PENGEMBANGAN PIPA CB III

(Lomanis - Tasikmalaya) KSO HUTAMA KARYA - TIMAS SUPLINDO

WEEKLY WORK INSPECTION REQUEST (WIR)

CONSTRUCTION

Request No. : CON/HK-TIMAS/WEEKLY-WIR-105

Date : 24-Oct-21
Date of Inspection : 25 Oktober 2021 - 31 Oktober 2021

To : HK-TIMAS PIC : Heru Prihandhono

HP : 081282176033
CC : Randy Riza Kurniawan - Project Manager
: I Gede Agus Sudarmaji - Deputy Project Manager
: A. Imam Mahmud - Project Control Manager
PERTAMINA (PERSERO) : Ade Yohanda - Pengawas Lapangan
: Rizki Trisnaryanto - Pengawas Lapangan
: Deddy Kristianto - Pengawas Lapangan

Foreman : Suminto HSE : Agung Inspektor : Irfan

Area : KP 44+500 - KP 45+100 Time : 07:00 - 16:00 WIB OT : 16:00 - 21:00 WIB
No Item Pekerjaan Type of Inspection Verified document Remaks
1 Clearing grading Witness Field Sketch & Report
2 Stringing Witness Field Sketch & Report
3 Trenching, Lowering, Backfill Witness Field Sketch & Report Trenching max 18:00
4 Welding, NDT, FJC, Holiday Witness Report
5 Turap, Sandbeding Witness Report

Foreman : Tohari HSE : M Yon Inspektor : Killin

Area : KP 55+000 - KP 55+000 Time : 07:00 - 16:00 WIB OT : 16:00 - 21:00 WIB
No Item Pekerjaan Type of Inspection Verified document Remaks
1 Clearing grading Witness Field Sketch & Report
2 Stringing Witness Field Sketch & Report
3 Trenching, Lowering, Backfill Witness Field Sketch & Report Trenching max 18:00
4 Welding, NDT, FJC, Holiday Witness Report
5 Turap, Sandbeding Witness Report

Foreman : Joko HSE : Hendri Wantoro Inspektor : Rusmianto

Area : KP 64+000 - KP 69+500 Time : 07:00 - 16:00 WIB OT : 16:00 - 21:00 WIB
No Item Pekerjaan Type of Inspection Verified document Remaks
1 Clearing grading Witness Field Sketch & Report
2 Stringing Witness Field Sketch & Report
3 Trenching, Lowering, Backfill Witness Field Sketch & Report Trenching max 18:00
4 Welding, NDT, FJC, Holiday Witness Report
5 Turap, Sandbeding Witness Report

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Foreman : Yasto HSE : Joko P Inspektor : Cahyo
Area : KP 70+500 - 70+999 Time : 07:00 - 16:00 WIB OT : 16:00 - 21:00 WIB
No Item Pekerjaan Type of Inspection Verified document Remaks
1 Clearing grading Witness Field Sketch & Report
2 Stringing Witness Field Sketch & Report
3 Trenching, Lowering, Backfill Witness Field Sketch & Report Trenching max 18:00
4 Welding, NDT, FJC, Holiday Witness Report
5 Turap, Sandbeding Witness Report

Foreman : Masykur HSE : Eko A Inspektor : Arman

Area : KP 116+500 - KP 117+000 Time : 07:00 - 16:00 WIB OT : 16:00 - 21:00 WIB
No Item Pekerjaan Type of Inspection Verified document Remaks
1 Clearing grading Witness Field Sketch & Report
2 Stringing Witness Field Sketch & Report
3 Trenching, Lowering, Backfill Witness Field Sketch & Report Trenching max 18:00
4 Welding, NDT, FJC, Holiday Witness Report
5 Turap, Sandbeding Witness Report
6 Boring Witness Field Sketch & Report

Foreman : Siswoyo HSE : Bagus Suko Inspektor : Mukhlis

Area : KP 121+000 - 123+000 Time : 07:00 - 16:00 WIB OT : 16:00 - 21:00 WIB
No Item Pekerjaan Type of Inspection Verified document Remaks
1 Clearing grading Witness Field Sketch & Report
2 Stringing Witness Field Sketch & Report
3 Trenching, Lowering, Backfill Witness Field Sketch & Report Trenching max 18:00
4 Welding, NDT, FJC, Holiday Witness Report
5 Turap, Sandbeding Witness Report

Foreman : Iswandi / Benny HSE : Drajat Basuki Inspektor : Sariyo

Area : KP 123+000 - KP 124+000 Time : 07:00 - 16:00 WIB OT : 16:00 - 21:00 WIB
No Item Pekerjaan Type of Inspection Verified document Remaks
1 Clearing grading Witness Field Sketch & Report
2 Stringing Witness Field Sketch & Report
3 Trenching, Lowering, Backfill Witness Field Sketch & Report Trenching max 18:00
4 Welding, NDT, FJC, Holiday Witness Report
5 Turap, Sandbeding Witness Report

Foreman : Mahrubi / Sugiono HSE : Terbit Pasaribu Inspektor :

Area : KP 121+350 & KP 123+775 Time : 07:00 - 16:00 WIB OT : 16:00 - 21:00 WIB
No Item Pekerjaan Type of Inspection Verified document Remaks
1 Penguatan jembatan Awipari (KP Witness Field Sketch & Report
121+350)
2 Penguatan jembatan Condong Witness Field Sketch & Report
(KP 123+775)
3 Pemasangan bore pile Witness Report
4 Pemasangan pile cap Witness Report

Foreman : Viky Eka HSE : Inspektor :

Area : KP 00+000 - KP 126+100 Time : 07:00 - 16:00 WIB OT : 16:00 - 21:00 WIB
No Item Pekerjaan Type of Inspection Verified document Remaks
1 Pembongkaran PTH Witness Report

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Foreman : Romel HSE : Inspektor :
Area : KP 00+000 - KP 126+100 Time : 07:00 - 16:00 WIB OT : 16:00 - 21:00 WIB
No Item Pekerjaan Type of Inspection Verified document Remaks
1 Installation Cable FO Witness Report
2 Installation Marker Tape Witness Report
3 Installation Cathodic Protection Witness Report

Foreman : Widodo HSE : Inspektor :

Area : KP 26+300 - KP 27+500 Time : 07:00 - 16:00 WIB OT : 16:00 - 21:00 WIB
KP 68+500 - KP 71+000
KP 73+300 - KP 75+100
KP 89+300 (SMP N Cimaragas)
KP 106+000 - KP 107+000
KP 109+000 - KP 110+000
No Item Pekerjaan Type of Inspection Verified document Remaks
1 Reinstatement Witness Report

Foreman : Adi Dermawan HSE : Tyus Inspektor : Dewo

Area : KP 35+000 - KP 37+000 Time : 07:00 - 16:00 WIB OT : 16:00 - 21:00 WIB
No Item Pekerjaan Type of Inspection Verified document Remaks
1 Sondir Tanah Witness Report

Foreman : Subagio / Tegar HSE : Inspektor :

Area : KP 00+000 - KP 126+100 Time : 07:00 - 16:00 WIB OT : 16:00 - 21:00 WIB
No Item Pekerjaan Type of Inspection Verified document Remaks
1 Stringing & Loading Tools Witness Report

Note :

Prepared by Approved by,

HK-TIMAS PT. PERTAMINA

Heru Prihandhono Ade Yohanda Rizki Trisnaryanto Deddy Kristianto

Date : 24 Oktober 2021 24 Oktober 2021

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