Document No :

WUR E-QAC-ITP-EW-048
INSPECTION AND TEST PLAN
Date:
PT.RIFANSI DWI PUTRA

Issued by Revision: Page:

PT PERTAMINA HULU ROKAN
QA/QC DEPT. 0 1 of 2

PT RIFANSI DWI PUTRA

PT.Singgar Mulia

OWNER
PT. PERTAMINA HULU ROKAN

CONTRACT NO.39PHR20-0091

PROJECT TITLE
CONSTRUCTION SERVICE WUR E - 39PHR20-0091

Topography Survey For Wells in North Area

WO No. RDP-67/PHR100/2021-S0

Issued For Review and

0
Approval

Prepared Checked Approved

REV. DATE DESCRIPTION
PT. Rifansi Dwi Putra PT.Singgar Mulia PT.Pertamina Hulu Rokan
 Project : Topography Survey For Wells in North Area
WO No : RDP-67/PHR100/2021-S0
INSPECTION & TEST PLAN AT FIELD DISCIPLINE : WUR E-QAC-ITP-DISCIPLINE-048

LEGEND:
"H" = HOLD POINT " W " = WITNESS INSPECTION " SW " = SPOT WITNESS
"A" = APPROVAL DOCUMENT " R " = REVIEW AND COMMENT " D " = VERIFICATION BY REPORT

QUALITY CONTROL QUALITY CONTROL

RDP

PHR
SM
NO ACTIVITY/PROCESS DESCRIPTION ACCEPTANCE CRITERIA
ACTIVITY PROCEDURE REFERENCE

SURVEYING
1 DOCUMENT REVIEW

1.1 Review all technical specification, drawing, procedures & work instruction, Vendor doc. Scope of Work R R R/A

1.2 All tech. spec, procedures, work instruction shall be clarified, understood & implemented Approved Technical Spec's Drawing, Tech. Spec Contract Document R R R/A

1.3 Finalise deviation, generate new procedure and work instruction if required & Implementation Owner Procedure & Spesification R R R/A

2 CHECK TOOLS & EQUIPMENT CALIBRATION VALIDITY Review document Base Practice Valid Certificate R R R

3 SITE PREPARATION

3.1 Field calibration Inspection Best Practice Check Conerstory Of Length W W SW

3.2 Check accuracy Inspection Best Practice W W SW
3.3 Correct Coordinates and elevation Inspection Best Practice As per scope of work W W SW

As per scope of work Refer to Company PHR Bench

3.4 Bench Mark and elevation Inspection Best Practice W W SW
Mark

3.5 Recording Review survey record Best Practice As per scope of work W/D R R/A
3.6 Marking Inspection & Report Best Practice Survey Data W/D SW SW
4 TOPOGRAPHIC SURVEY

4.1 Survey and stake out location with Control Polygon or GPS Inspection report IFC Drawing Closed Control Polygon W/D W/R SW/A

5 FINAL INSPECTION
5.1 Punch list and close out Inspection & Report Best Practice All Punchlist Clear R R R/A

PREPARED BY, REVIEWED/APRROVED BY, APPROVED BY,

QA/QC RDP QA/QC SM PT. PHR