FM-OPR-IT ; i PT. ADLWARNA _PRATAMA ms neers Seay Shr Sooo Cea Sabo 32850 COMPLETION SUMMARY REPORT Customer : PT. SUPERIOR ENERGY SERVICES AWPW.0. No. 019/AWPLINS/IKT/19 ‘Address ALAMANDA Building Suite A,D ‘Work Location _: Superior - Workshop . Sentul JLTB SIMATUPANG Kav-23-24Jkarta BOGOR Contact Person: Mr, Danang Date of inspection :March32,2019 ‘SERVICE DESCRIPTION ‘quantity provision of inspection service for Visual & Magnetic Particle Inspection On Lifting Point 1 {> 41/1615 KSIDE DOOR TRIPPER PACKS */s/N 12257106 R 1 Uni 2. [> 41/1615K 8x55 QUAD BOP LIFTING LY S/N: 0641 L 23682 2 Unit 3 |~ s00 186 Goosenecx: SIN :T66-11759 1 Unit 4 | > wseomuector V/ SIN: 3678 0302132 1 une Visual,dimensional and MPI On Master Link Shackle 1 | ~ Two lege Wire Rope Sling c/w Shackle S/N: 868788 1 Unit 2 | > Two lege Wire Rope Sling c/w Shackle. S/N: 868789 41 Unit 3 |~ One Legg Wire Rope Sling c/w Shackle S/N: 341-1 1 Unit 4 | ~ one Legg Wire Rope Sting c/w Shackle \ S/N: 341-2 1 Unit Total Inspection 8 Unit ‘Adi Warna Pratama ly Rohmani Inspector NOT: MT, PT, UT, Liting gear ADT WARNA FRATAMA INSPECTIONSPT. ADIWARNA PRATAMA 3 8 Sona eae SRE perp egcon eed MAGNETIC PARTICLE INSPECTION REPORT ‘SUPERIOR ENERGY SERVICES TAWP W.0. No. O19 (WP-IN SKY fares PAMANOA Bung Sue pees cox wT/ais1s 278 Smatwpana ertzeion Workshop Suan Tone POW os SPA a+ temDetspion + 1/16 TERSIDE DOOR THPPER Packs Customer see =| Serfal Number 12237106R Dete inspection 12 March 201: | scope st Wet + and Vial nspecton On Weld f Ut Pad [Mates a | t tel [WJestonstect | pnbient conston [EW] wees ae a Fg] Pea raptor [operates Lo] aterinien fae mesnion [Jone — TJ os Wvereisingcavoren|[V] ve [Tv] * oss wet [urentantMetod ting aoa ES F [ietied Conca etc peice roe ev wet LY] vebimon roe | Pesce [ieenatn 7 HF No 270832 [estou j | [emnannaton ero Wie Cone WORE sche a0 ei RECORD / PHOTOGRAPH DIMENSIONAL lenath [13am [wih em eight a50__em ra Eye Thick 745 ram Pad Eye Hole ola [] 39.52 mm wae ie Payload 6, MGM 200 he lastinspecton |] March 20 2018 Result: 1M Before load test Laccepuiite [L) ‘napaar FT. ADI WARNA PRATAMA MP" after load test ceptable pair 7 rafter load accept fe Yoj)ra Met only W ]acceptabe Repair | | ses ater Repair Jacceptabie [7] Repair Recommendations Acceptable 5 Went napection arch 2020 (Or Based Customer Spec) inspector NOT Level 2 MT,PT “ADT WARNA PRATANA INSPECTIONSEMOPR-GS PT. ADIWARNA PRATAMA oe MAGNETIC PARTICLE INSPECTION REPORT SUPERIOR ENERGY SERVICES AN Mo c19/AWP NSIS ‘AMANDA Buldng Suite AD report Ho oa-wr/ou939 | [LTB SimatupangKav- 73-24 Clandak Barat Werk ocation Workshop = Superior | 'S.0 No / PO No. Reference ‘SOP - AWP - 003 - BL | nembescipon +: 43/46 18 BK 158 QUAD BOP LIFTING Customer Spee | sera numer (643 23642 Date nspecton | scape ot Work 'MPl and Visual inspection On Weld of Ufing Ped ry [teeter orient <7 Tweiesw RECORD / PHOTOGRAPH [__piwensionat: ———] Teeth om with em eine t = (rodeveTmn | ral | Pad Eye ole Da |f 22.18 rom [Tare Mass kg Payload kg Mich 10s ast inspection [| Warsh 202017 Result MI Before oad test [ te [L] epar PT. ADI WARNA PRATAMA || weranericsstes acceptable [_]_Repat Srfyg wet only [iacceptaie FE] repair WP After Repair acceptable [7] Repair Wy Recommendations: Acceptable aaeueee ee | | Rohmant | Next Inspection March,20120 ( Or Bosed Customers Spec ) | Inspector NDTLevel2MT|PT | 1 ADT WARNA PRATANIA INSPECTIONSFMOPRIS PT. ADIWARNA PRATAMA | erecta rn (4) Wohi peerpapebasetid MAGNETIC PARTICLE INSPECTION REPORT coy SUPERIOR ENERGY SERVICES TAWP WO. No. ISAWPIN STI Address: "ALAMANDA Bullding Sult __ Report No +1 178 Smatupene Kav Work testion SO No/ PO Ne reference SOP-AWP-C03-BL tem Description 100 T8G GOOSENECK C/W TURN BUCKLE Customer spec Serial Number Tes ate inspection Mach 2019S ‘Scope of Work snd Visual Inspection On Weld of Lifting Pad | ser — entice | feeeconaton [TW wee ea — lage of xarination |[ W] Pores iapectonsr weracerrenar [Jw etre tos est Wot Aer ad ts | recone v yee rice Toe Ty] ver LW] vatieinon Fa RECORD / PHOTOGRAPH [DIMENSIONAL] Tenet T om wiath em neigh cm] ad tye Tack |] _2567__mm | Pad Eye Hole Dia {2623 mm! Payload wa 780__kg last inspection Result MPI Before load test acceptable Repair PT. ADI WARNA PRATAMA (MPI After load test acceptable Repair /4/s) ‘hg ‘wl only Y Jacceptable Repair Platter Repair Acceptable Repair Recommendations Kd Rohmani inspector NDT Level 2 MT;PT SDE WARNA PRATANIA RSPECTIONSPT. ADIWARNA PRATAMA pers. 5 FRCOPRLAS amo) MAGNETIC PARTICLE INSPECTION REPORT. ‘catoner SUPERIOR ENERGY SERVICES "AWP WO. Na, O19/AWPIN RTS ees [ALAMANDA Building Suite Report No (02-mir/o1s-19 JLT simatupang Kav 25-24 Clandak Barat Workocation Workshop - Superior SONo/ PO Re Tefrence SOP AWPOOEBL YremDerciption = HRGBOINJECTOR c/w RAI HANGGER mer spec ssi bar 3674- CC 302132 Date lnspecton March 2019 ‘Scope of Work MPI and Visual inspection On Weld of Lifting Pad [Wester see eroeere abit FW] as wercses Metal 1 [Ws wees Vm CO] ome éasrticeg Eauipmene|| WJ Yoke ‘Mosel /SN Meas rent and Method! Tufting Capacity 101s /45 Ks [Pole Spacing [Method ous Method | a ee - i RECORD / PHOTOGRAPH | [Pad Eve Thick 4s [PedEveHole bie ff] 4481 __mm rare Mase =e Payload ig = MoM 2800 __ ke Last Inspection March 20,2088 Result: MPI After load test MPI only MPI After Repair __ Acceptable ‘Next inspection MP Before load test Recommendations : Jacceptable [| Repair PT.ADIWARNAPRATAMA =| A JAcceptable oO Repair Yofy [i |acceptabie [_] Repair To eccentabte LE] Repair Inspector NDT Level 2 MT,PT “ADT WARNA PRATANA INSPECTIONS5 PY. ADI WARNA PRATAMA 4) SLING AND SHACKLE INSPECTION REPORT cee =F SreROR ERGY aes AAPWO Ma rsa nae Annexation eet osmosis on ae Daten sh 2 Reforeros. SOP AWP COOH - ‘Were Locaten Ww Superior _ | [eco Won 1] Maanati Parc Inspecin on ater nd Shactie | lenient Tbe repcwd [Do yetes Lifering — []ste arsine co | feet et faite a — Ageia 2 7a Se lin Pao 2a site Thatbein o feet zee — | cus e rat oc ce ea wo Teas = Teakoeses [ae | ct Ss Ta HDT SO ST __Rohmani_ Tape: MTP, Lig aPT. 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