INSPECTION AND TEST PLANT (ITP)

PERSONAL QUALIFICATION
SCHEDULE MANDAY

MIGAS CERTIFICATION
OF
TRUNKLINE PIPA Ø 4" Sch 40 Sepanjang ± 7.600 Meter
(List Attached)

OWNER : PT. PERTAMINA EP ASSET 1 FIELD JAMBI

PJIT : PT SUCOFINDO

PREPARED BY, REVIEWED BY,

PT. TRUBA MANDIRI PT SUCOFINDO

VERIFIED BY,
MIGAS
 Doc. No :
PIPING INSTALLATION WORKS INSPECTION & TEST Revision.No : 0
Revision Date :
PLAN Prepared by PT. TRUBA MANDIRI
Approved by : Migas RI
Project : SERTIFIKASI MIGAS TRUNKLINE PIPA Ø 4" Sch 40 Sepanjang ± 7.600 Meter Legend : 1 Prepare
User : PT. PERTAMINA EP ASSET 1 FIELD JAMBI 2 Inspect
Location : SP. SEI GELAM TO JUMPER LINE, FIELD JAMBI 3 Review
4 Witness
( ) Spot/Random Witness
CATEGORY : PIPING INSTALLATION WORKS

Truba Mandiri

3rd PARTY
OWNER
PROCESS DESCRIPTION INSPECTION
Ref. No ACTION BY REFERENCE DOCUMENT REFERENCE CRITERIA VERIFYING DOCUMENT FREQUENCY REMARKS
ACTIVITIES

1 Project Document
1,1 QA/QC Manual PT. TRUBA MANDIRI Owner Spec & Applicable Code QA/QC Manual 1 2 3
1,2 Rancang Bangun PT. TRUBA MANDIRI Owner Spec & Applicable Code Approved Drawing 1 2 3
( PI&D,Lay out,Piping Plan
and Isometric)
1.3 Joint Procedure Owner Specification SNI 13-3507-1994 Prosedur Penyambungan 1 2 3
1.4 Pneumatic Test Procedure PT. TRUBA MANDIRI Owner Spec & Applicable Code SNI 13-3507-1995 Prosedur Pengujian 1 2 3

2 Material Pipe
2,1 Hydrostatic Strength PT. TRUBA MANDIRI Owner Spec & Applicable Code ISO 4437 ISO 1167-1 & ISO 1167-2 Random 1 2 4
2,2 Elongotion at break PT. TRUBA MANDIRI Owner Spec & Applicable Code ISO 4437 ISO 6259-1 & ISO 6259-3 Random 1 2 4
2,3 Resistance to slow crack growth PT. TRUBA MANDIRI Owner Spec & Applicable Code ISO 4437 ISO 13480 & ISO 13479 Random 1 2 4
2,4 Visual and dimension check PT. TRUBA MANDIRI Owner Specification Owner Specification Material Certificate Random 1 2 4
2.5 Quantity & Quality PT. TRUBA MANDIRI Material List Owner Specification Inspection Report Random 1 2 4

Material Fitting, Valve & Metering

2.6 Review of Mill certificate PT. TRUBA MANDIRI Owner Specification Owner Specification Material Certificate & Once Time 1 2 4
Calibration Report
2.7 Visual and dimension check PT. TRUBA MANDIRI Owner Specification Owner Specification Material Certificate Random 1 2 4
2.8 Quantity & Quality PT. TRUBA MANDIRI Material List Owner Specification Inspection Report Random 1 2 4
 3 Pipe Installation
3.1 Stake Out/Pengukuran PT. TRUBA MANDIRI Design Drawing Design Drawing Approved Shop Drawing Each Line 1 2 4
3.2 Excavation & Reinstatement PT. TRUBA MANDIRI Design Drawing Perda PU & SNI 13-3507-1994 Inspection Report Once Time 1 2 4
3.3 Pipe Receiving PT. TRUBA MANDIRI Owner Specification SNI 13-3507-1994 & Material Receiving Report Random 1 2 4
SNI 13-3474-2002
3.4 Pipe Laying & Line Up PT. TRUBA MANDIRI Owner Specification SNI 13-3507-1994 & Methode & Procedure Installation Each Line 1 2 4
SNI 13-3474-2002
3.5 Jointing/Penyambungan PT. TRUBA MANDIRI Owner Specification SNI 13-3507-1994 & Connection Pipe Procedure Random 1 2 4
SNI 13-3474-2002
3.6 Pneumatic Test PT. TRUBA MANDIRI Owner Spec & Applicable Code SNI 13-3507-1994 & Pneumatic test Procedure Each Line 1 2 4
SNI 13-3474-2002
3.7 Plushing/Pembilasan PT. TRUBA MANDIRI Owner Specification SNI 13-3507-1994 Plushing Procedure Each Line 1 2 4

4 Hot Tapping
4.1 WPS & PQR PT. TRUBA MANDIRI API 2201 ASME Section IX Approved WPS & PQR Each Line 1 2 3
4.2 Welder's Perform Qualification Test PT. TRUBA MANDIRI API 2201 ASME Section IX Qualified Welder Each Line 1 2 3
4.3 Electrode Control PT. TRUBA MANDIRI AWS AWS Mill Certificate Each Line 1 2 3,4
4.4 HSE PT. TRUBA MANDIRI Kepmen 300 Kepmen 300 HSE Procedure Each Line 1 2 3
Peraturan Pemerintah NO.11-1979 Peraturan Pemerintah NO.11-1979
4.5 Konstruksi Hot Tapping PT. TRUBA MANDIRI Owner Spec & Applicable Code SNI 13-3474-2002 Prosedur Hot Tapping Each Line 1 2 3,4

5 MRS & RS

5.1 Document Review

- Drawing and Engineering documents Owner Specification Approved Procedure Approved document 1 2 3
- QA/QC and Construction procedures Owner Specification Approved Procedure Procedure 1 2 3
- HSE procedures Owner Specification Approved Procedure Procedure 1 2 3

5.2 Inspection and Test

Instrumentation
- Material verification Owner Specification Approved Procedure Material & test report 1 2 3,4
- Inspection of correct installation for tubing, Owner Specification Approved Procedure Inspection report 1 2 3,4
wiring instrumentation, and devices

5.3 Mechanical-Piping
- Material verification Approved Procedure Material & test report 1 2 3
- WPS/PQR and welder certificate Applicable code/standard Test report 1 2 3
- Welding production Project spec.& code/standard Inspection report 1 2 3
- Non Destructive Examination ASME V / ASME B 31.3 Test report 1 2 3
(Radiographic 100%)
- Inspection of correct installation for pipe- AFC drawing Inspection report 1 2 3
fitting and dimensional check
- Ball valve test Approved Procedure Test report 1 2 3
- Hydrostatic test for piping system (workshop) ASME B. 31.8 Test report 1 2 3,4
- Painting and sandblasting material and Approved Procedure Inspection report 1 2 3,4
application (Yellow, RAL 1021)
 5.4 Mechanical-Skid
- Material verification Approved Procedure Material & test report 1 2 3
- WPS/PQR and welder certificate Applicable code/standard Test report 1 2 3
- Welding production Project spec.& code/standard Inspection report 1 2 3
- Non Destructive Examination (Penetrant 10%) ASME V / ASME B 31.3 Test report 1 2 3
- Inspection of dimensional check AFC drawing Inspection report 1 2 3
- Painting material and application Approved Procedure Inspection report 1 2 3
(Grey, RAL 7035)

5.5 Precommissioning & Commissioning

- Instrument calibration certificate and verification Approved Procedure Calibration record 1 2 3,4
- SIT/Factory Acceptance Test (workshop) Approved Procedure Test report 1 2 3,4
- Meter certification Directorat Metrologi Approved Procedure DITMET certificate 1 2 3,4
- Site Acceptance Test (Commissioning) Approved Procedure Test report 1 2 3,4

5.6 Completion
- Mechanical Completion Approved Procedure Inspection report 1 Approved by Migas
- As-built drawing and final document Approved Procedure Drawing & document 1 Approved by Migas

Note : This ITP has been discussed and approved by all parties concerned during Pre-Inspection meeting

Prepared by, Reviewed by, Approved by,

PT. TRUBA MANDIRI PT. SUCOFINDO MIGAS
 CERTIFICATION WORK SCHEDULE & MANDAYS INSPECTOR
SERTIFIKASI MIGAS TRUNKLINE PIPA Ø 4" Sch 40 Sepanjang ± 7.600 Meter
OWNER : PT. PERTAMINA EP ASSET 1 FIELD JAMBI
DESCRIPTION : TRUNKLINE PIPA Ø 4" Sch 40 Sepanjang ± 7.600 Meter
SCHEDULE : DECEMBER 2014

DECEMBER
NO. ACTIVITY REMARK
01 - 05 06 - 10 11 - 15 16 - 20 21 - 25 26 - 31
1. Working permit

2. Review Document
- Pipeline Assesment Record
- Previous Wall Thickness Measurement Record
- Actual Wall Thickness Measurement Record
- NDT Procedure
- Previous NDT Report
- Hydrostatic Test Procedure (if any)
- Pneumatic Test Procedure (if any)
- Operation and maintenance Procedure

2. Inspeksi Lapangan
- Pemeriksaan Jalur Pipeline
- Pemeriksaan Visual
- Pengukuran Spot Ketebalan

3. Hydrostatic & Pneumatic Testing

4. Reporting
- Membuat laporan dan Penyelesaian Dokumen
- Menyerahkan dokumen ke Migas

5. SKPP
- Menyerahkan SKPP dan buku/dokumen
sertifikasi ke PT. PERTAMINA EP
 QUALIFICATION PERSONNEL FOR PT. PERTAMINA EP ASSET 1 FIELD JAMBI
SERTIFIKASI MIGAS TRUNKLINE PIPA Ø 4" Sch 40 Sepanjang ± 7.600 Meter

OWNER : PT. PERTAMINA EP ASSET 1 FIELD JAMBI

DESCRIPTION : TRUNKLINE PIPA Ø 4" Sch 40 Sepanjang ± 7.600 Meter

NO. NAME COMPANY QUALIFICATION REMARK

1. AGUNG AZIS SUKMOHADI PT SUCOFINDO PIPELINE INSPECTOR CERTIFICATION ATTACHED

 LIST OF EQUIPMENTS
SERTIFIKASI MIGAS TRUNKLINE PIPA Ø 4" Sch 40 Sepanjang ± 7.600 Meter
PT. PERTAMINA EP ASSET 1 FIELD JAMBI

No. Item No. Serial No. Description

TRUNKLINE PIPA Ø 4" Sch

1. -
40 Sepanjang ± 7.600 Meter