DOC.

NO FM-QCC-004

CHECK SHEET INSPECTION

REV. NO 01
REV. DATE 17 January, 2019

PT. DFFI PAGE of

Customer : PT. CHEVRON PACIFIC INDONESIA Part No. : 5 Inspection by : Firman Ibnu / Sofyan Doni
Job No. : 90472 R2WHDRI Dwg No. : - Inspection Report : Final Inspection
Total Qty : 5 pcs Material : ASTM A234-WPB Heat Number : 23449
Qty Insp. : 5 pcs Inspection Level
:-
(ISO 2859-1:1999)
Part Name : Standard
Meas. Actual Dimension
ELBOW 12" XS 90D LR Item No. Position Remark
Device Nominal Tol
(ASME B16.9) 1
Drawing / Sketch : MTC No V
Visual V

+4,00mm,
D Outside Diameter VC 323,8mm
ID -3,20mm

ID Inside Diameter VC 298,4 ±3,2mm

Min
t Thickness UT 12,7mm
11,11mm

tb top bevel (plain) VC 1,6mm ±0,8mm

w
tb

w Weld Bevel BP 37,5˚ ±2,5˚

A Center to End SR 457mm ±2mm

NOTE :
Measuring tool used : Inspected by Reviewed by
-V = Visual - HG = Height Gauge
- VC = Vernier Caliper - BP = Bevel Protactor
- UT = Ultrasonic Thickness
Date : Date :