CGK065-MAIN BUILDING PROJECT

PRESSURE TEST REPORT

DME Form No. CGK065-DME-FORM-M-005 Ref. RFSI No.

P&ID No. Date

Description

Water Filling
TYPE OF TEST Hydrotest Pneumatic Test Service Test
Test

Compressed Air
TEST MEDIUM Water Compressed Air
+ N²

OPERATING REQUIRED TEST REQUIRED MINIMUM APPLICABLE CODE OR

DESIGN PRESSURE
PRESSURE PRESSURE HOLDING TIME PROCEDURE

TEMPERATURE OF THE
HOLDING TIME ACTUAL TEST PRESSURE
SYSTEM BEING TESTED
DATE TESTED
Time Holding Time Holding Actual Holding Finished Finished
Start of Holding Start of Holding
Started Finished Time Holding Holding

12/30/1899

Range
Measuring and Test
Identification No. / Calibration Calibration Due
Instrument/Equipment Manufacturer Calibration Date
Serial No. Certificate No. (if Date
Used
applicable)

Notes:

1. Required test pressure shall be achieved at the pressure gauge located at the top of the system to be tested.

2. Please refer to attached P&ID for test boundary.

Remarks:

All joints and connections were examined for leakage and showed no evidence of leaking or weeping. The test found satisfactory

RESULT: ACCEPTED REJECTED

Prepared and Inspected by: Witnessed, Reviewed and Approved by: Witnessed, Reviewed and Approved by:

Signature Signature Signature

Name Name Name

Date 12/30/1899 Date Date

PT. DWIMITRA EKATAMA MANDIRI PT. TATAMULIA NUSANTARA INDAH RE / OWNER INSPECTOR
 PT. DWIMITRA EKATAMA MANDIRI PT. TATAMULIA NUSANTARA INDAH RE / OWNER INSPECTOR

CGK065-MAIN BUILDING PROJECT

PRESSURE TEST CHART

DME Form No. CGK065-DME-FORM-M-005 Ref. RFSI No.

P&ID No. Date

Description

0
Pressurization Actual Holding Time Visual Inspection Release
Pressure

Actual Test Actual Test

Pressure at start of Pressure when
holding finished holding
0 0

0
PRESSURE

Design Pressure

Time Holding Started Time Holding Finished

12:00 AM 12:00 AM

0
TIME ( minutes )

OPERATING REQUIRED TEST REQUIRED MINIMUM APPLICABLE CODE OR

DESIGN PRESSURE
PRESSURE PRESSURE HOLDING TIME PROCEDURE

0 0 0 0 0

TEMPERATURE OF THE
HOLDING TIME ACTUAL TEST PRESSURE
SYSTEM BEING TESTED
DATE TESTED
Time Holding Time Holding Actual Holding Finished Finished
Start of Holding Start of Holding
Started Finished Time Holding Holding

12/30/1899 12:00 AM 12:00 AM 0 0 0 0 0

 CGK065-MAIN BUILDING PROJECT

PRESSURE TEST CHART

DME Form No. CGK065-DME-FORM-M-005 Ref. RFSI No.

P&ID No. Date

Description

START OF HOLDING

FINISHED HOLDING
FINISHED HOLDING