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MECHANICAL COMPLETION
INSPECTION AND TESTING
Page No. : 1 of 11

MNEMONIC NUMBER MC STAGE1


Dicipline / Description on beNr umberSystem r r
Locatiry Num ntife mbe
arym / Sub e IdeSq. Nu
on ber berSystem r r PrimSaeconSdyInspection
ste Report Stage
Ty p
Locatiry Numry Num ntife mbe
Sub e IdeSq. Nu
PrimSaeconSdyastem / Stage
Typ

on ry ar em er er
Locati PrimaSbeecrondberSyst b entif umb
u m u m / Suemm e Ty pe Id Sq. N
on N a y
ryN a r Stag er er
entifNumb
STAGE
Locati Prim SbeecrondberSySsytstbe
m m Su e Type Id Sq.
on Nu ryyNu ar / emm St ag fer ber
Form ID.
Locati PrimaSbeecrondberSySsytstbe Identi. Num
m Nu m / Su m Type Sq PIPING RISER SYSTEMS
TS78 1 10Nu ySYSTEM
Stage
Syste
11 SUBSYSTEM C GAS INLET PIPING RISER SYSTEM
1 Gas Inlet Piping Riser Line
+01 Line No. Test Form
+02 Line No.
Test Form

2 Steel Structure
+01 Pipe Supports Test Form

12 SUBSYSTEM C GAS OUTLET PIPING RISER SYSTEM


3 Gas outlet Piping Riser Line
+01 Line No. Test Form
+02 Line No.
Test Form

4 Steel Structure
+01 Pipe Supports Test Form

Client Logo,
MECHANICAL COMPLETION
INSPECTION AND TESTING
Page No. : 2 of 11

MNEMONIC NUMBER MC STAGE1


Dicipline / Description on beNr umberSystem r r
Locatiry Num ntife mbe
arym / Sub e IdeSq. Nu
on ber berSystem er er PrimSaeconSdyInspection
ste Report Stage
Typ
Locatiry Numry Num entifNumb
PrimSaeconSdyastem /
Sub
ge Type Id Sq.
St a

on ry ar em er er
Locati PrimaSbeecrondberSyst b entifNumb
Nu m Nu m / S u ge Type Id Sq. STAGE
on ryy ar emm Sta fer ber
Locati PrimaSbeecrondberSySsytstbe Identi. Num
Nu m yyNum r / Su m age Type Sq r Form ID.
on r a e m St e er
Locati PrimaSbeecrondberSySsytstbe entifNumb
y pe Id Sq. PROCESS
TS78 2 Num / Su em
10Num ySYSTEM
Stag e T SYSTEMS
Syst
11 SUBSYSTEM C GAS PIPING SYSTEM
1 Gas Piping Distribution Line
+01 Line No. Test Form
+02 Line No.
+03 Line No. Test Form

2 Steel Structure
+01 Pipe Support Test Form
+02 Pipe Cross (if any) Test Form
+03 Instrument Supports (if any)

12 SUBSYSTEM C GAS SCRUBBER SYSTEM


3 Statisc Equipment
+01 Scruber V100 Test Form

4 +01 Line No. Test Form


+02 Line No.
+03 Line No. Test Form

5 Steel Structure
+01 Pipe Support Test Form

13 SUBSYSTEM C GAS INLET METERING SYSTEM


6 Package Equipment Test Form
+01 Metering Inlet Unit M100 A/B

14 SUBSYSTEM C GAS OUTLET METERING SYSTEM


7 Package Equipment Test Form
+01 Metering Outlet Unit M200 A/B

15 SUBSYSTEM C CNG COMPRESSOR SYSTEM


8 Package Equipment
+01 CNG Compressor K101 to K110 Test Form

16 SUBSYSTEM C GAS DRYER SYSTEM


9 Package Equipment
+01 Gas Dryer D100 A/B Test Form
+02 Gas Dryer D200 A/B

17 SUBSYSTEM C CNG COMPARTMENT SYSTEM


10 Package Equipment
+01 CNG Compartment V2001 Thru 95 Test Form

Client Logo,
MECHANICAL COMPLETION
INSPECTION AND TESTING
Page No. : 3 of 11

MNEMONIC NUMBER MC STAGE1


Dicipline / Description on ber umberSystem fer ber
Locatiry Num N / Sub
aryem Identi. Num
PrimSaeconSdyInspection
st Report age Type Sq
on ber berSystem er er St
Locatiry Numry Num entif umb
PrimSaeconSdyastem /
Sub Ty pe Id Sq. N
Stage
on ry ar em r r
Locati PrimaSbeecrondberSyst b ntife mbe
y p e IdeSq. Nu
on Num ryyNumar / Suem Stage
T
er er STAGE
m entifNumb
Locati PrimaSbeecrondberSySsytstbe
NumaryyNum / Suemm ge T ype Id Sq.
ti on da r t e Sta fer ber
Form ID.
Loca s
Prim Seecron erSySystb Identi. Num
18NumbySUBSYSTEM
Numb / Su em t age TCype Sq VENT AND BLOWDOWN SYSTEM
S
Syst 11 Vent Piping Line
+01 Line No. Test Form
+02 Line No.
+03 Line No. Test Form

12 Statisc Equipment Test Form


+01 Vent Stack VS100

+02 Flatform and Lader (if any) Test Form

19 SUBSYSTEM C ALL DRAIN AND WATER DISPOSAL SYSTEM


13 Drain Piping Line
+01 Line No. Test Form
+02 Line No.
+03 Line No. Test Form

14 Static Equipment
+01 Sump Tank V401 Test Form

Test Form

+02 Flatform and Lader (if any) Test Form

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MECHANICAL COMPLETION
INSPECTION AND TESTING
Page No. : 4 of 11

MNEMONIC NUMBER MC STAGE1


Dicipline / Description on beNr umberSystem r r
Locatiry Num ntife mbe
arym / Sub e IdeSq. Nu
on ber berSystem er er PrimSaeconSdyInspection
ste Report Stage
Typ
Locatiry Numry Num entifNumb
PrimSaeconSdyastem /
Sub
ge Type Id Sq.
St a

on ry ar em er er
Locati PrimaSbeecrondberSyst b entifNumb
Nu m u m / S u ge Type Id Sq.
on ryyN ar emm Sta fer ber STAGE
Locati PrimaSbeecrondberSySsytstbe Identi. Num
Nu m yyNum r / Su age Type Sq r Form ID.
on r a emm St e er
Locati PrimaSbeecrondberSySsytstbe entifNumb
y pe Id Sq. CONTROL
TS78 3 Num / Su em
10Num ySYSTEM
Stag e T AND AUTOMATION SYSTEMS
Syst
11 SUBSYSTEM C Control Systems By Vendors
1 +01 Distribution Control System (DCS) &
Marshalling Cabinet
+02 Monitoring Control System (Computer)
+03 Metering Control System (Cabinet)
+04 F&G Control System (Fire Alarm)

12 SUBSYSTEM C Field Instrumentation


2 +01 Field Instrument Equipment /Devices By Vendors
+02 Instrument Valves By Vendors
+03 Instrument Tubing
+04 Instrument Cables & Accessories Test Form

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MECHANICAL COMPLETION
INSPECTION AND TESTING
Page No. : 5 of 11

MNEMONIC NUMBER MC STAGE1


Dicipline / Description on beNr umberSystem r r
Locatiry Num ntife mbe
arym / Sub e IdeSq. Nu
on ber berSystem er er PrimSaeconSdyInspection
ste Report Stage
Typ
Locatiry Numry Num entifNumb
PrimSaeconSdyastem /
Sub
ge Type Id Sq.
St a

on ry ar em er er
Locati PrimaSbeecrondberSyst b entifNumb
Nu m u m / S u ge Type Id Sq.
on ryyN ar emm Sta fer ber STAGE
Locati PrimaSbeecrondberSySsytstbe Identi. Num
Num y Num / Su em t age Type Sq
S
Syst
Form ID.
on ry ar em er er
Locati PrimaSbeecrondberSyst b entifNumb
TS78 4 Num / Su em
10Num ySYSTEM ge Type Id Sq. ELECTRICAL POWER AND DISTRIBUTIONS
St a
Syst
11 SUBSYSTEM C MAIN POWER SUPPLY UNITS
1 +01 Switchgear (MCC) Test Form

+02 Main Distribution Board(s) (MDB) Test Form

+03 Cabling System Test Form

12 SUBSYSTEM C UPS AND BATTERY CHARGER SYSTEM


2 +01 UPS Unit Test Form

+02 Battery Units Test Form


Test Form

13 SUBSYSTEM C GAS GENERATOR AND FUEL GAS SYSTEM


3 Gas Engine Generator Packages
+01 Gas Generator Unit G01 By Vendor
+02 Gas Generator Unit G02 Test Form

4 +03 Fuel Gas Piping Test Form


+03 Line No.
Line No. Test Form
Line No.

Steel Structure
+01 Fuel Gas Pipe Supports Test Form

5 Fuel Gas Instrumentation


+01 Field Instrument Equipment By Vendor
+02 Local Panel
+03 Instrument Valves By Vendor
+04 Instrument Tubing (if any)
+05 Instrument Cables & Accessories Test Form

6 Fuel Gas Electrical


+01 Power and Control Cables Test Form

14 SUBSYSTEM C LIGHTING SYSTEMS


7 Lighting
+01 Lighting Pole
+02 Lamps Test Form
+03 Power and Control Cables Test Form

15 SUBSYSTEM C GROUNDING AND LIGHTENING SYSTEMS


8 Lightening Systems Test Form
+01 Lightening Pole Arrester

9 Grounding Systems
+01 Grounding Rod Test Form
+02 Grounding Pit Test Form
+03 Grounding Cables Test Form

Client Logo,
MECHANICAL COMPLETION
INSPECTION AND TESTING
Page No. : 6 of 11

MNEMONIC NUMBER MC STAGE1


Dicipline / Description on ber berSystem r r
Locatiry Numry Num ntife mbe
Sub e IdeSq. Nu
PrimSaeconSdyastem / Stage
Typ
Dicipline / Description

on ber berSystem er er Inspection Report


Locatiry Numry Num entifNumb
PrimSaeconSdyastem /
Sub
ge Type Id Sq.
St a

on ry ar em er er
Locati PrimaSbeecrondberSyst b entifNumb
u m u m / S u ge Type Id Sq.
on N ryyN ar emm Sta fer ber STAGE
Locati PrimaSbeecrondberSySsytstbe Identi. Num
Nu m yyNum r / Su m age Type Sq r Form ID.
on r a e m St e er
Locati PrimaSbeecrondberSySsytstbe entifNumb
y pe Id Sq. SAFETY
TS78 5 Num / Su em
10Num ySYSTEM
Stag e T AND FIRE FIGHTING SYSTEMS
Syst
11 SUBSYSTEM C F &G DETECTION SYSTEM
1 F &G Equipments By Vendor
+01 Gas Detoctor (GD)
+02 Flame Detector (FD)
+03 Smoke Detector (SD)

12 SUBSYSTEM C FIRE EXTINGUISHER UNITS


2 Extinguisher By Vendor
+01 Portable Fire Extinguisher Units
+02 Weeled Fire Extinguisher Units

13 SUBSYSTEM C FIRE HYDRANT UNITS


3 Fire Hydrants
+01 FH001
+02 FH002
+03 FH003

Client Logo,
MECHANICAL COMPLETION
INSPECTION AND TESTING
Page No. : 7 of 11

MNEMONIC NUMBER MC STAGE1


Dicipline / Description on ber mber stem r r
Locaatiry Nudm ry Nu/ SubSy ntife mbe
ri m n a Ty p e IdeSq. Nu
on ber berSystem r r o stem
P Sec SyInspection Report Stage
Locatiry Numry Num ntife mbe
Sub e IdeSq. Nu
PrimSaeconSdyastem / Stage
Typ

on ry ar em er er
Locati PrimaSbeecrondberSyst b entif umb
u m u m / S u e Ty pe Id Sq. N
on N ryyN ar emm Stag er er
entifNumb
STAGE
Locati PrimaSbeecrondberSySsytstbe
Nu m Nu m / S u ge Type Id Sq.
on ryy ar emm St a r r Form ID.
Locati PrimaSbeecrondberSySsytstbe ntife mbe
y p e IdeSq. Nu
TS78 6 Num / Su em
10Num ySYSTEM
Stage
T UTILITY AND WATER SYSTEMS
Syst
11 SUBSYSTEM C INSTRUMENT AIR SYSTEM
1 Instrument Air Piping Line
+01 Line No. Test Form
+02 Line No.
+03 Line No. Test Form

2 Static Equipment
+01 Instrument Air Receiver V300 Test Form

3 Package Equipment
+01 Air Compressors Package C300 A/B/C Test Form

+02 Air Dryers Pre Filter F300 A/B Test Form

+03 Air Dryers D300 A/B Test Form


+04 Air Dryers After Filter F301 A/B Test Form

4 Steel Structure
+01 Pipe Supports Test Form

12 SUBSYSTEM C COOLING WATER SYSTEMS


5 Cooling Water Piping Line
+01 Line No. Test Form
+02 Line No.
+03 Line No. Test Form

6 Static Equipment
+01 Make Up Water Tank T100 Test Form
+02 Make Up Coling Tower Tank T600 Test Form

+02 CNG Cooler E100 Test Form

Test Form

7 Rotatic Equipment
+01 Make Up Water Pump P100 Test Form
+02 Cooling Tower Pumps P200 A/B Test Form

8 Package Equipment
+01 Cooling Tower E400 Test Form

Client Logo,
MECHANICAL COMPLETION
INSPECTION AND TESTING
Page No. : 8 of 11

MNEMONIC NUMBER MC STAGE1


Dicipline / Description on beNr umberSystem r r
Locatiry Num ntife mbe
arym / Sub e IdeSq. Nu
on ber berSystem fer ber PrimSaeconSdyInspection
se
t Report Stage
Typ
Locatiry Numry Num Sub Identi. Num
PrimSaeconSdyastem / t age Type Sq
S
on ry ar em er er
Locati PrimaSbeecrondberSyst b entifNumb
Nu m Nu m / S u ge Type Id Sq. STAGE
on ryy ar emm Sta fer ber
Locati PrimaSbeecrondberSySsytstbe Identi. Num
um ryyNumar / Suem Type Sq r
on N m Stage e
entifNumb
er Form ID.
Locati PrimaSbeecrondberSySsytstbe
Num y Num / Su em ge Type Id Sq. Field Instrumentation
Sta 9
Syst +01 Field Instrument Equipment By Vendor
+02 Instrument Valves By Vendor
+03 Instrument Tubing
+04 Instrument Cables & Accessories Test Form

10 Electrical System
+01 Power and Control Cables Test Form

11 Steel Structure
+01 Pipe Supports Test Form

13 SUBSYSTEM C HOT WATER SYSTEMS


12 Hot Water Piping Line
+01 Line No. Test Form
+02 Line No.
+03 Line No. Test Form
13 Static Equipment
+01 Hot Water Tank T200 Test Form

+02 CNG Heat Exchanger E200 Test Form

14 Rotatic Equipment
+01 Hot Water Pumps P300 A/B Test Form
+02 Mke Up Hot Water Pumps P600

15 Package Equipment
+01 Waste Heat Recovery Unit E300 Test Form

16 Field Instrumentation
+01 Field Instrument By Vendor
+02 Instrument Valves By Vendor
+03 Instrument Tubing
+04 Instrument Cables & Accessories Test Form

17 Field Electrical
+01 Power and Control Cables Test Form

18 Steel Structure
+01 Pipe Supports Test Form

Client Logo,
MECHANICAL COMPLETION
INSPECTION AND TESTING
Page No. : 9 of 11

MNEMONIC NUMBER MC STAGE1


Dicipline / Description on beNr umberSystem er er
Locatiry Num entifNumb
aryem / Sub
PrimSaeconSdyInspection ge Type Id Sq.
on ber mber stem r r st Report St a
Locaatiry Nudm ry Nu/ SubSy ntife mbe
rim n a Ty p e IdeSq. Nu
P Sec System
o Stage
on ry ar em fer ber
Locati PrimaSbeecrondberSyst b Identi. Num
Nu m yyNum r / Su age Type Sq r STAGE
on r a emm St e er
Locati PrimaSbeecrondberSySsytstbe entif umb
u m u m / S u e Ty pe Id Sq. N
on N ryyN ar emm Stag er er
entifNumb
Form ID.
Locati PrimaSbeecrondberSySsytstbe
Num / Su em
14Num ySUBSYSTEM ge Type Id Sq. FIRE WATER SYSTEM
St a C
Syst 19 Fire Water Piping Line Test Form
+01 Line No.
+02 Line No. Test Form

20 Field Instrumentation
+01 Instrument Equipment / Devices By Vendor

21 Steel Structure
+01 Pipe Supports Test Form

15 SUBSYSTEM C WATER TREATMENT SYSTEM


22 Water Treatment Piping Line
+01 Line No. Test Form
+02 Line No.
Test Form

23 Static Equipment
+01 Raw Water Tank T300 Test Form
+02 Buffer Tank T400 Test Form

24 Package Equipment
+01 Water Treatment Package WT001 Test Form
+02

25 Rotatic Equipment
+01 Hot Water Pumps P300 A/B Test Form
+02 Mke Up Hot Water Pumps P600

26 Field Electrical
+01 Power and Control Cables Test Form

27 Steel Structure
+01 Pipe Supports Test Form

Client Logo,
MECHANICAL COMPLETION
INSPECTION AND TESTING
Page No. : 10 of 11

MNEMONIC NUMBER MC STAGE1


Dicipline / Description on ber umberSystem r r
Locatiry Num ntife mbe
N / Sub
aryem e IdeSq. Nu
on ber berSystem er er PrimSaeconSdyInspection
st Report Stage
Typ
Locatiry Numry Num entifNumb
PrimSaeconSdyastem /
Sub
ge Type Id Sq.
St a

on ry ar em er er
Locati PrimaSbeecrondberSyst b entifNumb
Nu m Nu m / S u ge Type Id Sq. STAGE
on ryy ar emm Sta fer ber
Locati PrimaSbeecrondberSySsytstbe Identi. Num
Nu m yyNum r / Su age Type Sq r
on r a emm St e er Form ID.
Locati PrimaSbeecrondberSySsytstbe entifNumb
10Num ySYSTEM
u m / S u e Ty pe Id Sq. CIVIL
TS78 7 N m Stag AND BUILDING WORKS
Syste
11 SUBSYSTEM C CIVIL AND EARTH WORKS
1 Site Preparation
+01 Excavation Test Form
+02 Back Fill Test Form
+03 Campaction Test Form
Test Form
Test Form
Test Form
Test Form

2 Foundation
+01 Equipment Foundation Test Form
+02 Support Foundation Test Form
+03 Building Foundation Test Form
+04 Pile Foundation Test Form
Test Form
Test Form
Test Form

3 Drainage System Test Form Site Survey Report


1 Process Area
2 Building Area
3 Others Area

4 Master Point s Test Form Site Survey Report


+01 Master Point 1
+02 Master Point 2

5 Civil Steel Structure Test Form Installation Report


+01 Fence and Gate
6 Road an Access Way Test Form Material Receiving Report
+01 Process Areas Installation Report
+02 Building Areas
+03 Others Areas
+04 Access Way

Client Logo,
MECHANICAL COMPLETION
INSPECTION AND TESTING
Page No. : 11 of 11

MNEMONIC NUMBER MC STAGE1


Dicipline / Description on beNr umberSystem er er
Locatiry Num entifNumb
aryem / Sub
PrimSaeconSdyInspection ge Type Id Sq.
on ber mber stem er er st Report St a
Locaatiry Nudm ry Nu/ SubSy entif umb
rim n
P Sec System
o a e Ty pe Id Sq. N
Stag
on ry ar em fer ber
Locati PrimaSbeecrondberSyst b Identi. Num
Nu m yyNum r / Su age Type Sq r STAGE
on r a emm St e er
Locati PrimaSbeecrondberSySsytstbe entif umb
u m u m / S u e Ty pe Id Sq. N
on N ryyN ar emm Stag er er
entifNumb
Form ID.
Locati PrimaSbeecrondberSySsytstbe
Num y Num / Su em ge Type Id Sq.
St a
12 SUBSYSTEM Syst C BUILDING AND SHELTER
8 Building Unit Area
+01 Control & Admin Building Trial Mix of Concrete Report **
+02 MCC and Gas Engine Test Form PrePouring Concrete Report
+03 Guard House Test Form Rebar Installation Report
Test Form Pouring Concrete Report

9 Shelter
+01 Compressor Shelter Test Form Levelness Report
+02 Metering Shelter Test Form Bolt Tightening Report (If any)
+03 Air Compressor
+04 WTP
+05 Piperack
+06 Platform

13 SUBSYSTEM C OTHERS MISCELLANEOUS CIVIL WORKS


10 +01 Street Lighing Pole Foundation
Test Form PrePouring Concrete Report
Test Form Rebar Installation Report
Test Form Pouring Concrete Report
Test Form Compressive Strength Test **

11 Others (if Any)


TION Project : Tambak Lorok CNG
Rev. No. :C
1 of 11

MC STAGE1 MC STAGE2
r r r r
umrbyeNumubbeSystem ntife mbe
e IdeSq. Nu
a m/S
ndInspection Ty p
Syst e Report Stage Installation / Assembly Checklist Inspection Test Report

1 2 3 4
Description Form ID. Checklist No. Form ID. Description

C1M001 TS78111C001 Test Form Flushing


Material & Welding Treaceability
NDT Report
Hydrotest
Bolt Tightening (if any)

C1C009 TS78111C002 NA
Elevation Report

C1M001 TS78112C003 Test Form Flushing


Material & Welding Treaceability
NDT Report
Hydrotest
Bolt Tightening (if any)
C1C009 TS78512C004 NA
Elevation Report

TION Project : Tambak Lorok CNG


Rev. No. :C
2 of 11

MC STAGE1 MC STAGE2
r r
umrbyeNumubbeSystem er er
entifNumb
a m/S
ndInspection
e ge Type Id Sq.
Syst Report Sta Installation / Assembly Checklist Inspection Test Report

1 2 3 4
Description Form ID. Checklist No. Form ID. Description

C1M001 TS78211C001 Test Form Flushing


Material & Welding Treaceability
NDT Report
Hydrotest
Bolt Tightening (if any)

C1C009 TS78211C002 NA
Visual & Dimensional
Elevation Report
C1M006 TS78212C003 NA
Plumbness/Levelness
BoxUp Check (if any)
Bolt Tightening (if any)
Material & Welding Treaceability C1M001 TS78212C004 Test Form Flushing
NDT Report
Hydrotest
Bolt Tightening (if any)

C1C009 TS78212C005 NA
Visual & Dimensional

Plumbness/Levelness C1M006 TS78213C006 Test Form Function Test with Vendor


Bolt Tightening (if any)
Component Assembly Report (if any)

Plumbness/Levelness C1M006 TS78214C007 Test Form Function Test with Vendor


Bolt Tightening (if any)
Component Assembly Report (if any)

C1M006 TS78215C008 Test Form Function Test with Vendor


Plumbness/Levelness
BoxUp Check (if any)
Bolt Tightening (if any)

C1M006 TS78216C009 Test Form Function Test with Vendor


Plumbness/Levelness
BoxUp Check (if any)
Bolt Tightening (if any)

C1M006 TS78217C010 Test Form Function Test with Vendor


Plumbness/Levelness
BoxUp Check (if any)
Bolt Tightening (if any)

TION Project : Tambak Lorok CNG


Rev. No. :C
3 of 11

MC STAGE1 MC STAGE2
r r fer ber
umrbyeNumubbeSystem Identi. Num
a em / S
ndInspection
st Report t age Type Sq Installation / Assembly Checklist Inspection Test Report
Sy S

1 2 3 4
Description Form ID. Checklist No. Form ID. Description

C1M001 TS78218C011 Test Form Flushing


Material & Welding Treaceability
NDT Report (if required)
Hydrotest (if required)

Plumbness/Levelness C1M006 TS78218C012 NA


BoxUp Check (if any)
Bolt Tightening (if any)

Visual & Dimensional C1M006 TS78218C012+01 NA

C1M001 TS78219C013 Test Form Flushing


Material & Welding Treaceability
NDT Report (if required)
Hydrotest (if required)

NA
Plumbness/Levelness C1M006 TS78219C014
BoxUp Check (if any)
Bolt Tightening (if any)

Visual & Dimensional C1M006 TS78219C014+01 NA

TION Project : Tambak Lorok CNG


Rev. No. :C
4 of 11

MC STAGE1 MC STAGE2
r r
umrbyeNumubbeSystem er er
entif umb
a m/S
ndInspection
e e Ty pe Id Sq. N
Syst Report Stag Installation / Assembly Checklist Inspection Test Report

1 2 3 4
Description Form ID. Checklist No. Form ID. Description

FAT Report ** Test Form Function Test with Vendor


C1I005 TS78311C001+01

C1I005 TS78311C001+02
C1I005 TS78311C001+03
C1I005 TS78311C001+04

Factory Calibration Report*** C1I001 TS7812C002+01 Test Form Calibration Record (if any)
Factory Calibration Report*** C1I006 TS7812C002+02 Test Form Function Test Record
C1I002 TS7812C002+03 NA
Pulling Cables Report C1I003 TS7812C002+04 Test Form Insulation Resistance Test
Test Form Cable Continuity Test

TION Project : Tambak Lorok CNG


Rev. No. :C
5 of 11

MC STAGE1 MC STAGE2
r r
umrbyeNumubbeSystem er er
entif umb
a m/S
ndInspection
e e Ty pe Id Sq. N
Syst Report Stag Installation / Assembly Checklist Inspection Test Report

1 2 3 4
Description Form ID. Checklist No. Form ID. Description

FAT Report ***


Intsllation Report C1E007 TS78411C001+01 Test Form Function Test

Intsllation Report C1E001 TS78411C001+02 Test Form Function Test

Cable Pulling Report C1E004 TS78411C001+03 Test Form Cable Resistance Test
Continuity Test

FAT Report for UPS & Battery***


Intsllation Report C1E003 TS78412C002+01 Test Form Function Test

Intsllation Report C1E004 TS78412C002+02 Test Form Function Test


Cable Pulling Report Test Form Cable Resistance Test
Continuity Test

C1M006 TS78413C003 Vendor Scope


FAT Report for GE Test Form Running Test
Plumbness/Levelness

Material & Welding Treaceability C1M001 TS78413C004


NDT Report Test Form Flushing
Hydrotest
Painting
Bolt Tightening (if any)

C1C009 TS78413C004+01 NA
Elevation Report

Factory Calibration Report*** C1I001 TS78413C005+01 Test Form Calibration Record

Factory Calibration Report*** C1I006 TS78413C005+02 Test Form Function Test Record
C1I002 TS78413C005+03 NA
Pulling Cables Report C1I003 TS78413C005+04 Test Form Insulation Resistance Test
Test Form Cable Continuity Test

Pulling Cables Report C1E004 TS78413C006 Test Form Insulation Resistance Test
Test Form Cable Continuity Test

C1E005 TS78414C007+01
Intsllation Report C1E005 TS78414C007+01 Test Form Illumination Check
Pulling Cables Report C1E004 TS78414C007+02 Insulation Resistance Test
Cable Continuity Test

Intsllation Report C1E006 TS78415C008 Earth Continuity Test

Earth Continuity Test


Intsllation Report C1E006 TS78415C009+01 Insulation Resistance Test
Intsllation Report C1E006 TS78415C009+02 Cable Continuity Test
Pulling Cables Report C1E004 TS78415C009+03

TION Project : Tambak Lorok CNG


Rev. No. :C
6 of 11

MC STAGE1 MC STAGE2
r r
umbeNumbbeSystem er er
entifNumb
ndasrtyem / Su ge Type Id Sq.
Sy Sta
Inspection Report Installation / Assembly Checklist Inspection Test Report

1 2 3 4
Description Form ID. Checklist No. Form ID. Description

FAT Report ** Function Test with Vendor


C1E005 TS78511C001+01
C1E005 TS78511C001+02
C1E005 TS78511C001+03

MSDS Certificate ** NA
C1M003 TS78512C002+01
C1M003 TS78512C002+02

NA C1M005 TS78514C003 NA

TION Project : Tambak Lorok CNG


Rev. No. :C
7 of 11

MC STAGE1 MC STAGE2
r r r r
umrbyeNumubbeSystem ntife mbe
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ndInspection Ty p
Syste Report Stage Installation / Assembly Checklist Inspection Test Report

1 2 3 4
Description Form ID. Checklist No. Form ID. Description

C1M001 TS78611C001 Test Form Flushing


Material & Welding Treaceability
NDT Report (if required)
Hydrotest (if required)

Plumbness/Levelness C1M002 TS78611C002 NA


BoxUp Check (if any)
Bolt Tightening (if any)

Plumbness/Levelness C1M006 TS78611C003+01 Test Form Function Test with Vendor


BoxUp Check (if any)
Bolt Tightening (if any)

Plumbness/Levelness C1M006 TS78611C003+02 Test Form Function Test with Vendor


BoxUp Check (if any)
Bolt Tightening (if any)

Plumbness/Levelness C1M006 TS78611C003+03 Test Form Function Test with Vendor


BoxUp Check (if any)
Bolt Tightening (if any)
Plumbness/Levelness C1M006 TS78611C003+04 Test Form Function Test with Vendor
BoxUp Check (if any)
Bolt Tightening (if any)

C1C009 TS78611C004 NA
Elevation Report

Test Form Flushing


C1M001 TS78612C005
Material & Welding Treaceability
NDT Report (if required)
Hydrotest (if required)

Plumbness/Levelness C1M002 TS78612C006+01 NA


Hydrotest (if required)

Plumbness/Levelness C1M002 TS78612C006+02 NA


BoxUp Check (if any)
Hydrotest (if required)

Test Form Pump Test


Pump Alignment Check C1M004 TS78612C007+01
Pump Alignment Check C1M004 TS78612C007+02

Test Form Function Test with Vendor


Plumbness/Levelness C1M006 TS78612C008
BoxUp Check (if any)
Bolt Tightening (if any)

TION Project : Tambak Lorok CNG


Rev. No. :C
8 of 11

MC STAGE1 MC STAGE2
r r er er
umrbyeNumubbeSystem entifNumb
a m/S
ndInspection
t e Report ge Type Id Sq. Installation / Assembly Checklist Inspection Test Report
Sys Sta

1 2 3 4
Description Form ID. Checklist No. Form ID. Description

Factory Calibration Report*** C1I001 TS78612C009+01 Test Form Calibration Record


Factory Calibration Report*** C1I006 TS78612C009+02 Test Form Function Test Record
C1I002 TS78612C009+03 NA
Pulling Cables Report C1I003 TS78612C009+04 Test Form Insulation Resistance Test
Test Form Cable Continuity Test

Pulling Cables Report C1E004 TS78612C009 Test Form Insulation Resistance Test
Test Form Cable Continuity Test

NA
Elevation Report C1C009 TS78612C011

Test Form Flushing


C1M001 TS78613C012
Material & Welding Treaceability
NDT Report (if required)
Hydrotest (if required)
Plumbness/Levelness C1M002 TS78613C013+01 NA
Bolt Tightening (if any)

Plumbness/Levelness C1M002 TS78613C013+02 NA


BoxUp Check (if any)
Bolt Tightening (if any)

Test Form Pump Test


Pump Alignment Check C1M004 TS78613C014+01

Test Form Function Test with Vendor


Plumbness/Levelness C1M006 TS78613C015
BoxUp Check (if any)
Bolt Tightening (if any)

Factory Calibration Report*** C1I001 TS78613C016+01 Test Form Calibration Record


Factory Calibration Report*** C1I006 TS78613C016+02 Test Form Function Test Record
C1I002 TS78613C016+03 NA
Pulling Cables Report C1I003 TS78613C016+04 Test Form Insulation Resistance Test
Test Form Cable Continuity Test

Pulling Cables Report C1E004 TS78613C017 Test Form Insulation Resistance Test
Test Form Cable Continuity Test

C1C009 TS78613C018 NA
Elevation Report

TION Project : Tambak Lorok CNG


Rev. No. :C
9 of 11

MC STAGE1 MC STAGE2
r ber stem
umrbyeNum er er
a em / Sub
Sy entifNumb
ndInspection
t Report ge Type Id Sq. Installation / Assembly Checklist Inspection Test Report
Sys St a

1 2 3 4
Description Form ID. Checklist No. Form ID. Description

Material & Welding Treaceability C1M001 TS78614C019 Test Form Flushing


NDT Report (if required)
Hydrotest (if required)

Factory Calibration Report*** C1I001 TS78614C020 Test Form Calibration Record

NA
Elevation Report C1C009 TS78614C021

Material & Welding Treaceability C1M001 TS78615C022 Test Form Flushing


NDT Report (if required)
Hydrotest (if required)

Plumbness/Levelness C1M002 TS78615C023+01 NA


Bolt Tightening (if any)
Plumbness/Levelness C1M002 TS78615C023+02 NA
Bolt Tightening (if any)

Plumbness/Levelness C1M006 TS78615C024 NA


Bolt Tightening (if any)

Test Form Pump Test


Pump Alignment Check C1M004 TS78615C025+01
C1M004 TS78615C025+02

Pulling Cables Report C1E004 TS78615C026 Test Form Insulation Resistance Test
Test Form Cable Continuity Test

C1C009 TS78615C027 NA
Elevation Report

TION Project : Tambak Lorok CNG


Rev. No. :C
10 of 11

MC STAGE1 MC STAGE2
r r er er
umrbyeNumubbeSystem entif umb
a em / S
ndInspection e Ty pe Id Sq. N
Syst Report Stag Installation / Assembly Checklist Inspection Test Report

1 2 3 4
Description Form ID. Checklist No. Form ID. Description

C1C001 TS78711C001 NA
Site Survey Report
Survey Data Report
Soil Test Report
Excavation Report
Back Fill Report
Compaction Report
CBR Test Report

C1C002 TS78711C002 NA
Site Survey Report
Survey Data Report
Trial Mix of Concrete Report **
PrePouring Concrete Report
Rebar Installation Report
Pouring Concrete Report
Compressive Strength Test **
`
Test Form Site Survey Report C1C003 TS78711C003 NA

Test Form Site Survey Report C1C004 TS78711C004 NA

Test Form Installation Report C1C005 TS78711C005 NA


Test Form Material Receiving Report C1C006 TS78711C006 NA
Installation Report

TION Project : Tambak Lorok CNG


Rev. No. :C
11 of 11

MC STAGE1 MC STAGE2
r ber stem
umrbyeNum er er
a em / Sub
Sy entifNumb
ndInspection
t Report ge Type Id Sq. Installation / Assembly Checklist Inspection Test Report
Sys St a

1 2 3 4
Description Form ID. Checklist No. Form ID. Description

C1C007 TS78712C007 NA
Trial Mix of Concrete Report **
Test Form PrePouring Concrete Report
Test Form Rebar Installation Report
Test Form Pouring Concrete Report

C1C008 TS78712C008 NA
Test Form Levelness Report
Test Form Bolt Tightening Report (If any)

Trial Mix of Concrete Report ** C1C010 TS78713C009 NA


Test Form PrePouring Concrete Report
Test Form Rebar Installation Report
Test Form Pouring Concrete Report
Test Form Compressive Strength Test **

Ditto TBA TS78713C010 NA


: Tambak Lorok CNG

MC CERTIFICATE Remarks

N2 Purging Certifcate STATUS

SIGN DATE
4 5
Certifcate No.

TS78110

Line Check Report


N2 Purging Report

: Tambak Lorok CNG

MC CERTIFICATE Remarks

N2 Purging Certifcate STATUS

SIGN DATE
4 5
Certifcate No.

TS78210

Line Check Report


N2 Purging Report
N2 Purging Report

: Tambak Lorok CNG

MC CERTIFICATE Remarks

N2 Purging Certifcate STATUS

SIGN DATE
4 5
Certifcate No.

NA
NA

: Tambak Lorok CNG

MC CERTIFICATE Remarks

N2 Purging Certifcate STATUS

SIGN DATE
4 5
Certifcate No.

TS75310

Vendor Checklist Included

: Tambak Lorok CNG

MC CERTIFICATE Remarks

N2 Purging Certifcate STATUS

SIGN DATE
4 5
Certifcate No.

TS78410

With Vendor Assistance

: Tambak Lorok CNG

MC CERTIFICATE Remarks
Remarks

N2 Purging Certifcate STATUS

SIGN DATE
4 5
Certifcate No.

TS78510

: Tambak Lorok CNG

MC CERTIFICATE Remarks

N2 Purging Certifcate STATUS

SIGN DATE
4 5
Certifcate No.

TS78610

Line Check Report


Line Check Report

: Tambak Lorok CNG

MC CERTIFICATE Remarks

N2 Purging Certifcate STATUS

SIGN DATE
4 5
Certifcate No.

Line Check Report


: Tambak Lorok CNG

MC CERTIFICATE Remarks

N2 Purging Certifcate STATUS

SIGN DATE
4 5
Certifcate No.
: Tambak Lorok CNG

MC CERTIFICATE Remarks

N2 Purging Certifcate STATUS

SIGN DATE
4 5
Certifcate No.

TS78710
: Tambak Lorok CNG

MC CERTIFICATE Remarks

N2 Purging Certifcate STATUS

SIGN DATE
4 5
Certifcate No.

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