WELDING INSPECTION REPORT

Company Name PT. Arga Bina Group Report No. 06/ABG/WIR/21

Client/Purchaser PT. PP (Persero) / PT. Ceria Nugraha Indotama Date

Project Name/Location Ferro Nickle Smelter Acceptance
Acceptance
Criteria Criteria AWS D1.1/D1.1M 2020
Product Truss

Fit Inspection Welding Inspection

Joint Configuration Welder
No. Member ID/Joint Bevel Angle Gap Groove Surface Welding Visual Result NDT Remarks
Stamp Date Elektrode Wire WPS Number Date
Fillet Groove Pass Fail Pass Fail Pass Fail Process Pass Fail

1 BL.10-2886-SKT400-2-A/B n/a V W.01 Acc Acc Acc 15-Jul-21 FCAW E71T-1 001/WPS/AWS/SMAW-FCAW/ABGE/IV/2021 Acc 0-Jan-00 n/a
2 BL.10-2886-SKT400-2-A/B n/a V W.01 Acc Acc Acc 15-Jul-21 FCAW E71T-1 001/WPS/AWS/SMAW-FCAW/ABGE/IV/2021 Acc 0-Jan-00 n/a
3 BL.10-2886-SKT400-2-A/B n/a V W.01 Acc Acc Acc 15-Jul-21 FCAW E71T-1 001/WPS/AWS/SMAW-FCAW/ABGE/IV/2021 Acc 0-Jan-00 n/a
4 BL.17-2886-SKT400-2-A/B n/a V W.01 Acc Acc Acc 15-Jul-21 FCAW E71T-1 001/WPS/AWS/SMAW-FCAW/ABGE/IV/2021 Acc 0-Jan-00 n/a
5 BL.03-2896-SKT400-2-A/B n/a V W.01 Acc Acc Acc 15-Jul-21 FCAW E71T-1 001/WPS/AWS/SMAW-FCAW/ABGE/IV/2021 Acc 0-Jan-00 n/a
6 BL.10-2896-SKT400-2-A/B n/a V W.01 Acc Acc Acc 15-Jul-21 FCAW E71T-1 001/WPS/AWS/SMAW-FCAW/ABGE/IV/2021 Acc 0-Jan-00 n/a
7 BL.17-2896-SKT400-2-A/B n/a V W.01 Acc Acc Acc 15-Jul-21 FCAW E71T-1 001/WPS/AWS/SMAW-FCAW/ABGE/IV/2021 Acc 0-Jan-00 n/a
8 BL.17-2896-SKT400-2-A/B n/a V W.01 Acc Acc Acc 15-Jul-21 FCAW E71T-1 001/WPS/AWS/SMAW-FCAW/ABGE/IV/2021 Acc 0-Jan-00 n/a
9 BL.17-2896-SKT400-2-A/B n/a V W.01 Acc Acc Acc 15-Jul-21 FCAW E71T-1 001/WPS/AWS/SMAW-FCAW/ABGE/IV/2021 Acc 0-Jan-00 n/a
10 BL.41-2896-SKT400-2-A/B n/a V W.01 Acc Acc Acc 15-Jul-21 FCAW E71T-1 001/WPS/AWS/SMAW-FCAW/ABGE/IV/2021 Acc 0-Jan-00 n/a
11 BL.41-2896-SKT400-2-A/B n/a V W.01 Acc Acc Acc 15-Jul-21 FCAW E71T-1 001/WPS/AWS/SMAW-FCAW/ABGE/IV/2021 Acc 0-Jan-00 n/a
12 BL.41-2896-SKT400-2-A/B n/a V W.01 Acc Acc Acc 15-Jul-21 FCAW E71T-1 001/WPS/AWS/SMAW-FCAW/ABGE/IV/2021 Acc 0-Jan-00 n/a
13 BL.41-3038-SKT400-2-A/B n/a V W.01 Acc Acc Acc 15-Jul-21 FCAW E71T-1 001/WPS/AWS/SMAW-FCAW/ABGE/IV/2021 Acc 0-Jan-00 n/a
14 BL.41-3038-SKT400-2-A/B n/a V W.01 Acc Acc Acc 15-Jul-21 FCAW E71T-1 001/WPS/AWS/SMAW-FCAW/ABGE/IV/2021 Acc 0-Jan-00 n/a
15 BL.41-3038-SKT400-2-A/B n/a V W.01 Acc Acc Acc 15-Jul-21 FCAW E71T-1 001/WPS/AWS/SMAW-FCAW/ABGE/IV/2021 Acc 0-Jan-00 n/a
16 BL.03-3437-SKT400-2-A/B n/a V W.01 Acc Acc Acc 15-Jul-21 FCAW E71T-1 001/WPS/AWS/SMAW-FCAW/ABGE/IV/2021 Acc 0-Jan-00 n/a
17 BL.03-3437-SKT400-2-A/B n/a V W.01 Acc Acc Acc 15-Jul-21 FCAW E71T-1 001/WPS/AWS/SMAW-FCAW/ABGE/IV/2021 Acc 0-Jan-00 n/a
18 BL.03-3427-SKT400-2-A/B n/a V W.01 Acc Acc Acc 15-Jul-21 FCAW E71T-1 001/WPS/AWS/SMAW-FCAW/ABGE/IV/2021 Acc 0-Jan-00 n/a
19 BL.03-3427-SKT400-2-A/B n/a V W.01 Acc Acc Acc 15-Jul-21 FCAW E71T-1 001/WPS/AWS/SMAW-FCAW/ABGE/IV/2021 Acc 0-Jan-00 n/a
20 BL.03-3427-SKT400-2-A/B n/a V W.01 Acc Acc Acc 15-Jul-21 FCAW E71T-1 001/WPS/AWS/SMAW-FCAW/ABGE/IV/2021 Acc 0-Jan-00 n/a

Prepared By Reviewed by Reviewed by Approved by

Involvement Party
PT. Arga Bina Group PT. PP (Persero) PT. PP EPC (Persero) PT. Ceria Nugraha Indotama

Signature

Name Abdi Utama

Sign Date 0-Jan-00
Job Title QC Insp.