Inspection and Test Plan (ITP)

Rotating Equipment Certification

PT PERTAMINA EP ASSET 5 SANGASANGA FIELD

(DAFTAR TERLAMPIR)

Disiapkan Oleh : Disiapkan Oleh : Review oleh : Diketahui Oleh :

PT Pertamina EP Asset 5 PT Lerindro Internasional PT Superintending MIGAS
Sangasanga Field Company of Indonesia

_______________________ Gilang Ramadhan ________________

 INSPECTION AND TEST PLAN FOR CENTRIFUGAL PUMP CERTIFICATION

OWNER / USER : PT PERTAMINA EP ASSET 5 SANGASANGA FIELD PEP : PT PERTAMINA EP ASSET 5 SANGASANGA FIELD DOC. NO. : /EP3610//2021

INSPECTION COMPANY : PT SUPERINTENDING COMPANY OF INDONESIA SCI : PT SUPERINTENDING COMPANY OF INDONESIA DATE ISSUE : November 2021

VENDOR : PT LERINDRO INTERNASIONAL PTLI : PT LERINDRO INTERNASIONAL REV : 1

Inspection Level
No Activity Verifying Document Acceptance Criteria
PTLI SCI PEP MGS

I PREPARATION

1. ITP Development Aprroved ITP - P, A R, A R, A

2. Compile Supporting Documnet Document Check-List - P, A R, A R, A

II DOCUMENT REVIEW

API 674 R
1. Manual / Operation Book Manual / Operation Book P R

 Lay Out Drawing API 674 R

2. Drawing and Engineering P R
 P&ID Drawing
API 674 R
3. Factory Acceptance Test FAT Report P R

API 674 R
4. Site Acceptance Test SAT Report P R

III FIELD INSPECTION

A. Visual Inspection
- Verification Pump Part Report API 674 W P W
- Verification Driver Report API 674 W P W
- Verification Foundation Report API 674 W P W
- Verification Leaking Report API 674 W P W
- Verification Piping System Report API 674 W P W
- Verification Safety Device Report API 674 W P W
- Verification Instrument Report API 674 W P W
- Verification Name Plate Report API 674 W P W
 INSPECTION AND TEST PLAN FOR CENTRIFUGAL PUMP CERTIFICATION

OWNER / USER : PT PERTAMINA EP ASSET 5 SANGASANGA FIELD PEP : PT PERTAMINA EP ASSET 5 SANGASANGA FIELD DOC. NO. : /EP3610//2021

INSPECTION COMPANY : PT SUPERINTENDING COMPANY OF INDONESIA SCI : PT SUPERINTENDING COMPANY OF INDONESIA DATE ISSUE : November 2021

VENDOR : PT LERINDRO INTERNASIONAL PTLI : PT LERINDRO INTERNASIONAL REV : 1

Inspection Level
No Activity Verifying Document Acceptance Criteria
PTLI SCI PEP MGS

B. Field Test

- Vibration Measurement Test Report API 674 P W W

- Temperature Measurement Test Report API 674 P W W

Permen 13 tahun 2011 BAB II pasal 5,
- Sound Level Measurement Test Report P W W
kemenaker, API 674
- Rotation (RPM) Measurement Test Report API 674 P W W
- Flow Measurement Test Report API 674 P W W
- Grounding Measurement Test Report API 674 P W W
IV REPORTING

1. Final report Inspection Report SOP PT NSK Doc no. NS-OBD-03-18 R P R, A

SOP no. NS-OBD-01-18, Per Men ESDM
2. Certificate of Inspection Certificate Of Inspection R P R
No.18/2018 Bab III

LEGENDS:
Perform/ Provide (P)
The execution of a scope of work / An activity to create and deliver a document for review and/or approval

Witness (W)
A designated activity that requires a 2 Weeks advance notification to COMPANY or its appointees and certifying authorities. Work may proceed on schedule if COMPANY or its appointees or
certifying authorities fail to show at the appointed time for the activity. Activity may be waived by COMPANY or its appointees and shall be in writing.

Approval (A)
Document shall be subject for approval prior to activity commencement

Review (R)
Document to be reviewed and commented prior to activity commencement