QSHE - Inspection & Testing Revisi : 02 No.

Form : QC-02-F06
STATUS INSPEKSI & PENGUJIAN -PROSES Tanggal Efektif : 10.Apr.'17 No. Hal. : 1 dari 2

Proyek: Legend: A=Accept (Diterima) P=Pending (Ditahan) R=Re-

CHOCOLATE MANUFACTURING FACTORY PT. INDO AGRI DAITOCACAO Inspect (Inspeksi Ulang)
PROJECT (Please indicate Re-Inspection Ref# for R status)
Frekuensi Inspeksi: 2 + 1 days No. Ref. WQP: Jumlah Total:

Tanggal Kuantitas Status Status

S/N No. Ref. Deskripsi / Lokasi Paraf
Inspeksi Diperiksa (A/R/P) Akhir
1 RFI 001/II/TCI-18 14/02/2018 CONCRETE PILE CAP 14-Feb-18 A A
2 RFI 002/II/TCI-18 17/02/2018 CONCRETING PILE CAP 21-Feb-18 A A
3 RFI 003/II/TCI-18 17/02/2018 CONCRETING PILE CAP 21-Feb-18 A A
4 RFI 004/II/TCI-18 20/02/2018 CONCRETING PILE CAP 21-Feb-18 A A
5 RFI 005/II/TCI-18 20/02/2018 CONCRETING PILE CAP 21-Feb-18 A A
6 RFI 006/II/TCI-18 22/02/2018 CONCRETING PILE CAP 24-Feb-18 A A
7 RFI 007/II/TCI-18 24/02/2018 CONCRETING PILE CAP 25-Apr-18 A A
8 RFI 008/II/TCI-18 28/02/2018 CONCRETING PILE CAP 01-Mar-18 A A
9 RFI 009/II/TCI-18 28/02/2018 CONCRETING PILE CAP 01-Mar-18 A A
10 RFI 010/II/TCI-18 01/03/2018 CONCRETING PILE CAP 01-Mar-18 A A
11 RFI 011/III/TCI-18 05/03/2018 CONCRETING PILE CAP 06-Apr-18 A A
12 RFI 012/III/TCI-18 05/03/2018 CONCRETING PILE CAP 06-Apr-18 A A
13 RFI 013/III/TCI-18 06/04/2018 CONCRETING PILE CAP 06-Apr-18 A A
14 RFI 014/III/TCI-18 05/03/2018 CONCRETING PILE CAP 07-Mar-18 A A
15 RFI 015/III/TCI-18 07/03/2018 CONCRETING TIE BEAM 09-Mar-18 A A
16 RFI 016/III/TCI-18 08/03/2018 CONCRETING TIE BEAM 10-Mar-18 A A
17 RFI 017/III/TCI-18 09/03/2018 CONCRETING PILE CAP 11-Mar-18 A A
18 RFI 018/III/TCI-18 10/03/2018 CONCRETING PILE CAP 12-Mar-18 A A
19 RFI 019/III/TCI-18 12/03/2018 CONCRETING PILE CAP 13-Mar-18 A A
20 RFI 020/III/TCI-18 12/03/2018 CONCRETING PILE CAP 14-Mar-18 A A
21 RFI 021/III/TCI-18 14/03/2018 CONCRETING TIE BEAM 15-Mar-18 A A
22 RFI 022/III/TCI-18 15/03/2018 CONCRETING PILE CAP 16-Mar-18 A A
23 RFI 023/III/TCI-18 17/03/2018 CONCRETING TIE BEAM 18-Mar-18 A A
24 RFI 024/III/TCI-18 17/03/2018 CONCRETING TIE BEAM 18-Mar-18 A A
25 RFI 025/III/TCI-18 19/03/2018 CONCRETING RETAINING WALL 20-Mar-18 A A
26 RFI 026/III/TCI-18 22/03/2018 CONCRETING COLUMN 23-Mar-18 A A
27 RFI 027/III/TCI-18 23/03/2018 CONCRETING TIE BEAM 23-Mar-18 A A
28 RFI 028/III/TCI-18 26/03/2018 CONCRETING COLUMN 28-Mar-18 A A
29 RFI 029/III/TCI-18 28/03/2018 CONCRETING TIE BEAM 30-Mar-18 A A
30 RFI 030/III/TCI-18 30/03/2018 CONCRETING COLUMN 31-Mar-18 A A
31 RFI 031/IV/TCI-18 03/04/2018 APPLICATION ANTI ANT AREA 1 04-Apr-18 A A
32 RFI 032/IV/TCI-18 08/04/2018 CONCRETING TIE BEAM 09-Apr-18 A A
33 RFI 033/IV/TCI-18 10/04/2018 INSTAL HCS 11-Apr-18 A A
34 RFI 034/IV/TCI-18 12/04/2018 CONCRETING COLUMN 13-Apr-18 A A
35 RFI 035/IV/TCI-18 14/04/2018 CONCRETING COLUMN 15-Apr-18 A A
36 RFI 036/IV/TCI-18 18/04/2018 CONCRETING TIE BEAM 19-Apr-18 A A
37 RFI 037/IV/TCI-18 18/04/2018 CONCRETING SLAB 19-Apr-18 A A
38 RFI 038/IV/TCI-18 19/04/2018 CONCRETING COLUMN 20-Apr-18 A A
39 RFI 039/IV/TCI-18 21/04/2018 CONCRETING TIE BEAM 22-Apr-18 A A
40 RFI 040/IV/TCI-18 23/04/2018 CONCRETING SLAB 24-Apr-18 A A
41 RFI 041/V/TCI-18 06/05/2018 CONCRETING COLUMN 17-Mei-18 A A
42 RFI 042/V/TCI-18 06/05/2018 ANTI ANT 17-Mei-18 A A
43 RFI 043/V/TCI-18 10/05/2018 CONCRETING COLUMN 22-Mei-18 A A
44 RFI 044/V/TCI-18 14/05/2018 ANTI ANT 23-Mei-18 A A
45 RFI 045/V/TCI-18 18/05/2018 CONCRETING SLAB 24-Mei-18 A A
46 RFI 046/V/TCI-18 22/05/2018 CONCRETING BEAM 25-Mei-18 A A
47 RFI 047/V/TCI-18 26/05/2018 ANTI ANT 26-Mei-18 A A
48 RFI 048/V/TCI-18 30/05/2018 CONCRETING COLUMN 27-Mei-18 A A
49 RFI 049/VI/TCI-18 03/06/2018 ANTI ANT 06-Jun-18 A A
 QSHE - Inspection & Testing Revisi : 02 No. Form : QC-02-F06
STATUS INSPEKSI & PENGUJIAN -PROSES Tanggal Efektif : 10.Apr.'17 No. Hal. : 2 dari 2

Proyek: Legend: A=Accept (Diterima) P=Pending (Ditahan) R=Re-

CHOCOLATE MANUFACTURING FACTORY PT. INDO AGRI DAITOCACAO Inspect (Inspeksi Ulang)
PROJECT (Please indicate Re-Inspection Ref# for R status)
Frekuensi Inspeksi: 2 + 1 days No. Ref. WQP: Jumlah Total:

Tanggal Kuantitas Status Status

S/N No. Ref. Deskripsi / Lokasi Paraf
Inspeksi Diperiksa (A/R/P) Akhir
50 RFI 050/VI/TCI-18 07/06/2018 CONCRETING COLUMN 08-Jun-18 A A
51 RFI 051/VI/TCI-18 11/06/2018 CONCRETING BEAM 12-Jun-18 A A
52 RFI 052/VI/TCI-18 15/06/2018 ANTI ANT 18-Jun-18 A A
53 RFI 053/VI/TCI-18 19/06/2018 CONCRETING SLAB 22-Jun-18 A A
54 RFI 054/VI/TCI-18 23/06/2018 ANTI ANT 26-Jun-18 A A
55 RFI 055/VI/TCI-18 27/06/2018 ANTI ANT 30-Jun-18 A A
56 RFI 056/VII/TCI-18 01/07/2018 CONCRETING TIE BEAM 06-Jul-18 A A
57 RFI 057/VII/TCI-18 05/07/2018 CONCRETING SLAB 20-Jul-18 A A
58 RFI 058/VII/TCI-18 09/07/2018 CONCRETING COLUMN 24-Jul-18 A A
59 RFI 059/VII/TCI-18 13/07/2018 CONCRETING BEAM 28-Jul-18 A A
60 RFI 060/VII/TCI-18 17/07/2018 CONCRETING SLAB 01-Agu-18 A A
61 RFI 061/VII/TCI-18 21/07/2018 CONCRETING SLAB 07-Agu-18 A A
62 RFI 062/VII/TCI-18 25/07/2018 CONCRETING SLAB 11-Agu-18 A A
63 RFI 063/VII/TCI-18 29/07/2018 CONCRETING SLAB 15-Agu-18 A A
64 RFI 064/VIII/TCI-18 02/08/2018 CONCRETING BEAM 19-Agu-18 A A
65 RFI 065/VIII/TCI-18 06/08/2018 ANTI ANT 25-Agu-18 A A
66 RFI 066/VIII/TCI-18 10/08/2018 CONCRETING SLAB 01-Sep-18 A A
67 RFI 067/VIII/TCI-18 14/08/2018 CONCRETING COLUMN 08-Sep-18 A A
68 RFI 068/VIII/TCI-18 18/08/2018 CONCRETING COLUMN 15-Sep-18 A A
69 RFI 069/VIII/TCI-18 22/08/2018 STEEL ERECTION 17-Sep-18 A
70 RFI 070/VIII/TCI-18 26/08/2018 CONCRETING COLUMN 19-Sep-18 A
71 RFI 071/VIII/TCI-18 30/08/2018 CONCRETING COLUMN 21-Sep-18 A
72 RFI 072/IX/TCI-18 03/09/2018 CONCRETING BEAM 23-Sep-18 A
73 RFI 073/IX/TCI-18 07/09/2018 CONCRETING COLUMN 25-Sep-18 A
74 RFI 074/IX/TCI-18 11/09/2018 CONCRETING FOUNDATION MACHINE 27-Sep-18 A
75 RFI 075/IX/TCI-18 15/09/2018 CONCRETING BEAM & SLAB 29-Sep-18 A
76 RFI 076/IX/TCI-18 19/09/2018 CONCRETING PILE CAP 01-Okt-18 A
77 RFI 077/IX/TCI-18 23/09/2018 CONCRETING SLAB 03-Okt-18 A
78 RFI 078/IX/TCI-18 27/09/2018 CONCRETING STAIRCASE 05-Okt-18 A
79 RFI 079/X/TCI-18 01/10/2018 CONCRETING PILE & PILE CAP 07-Okt-18 A
80 RFI 080/X/TCI-18 05/10/2018 CONCRETING PILE & PILE CAP 09-Okt-18 A
81 RFI 081/X/TCI-18 09/10/2018 CONCRETING COLUMN 11-Okt-18 A
82 RFI 082/X/TCI-18 13/10/2018 CONCRETING PILE CAP 13-Okt-18 A