INSPECTION REPORT

DIMENSION
PROJECT JASA PEMASANGAN BAG PLACER DAN AUTOMATIC TRUCK LOADER PACKER (TUBAN 2)

CUSTOMER PT SEMEN INDONESIA EQUIPMENT 63E BP1 NO RECORD 001

PK . NO 6410001554 DRAWING NO. 889772D DATE 1-Aug-21
Rev. No. 0 ITEM NO. PAGE 01 OF 01
UKURAN UKURAN
NO. DESCRIPTION DEV. TOL. NO. DESCRIPTION DEV. TOL.
DRAWING ACTUAL DRAWING ACTUAL
1 A 1935 1937 +2 ±3
B 1829 1830 +1 ±3
C 1461 1460 -1 ±3
D 1100 1101 +2 ±3
E 334.5 334 - 0.5 ±2
F 796 795 -1 ±2
G 928 926 -2 ±2

See Attachment

Recommendation Acceptable Unacceptable

Tuban,
Prepared by, Approved by, Reviewed by, Approved by,
Inspector / QC Site Manager PT. SIG PT. SIG

Dian Ferizal F Eko Budiono Marjuki ST

 INSPECTION REPORT
DIMENSION
PROJECT JASA PEMASANGAN BAG PLACER DAN AUTOMATIC TRUCK LOADER PACKER (TUBAN 2)

CUSTOMER PT SEMEN INDONESIA EQUIPMENT 63D BP1 NO RECORD 002

PK . NO 6410001554 DRAWING NO. 889772D DATE 9-Aug-21
Rev. No. 0 ITEM NO. PAGE 01 OF 01
UKURAN UKURAN
NO. DESCRIPTION DEV. TOL. NO. DESCRIPTION DEV. TOL.
DRAWING ACTUAL DRAWING ACTUAL
1 A 1935 1936 +1 ±3
B 1829 1828 -1 ±3
C 1461 1460 -1 ±3
D 1100 1100 0 ±3
E 334.5 335 + 0.5 ±2
F 796 795 -1 ±2
G 928 927 -1 ±2

See Attachment

Recommendation Acceptable Unacceptable

Tuban,
Prepared by, Approved by, Reviewed by, Approved by,
Inspector / QC Site Manager PT. SIG PT. SIG

Dian Ferizal F Eko Budiono Marjuki ST

 INSPECTION REPORT
DIMENSION
PROJECT JASA PEMASANGAN BAG PLACER DAN AUTOMATIC TRUCK LOADER PACKER (TUBAN 2)

CUSTOMER PT SIG EQUIPMENT PONDASI NO RECORD 003

PK . NO 6410001554 DRAWING NO. TBN2-63-C3-DW-010-E2-2021 DATE 22-Aug-21
Rev. No. 0 ITEM NO. PEDESTAL KOLOM PAGE 01 OF 01
UKURAN UKURAN
NO. DESCRIPTION DEV. TOL. NO. DESCRIPTION DEV. TOL.
DRAWING ACTUAL DRAWING ACTUAL
1 A 6000 6003 +3 ±5
B 6000 6002 +2 ±5
C 6050 6054 +4 ±5
D 6000 6002 +2 ±5
E 6000 6005 +5 ±5

See Attachment KOLOM 55 x 55 (EXISTING)

1 2

3 4
D

5 6 9 10

7 8 11 12
SALURAN EXISTING
C

KOLOM 55 x 55 (EXISTING)

13 14

15 16

KOLOM 55 x 55 (EXISTING)
B

( EXISTING )

17 21 KANSTIN ELv +98.400

18 22

19 20 23 24

375 375
A

Recommendation Acceptable Unacceptable

Tuban,
Prepared by, Approved by, Reviewed by, Approved by,
Inspector / QC Site Manager PT. SIG PT. SIG

Dian Ferizal F Eko Budiono Suma Cholis Marjuki ST

 INSPECTION REPORT
DIMENSION
PROJECT JASA PEMASANGAN BAG PLACER DAN AUTOMATIC TRUCK LOADER PACKER (TUBAN 2)

CUSTOMER PT SIG EQUIPMENT PONDASI NO RECORD 004

PK . NO 6410001554 DRAWING NO. TBN2-63-C3-DW-014-E2-2021 DATE 23-Aug-21
Rev. No. 0 ITEM NO. ANCHOR BOLT KOLOM K.1 PAGE 01 OF 01
UKURAN UKURAN
NO. DESCRIPTION DEV. TOL. NO. DESCRIPTION DEV. TOL.
DRAWING ACTUAL DRAWING ACTUAL
5 A 150 149 -1 ±2
B 200 201 +1 ±2

5' A 150 151 +1 ±2

B 200 201 +1 ±2

7 A 150 148 -2 ±2
B 200 199 -1 ±2

7' A 150 148 -2 ±2

B 200 200 0 ±2

See Attachment

KOLOM PEDESTAL K.1

50 cm x 50 cm

ANCHOUR BOLT Ø 24 mm

BASE PLATE
PL.25

Recommendation Acceptable Unacceptable

Tuban,
Prepared by, Approved by, Reviewed by, Approved by,
Inspector / QC Site Manager PT. SIG PT. SIG

Dian Ferizal F Eko Budiono Suma Cholis Marjuki ST

 INSPECTION REPORT
DIMENSION
PROJECT JASA PEMASANGAN BAG PLACER DAN AUTOMATIC TRUCK LOADER PACKER (TUBAN 2)

CUSTOMER PT SIG EQUIPMENT PONDASI NO RECORD 005

PK . NO 6410001554 DRAWING NO. TBN2-63-C3-DW-014-E2-2021 DATE 23-Aug-21
Rev. No. 0 ITEM NO. ANCHOR BOLT KOLOM K.2 PAGE 01 OF 01
UKURAN UKURAN
NO. DESCRIPTION DEV. TOL. NO. DESCRIPTION DEV. TOL.
DRAWING ACTUAL DRAWING ACTUAL
5' A 160 161 +1 ±2
B 250 249 -1 ±2

7' A 160 160 0 ±2

B 250 251 +1 ±2

See Attachment

KOLOM PEDESTAL K.1

50 cm x 50 cm

ANCHOUR BOLT Ø 24 mm

BASE PLATE
PL.25

Recommendation Acceptable Unacceptable

Tuban,
Prepared by, Approved by, Reviewed by, Approved by,
Inspector / QC Site Manager PT. SIG PT. SIG

Dian Ferizal F Eko Budiono Suma Cholis Marjuki ST