INSPECTION AND TEST PLANT (ITP)

PERSONAL QUALIFICATION
SCHEDULE MANDAY

MIGAS CERTIFICATION
OF
TRUNKLINE PIPA 4" Sch 40 Sepanjang 7.600 Meter
(List Attached)

OWNER : PT. PERTAMINA EP ASSET 1 FIELD JAMBI

PJIT : PT SUCOFINDO

PREPARED BY, REVIEWED BY,

PT. TRUBA MANDIRI PT SUCOFINDO

VERIFIED BY,
MIGAS
 Doc. No :
PIPING INSTALLATION WORKS INSPECTION & TEST Revision.No : 0
Revision Date :
PLAN Prepared by PT. TRUBA MANDIRI
Approved by : Migas RI
Project : SERTIFIKASI MIGAS TRUNKLINE PIPA 4" Sch 40 Sepanjang 7.600 Meter Legend : 1 Prepare
User : PT. PERTAMINA EP ASSET 1 FIELD JAMBI 2 Inspect
Location : SP. SEI GELAM TO JUMPER LINE, FIELD JAMBI 3 Review
4 Witness
( ) Spot/Random Witness
CATEGORY : PIPING INSTALLATION WORKS

Truba Mandiri

3rd PARTY
OWNER
PROCESS DESCRIPTION INSPECTION
Ref. No ACTION BY REFERENCE DOCUMENT REFERENCE CRITERIA VERIFYING DOCUMENT FREQUENCY REMARKS
ACTIVITIES

1 Project Document
1,1 QA/QC Manual PT. TRUBA MANDIRI Owner Spec & Applicable Code QA/QC Manual 1 2 3
1,2 Rancang Bangun PT. TRUBA MANDIRI Owner Spec & Applicable Code Approved Drawing 1 2 3
( PI&D,Lay out,Piping Plan
and Isometric)
1.3 Joint Procedure Owner Specification SNI 13-3507-1994 Prosedur Penyambungan 1 2 3
1.4 Pneumatic Test Procedure PT. TRUBA MANDIRI Owner Spec & Applicable Code SNI 13-3507-1995 Prosedur Pengujian 1 2 3

2 Material Pipe
2,1 Hydrostatic Strength PT. TRUBA MANDIRI Owner Spec & Applicable Code ISO 4437 ISO 1167-1 & ISO 1167-2 Random 1 2 4
2,2 Elongotion at break PT. TRUBA MANDIRI Owner Spec & Applicable Code ISO 4437 ISO 6259-1 & ISO 6259-3 Random 1 2 4
2,3 Resistance to slow crack growth PT. TRUBA MANDIRI Owner Spec & Applicable Code ISO 4437 ISO 13480 & ISO 13479 Random 1 2 4
2,4 Visual and dimension check PT. TRUBA MANDIRI Owner Specification Owner Specification Material Certificate Random 1 2 4
2.5 Quantity & Quality PT. TRUBA MANDIRI Material List Owner Specification Inspection Report Random 1 2 4

Material Fitting, Valve & Metering

2.6 Review of Mill certificate PT. TRUBA MANDIRI Owner Specification Owner Specification Material Certificate & Once Time 1 2 4
Calibration Report
2.7 Visual and dimension check PT. TRUBA MANDIRI Owner Specification Owner Specification Material Certificate Random 1 2 4
2.8 Quantity & Quality PT. TRUBA MANDIRI Material List Owner Specification Inspection Report Random 1 2 4
 3 Pipe Installation
3.1 Stake Out/Pengukuran PT. TRUBA MANDIRI Design Drawing Design Drawing Approved Shop Drawing Each Line 1 2 4
3.2 Excavation & Reinstatement PT. TRUBA MANDIRI Design Drawing Perda PU & SNI 13-3507-1994 Inspection Report Once Time 1 2 4
3.3 Pipe Receiving PT. TRUBA MANDIRI Owner Specification SNI 13-3507-1994 & Material Receiving Report Random 1 2 4
SNI 13-3474-2002
3.4 Pipe Laying & Line Up PT. TRUBA MANDIRI Owner Specification SNI 13-3507-1994 & Methode & Procedure Installation Each Line 1 2 4
SNI 13-3474-2002
3.5 Jointing/Penyambungan PT. TRUBA MANDIRI Owner Specification SNI 13-3507-1994 & Connection Pipe Procedure Random 1 2 4
SNI 13-3474-2002
3.6 Pneumatic Test PT. TRUBA MANDIRI Owner Spec & Applicable Code SNI 13-3507-1994 & Pneumatic test Procedure Each Line 1 2 4
SNI 13-3474-2002
3.7 Plushing/Pembilasan PT. TRUBA MANDIRI Owner Specification SNI 13-3507-1994 Plushing Procedure Each Line 1 2 4

4 Hot Tapping
4.1 WPS & PQR PT. TRUBA MANDIRI API 2201 ASME Section IX Approved WPS & PQR Each Line 1 2 3
4.2 Welder's Perform Qualification Test PT. TRUBA MANDIRI API 2201 ASME Section IX Qualified Welder Each Line 1 2 3
4.3 Electrode Control PT. TRUBA MANDIRI AWS AWS Mill Certificate Each Line 1 2 3,4
4.4 HSE PT. TRUBA MANDIRI Kepmen 300 Kepmen 300 HSE Procedure Each Line 1 2 3
Peraturan Pemerintah NO.11-1979 Peraturan Pemerintah NO.11-1979
4.5 Konstruksi Hot Tapping PT. TRUBA MANDIRI Owner Spec & Applicable Code SNI 13-3474-2002 Prosedur Hot Tapping Each Line 1 2 3,4

5 MRS & RS

5.1 Document Review

- Drawing and Engineering documents Owner Specification Approved Procedure Approved document 1 2 3
- QA/QC and Construction procedures Owner Specification Approved Procedure Procedure 1 2 3
- HSE procedures Owner Specification Approved Procedure Procedure 1 2 3

5.2 Inspection and Test

Instrumentation
- Material verification Owner Specification Approved Procedure Material & test report 1 2 3,4
- Inspection of correct installation for tubing, Owner Specification Approved Procedure Inspection report 1 2 3,4
wiring instrumentation, and devices

5.3 Mechanical-Piping
- Material verification Approved Procedure Material & test report 1 2 3
- WPS/PQR and welder certificate Applicable code/standard Test report 1 2 3
- Welding production Project spec.& code/standard Inspection report 1 2 3
- Non Destructive Examination ASME V / ASME B 31.3 Test report 1 2 3
(Radiographic 100%)
- Inspection of correct installation for pipe- AFC drawing Inspection report 1 2 3
fitting and dimensional check
- Ball valve test Approved Procedure Test report 1 2 3
- Hydrostatic test for piping system (workshop) ASME B. 31.8 Test report 1 2 3,4
- Painting and sandblasting material and Approved Procedure Inspection report 1 2 3,4
application (Yellow, RAL 1021)
 5.4 Mechanical-Skid
- Material verification Approved Procedure Material & test report 1 2 3
- WPS/PQR and welder certificate Applicable code/standard Test report 1 2 3
- Welding production Project spec.& code/standard Inspection report 1 2 3
- Non Destructive Examination (Penetrant 10%) ASME V / ASME B 31.3 Test report 1 2 3
- Inspection of dimensional check AFC drawing Inspection report 1 2 3
- Painting material and application Approved Procedure Inspection report 1 2 3
(Grey, RAL 7035)

5.5 Precommissioning & Commissioning

- Instrument calibration certificate and verification Approved Procedure Calibration record 1 2 3,4
- SIT/Factory Acceptance Test (workshop) Approved Procedure Test report 1 2 3,4
- Meter certification Directorat Metrologi Approved Procedure DITMET certificate 1 2 3,4
- Site Acceptance Test (Commissioning) Approved Procedure Test report 1 2 3,4

5.6 Completion
- Mechanical Completion Approved Procedure Inspection report 1 Approved by Migas
- As-built drawing and final document Approved Procedure Drawing & document 1 Approved by Migas

Note : This ITP has been discussed and approved by all parties concerned during Pre-Inspection meeting

Prepared by, Reviewed by, Approved by,

PT. TRUBA MANDIRI PT. SUCOFINDO MIGAS
 CERTIFICATION WORK SCHEDULE & MANDAYS INSPECTOR
SERTIFIKASI MIGAS TRUNKLINE PIPA 4" Sch 40 Sepanjang 7.600 Meter
OWNER : PT. PERTAMINA EP ASSET 1 FIELD JAMBI
DESCRIPTION : TRUNKLINE PIPA 4" Sch 40 Sepanjang 7.600 Meter
SCHEDULE : DECEMBER 2014

DECEMBER
NO. ACTIVITY REMARK
01 - 05 06 - 10 11 - 15 16 - 20 21 - 25 26 - 31
1. Working permit

2. Review Document
- Pipeline Assesment Record
- Previous Wall Thickness Measurement Record
- Actual Wall Thickness Measurement Record
- NDT Procedure
- Previous NDT Report
- Hydrostatic Test Procedure (if any)
- Pneumatic Test Procedure (if any)
- Operation and maintenance Procedure

2. Inspeksi Lapangan
- Pemeriksaan Jalur Pipeline
- Pemeriksaan Visual
- Pengukuran Spot Ketebalan

3. Hydrostatic & Pneumatic Testing

4. Reporting
- Membuat laporan dan Penyelesaian Dokumen
- Menyerahkan dokumen ke Migas

5. SKPP
- Menyerahkan SKPP dan buku/dokumen
sertifikasi ke PT. PERTAMINA EP
 QUALIFICATION PERSONNEL FOR PT. PERTAMINA EP ASSET 1 FIELD JAMBI
SERTIFIKASI MIGAS TRUNKLINE PIPA 4" Sch 40 Sepanjang 7.600 Meter

OWNER : PT. PERTAMINA EP ASSET 1 FIELD JAMBI

DESCRIPTION : TRUNKLINE PIPA 4" Sch 40 Sepanjang 7.600 Meter

NO. NAME COMPANY QUALIFICATION REMARK

1. AGUNG AZIS SUKMOHADI PT SUCOFINDO PIPELINE INSPECTOR CERTIFICATION ATTACHED

 LIST OF EQUIPMENTS
SERTIFIKASI MIGAS TRUNKLINE PIPA 4" Sch 40 Sepanjang 7.600 Meter
PT. PERTAMINA EP ASSET 1 FIELD JAMBI

No. Item No. Serial No. Description

TRUNKLINE PIPA 4" Sch

1. -
40 Sepanjang 7.600 Meter