PROJECT NAME PROJECT SYMBOL

INSPECTION & TESTING PLAN

DOC. NO. : REV NO. : 00

ACTIVITY : DATE :

INSPECTION LEVEL
METHOD OF
NO. ACTIVITY DESCRIPTION ACCEPTANCE CRITERIA VERIFYING DOCUMENT TIME INSPECTION/ FREQUENCY
INSPECTION Owner Contractor Consultant

Irigation Water Installation

A Prepare Material

- CAI-DWG-ME-DD-PL-GE-6001,
1 Irigation pumps Review, Visual - The Brand, Size, Dimension, kind of others
material accordance to material Approved

2 Gate valve visual

QC-ME-GEN-002 Per as execution M W SW
3 Butterfly Valve visual
4 Swing Check valve visual - CAI-TS-PL-01,
- The Brand, Size, Dimension, kind of others
5 Strainer Y-type visual material accordance to material Approved
6 Flexible joint visual
7 PPR Pipe and fittings visual

B Implementation Work
1 Install pipe Visual Daily
MS-ME-MECH-001, CAI-DWG-ME-DD-PL
2 Install the accessories Visual Daily
QC-ME-INS-006 M W SW
Visual, CAI-DWG-ME-DD-PL-P1-2001
3 Install pump Daily
Measurement
4 Cleaning material after working Visual Place should be clean from residual material - Daily SW SW SW

C TESTING

Review, Visual, Pressure test on clean water pipe is 1.5 x 3.5

1 Pressure Test QC-ME-TST-002 Per as execution SW W W
Measurement bar = 5,25 bar = 6 bar

-, Review CAI-TS-EP-01, MS-ME-EL-009, MS-ME- Continuity & megger test (QC-ME-

2 Cable Power & Control Installation Per as execution SW W W
-, Visual EL-010 TST-004, 005, 006)
-, Visual QC-ME-COM-005 & QC-ME-COM-
3 Testing commissioning Irigation pump CAI-TS-PL-01 Per as execution SW W W
-, Measurement 006

-, Closing of all outstanding NCR

-, Submission complilation of relevant -, Final Document
-, Review
D Completion of Work inspection record / Reports and Contract -, Certificate of Completion (COC) Per as execution H H H
-, Visual
checklist, Documentations, Completed and -, Certificate of Origin (COO)
signed-off punchlist / NCR
LEGEND
Hold is defined as critical steps in the instalation and testing process. Otherwise owner waiving letter, the project team cannot proceed to the next activity until the inspection, measurment or test has been witnessed
H : Hold Point
approved by the attending parties
W : Witness Point Witness point of inspection/test, is an activity during construction where inspection, measurements or testing must take place and documented

SW : Spot Witness Spot Witness, This activity may perform during perform during construction where interim measurements, and/or witness of activity normally take place, prior to final measurement or inspection being done

R : Review Review of Inspection/Test Record and Other Document

ITP Sign-Off post completion of Works

CONTRACTOR APPROVAL Consultant APPROVAL

NAME : NAME :
SIGN : SIGN :
DATE: DATE:

FMR-QCL-09/R1
ECT SYMBOL

REMARK

ment or test has been witnessed and

inspection being done

 Doc.No. Revision :

0A
004-ITP-ME-2022
Inspection & Test Plan of Irigation Water Installation CHECKED Sheet: Of:
Project No. : MD - 2408 DATE PREPARED APPROVED BY
QC
Project : Cainiao Smart Logistic Warehouse 5/25/2022 Site QC Project Manager
Manager

Responsbility*
No Item Description/Inspection Activity & Test Plan Method of Inspection Acceptance Criteria / Reference Verifying Document Time Inspection / Frequency Remarks
Murinda BNBV CN
Irigation Water Installation
A Prepare Material

- CAI-DWG-ME-DD-PL-GE-6001,
1 Irigation pumps Review, Visual - The Brand, Size, Dimension, kind of others material
accordance to material Approved

2 Gate valve visual

QC-ME-GEN-002 Per as execution M W SW
3 Butterfly Valve visual
4 Swing Check valve visual - CAI-TS-PL-01,
- The Brand, Size, Dimension, kind of others material
5 Strainer Y-type visual accordance to material Approved
6 Flexible joint visual
7 PPR Pipe and fittings visual

B Implementation Work
1 Install pipe Visual Daily
MS-ME-MECH-001, CAI-DWG-ME-DD-PL
2 Install the accessories Visual QC-ME-INS-006 Daily M W SW
3 Install pump Visual, Measurement CAI-DWG-ME-DD-PL-P1-2001 Daily
4 Cleaning material after working Visual Place should be clean from residual material - Daily SW SW SW

C TESTING

Review, Visual, Pressure test on clean water pipe is 1.5 x 3.5 bar = 5,25
1 Pressure Test QC-ME-TST-002 Per as execution SW W W
Measurement bar = 6 bar

-, Review Continuity & megger test (QC-ME-

2 Cable Power & Control Installation CAI-TS-EP-01, MS-ME-EL-009, MS-ME-EL-010 Per as execution SW W W
-, Visual TST-004, 005, 006)
-, Visual QC-ME-COM-005 & QC-ME-
3 Testing commissioning Irigation pump CAI-TS-PL-01 Per as execution SW W W
-, Measurement COM-006

-, Closing of all outstanding NCR

-, Submission complilation of relevant inspection -, Final Document
-, Review
D Completion of Work record / Reports and Contract checklist, -, Certificate of Completion (COC) Per as execution H H H
-, Visual
Documentations, Completed and signed-off punchlist / -, Certificate of Origin (COO)
NCR

* Legend :

M : Field Inspection or/and Test which is performed by the subcontractor

R : Review of Inspection/Test Record and Other Document
I : Inspection/Test Record to be submitted only for information
P : Issue/Provide Document
SW : Spot Witness, This activity may perform during perform during construction where interim measurements,
and/or witness of activity normally take place, prior to final measurement or inspection being done
W : Witness point of inspection/test, is an activity during construction where inspection, measurements
or testing must take place and documented
H : Hold Point is defined as critical steps in the installation and testing process. Otherwise
owner issue waiving letter, the Project Team cannot proceed to the next work activity until the
inspection, measurement or test has been witnessed and approved by the attending parties
 Attached : Date:
QC-ME-TST-002
CAINIAO SMART LOGISTIC WAREHOUSE
PROJECT Doc.No. : Page: 00 of 00

Subject : Pressurized Pipe Leakage Test Project No. MD2408

Location :

Ref. Drawing :

Start Finish
Installation : Installation :
Location : Location :
Date : Date :
Duration : Duration :
Time : WIB Time : WIB
Pressure : Bars Pressure : Bars
Weather : Weather :
Media test : Media test :
Note: Note:

Comments Conclusions:
Approved
Approved w/ comments
Not approved
Commented & Resubmitted

Prepared Reviewed Approved Approved Approved Approved

SPV QC PT Murinda Iron Steel PT LDI Engineering Bureau Veritas Cainiao
Name

Signature

Date
 Attached : Date:
QC-ME-TST-004
CAINIAO SMART LOGISTIC
WAREHOUSE PROJECT Doc.No. : Page: 00 of 00

Subject : Continuity Test Project No. MD2408

Location :

Reference Drawing :

Result Result
No. Cable No. Remark No. Cable No. Remark
Pass Fail Pass Fail

Note : Tools Used

X : Not Good • L : Line • G : Grounding • Merk
√ : Good • N : Neutral • Type
Comment : Conclusion :
Approved
Approved with comment
Not Approved
Revised & Resubmit
Prepared Reviewed Approved Approved Approved Approved
SPV QC PT Murinda Iron Steel PT LDI Engineering Bureau Veritas Cainiao
Name

Signature

Date
 Attached : Date:
QC-ME-TST-005
CAINIAO SMART LOGISTIC WAREHOUSE PROJECT
Doc.No. : Page: 00 of 00

Subject : Insulation Resistance Test / Megger Test Insulation - 1 Phase Project No. MD2408

Location :
Ref. Drawing :

Insulation Resistance Test

Grouping Result
No. Cable Type L-N L-G N-G Remarks
From To MΩ MΩ MΩ Pass Fail

Note : Tools Used

X : Not Good • L : Line • G : Grounding • Merk
√ : Good • N : Neutral • Type
Comments Conclusions:
Approved
Approved w/ comments
Not approved
Commented & Resubmitted

Prepared Reviewed Approved Approved Approved Approved

SPV QC PT Murinda Iron Steel PT LDI Engineering Bureau Veritas Cainiao
Name

Signature

Date
 Attached : Date:
QC-ME-TST-006
CAINIAO SMART LOGISTIC WAREHOUSE PROJECT Doc.No. : Page: 00 of 00

Subject : Insulation Resistance Test / Megger Test Insulation - 3 Phase Project No. MD2408
Location :

Reference Drawing :

GROUPING INSULATION RESISTANCE TEST RESULT

No. BUSDUCT LINE R-S R-T R-N R-G S-T S-N S-G REMARK
T-N T-G N-G
FROM TO PASS FAIL
Ω Ω Ω Ω Ω Ω Ω Ω Ω Ω

Note : Tools Used

X : Bad • R : Phase 1 • T : Phase 3 • G : Phase G • Merk :
√ : Good • S : Phase 2 • N : Phase N • Type :
Comment Conclusion :
Approved
Approved with comment
Not Approved
Revised & Resubmit
Prepared Reviewed Approved Approved Approved Approved
SPV QC PT Murinda Iron Steel PT LDI Engineering Bureau Veritas Cainiao
Name

Signature

Date
 Attached : Date:
QC-ME-INS-006
CAINIAO SMART LOGISTIC WAREHOUSE PROJECT Doc.No. : Page: 00 of 00

Subject : Irrigation Water Installation Project No. MD2408

Location :

Ref. Drawing :

RESULT
No. ITEM TO CHECKED REMARKS
YES NO
INSTALLATION
1 Brand, dimensions and installation according to specifications
2 The installation of the pipe sparing & sleeve is according to the drawing.
3 Installation of piping does not leak, straight and parallel.
4 Installation & flange dimensions are according to specifications.
5 Valve installation (Gate valve, Check valve etc.)
6 The position of the pressure gauge has been installed properly and correctly
7 Installation of air venting is done
8 Installation of hanger/pipe support is sturdy and safe.
9 Painting / labeling the pipe is correct.
10 Grouting work is done.

Notes :

PREPARED BY CHECKED BY APPROVED BY

SPV QC Site Co

NAME

SIGNATURE

DATE
 Attached : Date:
QC-ME-GEN-002
CAINIAO SMART LOGISTIC WAREHOUSE PROJECT Doc.No. : Page: 00 of 00

Subject : Receiving Material Project No. MD2408

Location :

Ref. Drawing :

Remarks
No. Description Comments
Applicable (A) Not Applicable (NA)

Provide the name plate, name tag, & others information of

1
material

2 Information of material is appropriate

3 In accordance to material transmittal (approved status)

Product catalogue & instruction manual available, if main

4
equipment

5 In accordance to material data sheet, if main equipment

In accordance to sample submittal, if any sample material

6
approval

7 Size or dimension is appropriate

8 Colour is appropriate

9 Physical or Visual check for damage

10 Material are stored properly

11 Others specification, if any

Notes :

PREPARED BY CHECKED BY APPROVED BY

SPV QC Site Co

NAME

SIGNATURE

DATE