PT KAO INDONESIA CHEMICALS

TECHNICAL & ENGINEERING DEPT

INSPECTION SHEET Doc no :
Date : 17 Mei 2019 Rev Date :
Plant : S3 Legend O Good X Bad
Inspection Item of Equipment
No Equipment Number Remarks
1 2 3 4 5 6 7 8 9
1 G-601 O O O O - - O O
2 G-602 O O O O - - O O
3 G-603 O O O O - - O O
4 G-605 O O O O - - O O
5 G-611 O O O O - - O O
6 G-615 O O O O - - O O
7 G-619 O O O O - - O O
8 G-626 O O O O - - O O
9 HK - 505
10 KM - 614
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
Inspection Item
1. Flange and Bolt 4. Pneumatic/hydrotest 7. Lubrication
2. Gasket 5. Cable Wiring 8. Visual Inspection
3. Valve Direction 6. Insulation 9. Others
Note
Contractor Inspector TE Inspector Production Inspector
 PT KAO INDONESIA CHEMICALS
TECHNICAL & ENGINEERING DEPT
INSPECTION SHEET Doc no :
Date : 17 Mei 2019 Rev Date :
Plant : UTILITY Legend O Good X Bad
Inspection Item of Equipment
No Equipment Number Remarks
1 2 3 4 5 6 7 8 9
1 G-001 O O O - O - O O
2 G-003 O O O - O - O O
3 G-005 O O O - O - O O
4 G-007 O O O - O - O O
5 G-009 O O O O O - O O
6 G-010 O O O O O - O O
7 G-011 O O O O O - O O
8 G-012 O O O O O - O O
9 G-013 HW Pump O O O O O - O O
10 G-013 O O O O O - O O
11 G-015 O O O O O - O O
12 G-200 O O O O O O
13 G-201 O O O - O - O O
14 G-403 O O O O O - O O
15 G-501 O O O O O - O O
16 G-502 O O O - O - O O
17 G-503 O O O - O - O O
18 G-504 O O O - O - O O
19 G-505 O O O - O - O O
20 G-513 O O O - O - O O
21 G-701 O O O O O - O O
22 G-705 O O O - O - O O
23 G-711 O O O O O - O O
24 G-713 O O O - O - O O
25 G-719
26 G-806
27 G-807
28 G-816
29 G-866
30 G-904

Inspection Item
1. Flange and Bolt 4. Pneumatic/hydrotest 7. Lubrication
2. Gasket 5. Cable Wiring 8. Visual Inspection
3. Valve Direction 6. Insulation 9. Others
Note
Contractor Inspector TE Inspector Production Inspector
 PT KAO INDONESIA CHEMICALS
TECHNICAL & ENGINEERING DEPT
INSPECTION SHEET Doc no :
Date : 17 Mei 2019 Rev Date :
Plant : UTILITY Legend O Good X Bad
Inspection Item of Equipment
No Equipment Number Remarks
1 2 3 4 5 6 7 8 9
1 G-001 O O O - O - O O
2 G-003 O O O - O - O O
3 G-005 O O O - O - O O
4 G-007 O O O - O - O O
5 G-009 O O O O O - O O

Inspection Item
1. Flange and Bolt 4. Pneumatic/hydrotest 7. Lubrication
2. Gasket 5. Cable Wiring 8. Visual Inspection
3. Valve Direction 6. Insulation 9. Others
Note
Contractor Inspector TE Inspector Production Inspector