Month DAY: RFI - Request For Inspection

RFI - Request For Inspection
MONTH DAY
JAN FEB MAR APR MAY JUN 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1
JUL AUG SEP OCT NOV DEC 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Document Ref :
DISCIPLINE : CIVIL ELECTRICAL MECHANICAL INSTR/AUT PIPING PIPELINE TELECOM

PACKAGE
INSPECTION
ITEM / TAG EXPECTE
No QC Code ITEM/TAG DESCRIPTION AREA/LOCATION EXECUTION
NUMBER D TIME
RESULT
SIGNATURE FOR NOTIFICATION / ACKNOWLEDGEMENT

SUBCONTRACTOR CONTRACTOR COMPANY OTHER
NAME NAME NAME NAME
SIGNATURE SIGNATURE SIGNATURE SIGNATURE
Date Date Date Date
LEGEND : INSPECTION EXECUTION RESULT
ACCEPTED ; REJECTED ; POSTPONED ; CANCELLED

Comment / Remark :
INSPECTION PRESENCE : SUBCONTRACTOR CONTRACTOR COMPANY OTHER

SIGNATURE FOR INSPECTION EXECUTED
NAME NAME NAME NAME
Date Date Date Date
Form Code : TEP-ITR-RFI-001

OWNER : BP Berau Ltd JOB UNIT
PLANT LOCATION : 1182830 QC
BINTUNI BAY, PAPUA - INDONESIA QC CODE QCP REFERENCE
PROJECT TITLE : CIV TEP-118228-H02-0002
TANGGUH EXPANSION PROJECT
Sheet 1 of 1
SUBCONTRACTOR : PT PP PERSERO Tbk

RFI No. Issued Date :
MONTH DAY
Jan Feb Mar Apr May Jun 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
31
Jul Aug Sep Oct Nov Dec 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Document Ref : RFI No :
DISCIPLINE : CIVIL ELECTRICAL MECHANICAL INSTR/AUT PIPING PIPELINE TELECOM

PACKAGE
INSPECTION
ITEM / TAG EXPECTE
NUMBER D TIME
RESULT

NAME NAME NAME NAME
Date Date Date Date

Comment / Remark :

NAME NAME NAME NAME

Date Date Date Date
Sheet 1 of 1

RFI No. RFI-CIV000101M-PP0001 Issued Date : 03 November 2017
MONTH DAY
1
Jul Aug Sep Oct Nov Dec 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Document Ref :
DISCIPLINE :CIVIL ✘ ELECTRICAL MECHANICAL INSTR/AUT PIPING PIPELINE TELECOM

PACKAGE
ITEM / TAG EXPECTED INSPECTION

No QC Code ITEM/TAG DESCRIPTION AREA/LOCATION
NUMBER TIME EXECUTION RESULT
CHECK AND VERIFY MEASURING

1 CIV 0001 01 M DEVICE SERTIFICATES FOR DCP CSTS QC OFFICE 14.00 ACC
and vernier caliper

NAME ABD RAHMAN NAME DIAN NAME EDWARD R NAME
Date 03 November 2017 Date 03 November 2017 Date Date

Comment / Remark :
INSPECTION PRESENCE : SUBCONTRACTOR ✘ CONTRACTOR ✘ COMPANY ✘ OTHER

NAME ABD RAHMAN NAME DIAN P NAME FREDDY R NAME
Date 04 November 2017 Date 04 November 2017 Date 04 November 2017 Date
Sheet 1 of 1

MONTH DAY
1
Document Ref :

PACKAGE

CHECK AND VERIFY TOPOGRAPHIC

1 CIV 0001 01 M INSTRUMENT CERTIFICATES CSTS QC OFFICE 08.00 ACC

NAME ABD RAHMAN S NAME DIAN P NAME EDWARD R NAME
Date 18 November 2017 Date 18 November 2017 Date Date

Comment / Remark :

NAME ABD RAHMAN NAME DIAN P NAME FREDDY R NAME
Date 19 November 2017 Date 19 November 2017 Date 19 November 2017 Date
Sheet 1 of 1

MONTH DAY
1
Document Ref :

PACKAGE

KOLIDA / DSZ - CHECK AND VERIFY AUTO LEVEL

1 CIV 0001 01 M CSTS QC OFFICE 08.00 ACC
C32 150487 CERTIFICATE

NAME EGI NUAMSYAH NAME OKTA R NAME LUMUMBA NAME
Date 12 December 2017 Date 13 December 2017 Date 17 December 2017 Date

Comment / Remark :

NAME LEORAT NAME UNTUNG H NAME LUMUMBA NAME
Sheet 1 of 1

RFI No. RFI-CIV000101M-PP0004 Issued Date : 12 December 2017
MONTH DAY
1
Document Ref :

PACKAGE

CSTS OFFICE
KOLIDA/KTS442 CHECK AND VERIFY TOPOGRAPHIC
1 CIV 0001 01 M SPORT HALL 08.00 ACC
R6 T297100 INSTRUMENT CERTIFICATES
MATOA

NAME EGI NUAMSYAH NAME OKTA R NAME LUMUMBA NAME

Comment / Remark :

NAME LEORAT NAME OKTA R NAME N SETYO NAME
Sheet 1 of 1

RFI No. RFI-CIV000101M-PP0005 Issued Date : 12 December 2017
MONTH DAY
1
Document Ref :

PACKAGE


1 CIV 0001 01 M DEVICE CERTIFICATES FOR DCP TRAIN 3 08.00 ACC
AND PRP (Field CBR Test)

NAME PUTU WISNU NAME OKTA R NAME DONO W NAME

Comment / Remark :

NAME LEORAT NAME OKTA R NAME DONO W NAME
Sheet 1 of 1

RFI No. RFI-CIV000101M-PP0006 Issued Date : 20 January 2018
MONTH DAY
1
Document Ref :

PACKAGE
INSPECTION
ITEM / TAG EXPECTED
NUMBER TIME
RESULT

1 CIV 0001 01 M DEVICE FOR CHECKING THE CSTS QC OFFICE 09.00
CONCRETE COATING THICKNESS

NAME EGI NUAMSYAH K NAME UNTUNG H S NAME LUMUMBA NAME
Date 20 January 2017 Date 21 January 2017 Date 25 January 2017 Date

Comment / Remark :

SUBCONTRACTOR (R) CONTRACTOR (R) COMPANY (R) OTHER
NAME ABD RAHMAN NAME UNTUNG HS NAME LUMUMBA NAME
Sheet 1 of 1

MONTH DAY
1
Document Ref :

PACKAGE


1 CIV 0001 01 M DEVICE CERTIFICATES FOR PRP TRAIN 3 09.00

NAME ABD RAHMAN S NAME OKTA R NAME LUMUMBA NAME

Comment / Remark :

NAME LEORAT NAME OKTA R NAME FREDDY R NAME
Sheet 1 of 1

MONTH DAY
1
Document Ref :

PACKAGE

CHECK AND VERIFY AUTO LEVEL

1 CIV 0001 01 M CERTIFICATES TRAIN 3 14.00

NAME NAME NAME NAME
Date Date Date Date

Comment / Remark :

NAME NAME NAME NAME
Date Date Date Date

Sheet 1 of 1

MONTH DAY
1
Document Ref :

PACKAGE


1 CIV 0001 01 M DEVICE CERTIFICATES FOR SAND TRAIN 3 08.00
CONE AND SPEEDY TEST

NAME NAME NAME NAME
Date Date Date Date

Comment / Remark :

NAME NAME NAME NAME
Date Date Date Date

Month DAY: RFI - Request For Inspection

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RFI - Request For Inspection

DISCIPLINE : CIVIL ELECTRICAL MECHANICAL INSTR/AUT PIPING PIPELINE TELECOM

SIGNATURE FOR NOTIFICATION / ACKNOWLEDGEMENT

NAME NAME NAME NAME

SIGNATURE SIGNATURE SIGNATURE SIGNATURE

Date Date Date Date

LEGEND : INSPECTION EXECUTION RESULT

ACCEPTED ; REJECTED ; POSTPONED ; CANCELLED

INSPECTION PRESENCE : SUBCONTRACTOR CONTRACTOR COMPANY OTHER

NAME NAME NAME NAME

SIGNATURE SIGNATURE SIGNATURE SIGNATURE

Date Date Date Date

Form Code : TEP-ITR-RFI-001

RFI - Request For Inspection

DISCIPLINE : CIVIL ELECTRICAL MECHANICAL INSTR/AUT PIPING PIPELINE TELECOM

SIGNATURE FOR NOTIFICATION / ACKNOWLEDGEMENT

NAME NAME NAME NAME

SIGNATURE SIGNATURE SIGNATURE SIGNATURE

Date Date Date Date

LEGEND : INSPECTION EXECUTION RESULT

ACCEPTED ; REJECTED ; POSTPONED ; CANCELLED

INSPECTION PRESENCE : SUBCONTRACTOR CONTRACTOR COMPANY OTHER

NAME NAME NAME NAME

SIGNATURE SIGNATURE SIGNATURE SIGNATURE

RFI - Request For Inspection

DISCIPLINE :CIVIL ✘ ELECTRICAL MECHANICAL INSTR/AUT PIPING PIPELINE TELECOM

ITEM / TAG EXPECTED INSPECTION

CHECK AND VERIFY MEASURING

SIGNATURE FOR NOTIFICATION / ACKNOWLEDGEMENT

NAME ABD RAHMAN NAME DIAN NAME EDWARD R NAME

SIGNATURE SIGNATURE SIGNATURE SIGNATURE

Date 03 November 2017 Date 03 November 2017 Date Date

LEGEND : INSPECTION EXECUTION RESULT

ACCEPTED ; REJECTED ; POSTPONED ; CANCELLED

INSPECTION PRESENCE : SUBCONTRACTOR ✘ CONTRACTOR ✘ COMPANY ✘ OTHER

NAME ABD RAHMAN NAME DIAN P NAME FREDDY R NAME

SIGNATURE SIGNATURE SIGNATURE SIGNATURE

RFI - Request For Inspection

DISCIPLINE :CIVIL ✘ ELECTRICAL MECHANICAL INSTR/AUT PIPING PIPELINE TELECOM

ITEM / TAG EXPECTED INSPECTION

CHECK AND VERIFY TOPOGRAPHIC

SIGNATURE FOR NOTIFICATION / ACKNOWLEDGEMENT

NAME ABD RAHMAN S NAME DIAN P NAME EDWARD R NAME

SIGNATURE SIGNATURE SIGNATURE SIGNATURE

Date 18 November 2017 Date 18 November 2017 Date Date

LEGEND : INSPECTION EXECUTION RESULT

ACCEPTED ; REJECTED ; POSTPONED ; CANCELLED

INSPECTION PRESENCE : SUBCONTRACTOR ✘ CONTRACTOR ✘ COMPANY ✘ OTHER

NAME ABD RAHMAN NAME DIAN P NAME FREDDY R NAME

SIGNATURE SIGNATURE SIGNATURE SIGNATURE

RFI - Request For Inspection

DISCIPLINE :CIVIL ✘ ELECTRICAL MECHANICAL INSTR/AUT PIPING PIPELINE TELECOM

ITEM / TAG EXPECTED INSPECTION

KOLIDA / DSZ - CHECK AND VERIFY AUTO LEVEL

SIGNATURE FOR NOTIFICATION / ACKNOWLEDGEMENT

NAME EGI NUAMSYAH NAME OKTA R NAME LUMUMBA NAME

SIGNATURE SIGNATURE SIGNATURE SIGNATURE

LEGEND : INSPECTION EXECUTION RESULT