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Form Report Electrical - Instrument

This document contains summaries of inspection reports for electrical equipment at a refinery including: 1) Inspection of a panel distribution board checking items like ratings, wiring, labeling, and tests. 2) Inspection of a cable tray installation checking supports, alignment, grounding and covers. 3) Inspection of a lighting installation checking fixtures, receptacles, mounting, wiring and illumination quality.

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fadhlan hidayat
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0% found this document useful (0 votes)
420 views6 pages

Form Report Electrical - Instrument

This document contains summaries of inspection reports for electrical equipment at a refinery including: 1) Inspection of a panel distribution board checking items like ratings, wiring, labeling, and tests. 2) Inspection of a cable tray installation checking supports, alignment, grounding and covers. 3) Inspection of a lighting installation checking fixtures, receptacles, mounting, wiring and illumination quality.

Uploaded by

fadhlan hidayat
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd

PENAMBAHAN 1 (SATU) UNIT FORCE DRAFT FAN PADA CO BOILER

101F503 RFCC PT KILANG PERTAMINA INTERNASIONAL RU IV CILACAP

INSPECTION OF PANEL DISTRIBUTION BOARD

Equipment No. : Location :

Date : Reference Drawing :

CHECK RESULT TTD


NO ITEM PENGECEKAN KETERANGAN
YES NO YES NO PPS KPI

1 Visual & Dimentional

2 All MCB operational and correct rating

3 All fuses correct rating

4 All terminal wiring completed and secure

5 All cables connected and glanded correctly

6 Earthing connected and correct

7 All termination secured

8 All internal equipment labeled correctly

9 Cable tags labeled correctly

10 Insulation resistance measurenment

11 Test anti-condensation heater

12 Phase sequence test

13 Inspect interlock & control correctly operate

14 Test indicating and signaling lamp or devices

15 Operation / Function test

16

17

18

19

20

Keterangan :

PT. Pratiwi Putri Sulung PT. KPI RU IV Cilacap

Nama

TTD

Tanggal
PENAMBAHAN 1 (SATU) UNIT FORCE DRAFT FAN PADA CO BOILER
101F503 RFCC PT KILANG PERTAMINA INTERNASIONAL RU IV CILACAP

INSPECTION FOR CABLE TRAY INSTALATION

Report No. : Location :

Date : Reference Drawing :

CHECK RESULT TTD


NO ITEM PENGECEKAN KETERANGAN
YES NO YES NO PPS KPI

1 Visual & Dimentional

2 Check support of cable tray accepted

3 Alignment of cable tray correctly

4 Check instalation of separator

5 Check tightening bolt & nuts

6 Check grounding connection

7 Check completely of cover with clamp

10

11

12

13

14

15

16

17

18

19

20

Keterangan :

PT. Pratiwi Putri Sulung PT. KPI RU IV Cilacap

Nama

TTD

Tanggal
PENAMBAHAN 1 (SATU) UNIT FORCE DRAFT FAN PADA CO BOILER
101F503 RFCC PT KILANG PERTAMINA INTERNASIONAL RU IV CILACAP

INSPECTION OF LIGHTING INSTALATION

Report No. : Location :

Date : Reference Drawing :

CHECK RESULT TTD


NO ITEM PENGECEKAN KETERANGAN
YES NO YES NO PPS KPI

1 Visual & Dimentional

2 Inspect personal safety device

3 Check grounding connection

4 Check lighting fixture c/w accessories

5 Check receptable c/w accessories

6 Check the mounting system


Test operation and setting of time switches
7
photoelectric
8 Continuity test

9 Insulation resistance measurement

10 Lighting circuit test

11 Illumination quality check

12 Inspect phase sequence of receptable

13

14

15

16

17

18

19

20

Keterangan :

PT. Pratiwi Putri Sulung PT. KPI RU IV Cilacap

Nama

TTD

Tanggal
PENAMBAHAN 1 (SATU) UNIT FORCE DRAFT FAN PADA CO BOILER
101F503 RFCC PT KILANG PERTAMINA INTERNASIONAL RU IV CILACAP

INSPECTION OF GROUNDING SYSTEM

Location. : Date :

Number of Electrode : Referensi Drawing :

Type Conductor : Manufacture :

CHECK RESULT TTD


NO ITEM PENGECEKAN KETERANGAN
YES NO YES NO PPS KPI

1 Visual & Dimentional

2 Check cable size and instalation

3 Check underground calbe jointing

4 Check construction electrodes

5 Check cable clamp and layout

6 Check protective measurement

7 Check grounding conection

8 Grounding continuity test

9 Inspect resistance of each electrodes

10 Insulation resistance measurement

11

12

13

14

15

Keterangan :

PT. Pratiwi Putri Sulung PT. KPI RU IV Cilacap

Nama

TTD

Tanggal
PENAMBAHAN 1 (SATU) UNIT FORCE DRAFT FAN PADA CO BOILER
101F503 RFCC PT KILANG PERTAMINA INTERNASIONAL RU IV CILACAP

INSPECTION FOR CABLE INSTALATION

Location. : Date :

Voltage : Referensi Drawing :

Conductor Cross : Manufacture :

Section

CHECK RESULT TTD


NO ITEM PENGECEKAN KETERANGAN
YES NO YES NO PPS KPI

1 Visual & Dimentional

2 Check cable size and instalation

3 Check cable route markers

4 Check cable end seal and cable gland

5 Check the cable protection

6 Check underground cable jointing (if required)

7 Check cable termination and connection

8 Check grounding connection

9 Continuity test

10 Insulation resistance measurement

11

12

13

14

15

Keterangan :

PT. Pratiwi Putri Sulung PT. KPI RU IV Cilacap

Nama

TTD

Tanggal
PENAMBAHAN 1 (SATU) UNIT FORCE DRAFT FAN PADA CO BOILER
101F503 RFCC PT KILANG PERTAMINA INTERNASIONAL RU IV CILACAP

INSPECTION FOR SWITCHGEAR / MCC

Equipment No. : Date :

Location : Referensi Drawing :

Voltage : Manufacture :

CHECK RESULT TTD


NO ITEM PENGECEKAN KETERANGAN
YES NO YES NO PPS KPI

1 Visual & Dimentional

2 Board assembly and bolting

3 Busbars bolted connection

4 Fuse ratings and gauge rings

5 Contact alignment of draw-out mechanism

6 Cable gland, clamping and termination

7 Tag and wire number

8 Check grounding connection

9 Check rating and capacity of CT, PT.

10 The ralays have complete final setting

11 Insulation resistance measurement

12 Test anti-condensation heater

13 PT's polarity & phase rotation

14 Inspect interlock & control correctly operate

15 Test indicating and signaling lamps or devices

16 Switchgear function test

17 Phase sequence test

Keterangan :

PT. Pratiwi Putri Sulung PT. KPI RU IV Cilacap

Nama

TTD

Tanggal

INSPECTION OF PANEL DISTRIBUTION BOARD
Equipment  No.
:
Location             
:
Date
:
Reference Drawing
:
NO
ITEM PENGECEKAN
INSPECTION FOR CABLE TRAY INSTALATION 
Report  No.
:
Location             
:
Date
:
Reference Drawing
:
NO
ITEM PENGECEKAN
CH
INSPECTION OF LIGHTING INSTALATION
Report  No.
:
Location             
:
Date
:
Reference Drawing
:
NO
ITEM PENGECEKAN
CHECK
INSPECTION OF GROUNDING SYSTEM
Location.
:
Date                
:
Number of Electrode
:
Referensi Drawing
:
Type Conductor
:
INSPECTION FOR CABLE INSTALATION
Location.
:
Date                
:
Voltage 
:
Referensi Drawing
:
Conductor Cross 
:
Manufac
INSPECTION FOR SWITCHGEAR / MCC
Equipment No.
:
Date                
:
Location 
:
Referensi Drawing
:
Voltage 
:
Manufacture

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