F2820,F008C,04 Attachment-2 Page 16 0f 29

Procedure No. F2820-P0043-01

WELDING APPLIANCE
ll A
*f**
lnspection Date
INSPECTION STANDARD

User Dept TEIR Number

0wner Capacity Work Location

of Equipment: O Welding Machine Q lnverter

& Not tlardlo push lada dantldakiusah

beAva,lable & Good tunciton {Hrrus Ada.ian

{Putaran 86ik dan Vibrasj Hrlusl

& Good llerkun€i Rapat dan Eaikl

not leEk {teroedia,1.dak bocor;

Stiker Number
aiDlw*i llrlLlu
Stiker Number

/ 0032E - 03
F2820-F0080-04 Attachmeni-2 Page i6 of 29
Procedure No. F2820-P0043-01

WELDING APPLIANCE
trP INSPECTION STANDARD
IDorEaJlDl, t".arui ,*{c rr?l

Date
rnspection EE] / [ 0TZl / l' tfd-fTf8
*Td-- I user Dept iH Ts El-T-] rErRNumber TE f{fr-l-sTofd-T
owner -.- r.
ir-ll-lTlFTI-f_l-l*T_l capacity i?l-gIoTolwl workLocation ElqTRTIs IHlp
Type of Equipment : 0 Welding Machine O lnverter Contractor: PL ADIWARNA ANUGERAH ABADI
No ITEM
INSPECTION
-,iw- STANDARDS
METHOD lNSPECTlOl,l REASO'{ NOT INSPECTION RESULT FOR
vtsuat FUNCTION OWNTR USER ACt COMPLY

1
,ower Supply Swith lNlOff rs Good lFun€si Start Siop Baik) ox

rVciding Current A.jjust

lvailable & Not Hard Io Push {ada dan tidak slsah
OK
2

3 :urrent Meter !4ust Be Ayailable (8arus ADA) OK

\lust b€ Available & 6ood Funciton iHrrus Ada dan

4 o(
lFdirnsri t].no.. Biik)

an ox

6 lover .ock & Good lTerkunci Rapat dan Baikl OK

iuel tank $o leak (tidak bocor)

:uei tanJ.i rovcr lif; hi.fi anufa*urtrg itandarcl (raFt,

8

I lattery :cver all surfar€ {permukaan ienurup) OK

10 :xhaust !o leak (tidak bocor) ox

11 OK

12 ,4/elding aontador receptocle l;v€.over,m:n.,P54 {seml,iki lltup,m n.lp54) o(

/Joak,noi damaEe,sIo(age test oasseC
1J

nct expi.ed, m n. 2A1OBC(tersegei,l

;eaI, i id ik
14 OK
.edahr;rs; mrn ?Aloeai

t5 !d irliated {tidak kempesl

16 ls aAP slardard {sesuai dengan stanciard LAp} OK

nol l2ak (tersedia, l dak bdor)

77
ii.iiffi
tilSPEEriOzu iTAiUS sPECiAt tiOTE FRO&I AEI :
r--";:;,
o oAssED I, Stiker Number
l__j,ls,|
l, q,lrrf
I 4inl!i/lllTl!111
l,'lv1"i
i-;;-
o RLTLCT Irirrl- Stiker Number
[--+,lr'' 'f'W,l}*^
o HoLp J TT-f-f Nkme & Srgtature

lnspection Duratlon: To

Welding lnverter

FITEI/SEDl0032E-03
 AJTTACHMENT PHOTO

TRAFO LAS
STICKER NI-IMBER : A.DWIOZlTLIll
F2820-F0080-04 Attachment-2 Page lii oi 29
Procedure No. F2820-P0043..0 :t

i*_
tnspe*ionDare ioi
---nT- i[g
ol El / D-foFTs I
WELDING APPTIANCE
INSPECTION STANDARD
iPP/10/2012 & ostiA i910.243)
user Dept IFTS-IEI-T-l rErnNumber FTST:TSToToT]
A
-{ l-
lm !!w
owner lL n-ip lp CapeLity i-rTsl oTolwl work Location iwlo lilKl l lF l
Type of Equipment : O Welding N lachine O lnverter
INSPECTION METHOD INSPECTION RESUI.T REASON rOR ilOT
No INSPECTION ITEM STANDARDS
vtsuAL FUNCNON OWNER USER acl COMPLY

1 Pow€rSupply Swrih lN/Oft is GooJ (fundsi Stan Stop Eaik) ox

lvailable & Not Hard To Push {ada dan tidrk susah
Welding Current Adlusi OK

3 C!rrent Meter Must 8e Avariable {H.lnrs ADA) ol(

be Ayrilable & Good Funciton lH.rr!s Ada d:n
1 Buiton '.,lusl o(

6 CoYer .c.k & Gocd (Trrkunci ftapat d.n Baik) OK

7 fuel tark l{o leak {tidrk bo.or) i

iighi.manuta.tsr ng standafd lrapat,stander

8

9 Bailery :over ail surfa.€ ipe.mukaan tenutup) OK

10 Exhaust {o Jeak (tidak bocor) ox

Engine cortroi switah

l/ork,easy to slnnlsiop (bei{!rg:i,mtdah untuk
11 OK

t2 W€lci:i6.oninctor receptacle llave cover)fl ln-1P54 {mem liki tuiup,mrn.lP54l ox

f./oik,nol daff a!c,shonaea te:1 oass€d
ii aircuit brtrakei
li*d irtfiilin:i ir(;l !^r^< i,.r (h^drdi
seai,nci expirec,nin-2A10BC(rereegel,liick
Fire extiig!:!hei o(
k;rd.lurriA nrn 2AlOBil

15 liot lnil;ted {ti.iak kenoesl

16 AE CAP $taida.d {sesu6i dengah starda.cj CAill OK

x7 lctondtri Ccniarnment qvrilailie, not ieak {iersed:a, tidek bo.orl

IN)TEL I IUII !IAI Uf, HO?E FRoMAEI:

Stiker Number
AtujtriJlirLlr
^lnl!^/lJlTlrll
Stiker Nurnber BY

nspectlon OuraiioI} :

Welding lnverter

F/TEt lSEDl00-12E-03
 ATTA.CHMENT PHOTO

TRAFO LAS
STICKER NUMBER I ADwlA3/TLltl
 ATTACHMENT PHOTO

TRAFO LAS
STICKER NUMBER : AAWIAUTL/!!
F2820-F0080-04 Attachment-2 Page 16 of 29
Procedure No. F2820-P0043-01

LtA
WELDING APPLIANCE
{} INSPECTION STANDARD
{PPI5O/2O12 & OSHA 1910.243}

rnspection Date --aif- / Eim E I fzTOTlTEi

ITTII userDept Hl-sl-EfT-l rErRNumber ITTSETilrofdT
!________.ury__
owner fPT{FTP I Capacity ,T5TAT6-M workLocation IWITllTI.-fn-I-fP
fypeofEquipment: O WeldingMlachine a lnve.ter ContTactoT: PT. ADIWABNA ANUGERAH ABAD,

INSPECTION METHOD INSPICTIOII RESUIT AEASOT{ FOR NOT

No INSPECTION ITEM STANDAPDS
vtSuAL ruHcTlotv OWNER USER ACt COMPLY

1 Power 5!pply 5wilh lN/Offis 6ocd {fungsi Stad Stop Bnrk) ox

\varlable & Not Hard Io P!sh iada dan tidaksusah

2 ileldrng Curent Adjusi OK
lilekaii)

3 :utent Meter Must 8e Available lHarus ADA) OK

uust beAvarable & 6ood F!ilcito. (Har!sAda dnn

4 lufton OK
lert!ngsi D€ngnn Eaik)

5 ;hocih iPutaGn Brik dan vibrasl tlalusl OX

6 :over oc! & Ged {Terkun.i Rap?t d!n aaik) OK

7 lrel tark \6 leak (tidak hocori NIA

f ight,manufaclurif 6 stanCn.d {raprt,standar

I

9 Bafte4/ :aver all surtace (permukaan tetu!upJ

10 Exhaust Na leak {tidak bocor) OK

Work,easy to staftlstop {tratun8!i,mudah untuk

11 nBlne control raitch OK

12 Weiding coniaclor receptatle Have @ver,min.lP54 (memiliki tutup,nin,lP54) OX

Wo|k,Bot da.nag€,shofrrge 1e51

Pasied
13 Circuit b.€akcr o(
lbertunesi.ldak rusak.iole lest shoft agel
Seai.noi erpied,m!i-2AlOBCltef segel,tidrk
14 :ire extiilguisher OK
kadaluasa,min.2Al0BC)

15 lot iftfiated itidak kempesl

16 \G CAP standard lsesuai dengan standard l:iP] 0x

17 teaondan/ Contarnwnt lvailahle,,ld leakltersedia.tidakbo(or)

II;;;l
INSPE CTION STATUS SPECIAT NOTE FROM ACI :

Stiker Number
AIAIAIlITLI3IU
Stiker Number ,frtrol' APPRo\i/D dY

fo Holt_-l
l*A^
lame & Signattre @
f-ru.
lnsoection Dutation: To

Welding Machine Welding lnverter

F/TEt/SEDt0032E-03
 PT. PP (Persero) Tbk

€s
'. i r.'.
.'tlrlllEFt
1r 1

Add 0n Grati Block 2 150 MW Project

Finding Result & lnspection Report

Re-lnspectlon April 2018
Company : PT. Adiwarna Anugerah Abadi Owner : PT. PP (Persero) Tbk EPC Div

User HSE Equipment Desc. : Trafo Las

Number Date 2C1
NO PICTURE CONDITION FINDING ftE5ULT
TIDAK ADA KERUSAKAN PADA BODI
ME5IN IA' KONDISI ON/OFF BISA
DIGUNAKAN DENGAIV BAIK.
KABEL MASSA DAN KABEL POWER JUGA
TERPASANG DENGAN BAIK
L COMPLETE N/A

KONEKSI KE BAGIAN LISTIK MENGGUNA

KAN LE6RAND, DAPAT MEMPROTEKSI
AIR MASUK KE DALAMNYA

I 600D N/A

r"
ii

&
BAGIAN DALAM LEGRAND ]UGA DALAM
KONDISI YANG BAIK, TIDAK ADA BAGIAN
YANG MELELEH

1 GOOD N/A

w le EAGIAN SAMPING MESIN TASJUGA

ry: "1,q
TERPROTEKSI DENGAN BAIK,'TIDAK ADA
YANG TERSUKA, SEHING6A AMAN
UNTU( DIGUNAI(AN

cooD N/A
r ,'

*a.
lBg,.

MTSIN LAS INI LAYAK UNTUK DIGUNA(AN

f GOOD NIA
F2820-FOo80-1,4 Attachment-2 Page 16 of 29
Procedure No. F2820-P0043-01

WELDING APPLIANCE

**n_ INSPECTION STANDARD

(PPI5O/2012 & OSHA 1910.243)

lnspectionDate ---da-
I 0l 4l /l 0l 4l /l 2l 0l 1l el UserDept iHlslEl I I rErRNumber lElsl2lsl0l0l
owner ffn*trffin capacity irT3ToToIml workLocation Mq]E-Til5-fHT-
TypeofEquipment: OWeldingMachine alnverter Contractor: PT. ADIWARNA ANUGERAH ABADI
INgPECTION METHOD INSPECNON RESUI.T REASOTI FOR I{CT
No I}ISPECTION IIEM STANDARDs
VISUAL FUNCTION OWNER USER ACt coMptY

1 Pow€rSupplySwth ON/Offis GNd {F{ngsi start Stop BaikJ ox

Avallable & No! HardTo push {ada dan lidaksusah
2 WeldrnB C!.rent Adjust o(

3 Current Meter Must 8e Available illarus ADAI OK

Musi lF Avarlable & 6ood furliton (Harus Ada dan

1 Bd10n
A!:rUiho<i na6srn RiiLl
o(

5 Fan Smooth (Futaran Eaik dan Vibrrsi Hrlus) OK

6 C0ver Lock & 6ood lTerkuno Rapat dan &ikJ 0r(

? Fuel tailk No leak {tidak bacor)

f iSht,manulaclu.inS rianda.d {Epat,standar

I Fuel lankcover
pabikrnj
N/A

I Battery Cover all sud..e {permukaEn lenuiup)

10 lxhaust !o ]€ak (tidak boco.l OK

work,easy to stnf/stop (berfungsi,mud6h ontui(

11 Engine aontaol switah OK
siat/:too)
.12
WeldinE.oniador reeplacle Have aover.rrin.lP54 {memiliki tulup.min.lP54) OX

Uork,noi damrge,shonage tesl passed

1J Circuit breakcr ox
b€rfunssi,tldak rusak,lol6 lest shcdage)
;ea i, not €xpired, m! n.2A108C(te.segel,lida k
14 Far€ €Kiftguisher OK
iEdrl.r15a..irrn.2AlalBcl

15 lire wheel No1 inflrted itidak kempes) N/A

16 flame arrestor As CAP standard (s€suai dengan standard CAPI ot(

77 se.ondary Containment \vailab{€, not leak (tcrsedia. tidak bo.ori

IF -'"1
SPECIAT NOTE FROM ACI :

Stiker Number
AlAIAl2lTtl 411€
Stiker Number nppndGb\v

To Holp--l i;;iM
Inspection Duration: 4 Aprl 18 To 4 Mei 2018

Welding Machine w€lding lnverter

F/TEl/SED/0032E-03
l-
{r INDONESIA
rfilu=R
PT. PP (Persero) Tbk
Add 0n Grati Block 2 150 MW Project

Finding Result & lnspection Repcrt

{rs
Re-lnspection April 2018
Company : PT. Adiwarna Anugerah Abadi Owner : PT. PP (Persero) Tbk EPC Div

User : HSE Equipment Desc. : Trafo Las

Number t AAAlOzfiLl4ll,& Daie 201.8
NO PICTURE CONDITION FlNDlf\iG RESULT

TIDAK ADA KERUSAKAN PADA BODI

MESIN LAS, KONDISI ON/OFF BISA
.ir DIGUNAKAN DENGAN BAIK.
:$
KABEL MASSA DAN KABEL POWER IUGA
d
f
ffi COMPLETE N/A
TERPASANG DENGAN BAIK

KONEKSI KE BAGIAN LISIK MTNGGUNA

KAN LEGRAND, OAPAT MEMPROTEKSI
AIR MASUK KE DALAMNYA
BAGIAN DALAM TEGRAND JUGA DALAM

2 $
'*il GOOD N/A
KONDISI YANG BAIK, TIDAK ADA BAGIAN
YANG MEIEIEII

A;S*

BAGIAN SAMPING MESIN LAS JUGA

TERPROTEKSI DENGAN BAIK, TIDAK ADA
YANG TERBUKA, SEHINGGA AMAN
I,'NTU( DIGUNAKAN

GOOD NIA

BAGIAN KIPAS BELAKANG MESIN JUGA

BERFUNGSI DENGAN BAIK

GOOD N/A

MESIN LAS INI LAYAK DIGUNAKAN

5 GOOD N/A