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PGAS-CA08-3215-QCT-PL-1002 A

PENGGUNA JASA : PT PERUSAHAAN GAS NEGARA TBK.

JUDUL PROYEK : PEKERJAAN CUSTOMER ATTACHMENT DI LINGKUNGAN

PROJECT MANAGEMENT OFFICE (PMO) TAHUN 2022
AREA KARAWANG PT HLI GREEN POWER

NO KONTRAK : 013000.PK/HK.02/INT/2021

NO SPK : 001600.S/PR.01.01/PMI.KJ/2022

A 18/05/2022 Issued for Review BAD DNK

Prp’d App’d Chk’d App’d
Rev. Date Description
PGAS PGN PMO
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TAHAPAN REVISI

REVISI TANGGAL URAIAN

A 18/05/2022 Issued for Review

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TABLE OF CONTENT

1. OBJECTIVE ......................................................................................................................... 4
2. SCOPE ................................................................................................................................. 4
3. DEFINITION AND ABBREVIATION ..................................................................................... 4
4. REFERENCES STANDARD ................................................................................................ 5
5. QUALITY ASSURANCE ...................................................................................................... 5
6. Quality Control .................................................................................................................... 6
7. INDONESIAN GOVERNMENT (MIGAS) REQUIREMENT ................................................. 11
8. NON CONFORMITY AND CONCESSION REQUEST ....................................................... 12
9. INSPECTION EQUIPMENT I TOOLS & CALLIBRATION CONTROL ............................... 13
10. DOCUMENTATION ............................................................................................................ 13
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1. OBJECTIVE

As guidance to do controlling and managing on quality of equipment and materials, PGAS Solution has developed
and established Quality Assurance/Quality Control Execution Plan to achieve the desired result, as the ultimate
responsibility of Quality, for Pekerjaan Customer Attachment Di Lingkungan Project Management Office
(PMO) Tahun 2022 Area Karawang - PT HLI Green Power.

2. SCOPE

This QA/QC Execution Plan covers the PGAS Solution's Quality activities for both purchased (fabricated)
materials/equipment and constructed (installed) materials/equipment, including materials/equipment
supplied by PGN.
The duty of QA/QC group:
• To establish QA/QC Organization and Function
• To establish Inspection and Test Plan and Quality Control Procedures
• To perform inspection, examination, witnessing and testing at Vendor's/Manufacturer's shop (Factory
Acceptance Test) and at Site (Site Acceptance Test) and ensure the conformance to the Project
requirements.
• Implement the system per program and plan, collect data and evidence from system implementation
(including quality assessment/audit activity), monitor and measure the effectiveness of program by
analyze collected data.
• To secure PGN responsibility in obtaining MIGAS Certification.
• Controlling on calibration of test equipment, measurement gauge, and other instrument equipment.
• Compiling inspection record which includes inspection and test report and non-conformance report.
• To Support site facilities acceptance coordination to ensure the required document that related to
inspection activities is provided within scheduled and completed.

3. DEFINITION AND ABBREVIATION

The following definitions will be used throughout the following quality assurance procedures:

PGN PT Perusahaan Gas Negara, Tbk–PMO Infrastruktur

PGAS SOLUTION PT PGAS Solution
PROJECT Pekerjaan Customer Attachment Di Lingkungan Project Management
Office (PMO) Tahun 2022 Area Karawang - PT HLI Green Power.
Subcontractor A firm/construction company who is awarded the contract by PGAS
Solution to execute construction activities
Vendor Supplier, fabricator, and/or original equipment manufacturer awarded
a purchase order by PGAS Solution to furnish material or equipment
as defined in contractual work scope
Project Pekerjaan Penyaluran Gas Ke Calon Pelanggan Termasuk Fasilitas,
Barang, Maupun Peralatan Yang Terkait (PT. Sinar Sinergi Sejahtera
Area Cirebon).
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MIGAS Directorate of Oil and Gas of Indonesia

Third Party/PJIT Authorized inspection company who is approved, certified by and may
be appointed to act on behalf of MIGAS
PLO Persetujuan Layak Operasi
PP Persetujuan Penggunaan

4. REFERENCES STANDARD

The latest revision of the following documents shall be referred to this procedure:
PGAS-CA08-3215-QCT-PR-1001 : Project Quality Plan

5. QUALITY ASSURANCE

5.1. Quality Assurance Requirements

Quality Assurance is a planned and systematic action by management that is necessary for establishing
requirements and ascertaining conformance to ensure that the design, fabrication, construction (erection
& installation), start up, and commissioning program will be performed to a satisfactory quality standard
as required. Quality Assurance shall have a full commitment from PGAS Solution management in the
application of the required program. PGAS Solution management team shall be delegated with the
responsibility to ensure that PGN quality assurance requirements are met.
PGAS Solution shall develop and implement the Project quality assurance plan. PGN will monitor and
audit all aspects of quality assurance to ensure that the Project quality assurance plan is being correctly
used and effectively implemented.
PGAS Solution Proyek quality assurance plan shall include about all phases of a Project activity from
establishing functional capability to operation of the facilities.
PGAS Solution shall be responsible for the quality of Vendor's/Subcontractors works and materials in
accordance with PGN specification (Contract) and statutory requirements.

5.2. Quality Record

PGAS Solution shall describe the system of identification, collection, indexing, filing, storage,
maintenance, and disposition of various records. The records shall document the evidence of compliance
with the Contract requirements.
The system shall be able to ensure all quality records are legible, identifiable, stored, maintained, and
retrievable

5.3. Internal Quality Audit

PGAS Solution shall carry out planned audits to ensure the adequacy of the quality assurance, quality
control, inspection, and testing activities in order to ensure complete traceability and documentation of
the activities. The audits shall be the direct responsibility of PGAS Solution, who may delegate to PGAS
Solution QA/QC Manager who shall organize the audit group.
PGN shall have the right to conduct periodic audits on PGAS Solution pertaining to QA/QC activities
related to the works. PGN shall notify PGAS Solution two (2) weeks in advance prior to the audits,
including items of concern related to audit plan.
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All irregularities or non-conformances revealed by the audit and during on-going QA/QC review shall be
corrected by Contractor in a timely manner so that the contractual completion can be fulfilled.

5.4. Quality Assurance Internal Procedure

PGAS-CA-3274-PMN-PR-2001 Document Control Procedure

PGAS-CA-3274-QCT-PR-2001 QA/QC Audit Procedure.
PGAS-CA-3274-QCT-PR-2010 Technical Query, Concession Request, Field
Change Notice, Non Conformance, and
Disposition Plan Procedure

6. Quality Control

6.1. Quality Control Requirements

PGAS Solution and Vendor/Subcontractors shall perform the quality control by conducting the
testing/examinations, inspections and review the documentation as fabrication/construction progress in
accordance with the Project specification, drawings, procedures and Inspection & Test Plan.
PGAS Solution has policy to assign some personnel to perform the quality control of the whole of Project.
Organization chart of quality control is shown in QA/QC Organization Chart of this procedure.

6.2. Organization and Function

Contractor has established the organization for controlling and managing Quality Control activities, where
QA/QC Manager will be assigned.
6.2.1. QA/QC Manager
QA/QC Manager under the direction of Project Manager is responsible for supervision of quality control
activities, and coordinates Project quality control efforts to ensure the desired results.
QA/QC Manager at Procurement stage shall be responsible but not limited to the following:
• Establish and Monitors implementation of inspection policies and procedures.
• Reviews individual inspection/testing procedure for each category of work, prepared by engineer in
charge or by Vendor to ensure all pre-requisites, project specification and codes are satisfied, when
required.
• To secure PGN obligation on Certification, coordination is required with Third Party to perform their
duties smoothly, to issue MIGAS Assistance Request Sheet, to provide required drawings,
engineering supporting documents and inspection record and ensuring the appropriate third party
agent certifying the items of work is present during testing.
• Verifies inspection/testing results and documentation and issued inspection reports to PGN Proyek,
upon requested.
• Holds Inspection Meeting between PGAS Solution and PGN regarding inspection and quality control
activities.
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• Attends a kick-off meeting with Vendors, PGN and inspector/engineers of each discipline to review
inspection policy and procedures and to discuss detailed procedure including inspection/test items to
be witnessed by PGN.
• Attends or has his representative attend for all inspection/testing, confirm the record and ensure the
test results obtain the signature of acceptance from PGN and related party required.
• Reviews Weekly Inspection Schedule for items specified in the Inspection and Test Plan to PGN.
• Reviews application for Inspection prepared by discipline engineer.
• Maintains close contact with PGN:
 To solicit and study PGN comments and opinions on quality control implementation.
 To jointly study and resolve any problems relative to inspection matters and procedures applied
• Sets up a documentation filling system including filling original documents and controls all documents
of inspection and quality control.
• Monitors quality control activities to confirm that they comply with the specified procedure.
• Holds Inspection Meeting between PGAS solution and Vendors to emphasize procedures, progress
or other inspection and test matters, if necessary.
• Maintains a current file of non-conforming items.
• Reviews and issues weekly report to PGN, upon requested
• To assign the selected Inspectors and Inspection Agencies (NDE companies)
6.2.2. QC Coordinator
During Construction stage has responsibilities but shall not be limited to the following;
• Establish inspection and testing procedure for each category of work to ensure compliance of Project
requirement
• Monitors implementation of inspection policies and procedures.

• Monitors Quality Control activities to confirm that they comply with the specified procedure.
• Holds Inspection Meeting between PGAS Solution and Subcontractors to emphasize procedures,
progress or other inspection and test matters, if necessary.
• Attends a kick-off meeting with Subcontractors, to review inspection policy and procedures, and to
discuss detailed procedure including inspection/ test items to be witnessed by PGN.
• Attends or has his representative attend for all inspection I testing, confirm the record and ensure that
the obtained test results are approved and signed by PGN.
• Supports Construction activities for Quality Control matters by:
1. Obtaining PGN ideas by evaluate on specified procedures and make conclusions.
2. Demarcate inspection activities between Quality Control and Construction/Pre-commissioning group.
3. Advising or providing consultation on Quality Control procedures, methods and application.
4. Interpreting codes, standards, specifications and government regulations.
5. Ensuring personnel working at site such as, welder, NDE operator should take examination and have
certification.
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6. Ensuring certifications and validity of adjustment and calibration of inspection, test and measuring
equipment.
7. Supervises the progress of Welding, NDE and PWHT, and to coordinate the schedule of related
works.
8. Ensuring compliance of all requirements such as NDE clearance prior to perform Hydro testing.
9. Assists safety group in maintaining safety operation regarding welding work, NDE and PWHT,
especially for handling and storing of radioactive materials.
• Reviews individual inspection/testing procedure for each category of work, prepared by engineer in
charge or by Subcontractors to ensure all prerequisites, Project specification and codes are satisfied,
when required.
• Ensuring the appropriate third party agent certifying the items of work is present during testing.
• Verifies inspection/testing results and issued inspection reports to PGN, upon requested.
• Reviews and issues weekly report to PGN including:
1. Inspection reports.
2. Updated list of all outstanding welds rejects.
• Review test packaged prepared by inspector/Subcontractor

6.3. Project Quality Control Procedure

The following are Project Quality Control Procedures, which shall be developed as a minimum to control
and implementation of Quality Control activities during the Procurement and Construction stage. Internal
procedure and external procedure shall be in accordance with PGAS-C07-3215-PMN-LS-001 Master
Document Register.

6.4. Inspection and Test Plan

The Inspection and Test Plan will be established to identify the details of inspection activities for Vendor,
Subcontractor, PGAS Solution, PGN and Third Party Inspection Agency, especially for the hold and
witness points. The plan shall be approved by PGN than shall become a basis for control and coordination
of inspection schedule and the inspection planning of each purchased I installed equipment/materials.
Shop inspection and test plan shall cover inspection plan for each stage of manufacturing/fabrication of
each purchased equipment/materials, which defines the intention of each party (PGAS Solution, PGN
and Third Party) witness/hold point of inspection. Each Vendor shall prepare the ITP based on Shop
Inspection and Test Plan, which have been approved by PGN.
Site inspection and test plan (Inspection Item Check List) shall be also developed and shall be approved
by PGN, which shall cover inspection activities during installation/site fabrication.
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6.5. Shop Inspection

PGAS Solution will coordinate the inspection activities for purchased equipment/materials include
reviewing the inspector reports to ensure that the requirements of purchase orders and the local statutory
requirements, if applicable, meet the Project requirement and scheduled plan.
After confirming that all inspection has been completed and acceptable, QA/QC Manager or his designee
will issue an Inspection Release Certificate. A copy of the Inspection Release Certificate will be distributed
to the Procurement department who will carry out inspection of packing and shipping preparation.
Shop Inspection Procedure will describe inspection activities in shop/Vendor facilities, the outlined of
Shop inspection procedure is consist of 3 (three) working main steps as follows:
• Inspection Activities Prior To Fabrication.
a) Inspection and Test Plan (ITP)
Each Vendor shall prepare in more detail the ITP based on Shop Inspection and Test Plan after
acceptance of purchase order, Vendor's ITP will be reviewed and approved by PGAS Solution
and PGN prior to commence fabrication or manufacturing.

b) Pre-Manufacturing Meeting (Kick of Meeting)

A kick of meeting between PGAS Solution and Vendor or Sub-vendor shall be held for major
equipment of work as soon as purchase order is issued to the Vendor to confirm mutually the
purchase order condition and the Vendor technical understanding of the requirements.
This meeting will be conducted by agenda which to be confirm the following:
1. Communication and correspondence among parties
2. Vendor Document Requirements
3. Understanding of the requisition document, technical matter and project specification
requirement
4. Manufacturing/fabrication schedule and inspection requirement.
c) Pre-Inspection Meeting.
The purpose of Pre-Inspection Meeting are primarily to ensure that the quality requirements of the
Purchase Order are being handled satisfactorily and that all requirements in the Purchase Order and the
applicable specifications, standards, and drawings are fully understood by all parties concerned and to
clarify and confirm all the requirements and criteria of the inspection and test concerned. This meeting
normally is held at the Vendor's facility in order to ensure the readiness of materials to be fabricated.
Any confusion, questions, or problems must be brought up in this meeting, when necessary will dispatch
the PGAS Solution Engineer from any of the engineering disciplines to clarify and resolve questions or
problems.
The meeting shall be attended by related party Vendor, Sub-vendor, PGAS Solution, PGN, Third Party if
applicable; the meeting shall take place prior to commencement of manufacturing. The objective of the
meeting is to:
1. Promote a coordinated effort by PGAS Solution and Vendor, to anticipate and prevent problems which
might result in re-work and delivery delays on the equipment/materials involved.
2. Highlight potential discrepancies between the order requirements and Vendor interpretation of those
requirements, such as: technical matter, inspection & test and documentation.
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3. Clarify and confirm all requirements/criteria for the inspection and testing concerned, prior to
commencement of manufacturing.
4. Confirmation or finalize the ITP.
• Inspection Activities during Fabrication.
a) Vendor shall inspect at any time all of materials and equipment to be supplied by sub vendor
in accordance with the approved ITP.
b) The designated inspector shall be responsible to attend inspection at Vendor shop at witness
or hold point. The inspector shall verify the compliance of the product to the technical and
quality requirement.
c) The inspector shall check and verify the inspection/test by Vendor is performed in accordance
with the approved test procedures or specification, standard or Drawing.
d) The inspector shall review and verify the result of testing for compliance the criteria specified
in the specification/international standard/Code.
e) The Inspector shall report clearly the result is acceptable or not, al deficiencies or rejections
shall be reported to QA/QC Manager.
f) When satisfied with performance of the testing and an achieving acceptable test result, the
inspector shall sign of ITP for the relevant activity. When PGN is in attendance during the
inspection, then the inspector shall ensure PGN signs off on the ITP.
g) The inspector after each inspection visit shall prepare of inspection report and submit to the
QA/QC Manager for review; according this inspection report will be submitted to PGN for
Information.
h) During inspection visit, the inspector shall also carry out surveillance inspection and monitor
the Vendor's Quality Control system.
i) As a guideline the inspector shall cover the activities in the following areas:
1. Calibration system of measuring and testing equipment
2. Welding consumable control
3. Identification and material traceability control
4. Inspection control of receiving material
5. Document and record control
6. Drawing & specification confirmation for latest status

• Final inspection
a) Before the final inspection, inspector shall ensure the following:
1. The entire previous test as per the ITP is satisfactorily completed.
2. All test report, record etc., pertinent to the product are available and properly filed in data
book.
3. All approved concession and non-conformance report are close out.
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b) The final inspection shall be performed in according with the ITP and Test Procedure. The final
inspection such as Hydrostatic test, Pneumatic test, Dimensional, Performance Test, and any
test applicable for the product.
c) The result of test and inspection shall be reviewed and evaluated for compliance to the specified.
d) After completion of the above activities, the inspector shall issue the Inspection Release
Certificate (IRC). A copy of the IRC shall be handed over to the Vendor to proceed with the
packing product for shipping purpose only.

6.6. Field Inspection

Field Inspection Procedure will be developed and shall be outlined the inspection activities for each step
of construction/installation on the Project.
Daily and weekly Application for Inspection will be issued to PGAS Solution coordinating with PGN for
witness/hold points that will be executed the next day/week; this enables PGN to organize their designated
inspector to attend the inspection. PGN confirmation for attendance on each witness/hold point is required
to avoid any impact to construction schedule.
PGAS Solution shall hold regular weekly inspection meetings with PGN and Subcontractor to exchange
comment on inspection matters. In these meeting, all Inspection requirements and criteria shall be clarified
by among parties. Critical problems arising from inspection affecting Project completion shall be brought
to the attention of PGN by PGAS Solution for disposition.

6.7. Control of Inspection and Status

QA/QC Manager shall control the status of inspection and testing and shall enforce this requirement to
Vendor and Subcontractor. The status and records of inspection and testing will be documented. PGAS
Solution shall report the status of inspection activities to PGN and submit copy of inspection records when
the items inspections are approved.

7. INDONESIAN GOVERNMENT (MIGAS) REQUIREMENT

7.1. Equipment and Material requiring inspection by MIGAS

At the initial stage of contract award, Equipment list which consist of (but not limited to) equipment number,
service, design pressure, capacity, shall be provided to PGN and its appointed Third Party to identify the
required equipment to be certified under requirement of MIGAS regulation Per. Men. ESDM No. 38 Tahun
2017.

7.2. MIGAS Requirement for WPS and Welder Performance Qualification

Welding Procedure Specification (WPS), Procedure Qualification Record (PQR) and Welder Performance
Qualification Test (WPQT) used for welding works both at shop fabrication in Indonesia and jobsite
installation shall be qualified and approved by MIGAS. The WPS/PQR and WPQT for shop Fabrication
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shall be obtained and provided by Vendor/Sub-Vendor, and for Job site installation work shall be provided
by PGAS Solution.

7.3. MIGAS Requirement for Certification (PLO/PP)

PGN has responsible to appoint Third Party to perform inspection and test activities in accordance with
MIGAS requirements in order to obtain PLO (Persetujuan Layak Operasi) and PP (Persetujuan
Penggunaan) from MIGAS.
PGAS Solution shall support PGN to obtain PLO and PP by incorporating MIGAS regulation and
requirement to Quality Control procedures and Inspection and Test Plan (ITP).
PGAS Solution and its Vendor/Subcontractor have responsibility to support and prepare the necessary
documents required by PGN, MIGAS or its Authorized Inspection Agency in order to obtain the MIGAS
certificates (PLO/PP).
For the implementation of inspection activities at workshops or jobsites, and Subcontractors should be
familiar with MIGAS regulation.
Inspection and Test items requiring witnessed by MIGAS or Third Party will be incorporated during Pre-
Inspection Meeting among Vendor/Subcontractor, MIGAS I Third Party and PGN.
PGN through PGAS Solution shall inform to Vendor/Subcontractor the appointed MIGAS Authorized
Inspection Agency's name and contact person prior to commencement of fabrication or installation works.
PGAS Solution shall maintain close coordination with Vendor/Subcontractors, PGN, Third Party and
MIGAS regarding arrangement of MIGAS inspection and test schedule and confirmation for attendance
of each party. It will be PGAS Solution/Vendor responsibility when any disarrangement occurred.

8. NON CONFORMITY AND CONCESSION REQUEST

Any product which does not conform to specified requirements shall not be use/supplied until the condition
of nonconformity has been evaluated and further disposition decided and agreed by PGAS Solution and/or
PGN Proyek.
Non conformities along with their agreed disposition shall be documented in a non-conformity report form,
which shall state description of non-conformity, reason and source, corrective action to prevent
recurrence, as relevant, and agreed disposition.
No further works/activities on non-conforming product will be carried out, and the nonconforming product
shall be distinctly identified and segregated from normal production work to preclude inadvertent use.
Work on nonconforming product shall resume only after reaching to agreed resolution of nonconformity.
The Disposition of a nonconformity product shall be in accordance with one of following alternatives:
• Accept as it is
• Repair
• Rework
• Scrap
• Return to Vendor/Subcontractor
•
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9. INSPECTION EQUIPMENT I TOOLS & CALLIBRATION CONTROL

QA/QC Manager shall control includes the calibration of all equipment used for inspection, measuring and
testing and shall enforce this requirement to Vendor and Sub-Vendor. This equipment shall be identified,
maintained in accordance with the relevant procedure.

10. DOCUMENTATION

Manufacture Data Report (MDR), and Field Inspection Records shall be maintained by PGAS Solution.
The above Quality Control Documentation shall be a part of Project Final Documentation.
Vendors/Subcontractors obligations to submit and provide quality control documentation in conformance
to requirements were stipulated in each Requisition. MDR subject to PGAS Solution review and approval
prior submit to PGN.
PGAS Solution shall ensure that system is maintained for identification, collection, indexing, filing,
traceability, storage, maintenance and disposition of quality records. All quality records shall correlate to
items/materials/products/works involved and shall be readily retrievable. The quality records shall be
protected against deterioration or damage or loss.