
4.3 SUBMISSION OF VENDOR’S DOCUMENTS .................................................................................. 7
4.4 CONTROL OF SUB-VENDOR.......................................................................................................... 8
4.5 MATERIAL TRACEABILITY ............................................................................................................. 8
4.6 CONTROL OF MEASURING AND TEST EQUIPMENT .................................................................. 9
4.7 INDONESIAN GOVERNMENT INSPECTION .................................................................................. 9
4.8 NON-DESTRUCTIVE TESTING PERSONNEL .............................................................................. 10
4.9 PMI OPERATOR ............................................................................................................................. 10
4.10 WELDER AND WELDING OPERATOR ......................................................................................... 10
4.11 WELDING PROCEDURE ................................................................................................................ 10
4.12 VERIFICATION OF PERFORMANCE OF EQUIPMENT AND MATERIALS................................. 10
4.13 FREE ENTRY .................................................................................................................................. 11
4.14 INSPECTOR'S SAFETY ................................................................................................................. 11
4.15 INSPECTION FACILITY AND OFFICE........................................................................................... 11
5. INSPECTION REQUIREMENTS ......................................................................................... 11
5.1 INSPECTION LEVEL ...................................................................................................................... 11
5.2 SCOPE OF INSPECTION ............................................................................................................... 12
5.3 INSPECTION & TEST PLAN (ITP)...................................................................................... 12
6. CONFIRMATION OF QC REQUIREMENTS WITH VENDOR ............................................. 12
6.1 BEFORE PO.................................................................................................................................... 12
6.2 KICK-OFF MEETING (AFTER PO)................................................................................................. 12
6.3 SUBMISSION OF VENDOR’S QC DOCUMENTS ......................................................................... 13
6.4 PRE-INSPECTION MEETING (PIM) ............................................................................................... 13
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7. INSPECTION COORDINATION .......................................................................................... 14

7.1 TWO-MONTHS LOOK AHEAD INSPECTION SCHEDULE .......................................................... 14
7.2 INSPECTION NOTIFICATION TO CONTRACTOR ....................................................................... 14
7.3 INSPECTION NOTIFICATION TO COMPANY AND TPIA/MIGAS................................................ 15
7.4 INSPECTION VISIT CONFIRMATION............................................................................................ 15
7.5 WITNESS INSPECTION AND SHOP SURVEILLANCE ................................................................ 15
8. NONCONFORMITY CONTROL .......................................................................................... 15
9. PUNCH LIST ....................................................................................................................... 15
10. INSPECTION RELEASE CERTIFICATE (IRC) ................................................................... 16
10.1 ISSUE CONDITION ......................................................................................................................... 16
10.2 PREPARATION AND CONTROL ................................................................................................... 16
10.3 OTHERS .......................................................................................................................................... 16
11. QC DOCUMENT NUMBERING........................................................................................... 16
12. MANUFACTURING DATA REPORT (MDR) ....................................................................... 16
13. GOVERNMENT REQUIREMENTS...................................................................................... 17
14. ATTACHMENTS ................................................................................................................. 17
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1. GENERAL
The EPCC Sumbawa LNG Storage and Regasification Terminal are initiated by PT Medco Sumbawa
Gas to supply natural gas to PT Amman Mineral Nusa Tenggara (AMNT) for its new Combined Cycle
Power Plant (CCPP) and smelter. The project site is on Benete Bay, South Benete, West Nusa
Tenggara, Indonesia
The project scope is to build onshore LNG storage tank capacity of 50,000 m3 Double Wall Steel Full
Containment and 160,000 m3 PC Wall with Steel Roof Full Containment, a regasification facility
maximum of 77 MMSCFD, a Jetty and Trestle, pipeline to CCPP, and Utility and Building facilities.
1.1 Scope
This procedure specifies the requirements to VENDOR for Quality Control activities including inspection
and test for purchased equipment and materials for Sumbawa LNG Terminal & Regassification Project.
1.2 Purpose
The purpose of this document is to give the guideline for minimum quality requirement to VENDOR and
define the ways to proceed the works with respective responsibilities and activities of VENDOR and
CONTRACTOR’s QC Group for the project and to define interfaces between CONTRACTOR and
VENDOR in relation with Quality Control matters.
1.3 Objectives
The objective of this procedure is to maintain the uniformity and consistency of the Quality Control
Activities by all parties and personnel involved to reduce any deviation of product during manufacturing
& fabrication which have impact to safety, cost and schedule, which is not covered by vendor’s
obligation.
The objectives of Quality Control for purchased equipment and materials are:
 Only qualified, inspected and accepted equipment and materials are delivered to the construction
job site.
 No defects / troubles / nonconformities of delivered equipment and materials will be detected at the
construction job site.
2. ABBREVIATIONS AND DEFINITIONS

2.1 ABBREVIATIONS
ASNT : American Society for Non-destructive Testing
CSWIP : Certification Scheme for Welding and Inspection Personnel
FAT : Factory Acceptance Test
IRC : Inspection Release Certificate
ITP : Inspection and Test Plan
J-PLUSP : JGC Procurement e-Solution System for after Purchase Order
JSNDI : Japanese Society for Non-Destructive Inspection
KOM : Kick of Meeting
MDR : Manufacturing Data Record
NCR : Non Conformity Report
NDE : Non-Destructive Examination
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PCN : Personnel Certification in Non-Destructive Testing

PIM : Pre Inspection Meeting
PMI : Positive Material Identification
PO : Purchase Order
PQCM : Project Quality Control Manager
PWHT : Post Weld Heat Treatment
QCE : Quality Control Engineer
WPS / PQR : Welding Procedure Specification / Procedure Qualification Record
2.2 DEFINITIONS
COMPANY : PT. Medco Sumbawa Gas
CONTRACTOR : PT JGC Indonesia
AMNT : PT Amman Mineral Nusa Tenggara
AMIN : PT Amman Mineral Industri
VENDOR : Any selected organization who provides equipment / materials

for the project.
BIDDER : Any organization to whom request for quotation is issued by

CONTRACTOR. Successful bidder becomes VENDOR.
MIGAS : Directorate General of Oil and Gas (Direktorat Jenderal Minyak

dan Gas Bumi)
DJK : Direktorat Jenderal Ketenagalistrikan (Directorate General of

Electricity)
TPIA : Authorized Third Party Inspection Agency of MIGAS
SHALL : Requirement; Mandatory
SHOULD / MAY : Recommendation; Discretional
3. REFERENCES
The latest revision of the following documents shall be referred to and shall form a part of this procedure:
1. S-000-1520-001 : Quality Control Execution Plan
2. S-000-1520-003 : Non-Conformance Control Procedure for Equipment and

Materials
3. S-000-1520-004 : Material Certification and Traceability Requirement for
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Equipment and Materials
4. S-000-1520-005 : Positive Material Identification Requirement for Equipment

and Materials
5. S-000-1520-006 : Government Requirement for Shop Inspection
6. S-000-1520-007 : MDR Compilation Specification for Equipment
7. S-000-1520-008 : MDR Compilation Specification for Bulk Materials
8. S-000-1520-009 : General Requirement of Welding for Fabrication
9. H-000-13A0-001 : Equipment Critically Rating Assessment Report
10. Minimum Functional Specifications – Sumbawa LNG Storage & Regasification

Terminal
4. VENDOR’S RESPONSIBILITIES FOR QUALITY CONTROL

4.1 General Requirements
(1) VENDOR shall perform sufficient and effective Quality Control to assure that the equipment and
materials manufactured in accordance with PO, approved drawings, datasheets, technical
specifications, procedures requirements.
(2) VENDOR shall be responsible for all the required inspections and tests for the equipment and
materials in accordance with PO, approved drawings, datasheets, technical specifications,
procedures requirements.
(3) VENDOR shall be responsible for the preparations of COMPANY’S and CONTRACTOR’s
witness/monitoring inspections in accordance with PO, approved drawings, datasheets, technical
specifications, procedures requirements.
(4) VENDOR shall implement quality management system meet the requirement of international
standard ISO 9001 as appropriate or an international recognized standard acceptable to
CONTRACTOR / COMPANY
4.2 Confirmation and Control of Adequate Data
VENDOR shall establish the system to reflect immediately and always the latest and adequate data to
their drawings and procedures. This is also applicable to Sub-VENDOR’s scope and VENDOR shall
confirm that their documents include all adequate requirements and data.
4.3 Submission of VENDOR’s Documents
VENDOR shall submit document / data, drawing, procedures, as specified in requisition for
CONTRACTOR’s approval.
Those documents shall be submitted to contractor with due date schedule as specified in requisition.
The followings documents, as a minimum, shall be approved by CONTRACTOR and/ COMPANY before
Pre-Inspection Meeting (PIM) conducted:
(1) Quality Manual or Certificate of VENDOR’s Quality Management System
(2) Inspection and Test Plan (ITP) which clearly specify “Hold Point”, “Witness Point”, “Review Point”
for CONTRACTOR, COMPANY, Third Party Inspection Agency (TPIA) / MIGAS, and VENDOR /
Manufacturer.
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(3) Inspection and Test Procedure

(4) Welding Procedure Specification (WPS) & Procedure Qualification Records (PQR) include Weld
Map
(5) Welder List and Qualification Record/Certificate
(6) Non-Destructive Examination (NDE) Procedure include NDE Map
(7) NDE Personnel and Qualification Record
(8) Repair Procedure
(9) Positive Material Identification (PMI) Procedure, if applicable
(10) Post-Weld Heat Treatment (PWHT) Procedure, if applicable
(11) Fabrication and Inspection schedule
(12) Deviation / waiver list (if any)
(13) MDR Index
(14) Sub-VENDOR List
(15) Primary Drawings
(16) Data Sheets
(17) Fabrication / Manufacturing Procedures
(18) Hydrostatic Test Procedure
(19) Factory Acceptance Test Procedure
(20) Other procedures, as applicable
4.4 Control of Sub-VENDOR

VENDOR shall ensure that all applicable specifications and QC requirements are transferred to all Sub-
VENDORs.
VENDOR shall be responsible for assuring quality control implementation of the sub-VENDOR and that
the sub-VENDOR meets the specified requirement.
VENDOR shall verify and control the quality of sub-ordered items and service by using the appropriate
means such as document review, witnessed inspection and test, receiving inspection and audits.
VENDOR shall inform Contractor of Sub-VENDOR’s information e.g. exact location of manufacture,
name, and telephone number & E-mail address of contact person etc. All supplements or changes to
the order or specifications concerning inspection of a sub-order shall be documented.
4.5 Material Traceability

VENDOR shall furnish material certificates in accordance with the requirements of EN 10204/2004, and
any additional requirements specified in PO, Requisition and S-000-1520-004 “Material Certification and
Traceability for Equipment and Materials”.
Materials shall be fully traceable to the certification through all stages of manufacturing to the extent as
agreed by CONTRACTOR.
CONTRACTOR’s, COMPANY & TPIA’s (wherever applicable) inspector will check the marking on
equipment or materials during and after fabrication or before shipment in accordance with the above
mentioned specification.
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4.6 Control of Measuring and Test Equipment

(1) VENDOR shall have an established procedure for calibrating and controlling the measuring and
test devices in accordance with their quality manual, which shall at least conform to the followings:
The equipment controller shall provide a master list to control measuring and testing equipment
and shall indicate the following information:
- Name of measuring & Testing Equipment to be controlled
- Control number
- Date of calibration and name of calibrator
- Term of validity or date of next calibration
(2) Testing equipment shall be provided with tags, labels, marking or other appropriate means
indicating control number and the term of validity or the date of next calibration, in such a manner
that it can be easily confirmed.
(3) For measuring and testing equipment judged unacceptable as a result of periodic calibration, the
equipment controller shall immediately take the necessary action such as repair or replacement.
The equipment controller shall investigate and record the validity of previous measurements using
the unacceptable equipment and take appropriate action on the equipment and any product
affected.
(4) The equipment controller shall record and keep the results of calibration and verification.
(5) Measuring and testing equipment shall be handled and stored in such a manner that its required
accuracy and functions can be maintained without fail. Adjustment/ re-adjustment shall be made
before its use, if necessary.
(6) Measuring and testing equipment shall be protected suitably to prevent their calibration being
settings changed/ cancelled.
(7) When computer software is used for measuring or testing, its suitability for the intended purpose
shall be confirmed prior to the first use and shall be re-confirmed as necessary.
(8) For calibration of measuring and testing equipment to be controlled, the calibration methods,
acceptance criteria, validity and so on shall be in accordance with VENDOR/ Manufacturer’s
standards.
(9) Calibration shall be carried out using certified apparatus valid under applicable national standards
of the country where the VENDOR/ Manufacturer operate. Where there are no such national
standards, the standards actually applied shall be recorded.
(10) Measuring and testing equipment that is expected to be used frequently or considered to be
abnormal shall be checked or calibrated even within their validity period.
(11) Prior to used, Measuring and testing equipment shall be ensured in normal and good condition.
VENDOR shall inspect the measuring and test devices when deemed necessary, even within the term
of the validity. CONTRACTOR’s, COMPANY & TPIA’s (wherever applicable) Inspector will verify the
validity of calibration for all the measuring and test devices used during his inspection visit.
When outsource Testing Laboratory to be selected by VENDOR for testing material, welding or jointing
procedure or etc, Testing Laboratory shall be independent and proven implement appropriate quality
management system, or accredited by recognized body.
4.7 Indonesian Government Inspection
Indonesian Government inspections consist of those required by MIGAS. MIGAS interventions are
included on the ITPs. It is noted however, that MIGAS has the right to witness/ attend any inspection or
test to be carried out at a VENDOR’s shop.
These inspections are coordinated in accordance with the following procedures S-000-1520-006
“Government Requirements for Shop Inspection”.
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4.8 Non-Destructive Testing Personnel

VENDOR’s non-destructive Testing (NDE) Inspector who sign the report shall be qualified and certified
in accordance with ASNT-TC-1A level 2; or level 2 in accordance with ISO 9712. Other equivalent
certification awarded by a recognized Third-Party Organization subjected for approval by
CONTRACTOR and COMPANY.
NDE procedure approver shall be qualified and certified level 3 by certification bodies required by related
Standard.
VENDOR is requested to submit NDE Inspectors list for CONTRACTOR’s approval, which shows the
name of inspectors, certified NDE type, certification number, certified date, valid date and name of
authorized certification body.
CONTRACTOR’s Inspector will monitor that only those certified NDE Inspectors carry out specified
NDEs for the equipment and materials during witness inspection.
4.9 PMI Operator
VENDOR’s PMI operator shall be trained and qualified in accordance with VENDOR’s qualification
procedure comply with contractor specification S-000-1520-005 “Positive Material Identification for
Equipment and Materials” approved by Contractor. VENDOR shall prepare the qualified operators list
and show to Contractor’s inspector, if requested.
4.10 Welder and Welding Operator
VENDOR’s welders and welding operators shall be qualified in accordance with the applicable
design/fabrication code. VENDOR shall submit welders and welding operator’s list which consists of at
least:
1) Welder’s name and/or ID
2) Qualified process, range and position
3) Qualified date or re-qualified date
4) Valid date of the qualification
5) Approver name (Approver shall have been authorized as approver by VENDOR)
The acceptance of existing performance qualification shall be prepared by documentation with
satisfactory performance in three (3) months prior to commencing work when required in requisitions.
VENDOR is requested to prepare and maintain those qualifications records. CONTRACTOR and
COMPANY may audit these records at any time.
Contractor’s Inspector will monitor that only the approved welders and welding operators are carrying
out welding and welding operation for the equipment and materials within their qualified range during
witness inspection.
At the end of order, latest welder list shall be submitted to Contractor as “As-built” document. All welders
and welding operators who have engaged in this project shall be listed in the list and it shall be compiled
into MDR.
4.11 Welding Procedure

VENDOR shall be responsible for submit Welding Procedure Specification and Procedure Qualification
Record for CONTRACTOR/COMPANY for review and approval prior of any commencement of welding.
Qualification for WPS/PQR shall be in accordance with S-000-1520-009 “General Requirement of
Welding for Fabrication”, and all additional applicable specification, Law and Regulation respectively.
4.12 Verification of Performance of Equipment and Materials
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VENDOR is responsible for the verification of performance of equipment and materials. VENDOR shall
conduct all tests and inspections which are required to confirm and verify the performance of equipment
and materials as their internal inspection, even if they are not included in Contractor’s requirements.
4.13 Free Entry
VENDOR shall provide CONTRACTOR, CONTRACTOR’s Inspector, and COMPANY with the right of
access and free entry to any areas of VENDOR or Sub-VENDOR’s premises where fabrication from raw
material receiving to shipping of equipment and materials is performed.
CONTRACTOR and COMPANY reserve the right to conduct surveillance, monitoring and audit that
VENDOR performs quality fabrication activities and control activities in accordance with PO
requirements.
VENDOR shall also provide with right of access to TPIA/MIGAS in relation with their witness inspection.
TPIA/MIGAS witness points shall be included in the Inspection and Test Plan (ITP).
4.14 Inspector's Safety
VENDOR shall provide a safe working environment for Inspectors and shall alert the Inspector of
potential hazards. If in the opinion of the Inspector, the working conditions are unsafe, then the Inspector
will not perform any inspection activities and inspector has a right to stop any fabrication activities until
safe working condition has been confirmed.
4.15 Inspection Facility and office
VENDOR shall provide a furnished office complete with IT communications and internet
systems, all test equipment facilities required for the witnessed inspection or test at VENDOR
cost.
5. INSPECTION REQUIREMENTS
5.1 Inspection Level
Inspection level is determined considering the equipment criticality rating and specified in the applicable
Requisition and document H-000-13A0-001 “Equipment Critically Rating Assessment Report”.
Inspection level may be adjusted and extent of inspection may be increased or decreased during
execution depend on selected VENDOR’s past experience with CONTRACTOR and/or VENDOR’s
performance during manufacturing process.
Level – 1
Full time resident Inspector shall be assigned by CONTRACTOR to daily monitor quality of fabricated
equipment / materials include witness inspection and test in accordance with approved Vendor’s ITP.
Level – 2
In-process inspection and Factory Acceptance Test (FAT) and final inspection shall be witnessed in
accordance with approved Vendor's ITP.
In case found serious or repeated non-conformity during in process inspection, COMPANY has right to
ask CONTRACTOR to increase the inspection level to level I
Level – 3
Factory Acceptance Test (FAT) and final inspection shall be witnessed in accordance with approved
Vendor’s ITP.
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Level – 4
Document required by approved Vendor's ITP shall be reviewed prior to issue Inspection Release
Certificate (IRC). No inspection activities shall be witnessed.
Some photograph may be required to send by VENDOR to confirm the final appearance of the
equipment/materials.
5.2 Scope of Inspection

The minimum Inspection & test requirements for the each order are described in “Scope of Inspection”
in each Requisition. The “Scope of Inspection” includes the information about Witness/Hold/Review
points of COMPANY, CONTRACTOR and TPIA/MIGAS.
5.3 Inspection & Test Plan (ITP)
VENDOR shall submit Inspection and Test Plan (ITP) to identify all the inspections and tests required
in the fabrication sequence in accordance with “Scope of inspection” as specified in the Requisition.
This ITP shall be submitted to CONTRACTOR / COMPANY for approval.
The requirements of ITP are as follows:
1) A sample form, designation of letters and abbreviations of ITP are shown in Attachment-1. All
information required in the sample form must be included in VENDOR’s ITP.
2) ITP shall be prepared in accordance with the fabrication and manufacturing sequence and shall
identify all manufacturing and fabrication activities requiring approvals, and shall clearly identify
involvement of each party (VENDOR, CONTRACTOR, COMPANY and TPIA/MIGAS, if required)
at each inspection point.
3) ITP is the working document which shows details of inspection process, verifications, testing and
documentary evidence required by activity involved in manufacturing and fabrication phases of
VENDOR’s activities.
4) In case inspections are conducted more than one location including sub-supplier, separate ITP for
each location shall be prepared.
6. CONFIRMATION OF QC REQUIREMENTS WITH VENDOR

To confirm the QC requirements with VENDOR, following 4 step actions are taken.
6.1 Before PO
It is Bidder's responsibility to submit their quotation in compliance with Request for quotation (RFQ) and
its applicable documents including, but not limited to, requisition, drawings, specifications, procedures
etc. (hereinafter called “RFQ requirements”) It is NOT CONTRACTOR’s responsibility to reveal deviation
and exception to RFQ requirements unless otherwise agreed in the form of deviation list as specified in
Requisition.
CONTRACTOR may make clarifications in order to assist Bidder to make its quotation to be fully in
compliance with RFQ.
For major and/or critical equipment and materials as per procurement plan, Clarification Meeting with
Bidder may be held to confirm the following:
(1) Bidder correctly understands the intent of specification requirements of RFQ.
(2) Bidder’s quotation is submitted based on correct understanding of specification requirements.
6.2 Kick-Off Meeting (After PO)
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For major and/or critical equipment and materials in which that have delivery/completion time are directly
interrelated such that each has a definite influence on achieving the date of project completion, Kick-Off
Meeting (KOM) with VENDOR will be held to confirm that the specification requirements are correctly
transferred to those who are responsible for implementation of the order.
Standard agenda of KOM for QC session is shown in Attachment-2.KOM minutes agenda may be
shared to COMPANY for information.
6.3 Submission of VENDOR’s QC Documents
VENDOR’s QC related documents which are required by Requisition such as shown in Attachment-3
shall be submitted to CONTRACTOR/COMPANY for approval. This is to ensure that the Project
Requirements are correctly documented by VENDOR in its own words. They shall be submitted as early
as possible regardless the requirements in the requisition so that they shall be approved by Contractor
before Pre-Inspection Meeting (PIM) or start of fabrication.
6.4 Pre-Inspection Meeting (PIM)
Unless otherwise agreed, Pre-Inspection Meeting (PIM) shall be held before start of fabrication.
The main purpose of PIM is as follows:
(a) To ensure the quality requirements in PO are fully understood by VENDOR, especially those who
are responsible for fabrication of equipment and materials (staffs in the fabrication shops and quality
control team).
(b) To reconfirm the coordination procedure between VENDOR, CONTRACTOR and COMPANY in
respect with quality control matters
(c) To discuss any unclear matters of quality requirements.
PIM is the final confirmation of VENDOR’s understanding to all project requirements before fabrication
starts. PIM is normally held at VENDOR’s manufacturing shops. Staffs responsible for fabrication must
attend PIM. Shop tour and surveillance should be conducted during PIM to confirm VENDOR’s
implementation of their quality system.
Considering the purpose of PIM, PIM is allowed to be held only when all VENDOR’s fabrication related
documents (Drawings, Specifications, Procedures, etc.) have been approved without comments or
approved with minor comments.
Fabrication shall also be started only when VENDOR’s fabrication related documents (Drawings,
Specifications, Procedures, etc.) have been approved without comments or approved with minor
comments.
The standard agenda for PIM is shown in Attachment-4.
PIM is in principle initiated by PQCM and / or QCE and chaired by PQCM or his/her designee. VENDOR
shall prepare the MOM. MOM for PIM shall use form as in Attachment-4 and shall be completed,
reviewed, action items identified and signed by all participants at the location of the meeting before
leaving the meeting place. Required action points shall be reiterated to assure complete understanding
at the end of the meeting. The PQCM or QCE shall be responsible to distribute all action items to the
relevant organizations.
MOM of PIM shall also be distributed to COMPANY by 48 hours after completion of the PIM.
PIM may be waived under the following conditions with prior approval from CONTRACTOR /
COMPANY:
1) PIM is not required in the Requisition.
2) VENDOR has been doing business with Contractor and is recognized as maintaining sufficient
inspection and quality control systems.
3) VENDOR has extensive experience and no troubles are anticipated in the fabrication process.
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4) The requirements specified in the requisition are not complicated and no conflicts will occur between
VENDOR and Contractor during fabrication and inspection.
7. INSPECTION COORDINATION
7.1 Two-Months Look Ahead Inspection Schedule
VENDOR is required to prepare Two (2) Months Look-ahead Inspection Schedule using form in
Attachment-5 and submit it to Contractor as an attachment of “VENDOR Monthly Progress Report. It
shall indicate PIM schedule and all inspection/test items, which will be witnessed by CONTRACTOR,
COMPANY, and TPIA/MIGAS, if any, using the legend as shown in the form.
7.2 Inspection Notification to CONTRACTOR

For equipment and materials that are subjected to inspection by CONTRACTOR and/or COMPANY,
VENDOR shall submit inspection notification to CONTRACTOR by the following schedule of calendar
day, at the latest, prior to inspection date:
Domestic Inspection Area;
- CONTRACTOR Witness Point: Fifteen (15) days
- CONTRACTOR Hold Point: Twenty (20) days
- COMPANY Witness / Hold Point: Twenty (20) days
Overseas Inspection Area;
- CONTRACTOR Witness / Hold Point : Thirty five (25) days
- COMPANY Witness / Hold Point : Thirty (30) days
Inspection Notice shall be submitted to PQCM by using form as in Attachment-6.
Pre-Inspection Meeting date shall also be notified by the same notification format and method as the
above described.
(1) Inspection notification shall contain at least the following information:
 Project name and Contractor’s Job Code
 Contractor’s PO Number
 Inspection notification number (sequence number) and notice date
 VENDOR name and Sub-VENDOR name, when applicable
 Equipment item number and/or material description to be inspected
 Kind of inspection (such as final inspection, hydrostatic test, etc.)
 Date of inspection and start time
 Name of person to contact, his/her telephone number and email address
 Location of inspection and address
 VENDOR inspection and test plan (ITP) number (V-21xx-xxx-x-xxx) & step number in ITP
(2) Change
whenever any change of inspection date or Item occurs. VENDOR shall promptly notify Contractor
of the change, especially, the witness point which will be involved by COMPANY.
(3) Final Confirmation
VENDOR shall send final confirmation to CONTRACTOR at least five (5) working days before to
notified inspection date for domestic inspection area, and at least seven (7) working days for
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overseas inspection area. The final confirmation shall be sent by VENDOR to CONTRACTOR by
re-sent the original Inspection Notification by adding suffix (F) on the Inspection Notification number.
For more detailed, please refer to Attachment 9. QC Document Numbering.
Any delay or impact occurs from VENDOR’s late notification and/or cancellation and any abortive
visit by CONTRACTOR / COMPANY / TPIA shall be at VENDOR’s responsibility and charges.
7.3 Inspection Notification to COMPANY and TPIA/MIGAS
Upon receipt of Inspection Notification from VENDOR, CONTRACTOR submits a Notification of
Inspection to COMPANY by an official correspondence at least fifteen (15) working days prior to the
scheduled inspection date for domestic inspection and test and at least thirty (30) calendar days for
overseas inspection and test.
COMPANY and TPIA/MIGAS reply at the latest seven (7) working days prior to the notified inspection
date. COMPANY is responsible to coordinate with TPIA/MIGAS including visit confirmation.
7.4 Inspection Visit Confirmation
CONTRACTOR shall notify VENDOR of the intent by CONTRACTOR and COMPANY representative
to witness the inspection by J-PLUSP mailing system.
7.5 Witness Inspection and Shop Surveillance
Inspection of equipment and materials shall be conducted in accordance with approved VENDOR’s ITP.
(1) CONTRACTOR, COMPANY and TPIA/MIGAS will witness the inspections and tests for Hold or
Witness points in accordance with approved VENDOR’s ITP.
(2) VENDOR shall provide necessary inspection tools and equipment. VENDOR shall also supply the
latest approved documents when CONTRACTOR, COMPANY or TPIA/MIGAS request.
(3) VENDOR shall provide required inspection report which review points by CONTRACTOR,
COMPANY, or TPIA/MIGAS in accordance with ITP, during subsequence witness inspection by
required parties and complete report shall be compile for review during final inspection before
shipment.
(4) Adequate safety practices shall be enforced at all time in the test/inspection areas.
(5) In addition to the witness inspection, CONTRACTOR & COMPANY reserves the right to conduct
surveillance without the notification from VENDOR.
8. NONCONFORMITY CONTROL
When nonconformity arises, VENDOR shall issue a Nonconformity Report (NCR) in accordance with S-
000-1520-003 “Non-Conformance Control Procedure for Equipment and materials”. The non-conformity
shall be disposed as quickly as possible. Immediate report of NCR shall be submitted to contractor within
48 (forty eight) hours from the Non-Conformance is detected. CONTRACTOR and COMPANY may
initiate the NCR as needed.
9. PUNCH LIST
After final step inspection is conducted, CONTRACTOR inspector shall prepare Punch List when found
following condition:
(1) Any uncompleted items
(2) Any items which require further test / re-test
(3) Nonconformities which have not been closed
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VENDOR is required to fill in due date (practically earliest close out date) of each item in Punch List and
to take appropriate action to close them out on schedule. Punch List shall be periodically updated
reflecting the latest status of the Punch items and is distributed to CONTRACTOR accordingly. Form of
Punch List is presented in Attachment-7.
When under certain conditions that some punch items cannot be closed at shop and the punch items
will be transferred and to be closed at site, VENDOR shall mark the open punch items and get approval
from CONTRACTOR and informed to COMPANY. The open punch items list shall be attached to the
IRC.
10. INSPECTION RELEASE CERTIFICATE (IRC)

10.1 Issue Condition
CONTRACTOR will issue Inspection Release Certificate (IRC) to Vendor when it is confirmed that:
(1) All of the works as agreed in PO for applicable item are completed except approval of Manufacturing
Data Record (MDR) by CONTRACTOR.
(2) All tests and inspections are satisfactorily completed and passed.
(3) All punch list items are closed, except carry-over work to Site.
CONTRACTOR’s inspector will review and endorse all documents to be included in MDR.
10.2 Preparation and Control
(1) IRC shall be prepared by Vendor for each shipment partially. IRC issue timing and frequency shall
be agreed between CONTRACTOR and Vendor in advance. The percentage of each partial or
balance IRC shall be planned by Vendor and agreed with CONTRACTOR.
(2) Standard form of IRC is shown in as Attachment-8.
(3) Basically IRC is controlled and issued for each PO When all items of applicable PO are satisfied
with all above IRC issue conditions, 100% IRC will be issued.
(4) If required, IRC will be controlled by each sub-order.
(5) IRC for Steel structure will be controlled by Structure ID (Structure Identification Number) basis. The
details of control method shall be discussed and agreed between CONTRACTOR and Vendor.
10.3 Others
(1) IRC shall form an integral part of MDR. Equipment and materials shall not be allowed to ship without
IRC & clearance form CONTRACTOR / COMPANY.
(2) Equipment and materials which have been shipped before issuance of IRC are considered as
rejected.
Vendor shall note that IRC does not relieve Vendor of its responsibilities or obligation under the terms
of PO.
11. QC DOCUMENT NUMBERING

Document numbering which is related to QC matter such as IN number, Inspection Report Number,
NCR number, IRC Number, MDR number shall follow Attachment-9.
12. MANUFACTURING DATA REPORT (MDR)

MDR shall be prepared, compiled, and submitted to Contractor in accordance with S-000-1520-007
“MDR Compilation Specification for Equipment” and S-000-1520-008 “MDR Compilation Specification
for Bulk Materials”.
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13. GOVERNMENT REQUIREMENTS

When MIGAS inspection is specified in the Requisition, VENDOR shall incorporate the MIGAS
requirements into the specified inspection of the equipment. This shall be applicable in addition to the
applicable code/standard and project specification.
VENDOR shall also submit the inspection report to MIGAS/TPIA through CONTRACTOR immediately
after the equipment is released.
For details, VENDOR shall refer to procedure S-000-1520-006 “Government Requirements for Shop
Inspection”.
14. ATTACHMENTS
Attachment-1 : ITP Form
Attachment-2 : KOM Agenda
Attachment-3 : QC Related Documents
Attachment-4 : PIM Agenda
Attachment-5 : Two Months Look Ahead Inspection Schedule
Attachment-6 : Inspection Notification
Attachment-7 : Punch List
Attachment-8 : IRC Form
Attachment-9 : QC Document Numbering
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Doc. No:
SUMBAWA LNG TERMINAL & REGAS FACILITY PROJECT
S-000-1520-002
Rev.: 3B Page : 1 of 3
QUALITY CONTROL REQUIREMENTS TO VENDOR
Date : 17-Jul 2022
ATTACHMENT-1 ITP FORM
Party (7)
CONTRACTOR
Quality verification Reference Acceptance Verified Extent of
No.
TPIA/MIGAS
COMPANY
activity Procedure Criteria Documents Inspection Remark
VENDOR
(1)
(2) (3) (4) (5) (6)
CONTRACTOR ID: S-000-1520-002
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Guide to Filling in “Inspection and Test Plan”
Column Description
(1) No. Sequential No. shall be entered for each Quality Activity (e.g. 1, 1.1, 2, 2.1.1).
Quality verification activity / Quality activities shall be described, which will take place in the order of fabrication (e.g. Material Inspection, Dimensional
(2)
stage Inspection, Pressure Test, etc.).
(3) Reference Procedure Procedure name or Doc. No. / Standard code No. shall be entered, which will be used as reference for the quality activity.
(4) Acceptance Criteria Acceptance criteria or Doc. No. / Standard code No. for the quality activity shall be entered.
Documents which will be used to verify the results of the quality activity shall be described (e.g. Mill certificate, Test
(5) Verified Documents
records).
(6) Extent of Inspection Quantity of equipment / material / work to be taken sample for inspected on each activity (e.g 100%; 20%; 5%)
(7) Party Type inspection for each party shall be entered (e.g. H, W, SW, M, R).
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Designation of letters and abbreviations of ITP

Letters & abbreviations
CONTRACTOR / COMPANY intends to conduct witness inspection/test. VENDOR shall submit inspection notification to
H Hold point CONTRACTOR. VENDOR is not allowed to proceed with the inspection/test unless a written release is issued by CONTRACTOR /
COMPANY.
CONTRACTOR / COMPANY intends to conduct witness inspection/test. VENDOR shall submit inspection notification to
W Witness point CONTRACTOR. However VENDOR can proceed with the inspection/test when CONTRACTOR’s / COMPANY’s inspector is not
present at the notified time.
CONTRACTOR / COMPANY intends to conduct witness inspection/test by spot/randomly. VENDOR shall submit inspection
SW Spot witness notification to CONTRACTOR. However VENDOR can proceed with the inspection/test when CONTRACTOR’s / COMPANY’s
inspector is not present at the notified time.
M Implementation Preparation and execution of measurement, observation, examination or testing and reporting.
R Record review VENDOR is requested to submit the documents or inspection records to CONTRACTOR for review.
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SUMBAWA LNG TERMINAL & REGAS Doc. No:
FACILITY PROJECT S-000-1520-003
QUALITY CONTROL REQUIREMENTS TO Rev. : 3B Page : 1 of 4
VENDOR
Date : 17 Jul 2022
ATTACHMENT-2 KOM AGENDA (STANDARD)
1. Health, Safety and Environment (HSE) Moment

2. Safety Instruction
3. General information
4. Vendor organization
5. Sub-vendor formation (if applicable)
6. Communication channel (Name, Email address, telephone No etc.) for QC matters
7. Scope of Inspection and Test
8. Applicable QC specifications
9. GOVERNMENT/MIGAS Inspection requirements
10. Required Vendor QC documents & submission schedule
11. Requirements of Pre-Inspection Meeting (PIM)
12. Special QC requirements to follow prior to PIM (e.g. material requirements)
13. Lessons Learned from past projects
14. Others (if any)
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KOM FORM
SUB Discussion Action Due

NO. No. Items to be Discussed
Results by date
1.
Health, Safety and Environment (HSE) Moment
3.
General Information
3.1 Vendor name:
3.2 PO No.:
3.3 Requisition
No.(Rev):
4.
Vendor organization
5.
Sub-vendor formation
5.1 Sub-Vendor name
5.2 Sub-Vendor location
5.3 Sub-order item
6. Communication Channel (Name, E-mail address,
telephone No. etc.)
6.1 Method of corresponding system :
6.2 Name
(Position):
JIND: E-mail
address:
Telephone
No.:
6.3 Name
(Position):
Vendor: E-mail
address:
Telephone
No.:
7. Scope of Test & Inspection
Confirmation of scope of tests & inspections as per
Purchaser’s “Scope of tests & inspections” in
Requisition and Project Specifications.
Vendor is requested to submit ITP (Inspection & test
plan) incorporating above “Scope of inspection” and
other Project requirements by the date as shown in
below.
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Results by date
8. Applicable QC specifications
Confirmation of the following applicable documents for
QC activities as per Requirements.
Vendor is requested to follow those applicable
documents strictly.
Applicable documents:
・ S-000-1520-002 QC Requirements to Vendor
・
9. GOVERNMENT/MIGAS Requirements
9.1 MIGAS inspection requirements
10. QC related vendor documents & submission

schedule
Vendor is requested to submit QC related documents to
Contractor for approval as per requirement and follow
submission schedule.
Required documents (marked with )
Submission
schedule
Inspection & Test Plan (ITP)
Inspection & Test Procedure
PMI (Positive Material
Identification) procedure
Manufacturing Data Record
(MDR)
MDR index
Vendor List
WPS/PQR including weld map
Welder list with their certificates
(qualification)
Heat treatment procedure
Others
11. PIM (Pre-Inspection

Required Not Required
Meeting)
PIM tentative date (If
11.1
required)
PIM location (If
11.2
required)
11.3 PIM at sub-vendor (s) Required Not Required
12.
Special QC Requirements to follow prior to PIM (e.g.
material requirements, statutory requirements, etc.)
13.
Lessons Learned from the past projects
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Results by date
13.1 Refer to attached “Lessons Learned sheet”
14.
Others (If any)
End of this MOM

The above minutes was confirmed by
Contractor : Vendor :
Name: Name :
Signature: Signature:
Date: Date:
Company :
Name :
Signature:
Date:
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ATTACHMENT-3 QC RELATED DOCUMENTS TO BE SUBMITTED PRIOR TO PIM

1. Quality Manual or Certificate of VENDOR’s Quality Management System
2. Inspection and Test Plan (ITP) which clearly specify “Hold Point”, “Witness Point” & “Review
Point” for CONTRACTOR, COMPANY, Third Party Inspection Agency (TPIA) / MIGAS, and
VENDOR / Manufacturer.
3. Inspection and Test Procedure
4. WPS and PQR include Weld Map
5. Welder List and Qualification Record/Certificate
6. Non-Destructive Examination (NDE) Procedure include NDE Map
7. NDE Personnel and Qualification Record
8. Repair Procedure
9. Positive Material Identification (PMI) Procedure, if applicable
10. Post-Weld Heat Treatment (PWHT) Procedure, if applicable
11. Fabrication and Inspection Schedule
12. Deviation / Waiver list (if any)
13. MDR Index
14. Sub-VENDOR List
15. Primary Drawings
16. Data Sheets
17. Fabrication / Manufacturing Procedures
18. Hydrostatic Test Procedure
19. Factory Acceptance Test Procedure
20. Other Procedures, as applicable
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ATTACHMENT – 4: PIM AGENDA
1. Safety, Health and Environmental (SHE) Moment

3. Introduction of Attendees
4. Confirmation of Order requirements
 PO Acknowledgement
 Requisition Review
 Exceptions, Deviations and clarification
 Special Requirements
5. TPIA Inspection / Statutory Requirements
6. Lessons Learned from previous projects
7. Inspection / Fabrication Requirements
 Inspection and Test Plan (ITP)
- Including confirmation of Hold & Witness Points of Contractor, Company and TPIA, if required
 WPS/PQR, NDT, Painting inspection and all other inspection & test
 Qualification requirements for Welder and NDT inspector
 PMI procedure
Extent of PMI, PMI analyzer, and Qualification of PMI operator etc.
 Traceability and certification Requirements
 Fabrication procedure for cutting, forming, and machining activities. etc
8. Confirmation of Drawing/ Engineering Status
9. Organization and Communication Channel
 Vendor Organization
Including Project, Design, Procurement and Fabrication as well as Quality assure/Quality Control
 Sub-vendor Formation
 Contractor QC Organization
 Communication channel for QC and Inspection matters
 Requirement of Notification for Inspection
10. Nonconformity Control Procedure
11. Issue of Inspection Release Certificate (IRC)
12. Requirements of Manufacturing Data Record (MDR)
13. Confirmation of Schedule
 Review of Fabrication Schedule
 Confirmation of sub-order / Material Vendor
 Confirmation of status of material delivery and the inventory in vendor's stores.
 Confirmation of fabrication Start
 Submission of One-Month Look Ahead Inspection Schedule
14. Preservation/packing Procedure
15. Engineering Outstanding matters
16. Shop Tour
 Introduction of Shop Layout, Shop Allocation, Inspection Location and Factory Facility
17. Others, if any (i.e. what to be worked at Project site)
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PIM FORM
SUB
NO. Items to be Discussed Discussion result Action by Due date
No.
Health, Safety and Environment

1.
(HSE) Moment
3. Introduction of Attendees
Organization and Communication
Channel
4.1 Vendor Organization
4.2 Sub-vendor Formation
4.3 JIND QC Organization
4.4 Communication channel
Name, position,
JIND QC Email
4.
Telephone
Name, position,
Contractor
Email
Inspector
Telephone
Name, position,
Vendor Email
Telephone
Requirement of Notification for
4.5
Inspection
5. Confirmation of Order requirements
5.1 PO
Acknowledgemen
t
5.2 Requisition
Review
5.3 Exceptions,
Deviations and
clarification
5.4 Special
Requirements
6 Confirmation of Schedule
6.1 Fabrication .
Schedule
6.2 Sub-order /
Material Vendor
6.3 Status of
material delivery
and the
inventory in
vendor's stores
6.4 Fabrication
Start
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SUB
No.
6.5 Two-Month Look

Ahead
Inspection
Schedule
7 Nonconformity Control Procedure
8 Issue of Inspection Release

Certificate (IRC)
9 Requirements of Manufacturing Data

Record (MDR)
10 Lessons Learned from previous

projects
11 Inspection / Fabrication
Requirements
11.1 Inspection and Test Plan (ITP)
11.2 Material procurement
specifications/work processes
11.3 WPS/PQR,NDT, Painting inspection
and all other inspection & test
11.4 Qualification requirements-Welder/NDT
inspector
11.5 PMI procedure, PMI analyzer, PMI
mapping and as built traceability
requirements. Qualification of PMI
operator etc
11.6 Traceability and certification .
Requirement
11.7 Procedure for cutting, forming, and
machining activities. etc
12 TPIA Inspection / Statutory

Requirements
13 Preservation/packing Procedure
14 Confirmation of Drawing/
Engineering Status
15 Engineering Outstanding Matters
16 Shop Tour
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No.
16.1 Shop Layout, Shop Allocation,

Inspection Location and Factory Facility
17 Others
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ATTACHMENT 5: TWO-MONTH LOOK AHEAD INSPECTION SCHEDULE

(to be witnessed by CONTRACTOR, COMPANY, or TPIA/MIGAS)
Month:
Item Q’ty Place of Inspection
Week: Week: Week: Week: Week:
Month:
Item Q’ty Place of Inspection
Week: Week: Week: Week: Week:
Glossary of Abbreviations:
PIM: Pre-inspection Meeting HT: Hydrostatic Test
PWHT: Post-weld Heat Treatment MET: Mechanical Running Test
NDT: Non-destructive Test PFT: Performance Test
DT: Dimensional Test FI: Final Inspection for Package Unit
VT: Visual Inspection FUT: Functional Test
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ATTACHMENT - 6: INSPECTION NOTIFICATION
Job Code:
To: Ref. No.:
Attn.: e-mail. No.:
From: Date:
Copy to: (Inspection agency)
Inspection Notification
First Notice Final Confirmation
(1) Contractor Project Name : SUMBAWA LNG TERMINAL & REGAS FACILITY Project
(2) Contractor P.O. No. :
(3) Vendor/Manufacturer Name. :
(4) Person to Contact at Vendor :

TEL No. :
FAX No. :
(5) Date and Place of Inspection :

Date :
Place :
(6) Equipment Tag Number (or P.O. Item No.) and Kind of Inspection
Equipment Tag No. Kind of Inspection Note: 1
(To indicate also step no. in ITP) 1 2 3
Note 1Definition; 1: CONTRACTOR Inspection 2. COMPANY Inspection 3. Other ( )

Information from CONTRACTOR to Inspector/Vendor
Outstanding/Pending Item:
Name Date
Flash Report from CONTRACTOR Inspector to CONTRACTOR

Inspection Results: Accepted Conditionally Accepted Not Accepted
Outstanding/Pending Item:
CONTRACTOR Inspector Name Date
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QUALITY CONTROL REQUIREMENTSTO VENDOR
Date : 17 Jul 2022
ATTACHMENT 7: PUNCH LIST
PUNCH ITEM LIST for XXX XXX

P.O No. :
Vendor :
Order :
Vendor CONTRACTOR
Issue Equipment Action to be taken by Due Close
No Punch Item Description Confirm. Accept Remarks
Date No Vendor Date Date
(Signature) (Signature)
1
2
3
4
5
Note: Drawings/sketches/photographs shall be attached to support description
Contractor Inspector Vendor Punch List Document Flow

Inspector ----- Satellite Office ------ Contractor (QC) -------
Contractor (Eng)
(With insp. Report
The above punch item status is confirmed
CONTRACTOR QC CONTRACTOR ENG.
XXX XXX
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ATTACHMENT - 8: IRC FORM
PT. JGC Indonesia

JL. TB. Simatupang 7-B,
IRC- 21xx - xxx - yyy Rev z
Jakarta Selatan 12430
Telephone : +62-21-2997-6500
Facsimile : +62-21-2997-6599
INSPECTION RELEASE CERTIFICATE
JOB CODE : 0-0709-00-0000

PROJECT : Sumbawa LNG Terminal & Regas Facility Project
COMPANY : MEDCO Sumbawa Gas
PO NO. : 0-
AMENDMENT NO. :
ORDERED ITEM :
VENDOR :
MANUFACTURER :
INSPECTED ITEMS : (Spare parts also to be included, if any)
Note: Are there Licensable Goods included in the above inspected items?
( □ Yes /□ No )
If yes, put asterisk (*) behind the item(s).
Inspection results were satisfactory and released.

□ TOTAL of Purchase Order. □ Purchase Order
The above □ PARTIAL for
item(s) is/are: □ Sub-order
□ BALANCE
Released by this IRC % (Rough figure only)

Total released including this IRC % (Rough figure only)
Confirmation of Carry over Work to Site

By Inspector By PQCM/QC Engineer Date:
As described
□ Nothing □ As described below □ Nothing □ Signature:
below
Remarks:
This notice is a clearance for the inspection only and does not relieve the supplier of the
responsibility for rectifying any defects in the material / equipment found at later date.
Prepared by Witness / Reviewed by

Vendor / Manufacturer CONTRACTOR (JIND) Inspector
Signed by Signed by
Date Date
Witness / Reviewed by
COMPANY (MSG)
Signed by
Date
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ATTACHMENT - 9: QC DOCUMENT NUMBERING
1. Inspection Notice
IN – 21AA – BBB – C - 001 (F)

(1) (2) (3) (4) (5) (6)
(1) 1st Block of PO No. eliminating “P” and substituted by “IN” (Inspection Notice)
(2) 2nd block of PO No.
(3) 3rd block of PO No.
(4) 4th Block of PO No.
(5) Serial Number
(6) Suffix (F) shall be added for final confirmation
2. Non-Conformity Report
NCR - 21AA – BBB – C – 001

(1) (2) (3) (4) (5)
(1) 1st Block of PO No. eliminating “P” and substituted by “NCR” (Non-Conformity Report)
(2) 2nd Block of PO No.
(3) 3rd Block of PO No.
(5) Serial Number
3. Inspection Released Certificate
IRC - 21AA – BBB – C – 001

(1) (2) (3) (4) (5)
(1) 1st Block of PO No. eliminating “P” and substituted by “IRC” (Inspection Released Certificate)
(5) Serial Number
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4. Manufacturing Data Record

V - 21AA – BBB – C - 901, 902, 903…
(1) (2) (3) (4) (5)
(1) 1st Block of PO No. eliminating “P” and substituted by “V” (Vendor Document).
(5) Serial Number starting from - 901
For the steel structure, considering the huge number of MDR, two digit suffix number to be allocated.
e. g.
V-2130-BBB-C-901-01, 02, 03….
V-2130-BBB-C-902-01, 02, 03….
Electric file:
(1) Other than steel structure
<first file> V-21AA-BBB-C-901_0010.pdf
<second file> V-21AA-BBB-C-901_0020.pdf
(2) Steel structure

<first file> V-2130-BBB-C-901-01_0010.pdf
<second file> V-2130-BBB-C-901-01_0020.pdf
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COMMENT RESOLUTION SHEET
Commented Rev.
No. COMPANY Comment Description Comment Response
Page/Section No.
final report document, compiled
according to the material, and
1 Page 8 / 4.5 shared with the COMPANY final Incorporated in point 7.5 3A
report before the shipment
materials.
11. the conclusion is to make sure
2 Page 9 / 4.6 all the test equipment is in a usable Incorporated 3A
condition, before it is used.
during welding, welder and welding Noted, CONTRACTOR inspector will
Page 10 / operator VENDOR, CONTRACTOR monitor only approved qualified
3 welder/ operator carry out welding. 3A
4.10 must ensure compliance with
qualifications. Mentioned on paragraph
Invitation to be inspected from the
VENDOR to the COMPANY is
4 Page 15 / 7.4 Noted 3A
calculated after the travel time is 1
or 2 days before the inspection day.
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S-000-1520-002 - 3b Quality Control Requirment To Vendor

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S-000-1520-002 - 3b Quality Control Requirment To Vendor

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JOB CODE DOCUMENT NO. REV.

SUMBAWA LNG TERMINAL &

QUALITY CONTROL REQUIRMENT TO VENDOR

APPROVED FOR CONSTRUCTION

7. INSPECTION COORDINATION .......................................................................................... 14

2. ABBREVIATIONS AND DEFINITIONS

PCN : Personnel Certification in Non-Destructive Testing

COMPANY : PT. Medco Sumbawa Gas

CONTRACTOR : PT JGC Indonesia

AMNT : PT Amman Mineral Nusa Tenggara

AMIN : PT Amman Mineral Industri

VENDOR : Any selected organization who provides equipment / materials

BIDDER : Any organization to whom request for quotation is issued by

MIGAS : Directorate General of Oil and Gas (Direktorat Jenderal Minyak

DJK : Direktorat Jenderal Ketenagalistrikan (Directorate General of

TPIA : Authorized Third Party Inspection Agency of MIGAS

SHALL : Requirement; Mandatory

SHOULD / MAY : Recommendation; Discretional

1. S-000-1520-001 : Quality Control Execution Plan

2. S-000-1520-003 : Non-Conformance Control Procedure for Equipment and

3. S-000-1520-004 : Material Certification and Traceability Requirement for

Equipment and Materials

4. S-000-1520-005 : Positive Material Identification Requirement for Equipment

5. S-000-1520-006 : Government Requirement for Shop Inspection

6. S-000-1520-007 : MDR Compilation Specification for Equipment

7. S-000-1520-008 : MDR Compilation Specification for Bulk Materials

8. S-000-1520-009 : General Requirement of Welding for Fabrication

9. H-000-13A0-001 : Equipment Critically Rating Assessment Report

10. Minimum Functional Specifications – Sumbawa LNG Storage & Regasification

4. VENDOR’S RESPONSIBILITIES FOR QUALITY CONTROL

(3) Inspection and Test Procedure

4.4 Control of Sub-VENDOR

4.5 Material Traceability

4.6 Control of Measuring and Test Equipment

4.8 Non-Destructive Testing Personnel

4.11 Welding Procedure

5.2 Scope of Inspection

6. CONFIRMATION OF QC REQUIREMENTS WITH VENDOR

6.2 Kick-Off Meeting (After PO)

7.2 Inspection Notification to CONTRACTOR

10. INSPECTION RELEASE CERTIFICATE (IRC)

11. QC DOCUMENT NUMBERING

12. MANUFACTURING DATA REPORT (MDR)

13. GOVERNMENT REQUIREMENTS

Attachment-2 : KOM Agenda

Attachment-3 : QC Related Documents

Attachment-4 : PIM Agenda

Attachment-5 : Two Months Look Ahead Inspection Schedule

Attachment-6 : Inspection Notification

Attachment-7 : Punch List

Attachment-8 : IRC Form

Attachment-9 : QC Document Numbering

ATTACHMENT-1 ITP FORM

CONTRACTOR ID: S-000-1520-002

Guide to Filling in “Inspection and Test Plan”

CONTRACTOR ID: S-000-1520-002

Designation of letters and abbreviations of ITP

CONTRACTOR ID: S-000-1520-002

ATTACHMENT-2 KOM AGENDA (STANDARD)

1. Health, Safety and Environment (HSE) Moment

CONTRACTOR ID: S-000-1520-002

SUB Discussion Action Due