INSPECTION 

AND TEST PLAN1, 2 )

PROJECT :
USER :
LOCATION :
PJIT :

AR A : Approval Required MR
W : Actual Inspection T/C
S : Witness Inspection H
: Operation Surveillance/Provide

NO. ACTIVITY REFERENCE DOCUMENT VERIFIED DOCUMENT

1 DOCUMENT REVIEW
1 OWNER QA/QC Procedure - Manual Books - Design, Fabrication, Installation & Inspection
- ASME B 56.1 Procedure & Document
- NDT Procedure
2 Inspection Certificate & Operating Permit - Forklift Manufacturer Data Report & Forklift
of Facility of Forklift Base Support Manual
3 Forklift Manufacturer's Data Report & - Inspection, Maintenance, Repair & History
Forklift Manual Record
4 Installation Document of Forklift Support

5 Previous Inspection Report & MIGAS

Operating Permit Certificate
6 Forklift Repair & History Report

2 PHYSICAL FORKLIFT INSPECTION (PCI)

1 Structural Component - Inspection Procedure - Inspection Procedure
- Manual Books - Inspection Report
- ASME B 56.1
2 Hydraulic & Electrical Components

3 Lifting Chain

4 Fork & Mast

5 Welding & Bolting Connections

6 Non Destructive Testing (NDT)

7 Prime Mover

8 Cabin and Overhead Guard

9 Safety Devices

10 PCI Overall Comment

SPECTION AND TEST PLAN1, 2 )

: Monitoring V1 : Verification
: Review of Document 2 : 100%
: Test Certification Required : 10%
: Hold Point
INSPECTION LEVEL
VERIFIED DOCUMENT ACCEPTANCE CRITERIA
COMPANY PJIT MIGAS

- Design, Fabrication, Installation & Inspection - Inspection Procedure S R1 -

Procedure & Document - Manual Book, Specification & Regulation
- NDT Procedure
- Forklift Manufacturer Data Report & Forklift S R1 -
Manual
- Inspection, Maintenance, Repair & History S R1 -
Record
S R1 -

S R1 -

S R1 -

- Inspection Procedure - Inspection Procedure S V -

- Inspection Report - Manual Book, Specification & Regulation
S V -

S V -

S V -

S V -

S V -

S V -

S V -

S V -

S/AR V -
 INSPECTION AND TEST PLAN1, 2 )

PROJECT :
USER :
LOCATION :
PJIT :

AR A : Approval Required MR
W : Actual Inspection T/C
S : Witness Inspection H
: Operation Surveillance/Provide

NO. ACTIVITY REFERENCE DOCUMENT VERIFIED DOCUMENT

3 Recertification Action
1 Repair Procedure - Inspection Procedure - Inspection Procedure
- Manual Books - Rectification Procedure
- Regulation of Minister of Manpower - Inspection Report
2 Repair Activity Departement No. Per.05/MEN/1985
- ASME B 56.1
3 Inspection

4 Non Destructive Testing (NDT)

5 Resume of Rectification Action

4 FUNCTIONAL TESTING
1 Functional Testing Procedure - Inspection Procedure - Inspection Procedure
- Manual Books - Functional Testing Procedure
- ASME B 56.1 - Inspection Report
2 Functional Testing Execution

3 Post Functional Testing Inspection

4 Functional Testing Release Note

5 LOAD TESTING ( If Required )

1 Load Testing Procedure/Sequence - Inspection Procedure - Inspection Procedure
- Manual Books - Load Testing Procedure
- ASME B 56.1 - Inspection Report
2 Load Testing Execution

3 Post Inspection of Load Testing

4 Load Testing Release Note

NSPECTION AND TEST PLAN1, 2 )

: Monitoring V1 : Verification
: Review of Document 2 : 100%
: Test Certification Required : 10%
: Hold Point
INSPECTION LEVEL
VERIFIED DOCUMENT ACCEPTANCE CRITERIA
COMPANY PJIT MIGAS

- Inspection Procedure - Inspection Procedure S/AR R1 -

- Rectification Procedure - Manual Book, Specification & Regulation
- Inspection Report
S V -

S V -

S V -

S V -

- Inspection Procedure - Inspection Procedure S/AR R1 -

- Functional Testing Procedure - Manual Book, Specification & Regulation
- Inspection Report
S H -

S V -

S/AR AR -

- Inspection Procedure - Inspection Procedure S AR -

- Load Testing Procedure - Manual Book, Specification & Regulation
- Inspection Report S H H

S V -

S/AR AR -
 INSPECTION AND TEST PLAN1, 2 )

PROJECT :
USER :
LOCATION :
PJIT :

AR : Approval Required M : Monitoring

A : Actual Inspection R : Review of Docume
W : Witness Inspection T/C : Test Certification R
Point

NO. ACTIVITY REFERENCE DOCUMENT

6 REPORTING
1 Final Inspection Report - Inspection Procedure
2 - Manual Books
- ASME B 56.1
Inspection Certificate

Report Handling to MIGAS

3 MIGAS Operating Permit

Note
1 : This ITP is the minimum requirement, and for practical implementation, it shall be added necessarily in accordance with the actual Forklift type, model and or the contr
by the team formed by MIGAS.
 INSPECTION AND TEST PLAN1, 2 )

AR : Approval Required M : Monitoring V : Verification

A : Actual Inspection R : Review of Document 1 : 100%
W : Witness Inspection T/C : Test Certification Required 2 : 10% S : Operation Surveillance/Provide H : Hold
Point
INSPECTION LEVEL
VERIFIED DOCUMENT ACCEPTANCE CRITERIA
COMPANY PJIT MIGAS

- Inspection Report - Inspection Procedure S S -

- Inspection Certificate - Manual Book, Specification & Regulation
- New Load Chart & Table
- Any Recommendations - S -

S - -

- - S/AR

ssarily in accordance with the actual Forklift type, model and or the contract requirement. 2 : Regularly, this ITP will be reviewed and evaluated for a new revision