Document No.
: 01/PUBT/ITP/MMD/X/2022
PT MUNDUR MAJU Owner/Client : PT. Ridwan Sambo
DJAYA Item No : BRA-V-1003
SPMK No : 069-RS/X/2022
Project Name : BOILER INPSECTION
Date : October 18th 2022
Rev. :A
Status : Resertification
Reff.
Process Description or Inspection Activity Reference Document
No.
1 DOCUMENT REVIEW
1.1. Previous Operating Permits Datasheet, Akta izin lama
1.2. Previous Inspection Report Datasheet, Akta izin lama
1.3. Maintenance Records Maintenance Records
1.4. As built drawing (if any repair/modification) Drawing Specification
1.5. Identification Datasheet, Drawing Spec
2 INSPECTION
2.1. Visual Inspection Drawing Specification
Drawing Specification, Mill
2.2. Thickness Measurement
Certificate
2.3. NDE Welding and NDE MAP
2.4. Hydrotest Hydrotest Procedure / Manual
2.5. Steam Test Steam Test Procedure / Manual
3 PEMERIKSAAN KESELAMATAN
3.1. Prosedur Kerja Aman ITP, JSA
4 REPORT
4.1. Final Inspection Report
4.2. Certificate of Inspection Final Inspection Record
Legend : Approved by, Approved by,
H : HOLD POINT PT Ridwan Sambo PJK3
W : WITNESS
R : REVIEW
P : PROVIDED
M : MONITORING
SW : SPOT WITNESS
A : APPROVAL
V : VISUAL Date : Date :
INSPECTION TEST PLAN
INSPECTION TEST PLAN
Verifying
Acceptent Criteria PT Ridwan
Document PJK3
Sambo
Suket / COI R P
ASME Sec. VIII , Peraturan Uap 1930 Suket / COI / Akta izin lama R P
Repair and Inspection Record R P
ASME Sec. VIII Drawing Specification R P
ASME Sec. VIII Name Plate, Suket R P
Calibration Record, Suket / COI,
Peraturan Uap 1930
Repair and inspection record V W
Suket / COI, Previous Thickness and V W
ASME Sec. VIII, ASME II
Dimensional Report
ASME Sec. VIII, ASME V NDT Report V W
ASME Sec. VIII, Peraturan Uap 1930 Hydrotest Certificate, Suket / COI M,W P
ASME I Steam Test Certificate, Suket / COI W,M P
UU No.1 Tahun 1970 ITP, JSA
P R
ASME VIII Report of Inspection
P R,A
UU Uap Tahun 1930 dan Peraturan
Suket / COI
Uap 1930 P R,A
Approved by, Approved by, Approved by,
PJK3 Pengawas Disnaker
ate : Date : Date :
ECTION TEST PLAN
Pengawas REMARKS
Disnaker
M
R
R,A
R,A,H