Hydro Test Package

1 TEST PACK COVER PAGE

2 COMPLETION ACCEPTANCE CERTIFICATE

3 PUNCH LIST (a)

4 PUNCH LIST (b)

5 EQUIPMENT CHECK LIST

6 SAFETY REPORT

7 PIPEWORK PRETEST LIST

8 HYDROTEST & DATA RECORD

9 MONITORING & DATA TEST RECORD

10 APPROVED PRESSURE TESTING DIAGRAM

11 HYDROTEST REPORT

12 HYDROTEST REPORT

13 WELDING TRAVEL SHEET

14 HEAT TREATMENT REPORT

15 HARDNESS REPORT

16 ROUTING SLIP

A WELD TRAVEL SHEET

B FLUSHING & CHEMICAL CLEANING

C STATUS TEST PACK

D TEST PACKAGE LOG
E TESTING PIPING TOOL LIST
F EQUIPMENT LIST
G HYDRO EQUIPMENT LIST
H BILL OF MATERIAL
I SUMMARY OF MATERIAL
 Date

PROJECT NAME Page

Milestone No. Rev.

Subject : C O V E R

TEST PACKAGE NUMBER

A30-W-009

413838505.xls 01
 Date

PROJECT NAME Page

Contract No. Milestone No. Rev.

Subject : COMPLETION ACCEPTANCE CERTIFICATE Ref. : 2321-01-55-SPR-001R

Item :

Description :

Plant : Area :

INDEX OF ENCLOSED DOCUMENTS

No Description Doc. Ref. No. Description Doc. Ref.

1 Completion Acceptance Cert. 2321-01-55-SPR-001R 16 Approved Pressure Test Diagram 2321-01-55-SPR-004R

2 General Const. Punch. Report PM-0-01 17 Hydrostatic Test PM-H-02

3 Equipment Check List. 2321-01-55-SPR-002R 18 Piping & Instrument Diagram.

4 Safety Report SA-HST-01 19 Piping & Instrument Diagram.

5 Calib. Report Dead Weight M04142/A920 20 Weld Travel Sheet PM-I-14

6 Calib. Report Press. Recorder 3-02-98-211 21 NDT Report

7 Calib. Report Temp. Recorder 3-01-98-2024-B 22 Hydrostatic Test Calculation Sheet 2321-01-55-SPR-005R

8 Calib. Report Press. Gauge No.1 3-02-98-2010-G 23 Heat Treatment Instruction Sheet PM-I-09

9 Calib. Report Press. Gauge No.2 3-02-98-2010-F 24 Hardness Testting Record PM-J-07

10 Calib. Report Temp. Gauge No.1 3-01-98-2022-B 25 Isometric Drawing No.

11 Calib. Report Temp. Gauge No.2 3-01-98-2038 Isometric Drawing No.

12 Pipe Work Pretest Check List PM-H-01 26 Hydrostatic Test education sheets

13 Hydrotesting Test Report PM-H-02 27 Filiing Water & Disposal System 2321-00-74-DI-001R

14 Monitoring Data Sheet 2321-01-55-SPR-003R 28 Filter System Water Transfer 2321-00-74-DI-002R

15 Recording Chart 29 Pressure Test Of Piping Procedure MEC-10 Rev.2

This is confirm that associated work has been completed in accordance with the customers specifications and

relevant Industry Codes / Standards.

Punchlisted Items, see attached Punchlist. PM-O-01/1

Description P/L # Description P/L #

1 3

2 4

SUBCONT : SUBCON ENG. : SUBCON QC. :

DATE : DATE : DATE :

PRIME CONS. : PRIME MECH./ENG. : PRIME QC. :

413838505.xls 02
DATE : DATE : DATE :

413838505.xls 02
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PROJECT NAME Page

Contract No. Milestone No. Rev.

CO-001

Subject : GENERAL CONSTRUCTION PUNCHLIST REPORT Ref. : PM-O-01/2

Item No. Punchlisted Description / Drawing No. Punchlist Date Cleared Print Name
Category
19

20

21

22

23

24

25

26

27

28

29

30

Note Category Description :

- Category A; Item shall be corrected prior the further work being performed on such portion or similar portions of the Work and prior to
the milestone containing such portion of the Work being claimed by the Contractor for Payment.
- Category B; Item shall be corrected prior to the next stage of construction, installation, testing, commissioning or acceptance. If not
completed by such stage, Category B items shall be upgraded to category A.
- Category C; Item shall be completed prior to Performance Test Completion.
- Category S; Items are those items affecting operational safety and shall be completed prior to steam blow as and Functional
Testing of the Plant. If a Category item is identified during or after steam blows or Functional Testing of the
Plant, the Contractor shall immediately make safe such Defect Performance Test Completion shall not be achieved until
- Category C; Defect has been corrected to the Owner's reasonable satisfaction.

REMARK'S

SUB CONTRACTOR QC PRIME CONTRCTOR QC INSPECT

Print Name

413838505.xls PM-O-01/2
 Signature

Date

413838505.xls PM-O-01/2
 Date

PROJECT NAME Page

Contract No. Milestone No. Rev.

CO-001

Subject : GENERAL CONSTRUCTION PUNCHLIST REPORT Ref. : PM-O-01/1

PUNCHLIST NO. : MILESTONE DESCRIPTION :

DISCIPLINE : SYSTEM :
Item No. Punchlisted Description / Drawing No. Punchlist Date Cleared Print Name
Category
1

10

11

12

13

14

15

16

17

18

413838505.xls PM-O-01/1
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 Date

PROJECT NAME Page

Contract No. Milestone No. Rev.

Subject : EQUIPMENT CHECK LIST Ref. : 2321-01-55-SPR-002R

Test Package No. : Location :

No. Description Resp. Req. No. Description Resp. Req.

1 Two - Dry chemical fire SUB 20 Pressure Gauges x .

extinguishers Range : Psi

2 H2S Detector 21 Slings

3 Bacharach K-25 oxygen indicator 22 Relief Valves x .

4 J-W Sniffer combustible gas Set Pressure : psi

indicator 24 Chain Saw with oiler

5 Scaffolding / platform 25 Air winch / Tugger

6 Shoring (Temporary supports). 26 Slip Blinds

7 Hydrotest filling assembly Size WT Qty

8 Water tanker, with pump / Size WT Qty

pressure hose psi. Size WT Qty

9 Hydrotest Manifold Tester Size WT Qty

to psi. 27 Vent

10 Air Compressor 28 Drain

11 Welding Machine. 29 Temporary Bolts & Gaskets

12 Tower light with Generator. 30 High Volume Pump

13 Bolt tensioner / Torque Wrench. 31 Wedges / Flange Spreader

14 Impact Wrench. 32 Water Hose

15 Metal Grinders : 33 Filter System

110V Air

16 Brass Sledge Hammers

17 Come Along

18 Chain Fall

19 Shackles : Ton

Remark's

SUBCON QC INSPECT PRIME CONTR QC INSPECT

Print Name

413838505.xls 05
 Signature

Date

413838505.xls 05
 Rev. No. 0
Date

SAFETY PROCEDURE
FOR
HYDROSTATIC TEST

NO ITEM TO BE COMPLETED RESPONS YES NO N/A

BY
Notify all persons in the vacinity of the test area one
1
day in advance

2 Isolate the section of the pipeline to be tested

Install notices at acces point the puipeline to be

3
tested
The notices should read :
" danger keep off -
4
pipeline under test "

Rope off and install barrier around pipeline to

5
be tested
An authorised persons should not enter
6
acces points of the pipeline under test
Inform all personnel of hydrotest will be
7
carried out
All safety people must be ware of the danger
8 in case a pipe failure
occure during the test
No work shall be permitted on sections of the
pipe being tested or the associated
9 equipment connected to it until the
pressure has been reduced to bar
or less.
Obtain work permits necessary to execute the
10
hydrotest
Notify immediately emergency cases to
11
authorised person

12

13

SUB-CON CUSTOMER

Print Name

Signature

Date
 Date

Project Name Page

Contract No. Milestone No. Rev.

0
Subject : PIPE WORK PRE-TEST CHECK LIST Ref. : PM-H-01

LINE NO. : LOCATION:

FIELD : P.& I.D. N :

RESULT
Test / Inspection Items YES NO N/A

1. Check pipe loop against approved documentation.

2. Check that all NDT/Stress relieving requirements are as specified, have been met
and recorded.

3. Check that the correct bolts and gaskets are installed at all mechanical joints.

4. Check that all vents and drains are installed.

5. Check piping for correct schedule and type

6. Check that all pressure connections are installed correctly as per specification.

7. Check for direction of flow through filters and strainers, traps, check valves, globe
valves and control valves.

8. Check orifice valve tap connection.

9. Check that orifice flanges have required upstream and downstream "clearances'.

10. Check that the bores of all orifice flanges have been ground.

11. Check that all pipe supports are completely installed as per drawings and
schedules.

12. Check that all temporary pipe supports have been Install.

13. Check that gags on springs supports are in position.

14. Check that all chainwheels required for specified valves have been installed.

15. Check that all pipe seals have been installed.

16. Check that all orifice taps been seal welded and unused tapped holes have been
plugged and seal welded.

17. Check that all valves, sprinkler heads, rosettes, nozzles and other equipment

have been removed and connections plugged.

18. Check that all in-line valves are installed completely open and protected /
secured against unauthorized closing.

19. Check temporary spools, etc. have been installed.

20. Check test medium for conformity to requirements.

21. Check pressure gauge calibration correct.

22. Pipe line accepted for pressure test / and flushing.

SUB QA/QC INSPECTED PRIME QA/QC INSPECTED

Print Name
Signature
Date
 Date

PROJECT NAME Page

Contract No. Milestone No. Rev.

Subject : HYDROSTATIC TEST AND DATA RECORD Ref. : 2321-01-55-SPR-006R

Test package No. :

Plant : Area :
PIPE DATA : Spec. : Grade No. :
OD : WT :
TEST PRESSURE RANGE

Min : Max : Test Medium :

INSTRUMENT DESCRIPTION

ITEM RANGE CALIB. DATE SERIAL NO. MANUFACTURER ACCURACY

Pressure Recorder
Temperature Recorder
Pressure Gauge
Deadweight Tester

TIME GAUGE DEADWEIGHT AMBIENT PIPE METAL REMARK'S

PRESSURE PRESSURE TEMPERATURE TEMPERATURE

TESTING FIXTURE DESCRIPTION/REMARK'S : (OPTIONAL)

TEST WITNESSED :

SUBCON QA/QC
DATE

CLIENT DATE

DATE

413838505.xls 08
 DATE

413838505.xls 08
 Date

PROJECT NAME Page

Contract No. Milestone No. Rev.

CO-001
Subject : MONITORING DURING TESTING DATA SHEET Ref. : 2321-01-55-SPR-003R

Test Package No. :

PRESSURE (Psig) TEMPERATURE ( oF )
NO TIME DEAD WEIGHT RECORDER GAUGE GAUGE RECORDER GAUGE AMBIENT
( ON TOP ) ( ON BOTTOM ) ( ON TOP )

SUBCON QA/QC PRIME QA/QC CLIENT WITNESSED

Print Name
Signature
Date
 Date

PROJECT NAME Page

Contract No. Milestone No. Rev.

CO-001

Subject : APPROVED PRESSURE TEST DIAGRAM Ref. : 2321-01-55-SPR-004R

Test package No. :

Plant : Area :

Diff. Elevation. :
Design Pressure :
Test Pressure :
(1.5xPd+Diff. El.)
REMARK'S :

SUBCONT QC INSPECT PRIME CONT APPROVED

Print Name

Signature

413838505.xls 10
 Date

413838505.xls 10
 Date

Page
PROJECT NAME
Milestone No. Rev.

Subject : HYDROSTATIC TEST Ref. : PM-H-02/2

TEST SIGNATURES
ISOMETRIC
LINE NO. DRAWING FLOW SHEET ORIGIN TO TERMINATE
NUMBER PRESSURE DATE CONTRACTOR FWEL

REMARKS

INSPECTED SUBCON QC REVIEDED PRIME QC REMARKS

Print Name
Signature
Date
PM-H-022.
 Date

CONTRACT NAME Page

Contract No. Milestone No. Rev.

CO-001
Subject : HYDR0TESTING TEST REPORT Ref. : PM-H-02

LINE NO: LOCATION :

FIELD : P.& I.D. NO. :

LOOP APPROVED DOCUMENTATION :

LINE UNDER TEST :

FROM POINT :

TO POINT :

DESIGN PRESSURE : bar (psig)

TEST PRESSURE : bar (psig) AIR TEMP. : o

C (oF)

DURATION TEST : hours

DATE OF TEST :

START OF TEST :

END OF TEST :
OK
RECORDING INSTRUMENTS : CHECK CALIBRATION

TEST RESULT :

OK
ATTACHED : HYDROTEST TEMPERATURE CHARTS

Remark's

SUNCON QA/QC INSPECTED PRIME QA/QC INSPECTED

Print Name
Signature
Date
 Subject: WELD TRAVEL SHEET

CO - 001
Contract No.
SHEET : 1 OF 1 ENCLOSED DOCUMENT RELEASE FOR HYDRO TEST NDT REQUIRMENTS % FINAL ACCEPTANCE
MAIN
DATE : 1. ISO.DWG. CONTRACTOR CLIENT CONTRACTOR CONTR. CLIENT

ISOMETRIC DWG. 2321 - 10 - 74 - DDW - 201R 2.MATERIAL CERT. RT UT MT PT COMP.

LINE NUMBER 36" - T2 - 10 - 620 - TH 3. NDT REPORTS DATE DATE SIGN

EQUIPMENT PIPING 4. PWHT NAME

ARRANG DWG.No. WWS - ME - 11 - 206 DATE

WELDING NDT REPORTS

PT OR MT RT OR UT
(REPORT NUMBER) (REPORT NUMBER)
PIPE No. HEAT No. JOINT No. WPS No. WELDER No. TYPE OF CHECK SET PREHEAT VIS . ACC ACC REJ ACC REJ ACC REJ ACC REJ ACC REJ PWHT BRINELL REMARKS

JOINT UP SIGN SIGN ACCEPT ACCEPT

CONT. TO DWG.2321-57-74-DDW-201R

FW 1 ON 13412X WWR. BUTT WELD

PROJECT NAME
31526 8132909 FW 2 2321/QC/WPS/02 WWR. BUTT WELD

IP 620/57/05 GO 14074 FW 3 2321/QC/WPS/02 WWR. BUTT WELD

FW 4 2321/QC/WPS/02 WWR. BUTT WELD

31157 8132818 FW 5 2321/QC/WPS/02 WWR. BUTT WELD

IP 620/57/58 GO 14074 FW 6 ON 13412X WWR. BUTT WELD

CONT. TO DWG.2321-10-74-DDW-009R

Ref : PM - I - 14 / 1

DATE :
REV. 0

PAGE :
 Date

Page
PROJECT NAME
Contract No. Milestone No. Rev.
CO-001 0

Subject HEAT TREATMENT INSTRUCTION SHEET Ref. : PM-I-09

CONTRACT INSTR. SHEET NO. ...........................................

RECORDER SERIAL NO. .................................. DATE ................................................................................
..................................................................................................................................................................................................................

Heat Treatment required : .............................................. Start Time .............. Stop Time .............

Assigned to : ...........................................................................................................................................................................

Job Location and Conditions : .......................................................................................................................................................

Job Location and Conditions : .......................................................................................................................................................

Area ................................ Unit .................................................... Spool .............................................

Line Class .............................................. Heat Treat .......................... °C/HR

Field weld No. .............................................. Heating Rate .......................... °C/HR

Weld Procedure No. .............................................. Hold Time ..............................................

Preheat Maintenance .......................... °C/HR Cooling Rate .......................... °C/HR

DETAIL INSTRUCTIONS AND SKETCH

Remarks : ( To be filled by issuer )

PREPARED BY : DATE :
APPROVED BY : DATE :

PM-I-16.PM5
 Date

Page
PROJECT NAME
Contract No. Milestone No. Rev.
CO-001 0

Subject : HARDNESS TESTING RECORD Ref. : PM-J-07

Spool / Line / Weld

Location

REQUEST FOR HARDNESS TESTING

Date .............................
The lines noted below have been visually examined and are now ready for hardness testing.
Scaffolding is required and has been erected. .....................................................................................................................
These lines will be postweld heat treated and will require testing before
relocating equipment. ................................................................................................................................................................
...................................................................................................................................................................................................................

......................................................... ......................................
AREA SUPERVISOR

HARDNESS TESTING
....................... Date
The line noted above has been hardness tested and was ( not ) acceptable. ...............................................
......................................................................................................................................................................
......................................................................................................................................................................

Weld Number and hardness result.

WELD NO. BH WELD BH HAZ BH PIPE

.............................................................................. ....................................................................
N.D.E. SUBCONTRACTOR EXAMINER SITE NON-DESTRUCTIVE EXAMINER

PREPARED BY : DATE :
APPROVED BY : DATE :

PM-I-16.PM5
 PIPING HYDROTEST QC PACKAGE ROUTING SLIP No. : _________

PROJECT NAME
COMPANY NAME

ROUTING SLIP

Date Received: Preliminary Package Assessment

Subject: Package Review Status Hydrotest Package
Package No.: Tie-in Mech. Completion Package

Received by
PRIME CONTRACTOR Name QA/QC Engineer Date
Test pack Coordinator
Discrepancy Found
Description/Remarks
Ret. To Sub-Received Date Time
Ret. To Prime-Released Date Time

Name QC Engineer
PRIME CONTRACTOR QC Department
Name Weld. Pipe Insp. Date
Name NDT Weld. Engineer
Discrepancy Found
Description/Remarks
Ret. To Sub-Received Date Time
Ret. To Prime-Released Date Time

PRIME CONTRACTOR Construction Dept. Name Piping Superintendent Date

Discrepancy Found
Description/Remarks
Received Date Time
Released Date Time

PRIME CONTRACTOR Construction Dept. Name Chief Mech. Engineer Date

Discrepancy Found
Description/Remarks
Received Date Time
Released Date Time
Customer
Engineer Date
Const. Dept.
Discrepancy Found
Description/Remarks
Return to SC/DWI Date Time

PRIME CONTRACTOR Test Pack Coordinator Name QA/QC Engineer Date

Received by
Subcontrator QC
Date

Rev 0 Dated 7 July 1998.JP.iw

 Subcontrator QC
QC Department Date

Rev 0 Dated 7 July 1998.JP.iw

 No. : _________

PROJECT NAME
COMPANY NAME

ROUTING SLIP

Preliminary Package Assessment

Tie-in Mech. Completion Package

Rev 0 Dated 7 July 1998.JP.iw

Rev 0 Dated 7 July 1998.JP.iw
 SHEET : 1 OF RELEASE FOR HYDROTEST NDT REQUIREMENTS ; % FINAL ACCEPTANCE
ENCLOSED DOCUMENTS
MAIN
DATE : CONTRACTOR CLIENT CONTRACTO CLIENT
CONTRACTO
RT UT MT PT

Subject :
ISOMETRIC DWG. 1. ISO. DWG COMPANY

Contract No.
CO-001
LINE NO. 2. MATERIAL CERT. SIGNAT.

EQUIPMENT 3. NDT REPORTS NAME

ARRANG. DWG. NO. 4. PWHT DATE

REMARKS
WELDING NDT REPORTS

P.T. OR M.T. R.T. OR U.T.

P.W.H.T. BRINELL
( DATE OF TEST ) ( DATE OF TEST )
TYPE VISUAL
JOINT WPS WELDER
OF CHECK ACCEPT DATE DATE
PREHEAT ACC. REJ. ACC. REJ. ACC. REJ. ACC. REJ. ACC. REJ.
WELD TRAVEL SHEET

SET UP ACCEPTED ACCEPTED

NO. NO. NO.
JOINT SIGNATURE
PROJECT NAME

Ref. :
Milestone No.

PM-I-08/1
Rev.
Date

Page

PM-I-14.PM5
 PROJECT NAME Page
PROJECT
Contract No. Milestone No. Rev.
CO-001
Subject : FLUSHING, BLOWING AND CHEMICAL CLEANING Ref. :
ACCEPTANCE CERTIFICATE

TEMPORARY TEST BLIND FOR 36" TWO PASS LINE

8 - Rib Plate 12 thk

Reinforcement C-10 ( Typ )
( # Typ )
Diameter of Pipe
O 1200

t L

t = Thickness Temporary Blind Plate

L = Length temporary pipe spool

Remark's :

SUBCON QC INSPECTED PRIME QC REVIED

Print Name
Signature
Date
 Rev. 4 Dated 29/July/99
J. Parkinson
STATUS OF HYDROSTATIC TEST PACKS

Reconciliation
Handover QA
Date NDT Film Eng. Review Documentation
Hydrostatic Copy of QA/QC Managers name Name Review Including Copies
No. of Files Hydrostatic Original Control
No. Location Test Test Pack No. NDT Files send to CLIENT Completed Punchlisted Items sent to
Each Pack NDT Review Files
Completed Completed
Review NDT
Returned
Signature client
Approval
from NDT NDT Welding Engineering Name name Date

1 Wellpad WWA Completed A7-W-001 to A7-W-009 1 Completed Completed As record

1. Adjust sequencing of NDT reports
2. Final check to be completed of NDT OK OK OK OK
reports Golden Builts

2 Wellpad WWQ Completed A3-W-001 to A3-W-012 2 Completed Completed As record OK OK OK OK OK

3 Wellpad MBD Completed A1-W-001 to A1-W-012 2 Completed Completed As record OK OK OK OK OK

4 Pipeline – WWA to SS1 Completed A30-W-001 1 Completed Completed As record OK OK OK OK OK

5 WWQ – SS1 Completed A26-W-001 1 Completed Completed As record OK OK OK OK OK

6 MBD – SS1 Completed A24-W-001 1 Completed Completed As record OK OK OK OK OK

7 PH to SBS1 (Steam Line) Completed A21-W-001 to A21-W-003, A21-W- 5 Completed Completed As record OK OK OK OK OK
006, A21-W-008, A21-W-009, A21-
W-010, A19-W-001 to A19-W-008

8 Well pad WWF Completed A12-W-001, A12-W-002, A12-W-004, 1 Completed Completed As record OK OK OK OK OK
A12-W-005

9 Brine Line SS1 – WWW + Completed A17-W-001, A21-W-005, A35-W-001, 4 Completed Completed As record OK OK OK OK OK
WWF A36-W-001, A36-W-002, A41-W-001,
A44-W-002

10 Condesate Lines SBS to Completed A44-W-001, A17-W-007, A21-W-007, 4 Completed Completed As record OK OK OK OK OK
WWF A19-W-011, A19-W-014, A19-W-015,
A45-W-001, A19-W-016

11 Wellpad Area WWW Completed A13-W-001, A13-W-003, A13-W-004, 1 Completed Completed As record OK OK OK OK OK
A13-W-006

12 Wellpad WWP Completed A36-W-003 1 Completed Completed As record OK OK OK

13 Instrument Air Still under A19-A-001 1 As record OK OK OK OK OK

modification

Note: All test packs to be stored in DWI Library each night under control of Ucup TBC - TEST BLOCK CORELATION S - SIGNATURES
Test Package Completion Status Log

Job No. PROJECT NAME

Contract.

Flow Diagram Number :

Lines
Engineer Lines Heat Released
Test Package Engineer Re-Work Heat Hardness NDE Pressure
Re- Restored Tracing To
Number Inspection Complete Treatment test Clearance Ready For Tested
Inspect After Test Complete Insulate
Test

1212-1212
 20

1212-1212
 TESTING PIPING TOOL AND CONSUMABLE LIST

NO. DESCRIPTION QUANTITY UNIT STATUS REMARK'S

1 COMBINATION WRENCH 19 MM 4 PCs

2 COMBINATION WRENCH 22 MM 4 PCs
3 COMBINATION WRENCH 25 MM 4 PCs
4 COMBINATION WRENCH 29 MM 4 PCs

5 HAMMER WRENCH 35 MM 4 PCs

6 HAMMER WRENCH 38 MM 4 PCs
7 HAMMER WRENCH 41 MM 4 PCs
8 HAMMER WRENCH 44 MM 4 PCs

9 HAMMER 3 Kg 2 PCs
10 HAMMER 5 Kg 2 PCs
11 HAMMER 10 Kg 2 PCs

12 TEMP. GASKET 1500# 3 MM THK 4' X 8' 20 Sheet

13 SEAL TAPE PCs

14 SLIP BLIND 2"-150# Plate SS-41 10 mm Thk. 20 PCs

15 SLIP BLIND 3"-150# Plate SS-41 10 mm Thk. 5 PCs
16 SLIP BLIND 6"-150# Plate SS-41 10 mm Thk. 5 PCs
17 SLIP BLIND 8"-150# Plate SS-41 12 mm Thk. 6 PCs
18 SLIP BLIND 2"-300# Plate SS-41 10 mm Thk. 10 PCs
19 SLIP BLIND 3"-300# Plate SS-41 10 mm Thk. 5 PCs
20 SLIP BLIND 4"-300# Plate SS-41 12 mm Thk. 5 PCs
21 SLIP BLIND 6"-300# Plate SS-41 12 mm Thk. 3 PCs
22 SLIP BLIND 8"-300# Plate SS-41 20 mm Thk 5 PCs
23 SLIP BLIND 10"-300# Plate SS-41 20 mm Thk 2 PCs
24 SLIP BLIND 2"-600# Plate SS-41 12 mm Thk. 10 PCs
25 SLIP BLIND 3"-600# Plate SS-41 12 mm Thk. 10 PCs
26 SLIP BLIND 4"-600# Plate SS-41 12 mm Thk. 6 PCs
27 SLIP BLIND 30"-150# Thk. 40 (mm) Dia. 870 (mm) 6 PCs

28 TEMP. BLIND 36"-300# Thk. 40 (mm) Dia. 1200 (mm) 4 PCs

29 TEMP. BLIND FLANGE 12" - 150 # 6 PCs
30 TEMP. BLIND FLANGE 16" - 150 # 6 PCs
31 TEMP. BLIND FLANGE 36" - 150 # 2 PCs
32 TEMP. BLIND FLANGE 24" - 300# 2 PCs
33 TEMP. BLIND FLANGE 30" - 300# 2 PCs
34 TEMP. BLIND FLANGE 12" - 900# 2 PCs

35 BOLT & NUTS A193-B7 / A194-2H 5/8" X 150 100 Ea.

36 BOLT & NUTS A193-B7 / A194-2H 3/4" X 200 100 Ea.
37 BOLT & NUTS A193-B7 / A194-2H 7/8" X 200 100 Ea.
38 BOLT & NUTS A193-B7 / A194-2H 1" X 200 100 Ea.
39 BOLT & NUTS A193-B7 / A194-2H 1 1/4" X 250 80 Ea.
40 BOLT & NUTS A193-B7 / A194-2H 1 3/8" X 300 80 Ea.
41 BOLT & NUTS A193-B7 / A194-2H 1 1/2" X 300 60 Ea.
42 BOLT & NUTS A193-B7 / A194-2H 1 5/8" X 350 100 Ea.

413838505.xls / 21
 TESTING PIPING TOOL AND CONSUMABLE LIST

NO. DESCRIPTION QUANTITY UNIT STATUS REMARK'S

43 FIRE WATER HOSE 2.5" X 25 Kg/Cm2 500 Mtr

44 CHICAGO FITTING FOR FIRE HOSE 3" 20 Set

( MALE FEMALE )

45 GATE VALVE 2"-300# FLGD. 2 PCs

46 FLANGE 2"-300# RF. 8 PCs

413838505.xls / 21
PT. REKAYASA INDUSTRI
Engineering & Construction

EQUIPMENT LIST
PIPING HYDROSTATIC TEST

NO. DESCRIPTION RANGE PLAN REMARK'S

CAPACITY

1 DEAD WEIGHT TESTER 0 - 5000 Psi 1.00

2 PRESSURE RECORDER 0 - 1000 Psi 1.00

3 PRESSURE RECORDER 0 - 2000 Psi 1.00

4 PRESSURE RECORDER 0 - 4000 Psi 1.00

5 THERMOWELL 0 - 250 oF 2.00

6 TEMPERATURE GAUGE 0 - 250 oF 2.00

9 PRESSUE GAUGE 0 - 1000 Psi 6.00

10 PRESSUE GAUGE 0 - 2000 Psi 6.00

11 PRESSUE GAUGE 0 - 4000 Psi 2.00

12 PRESSURE SAFETY VALVE 600 Psi 1.00

13 PRESSURE SAFETY VALVE 800 Psi 1.00

14 PRESSURE SAFETY VALVE 1700 Psi 1.00

15 PRESSURE PUMP (PLUNGER) 5000 Psi 2.00

50 Ltr / Menit

16 FILLING PUMP (PLUNGER) 1000 Psi 1.00

100 GPM

17 FILLING PUMP (CENTRIFUGAL) 2.00

19 HIGH PRESSURE HOSE (Meter) 2000 Psi 50.00

20 WATER TANK 5000 Ltr 1.00

21 PIPE MANIFOLD OUTLET 1500 Psi 1.00

22 PIPE MANIFOLD INLET 1500 Psi 1.00

413838505.xls / 22
 PT. REKAYASA INDUSTRI
Engineering & Construction

HYDROSTATIC PIPING
EQUIPMENT LIST

NO. DESCRIPTION RANGE MARK SERIEAL EXPIRE DATE REMARK'S

LIMIT NO.

1 DEAD WEIGHT TESTER 0 - 5000 Psi CHANDLER 18007 30-Mar-99

2 PRESSURE RECORDER 0 - 1000 Psi ITT BARTON 202E-427032 30-Mar-99

0 - 300 oF 1-Apr-99

3 PRESSURE RECORDER 0 - 2000 Psi ITT BARTON 242E-33344 7-Jul-99

0 - 200 oF 7-Jul-99

4 PRESSURE RECORDER 0 - 4000 Psi ITT BARTON 242E-28827 27-Apr-99

0 - 200 oF 1-Apr-99

5 TEMPERATURE GAUGE 0 - 250 oF ASHCROFT ICAREZ-1 16-Mar-99

6 TEMPERATURE GAUGE 0 - 250 oF ASHCROFT ICAREZ-2 16-Mar-99

7 TEMPERATURE GAUGE 0 - 250 oF ASHCROFT ICAREZ-3 10-Jun-99

8 TEMPERATURE GAUGE 0 - 250 oF ASHCROFT ICAREZ-4 10-Jun-99

9 PRESSUE GAUGE 0 - 1000 Psi ASHCROFT 1000-1-98 16-Mar-99

10 PRESSUE GAUGE 0 - 1000 Psi ASHCROFT 1000-2-98 16-Mar-99
11 PRESSUE GAUGE 0 - 1000 Psi ASHCROFT 1000-3-98 16-Mar-99
12 PRESSUE GAUGE 0 - 1000 Psi ASHCROFT 1000-4-98 16-Mar-99
13 PRESSUE GAUGE 0 - 2000 Psi MC 2000-1-98 17-Mar-99
14 PRESSUE GAUGE 0 - 2000 Psi BOURDAN 2000-2-98 17-Mar-99
15 PRESSUE GAUGE 0 - 2000 Psi MC 2000-1-97 1-Sep-98
16 PRESSUE GAUGE 0 - 2000 Psi ASHCROFT 2000-2 18-Sep-98
17 PRESSUE GAUGE 0 - 4000 Psi 4000-1-98 18-Jun-99
18 PRESSUE GAUGE 0 - 4000 Psi 4000-2-98 18-Jun-99
19 PRESSUE GAUGE 0 - 4000 Psi 4000-3-98 18-Jun-99
20 PRESSUE GAUGE 0 - 4000 Psi 4000-4-98 18-Jun-99

413838505.xls / 23
 BILL OF QUANTITY MATERIAL
FOR HYDROSTATIC TEST PIPE MANIFOLD

NO SIZE DESCRIPTION QTY UNIT REMARK'S

1 4" PIPE A53-Gr.B SMLS SCH.80 BE 1.50 M

2 3/4" PIPE A53-Gr.B SMLS SCH.80 PE 3.00 M
3 4" CAP A234-WPB SMLS SCH-80 2.00 EA
4 3/4" HALF COUPLING A105 3000# SW 5.00 EA
5 3/4" HALF COUPLING A105 3000# THD 2.00 EA
6 3/4" PIPE NIPPLE A53-Gr.B SMLS SCH.80 200 LG. TOE 12.00 EA
7 3/4" ELBOW A105 3000# SW 3.00 EA
8 3/4" EQUAL TEE A105 3000# SW 1.00 EA
9 3/4" GATE VALVE A105 1500# BB/OS/Y SW 7.00 EA
10 3/4" CHECK VALVE A105 1500# SW 1.00 EA
11 3/4" UNION A105 3000# SW 2.00 EA

413838505.xls / 24
 COMPANY NAME
PROJECT NAME

Summary Test Blind

NO. Size & DESCRIPTION QUANTITY UNIT REMARK'S

Rating

1 2" - 150# Plate SS-41 10 mm Thk. 20 ea

2 3" - 150# Plate SS-41 10 mm Thk. 5 ea
3 6" - 150# Plate SS-41 10 mm Thk. 5 ea
4 8" - 150# Plate SS-41 12 mm Thk. 6 ea
5 4" - 300# Plate SS-41 12 mm Thk. 5 ea
6 2" - 300# Plate SS-41 10 mm Thk. 10 ea
7 3" - 300# Plate SS-41 10 mm Thk. 5 ea
8 4" - 300# Plate SS-41 12 mm Thk. 5 ea
9 6" - 300# Plate SS-41 12 mm Thk. 3 ea
10 8" - 300# Plate SS-41 20 mm Thk 5 ea
11 10" - 300# Plate SS-41 20 mm Thk 2 ea
12 2" - 600# Plate SS-41 12 mm Thk. 10 ea
13 3" - 600# Plate SS-41 12 mm Thk. 10 ea
4" - 600# Plate SS-41 12 mm Thk. 6 ea

Note : Prepared by: Dedi

Jika tebal plate yang diperlukan tidak tersedia, maka
digunakan plate yang lebih tebal.

413838505.xls / 25