A. Civil Work SITE INSPECTION TEST AND PLAN

Doc. No.
: BBS-00-Q1-PL-003
PEMBANGUNAN FASILITAS PRODUKSI LAPANGAN BAMBU BESAR,
Discipline : Quality Control
PT PERTAMINA EP BBS & ABG DEVELOPMENT PROJECT
Doc. Type : Procedure
Rev. Date : 03-Agustus-2018

SITE INSPECTION TEST AND PLAN
Revision :0
NO INSPECTION / TEST ITEM REFERENCE ACCEPTANCE INSPECTION POINT REMARKS

DOCUMENT CRITERIA VERIFYING
CONTRAC Disciplin/ PEP PI/
DOCUMENT
TOR MIGAS
QC Inspector
A CIVIL WORK
1. EARTH WORK
1 General
1.1 Earth Work Procedure Code/Std & Code/Std & Procedure M R R
Specification Specification
2 EARTH WORK
2.1
Soil Investigation
a) Field Exploration Procedure Procedure Report M W SW
b) Laboratory Testing Procedure Procedure Report M R R
- Natural Moisture content
- Atterber Limit
- Gradation/Sieve & Hydrometer
- Specific Grafity
- Bulk Density
- Moister Density
- Consolidation test
- Unconfine Compression test
- UU-Triaxial Compression test
- Cu-triaxial Compression Test
- CD-Triaxial compression test
- Swelling test
- CBR(Soaked, Disturbed)
- Classification of Soils
- pH on Soil paste
- Organic Content
- Sulfate Content
REMARKS : Abbreviation :
W : Witness, SW : Witness Spot/Random, R : Review, S : Surveillance,
H: Hold Inspection , M : Subcontractor Inspection/Implementation
Doc. No. : BBS-00-Q1-PL-003

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QC Inspector
- Sulfate Content Procedure Procedure Report M R R

- Soil Resistivity Test
- Resonant Column test
- Proctor test
2.2 Topography Survey

a) Establishment of survey Procedure & Procedure & Report M W SW
reference point and bench marks Drawing Drawing
points
b) Location and elevation survey
for each civil construction activity
2.3 Site Preparation and Finishing

a) Clearing and removal on above Procedure & Procedure & Report M SW SW
ground surface ( Including trees, Drawing Drawing
scrub, stump)
b) Demolition, relocation, elevation
protection of existing facilities
c) Finishing (location, elevation,
slope, surface finishing)
d) Cut and Fill
e) General Clean Up
f) Geosintetik (If Required)

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TOR MIGAS
QC Inspector
2.4 Excavation
a) Investigation of existing Procedure & Procedure & Report M SW SW
underground facilities Drawing Drawing
b) Demolition, relocation or
protection of existing facilities
c) Excavation method and
procedure
d) Depth and width of
excavation
e) Stability of side protection
against earth sliding
f) De-watering (Pumps and
Well point)
g) Condition of excavation
bottom
h) Soil replacement (when
unsuitable soil is encountered at
excavated bottom)
2.5 Soil Backfill

a) Quality of backfill material Procedure & Procedure & Report M W SW
b) Cleaning (removal of trash and Drawing Drawing
debris)
c) Sand filling around underground
Pipe cable
d) Compaction test

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DOCUMENT
TOR MIGAS
QC Inspector
2.6 Banking Procedure & Procedure & Report M SW SW

a) Selection of banking material Drawing Drawing
b) Checking bank area before
banking operation
c) Thickness and width of banking
d) Compaction test
e) Top elevation, slope and
finishing
f) Slope protection
2.7 Disposal of Surplus Soil
a) Disposal area location, extent Report M W SW
and hauling way Procedure & Procedure &
b) Classification of soil for Drawing Drawing
backfilling, banking and filling
c) Piling method (height and extent)
2.8 Sand Bedding

a) Preparation of Bedding Sand Procedure & Specification Report M SW SW
Material
b) Cleaning (removal of trash and Drawing & Drawing
debris)
c) Sand filling for area to be sand
bedding
d) Check, elevation, slope and
finishing

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DOCUMENT
TOR MIGAS
QC Inspector
e) Compaction test
3 Completeness of Report Report M R R
2. CONCRETE WORK
1 REVIEW DOCUMENT Code/Std & Code/Std &

a) Concrete Work Procedure Specification Specification Procedure M R R
2 CONCRETE WORK
2.1 Leveling Concrete (if Adopted)
a) Elevation, extent, thickness, Procedure & Procedure & Report M W W
flatness and smooth surface of Drawing Drawing
leveling
b) Cleaning of leveling concrete
surface prior to rebar work and /
or form – work
2.2 Reinforcing Bar Work

a) Compliance of material with Procedure & Procedure & Report M W SW
standard
b) Storing condition Drawing Drawing
c) Surface cleaning
d) Location, shape, size,
number cleaning and spacing or
bars
e) Length and location of lap
splice

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DOCUMENT
TOR MIGAS
QC Inspector
f) Rigidity of rebar assembly to

withstand concrete pouring
2.3 Concrete Work

a) Cement type as per standard Concrete Concrete Report M W W
b) Mixing proportion (including Work Work
admixture, if used) Procedure Procedure
c) Form - work (size / cleaning)
d) Anchor bolts and embedded
items
e) Cleaning prior to concrete
placing
f) Preparation for construction
(equipment, tools, Labor, access
etc).
g) Curing period
h) Appearance of surface after
form removal
i) Mortar finishing (level,
chamfer, crack and mortar
proportion)
j) Concrete test (slump,
compressive strength, storage
condition of test cubes)

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DOCUMENT
TOR MIGAS
QC Inspector
3 Final Inspection / Work Completion Drawing Drawing Report M W W
4 Completeness Check of Report Report M R R
3 PILING WORK
3.1 General
Review Document
a. Piling & Test Procedure Code/Std & Code/Std & Procedure M R R
b. WPS/PQR AWS D1.1 /ASME AWS D1.1 /ASME WPS/PQR M R R
Sect.IX Sect.IX
c. Welder List & WPQT Record AWS D1.1 or ASME AWS D1.1 /ASME WPS/PQR M R R
Sect.IX Sect.IX
d. NDE Procedure AWS D1.1 or ASME AWS D1.1 or AWS D1.1 or ASME M R R
Sect.V ASME Sect.V Sect.V
3.2 Incoming material
a) Quality of pile materials Procedure Procedure Report M W W
3.3 Installation
a) Pile Load Test
b) Location, number and size of pile Piling & Test Piling & Test Report M SW SW
Procedure
c) Sequence of piling Procedure
d) Blow-count and tip elevation
e) Rebound for driven piling (test
piles and random for production

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DOCUMENT
TOR MIGAS
QC Inspector
piles) Rebound measurement will

be done by Contractor to
convince pile bearing capacity
f) Welding Inspection & NDE WPS & NDE WPS & NDE Report M W SW
Procedure Procedure
4. BUILDING
1 REVIEW DOCUMENT Code/Std & Code/Std &
a. Building Work Procedure Specification Specification Procedure M R R
2 CONCRETE WORK
2.1 Leveling Concrete (if Adopted)
a) Elevation, extent, thickness, Procedure & Procedure & Report M W SW
flatness and smooth surface of Drawing Drawing
leveling
b) Cleaning of leveling concrete
surface prior to rebar work and /
or form – work
2.2 Reinforcing Bar Work

a) Compliance of material with Procedure & Procedure & Report M W SW
standard
b) Storing condition Drawing Drawing
c) Surface cleaning
d) Location, shape, size, number
cleaning and spacing or bars
e) Length and location of lap splice

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DOCUMENT
TOR MIGAS
QC Inspector
f) Rigidity of rebar assembly to

withstand concrete pouring
2.3 Concrete Work

a) Cement type as per standard Concrete Concrete Report M SW SW
b) Mixing proportion (including Work Work
admixture, if used) Procedure Procedure
c) Form - work (size / cleaning)
d) Anchor bolts and embedded
items
e) Cleaning prior to concrete
placing
f) Preparation for construction
(equipment, tools, Labor, access
etc).
g) Curing period
h) Appearance of surface after form
removal
i) Mortar finishing (level, chamfer,
crack and mortar proportion)
j) Concrete test (slump,
compressive strength, storage
condition of test cubes)

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DOCUMENT
TOR MIGAS
QC Inspector
2 Brick and Block Work

2.1 Material Procedure & Procedure & Procedure M SW SW
Drawing Drawing
a. Layer Number of one Day
b. Location of Door and Window
3 Water Proofing
Material Procedure & Procedure & Procedure M SW SW
Drawing Drawing
a. Dry Surface for Laying Proofing
b. Overlap for Joint
c. Laying of Insulation Board
4 Door, Window, Partition (Wood, Procedure & Procedure & Procedure M SW SW

Aluminum and other Non Wood Drawing Drawing
Material)
a. Type and Size
b. Fixed Condition of Glass
c. Cleaning
d. Functional Test
5 Wall, Ceiling and Floor Finishing Procedure & Procedure & Procedure M SW SW
Drawing Drawing
a. Material
b. Joint Type
c. Appearance of Finish

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DOCUMENT
TOR MIGAS
QC Inspector
6 Carpenter and Joiner Procedure & Procedure & Procedure M SW SW

Drawing Drawing
a. Material
b. Setting Position
c. Joint Type
d. Appearance of Finish
7 Roofing and Cladding Procedure & Procedure & Procedure M SW SW

Drawing Drawing
a. Material
b. Setting Position
c. Joint Type
d. Appearance of Finish

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DOCUMENT
TOR MIGAS
QC Inspector
5. HVAC
1 General
1.1 HVAC Installation Procedure Code/Std & Code/Std & Procedure M R R
1.2 Inspection and Testing Procedure M R R
1.3 Layout Drawing of HVAC Equipment M R R
& Ducting
2 Equipment Installation Drawing

1) Specification Tag Procedure & Procedure & Report M W W
2) Visible damage specification specification M W W
2.1 Ducting Work

1) Material and Size Drawing, Procedure & Report M SW SW
Procedure & specification
specification
2) Hangers & Rods M SW SW
3) Route M SW SW
4) Leakage Test M SW SW
2.2 Piping Work

1) Material and Size Drawing, Procedure & Report M SW SW
Procedure &

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TOR MIGAS
QC Inspector
2) Hangers & Rods specification specification M SW SW

3) Route M SW SW
4) Leakage Test M SW SW
2.3 Insulation Work
1) Material and Thickness Procedure & Procedure & Report M W W

specification specification
2) Visible Damage M W W
2.4 Painting Work
1) Material Check Procedure & Procedure & Report M W W

2) Painting Schedule M W W
3) Visible Damage M W W
2.5 Automatic Control Work
1) Instrument Location Procedure & Procedure & Report M W W

2) Wiring Check specification specification M W W
3) Sequence Check M W W
2.6 Functional Test

1) Performance Test for HVAC Procedure & Procedure & Report M W W
System specification specification

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DOCUMENT
TOR MIGAS
QC Inspector
6. AC Split
1 General
1.1 AC Split Installation Procedure Code/Std & Code/Std & Procedure M R R
1.2 Inspection and Testing Procedure M R R
2 Equipment Installation Drawing

- Specification Tag Procedure & Procedure & Report M W W
- Visible damage specification specification M W W
3 Performance Test
2) Performance Test for AC split Procedure & Procedure & Report M W W

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TOR MIGAS
QC Inspector
7. STEEL STRUCTURE
1 General
1.1 Review Document
a) Installation/Construction Code/Std & Code/Std & Procedure M R R
Procedure Specification Specification
b) WPS/PQR AWS D1.1 /ASME AWS D1.1 /ASME WPS/PQR M R R
Sect.IX Sect.IX
c) Welder List & WPQT Record AWS D1.1 or ASME AWS D1.1 /ASME WPS/PQR M R R
Sect.IX Sect.IX
d) NDE Map & NDE Procedure AWS D1.1 or ASME AWS D1.1 or AWS D1.1 or ASME M R R
(if required) Sect.V ASME Sect.V Sect.V
e) Painting Procedure Painting Spec Painting Spec. Painting Procedure M R R
Receiving Inspection
1.2
a. Material Identification (incl. :
Marking, Heat No, Color Coding, Receiving Receiving
Etc)
b. Visual and Dimensional Inspection Inspection Report M W W
Inspection
c. Check Material Quantity Procedure Procedure
d. Check Completeness of
Documentation
2 Installation
2.1 Check Foundation readiness Procedure Procedure Report M W W

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TOR MIGAS
QC Inspector
2.2 Pre-assembly of joint connection Drawing Drawing Report M SW SW

2.3 Erection column assembly Drawing Drawing Report M SW SW
2.4 Install infill, lattice steel work, bracing Drawing Drawing Report M W W
at all levels
2.5 Check structure for line and level Drawing Drawing Report M W W
(adjust as necessary)
2.5 Check of plumbnes /verticality (adjust Procedure Procedure Report M W W
as necessary)
2.6 Torque bolts to correct tension Procedure Procedure Report M SW SW
2.7 Welding Inspection (If any) Report M W W
a. Edge Preparation (Cleaning, WPS, Drawing, WPS, Drawing,
Surface Condition, Groove) AWS D1.1 & AWS D1.1 &
b. Check Tack Welding Specification Specification
c. Visual Welding/NDE (if required)
2.8 Grouting Report M W W
a. Surface preparation, clean and Grouting Procedure Grouting
roughness Procedure
b. Preparation of form work
c. Application (mixing, pouring)
d. Testing
2.9 Painting (If any) / Touch-Up Painting Procedure Painting Report M W W
a. Surface Preparation Procedure
b. Painting Process
c. Visual
d. Dry Film Thickness Check
2.10 Final Inspection / Work Completion Drawing Drawing Report M W W

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DOCUMENT
TOR MIGAS
QC Inspector
3 Completeness Check of Report Report M R R
8. GROUTING WORK
1 Review Document Code/Std & Code/Std & Procedure
1.1 Grouting Procedure Specification Specification M R R
2 Grouting Work
a) Cement type as per specification
b) Mixing proportion (including
admixture, if used)
c) Form - work (size / cleaning) Procedure & Procedure & Report M W SW
d) Anchor bolts and embedded Manufacturer Manufacturer
items
e) Cleaning prior to concrete Standard Standard
placing
f) Curing period
g) Appearance of surface after form
removal
h) Mortar finishing (level, chamfer,
crack and mortar proportion)
i) Grout test (compressive
strength)-if required

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DOCUMENT
TOR MIGAS
QC Inspector
9. DRAINAGE
1 Review Document
1.1 Construction Procedure Code/Std & Code/Std & Procedure M R R
2 Drainage Work
2.1 As Approved Location and Crossing Drawing Drawing Report M W W

Road
2.1 Sewer Piping

a) Materials inspection of pipe Procedure & Procedure & Report M SW SW
b) Slope, elevation, location and Drawing Drawing
alignment of pipes
c) Connection of pipe and manhole
d) Water Filling Test prior to
backfilling
e) Holiday Test if coated and
wrapped
2.2 Open Ditch
a) Concrete work as per concrete Procedure & Procedure & Report M SW SW
work ITP Drawing Drawing
b) Straightness, elevation, depth,
width and side slope of ditch

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TOR MIGAS
QC Inspector
c) Surface finishing + Stone

Pitching
10. ENTRANCE ROAD /ACCESS ROAD

1 Review Document Code/Std & Code/Std &
1.1 Construction Procedure Specification Specification Procedure M R R
2 Road Work
2.1 Sub-grade for Pavements
a) Quality of sub grade material M SW SW
b) Compaction test Procedure & Procedure & Report
c) Surface finishing, slope and Drawing Drawing
elevation
2.2 Granular Sub-base for Pavements
a) Quality of sub-base material M SW SW
(sieve test)
b) Thickness check Procedure & Procedure & Report
c) Compaction test Drawing Drawing
d) Surface finishing, slope and
elevation
2.3 Concrete Pavement
a) Sub-grade for Pavement Procedure & Procedure & Report M SW SW
b) Granular sub-base for Pavement Drawing Drawing
c) Elevation of high point and low
point
d) Thickness of concrete pavement
e) Concrete work

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TOR MIGAS
QC Inspector
f) Surface finishing and slope
2.5 Gravel Surface M W W

a) Finishing of sub grade Procedure & Procedure & Report
b) Quality of gravel material Drawing Drawing
c) Elevation, extent and thickness
of gravel spreading
2.6 Asphalt Concrete Pavement

a) Sub-grade for Pavement Procedure & Procedure & Report M W W
b) Granular sub-base for Pavement Drawing Drawing
c) Material inspection of asphalt
concrete materials
d) Mixing proportion and
temperature of materials
e) Prime coat or tack coat
f) Compaction / density test.
g) Location, elevation and width
h) Thickness, cross sectional slope
and
i) flatness
j) Timing of release to traffic

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QC Inspector
11. ACCESSORIES & MISSCELANEOUS
1 Review Document Code/Std & Code/Std &

1.1 Construction Procedure Specification Specification Procedure M R R
2 Miscellaneous Work
2.1 Fencing and Gate
a) Material inspection Procedure & Procedure & M W W
b) Alignment, top elevation and Drawing Drawing Report
location
c) Spacing of poles
d) Location of gate
2.2 Cable Trench and Underground
Piping
a) Excavation Procedure & Procedure & Report M SW SW
b) Filling around cable as per Drawing Drawing M SW SW
Backfill ITP (not to damage
cable surface or pipe wrapping /
coating)

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DOCUMENT
TOR MIGAS
QC Inspector

A. Civil Work SITE INSPECTION TEST AND PLAN

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Doc. No.

Rev. Date : 03-Agustus-2018

NO INSPECTION / TEST ITEM REFERENCE ACCEPTANCE INSPECTION POINT REMARKS

Rev. Date : 03-Agustus-2018

NO INSPECTION / TEST ITEM REFERENCE ACCEPTANCE INSPECTION POINT REMARKS

- Sulfate Content Procedure Procedure Report M R R

2.2 Topography Survey

2.3 Site Preparation and Finishing

Rev. Date : 03-Agustus-2018

NO INSPECTION / TEST ITEM REFERENCE ACCEPTANCE INSPECTION POINT REMARKS

2.5 Soil Backfill

Rev. Date : 03-Agustus-2018

NO INSPECTION / TEST ITEM REFERENCE ACCEPTANCE INSPECTION POINT REMARKS

2.6 Banking Procedure & Procedure & Report M SW SW

2.8 Sand Bedding

Rev. Date : 03-Agustus-2018

NO INSPECTION / TEST ITEM REFERENCE ACCEPTANCE INSPECTION POINT REMARKS

1 REVIEW DOCUMENT Code/Std & Code/Std &

2.2 Reinforcing Bar Work

Rev. Date : 03-Agustus-2018

NO INSPECTION / TEST ITEM REFERENCE ACCEPTANCE INSPECTION POINT REMARKS

f) Rigidity of rebar assembly to

2.3 Concrete Work

Rev. Date : 03-Agustus-2018

NO INSPECTION / TEST ITEM REFERENCE ACCEPTANCE INSPECTION POINT REMARKS

3 Final Inspection / Work Completion Drawing Drawing Report M W W

4 Completeness Check of Report Report M R R

Rev. Date : 03-Agustus-2018

NO INSPECTION / TEST ITEM REFERENCE ACCEPTANCE INSPECTION POINT REMARKS

piles) Rebound measurement will

2.2 Reinforcing Bar Work

Rev. Date : 03-Agustus-2018

NO INSPECTION / TEST ITEM REFERENCE ACCEPTANCE INSPECTION POINT REMARKS

f) Rigidity of rebar assembly to

2.3 Concrete Work

Rev. Date : 03-Agustus-2018

NO INSPECTION / TEST ITEM REFERENCE ACCEPTANCE INSPECTION POINT REMARKS

2 Brick and Block Work

4 Door, Window, Partition (Wood, Procedure & Procedure & Procedure M SW SW

Rev. Date : 03-Agustus-2018

NO INSPECTION / TEST ITEM REFERENCE ACCEPTANCE INSPECTION POINT REMARKS

6 Carpenter and Joiner Procedure & Procedure & Procedure M SW SW

7 Roofing and Cladding Procedure & Procedure & Procedure M SW SW

Rev. Date : 03-Agustus-2018

NO INSPECTION / TEST ITEM REFERENCE ACCEPTANCE INSPECTION POINT REMARKS

2 Equipment Installation Drawing

2.1 Ducting Work

2.2 Piping Work

Rev. Date : 03-Agustus-2018

NO INSPECTION / TEST ITEM REFERENCE ACCEPTANCE INSPECTION POINT REMARKS

2) Hangers & Rods specification specification M SW SW

2.3 Insulation Work

1) Material and Thickness Procedure & Procedure & Report M W W

1) Material Check Procedure & Procedure & Report M W W

2.5 Automatic Control Work

1) Instrument Location Procedure & Procedure & Report M W W

2.6 Functional Test

Rev. Date : 03-Agustus-2018

NO INSPECTION / TEST ITEM REFERENCE ACCEPTANCE INSPECTION POINT REMARKS

2 Equipment Installation Drawing

Rev. Date : 03-Agustus-2018

NO INSPECTION / TEST ITEM REFERENCE ACCEPTANCE INSPECTION POINT REMARKS

Rev. Date : 03-Agustus-2018