HSEMS 21-110 HSE PROCEDURES MANUAL, Rev.t Jui 2001 EQUIPMENT SAFETY PASSPORT SYSTEM (ESPS) EQUIPMENT CHECKLIST: PORTABLE AIR COMPRESSOR ORMATION a 5 E iE AMAA PDS390__ i mae S18 2 [B. IST (Please filin all boxes) a : @_ACCEPTED - G_DEFECTIVE/ UNAVAILABLE NA NOT APPLICABLE EQUIP. PROVIDER'S RESPONSIBLE PERSON | ‘COMPANY RESPONSIBLE PERSON REMARKS TEMS REMARKS + =" [WAT EMD Certificate for Air Compressor | Ehaine Condition oil lesk) [Engine cut off Shut Dawn Device Z| Guards (rotating parts =e 17 | Spark Arrestor & Exhaust Sysiem + \7| Pressure Reliel Valves oa Pressure Gauge uf || Fitna, Couping loses and Ar Vessel A err Conditions 7 [earthing Cable Condition {Z| Maintenance's Log 1 [ilting Pad Eyes/Tyre Conditions —__ |] Pre-siung per requirements. t = Others (please Specify) Ht ‘C. GENERAL REMARKS EQUIP. PROVIDER’s RESPONSIBLE PERSON ‘COMPANY RESPONSIBLE PERSON D. APPROVAL EQUIP. PROVIDER’s RESPONSIBLE PERSON ‘COMPANY RESPONSIBLE PERSON Thave inspected the equipment and am satisfied that all Thave inspecigg ime equipment and deem i stated requirements are complied with, tis READY Cor) for inspection by the Company Responsibie Person. {0 be used Bhs focation intended for. NAME : NAME 4th _moree! Mente Bol a7 [ SIGNATURE = 75h ) SIGNATURE aes DATE OF INSPECTION : 93 fio Jz DATE OF INSPECTION : 3 Tie T2022 lo [aa Distribution: White (Front page): Asset Focal Point; Yellow: Work site (CSRV/IS) Blue: Company AP__Green: Equip Provider CORPORATE HSE DEPARTHENT PETRONAS CARIGAL! SDN BHD© (® © s|s (Malaysia) Sdn. Bhd. oon ws y Ss INSPECTION REPORT Thorough Examination of Lifting Equipment Report No: F580101/LB7100 | ‘Atention Mr, Saravanae | Bate OF Report 20" September 2022 Customer Serba Mahir Sdn Bhd sob No. INO. 508/202 ‘Addre Labuan F.T Periodic Inspection Standard | 1S0 10855-3:2018 ‘Customer PO No, Compliance Standard to EN 12079-1:2006 DNV 2.7- 12013 Date Ofinspedtion | Vi 20" September 2022 'SGS inspection Guidelines No_| Wi-Tm-231/Ver 00107.02.2078 ‘THIS IS TO REPORT that the undersigned Surveyor to this Society attends at Serba Mahir Sdn Bhd, Labuan FT for the purpose of visual inspection of equipment described below. (A) Visual Inspection of Lifting Equipment: Offshore Container Ootalls Description ‘Ale Compresso” Liting Ski (PDS 390) ‘Serial No ‘SMSA 390026 Manufacture Serial No SMSA 390026 Dimension (rm) B198(L) x 1674 (WW) «2445 (H) Tare Mase 0009 Payload 20005 ‘Maximum Gross Mass 3000 kg ‘Month and Year Manufactured September 2018 1) [Eceonera- Visual inspection shal bo of he exterior and te interior of he container. 2) Bilaraings - The markings and plates shal be checked to ensure that they meet the requirements of ths stardare and other relevant regulations ord standard 3) BQWelds- Weis nine primary stucture shal be visually inspected to ensure freedom from visible defects 4) Baad Eyes and Leshing Points «Al pad eyes and lashing pont shal be vaualy inspected for cstoon, mechanical damoge or any oer sign of dates of overoad. 5) Bgstucure- The srcture shal bo visual inspected for corrosion, mechanical mage or injurious deformation. 8) [doer closures - Coors frames, seals, hinges, locks, ete shall be visually inspected and funetonaly checked to ensure that they operate ina saisfaciory manner wihout undue force being required, 7) EiFloer- The floorto check that ks ret deformed and that shows no signs of distress or overload 8) Eibrainoge facies - where fied, shall be inepected, dain holes shall be clear of dab, 9) GaFork pokes - Fork pockets shal be visually nspecied inside Reference Document: “SGS (Malaysia) San Bhd Certificate Of Inspection no: FSEOTOWILE 124151 Inspection Results: 41, NoVisible defect was found on iting equipment a the time of inspection, 2. Suiix"V" is intonded for vsual Examinaton only. Inspected By: Reviewed! 4nd Approved By: Shargg}i! Banikn, ‘Surveyor Senior Technical Engineer ryreeati coune ied an fomatoncnarashacenaimins s Yaseen cna ent cone ‘Seamwnn Kyweiwrsev sree krgoy et Suscab eve caer eevee he sean isunawtd avs ova ere) be Pesta oases balan ‘86S Mansi) SB Lot @& 10. Block C MPL Saoking Wardhuse Jalan PatavPatax 87000 Laban FT. Nala (Gonoanr ett} |P.0.80x 80106 87001 Labuan FT. Malo 4601871411 450. {+8027} 414766. wiv ap em ee of he SS Groupwe can 1G (O8 SSS (Malaysia) Sdn Bhd concen worn woman om Le) INSPECTION REPORT Report No FSso101nB11524| “Soh S' Load Testing Of Lifting Equipment Page 1 0f2 ‘tention | Mr Sarevannan Date OF Report (08 Sepiember 2078 Customer Serba Mahw San Bhd | Job No. IND-612/2018 ‘across Labuan FT, Malaysia | Report No. 580101 /LB 115241 | Description ‘Air Compressor Lifing Skis (PDS 300) Reforence Standard | 8S EN 12079-1:2006 / DNV2.7-12013 ‘Customer PO No. ‘SCS Procedure No._| WLI Date Of inspection THIS IS TO REPORT that the undersigned Surveyor to this Society attends at Serba Mahir Sdn Bhd , Fabrication Yard , Labuan F.1, forthe purpose of visual inspection, witnessing of load testing and NDE of the “Air Compressor Lifting Skid (PDS 330)" Equipment Details: ‘Owner Serial No 'SMSA 390022 and SMSA 390025 Manufacturer Serial No: SMISA 390022 and SMSA 390025 Dimension (mm) 3198 (LX 1674 (W) X 2445 (H) Load Test Procedure 4) 4 Points lifting with total test load of 2.5 X R 2) 2 Points lifting with total test load of 1.5 XR 3) The holding time was forthe duration of 5 sninules. 4). Impact Test: Drop Taet with internal load equal to the payload (P) at GOmm hoight Maximum | 4Points toad | 2Points Load | No. Tar a heen: Gross Mass _| Test Test Drop Test 9) ©) (RY Keg) a) a) 9) 1 1,000 2,000 3,000 7,500 4500 3,000 Visual inspection on Offshore Equipment: 1) Slceneral- visual inspection shal be ofthe exterior andthe interior ofthe container. 2}, Dilarkings - The markings and plates shal be checked to ensure that they moet the requiremens of his standard and other relevant regulations and standards 3) EdWelds- Welds in the primary structure shall be visually inspected to ensure freedom trom visible defect 4) Baad Eyes and Lashing Poinis - Al pad eyes and lashing points shal be visually Inspected {or distortion, ‘mechanical damage or any other sign of cistress or overioad 5) _BSiucture - The structure shall be vsvaly inspected fo: corrosion, mechanical damage or injurious deformation. 6) door closures - Doors, frames, seals, hinges, locks, etc shall be visually inspected and functionally checked to ensure thal they operat ina satisfactory manner without undue force being required 7). BiFloor- The floor to check that te not deformed and that t shows no signe of distress or overload 8) bDrainage facilities - where fited, shall be inspected, dain holes shall be clear of debris. 8) Bork pockeis- Fork pockets shall be visualy inspected inside. Reference Document: 4. Matine Design Appraisal Document (No. SDAG /1692039) 2. Drawing No: SMSB/141215/ACSIO01 Inspection Results: 1. On completion of the load test, a thorough visual examination of the exterior load bearing parts and pad eyes was carried out and found no apparent defect atthe time of inspection. 2. Magnetic Particie Inspection (MPI) on the pad eyes was carried before and afterload test with no apparent indication of defect found 3. Prototype testing on Serial No: SMSA 390022 and SMSA 390025 4, This Offshore skid or another skid from the came fabrication series, has been subjected to the following proof load test and the same series fabrication serial no. are SMSA 380023, SMSA 380024, SMSA 380026, SMSA 380027, 'SMSA 390028, SMSA 390029, SMSA 390020 and SMSA 390031. ‘5. Magnetic Particle Examination was carried on the liting pad eyes and 100% primary structures. deve demented iy eve enn te enn dey ny cara emir iS ‘Aes Dk conus barns cxtaaserce recs he Cons fons ate i ee {nye Camryn enpanayous Chal te coor Gost wssee fes tna eon fo re ‘Shop yuan wero ey teteton baa capper Sosa ue ta obra be peecues i isn eles Paley 1H Labuan FT Malesia t+00167| 41 459 1 60(67 414786 _wrewsus.com a Tene oe BS trap tas) Sor [se flock. MPL Sapuking Warenaure.JalenPata-Pateu 87000 Labuan F.7. Malaya (Cemnaerte 2" | popaxeoi0sSGS (Malaysia) Sdn Bhd soomrse nin INSPECTION REPORT Report No.: F580101/.B11524 | Load Testing Of Lifting Equipment Page 2 of 2 Photograph Attachments: ‘4 Points Load Test: 2.5 XR == Prepared By: Reviewed & Approved By: “ye Henry Ronnyi Lita ‘SurveyorPETROTECHNICAL INSPECTION (M) SDN BHD MAGNETIC PARTICLE TESTING REPORT [SERERALDETAIT on Cient [Seba Mahir Sdn Bhd Material [Carbon Steel actenton Ir Saravannan Thickness INA [Project [se to1ot/2008 Test Surface Temp (°C): [Ambient Liob order No: lino-0-2022 Surface Condon Painted [Date of inspection [i0® January 2022 Surface Preparation [Removed Paint/Solvent Cleaning Report No [FsB1 10118471 [Welding Process: NA, Procedure No & Revision |W-TH-113/VER.06)01.07.2000REV6 [Heat Treatment INA Drawing No. INA, [Acceptance Criteria [BS EN IS0 23278 ED 2015. tem Deseripton= [Ar Compressor fing Skid tm Sexial No: [SMiSA 390026 Location / Works [Serba Mahr Sdn Bhd Yard, Labuan FT INSPECTION / TESTING] EXAMINATION Technique. [Elecromagnetc Yoke Paricle Type Wet Magnetizing Curent lac [Examination Vise Magnetic Fie Longitudinal Prosedure [Continous EQUIPMENT CONSUMABLES AND LIGHTING. [Equipment Model: [Magnaflux 71 AC Yoke [ite Contrast [Magnafiux WCP-2 [Equipment SIN [aleSi230¥10079 Black ink Magnatiux 7H Light intensity [white Light Above 1076 Wx [CleanerRemover Magnaflux SKC-S iting Power fe45kg [Fluorescent Fluid NA Leg Spacing 2-8 Lion wever owed a SIN [agate & TwTOUZaa5 Senay Check eee INSPECTION RESULTS No. | _ Weld Area inspected Findings Length(mm) [Results Remarks 1 | 4tutting Pad Eyes NsD : Accept : Notes = Ja) NSD: No significant defect lb) Cracks ejectable regardless of length Inppedted By : PECs Satire ame Zaidi Signal Isa brahim [Designation ASNT Level II MT ‘Senior Sectign Head Operations Manager Date roviaee wove svirze 131¥ER 960.01 20200R.NONDSH\ “S| SGS (Malaysia) Sdn. Bhd. oor 8) REPORT OF PRESSURE RELIEF VALVE Report No: F58010/LB 1240 I pane ‘tention [ Mr Saravanan [Date OF Report [15% waren 2022 Customer Serba Mair Sdn Bhd | Job No. IND-100/2022 Address [Labuan F. inspection Test Standard | APIS76: Customer PON. | = SSGS Inspection Guigelnes No. | W.TM 238/VER.00111.0%.2019 Date Of Tested | 04" Maich 2022 | REV a Due Date | 03" March 2023 Temperature 30°C a This is to certify that the undersigned, being a member/surveyor of SGS S.A, an Inspecting Authority, named in the Fourth Schedule to the Factories and Machinery (Steam Boller/Unfired Pressure Vessel), Regulation, 1970, Malaysia, in order to conduct of Pressure Relief Valve, subjected to "POP" PRESSURE TEST. Details: ‘Model SP-1A(C) 208 Size 1 Inlet Manufacturer FUKUI SEISAKUSHO Design Lose [ASME Section Vill Set Pressure 188 Psi During the test, it was found that the valve “pon' at designated pressure of 188 Psi which the main valve will open ‘automatically and will discharge Is full rated capacity, ‘The below menfoned vave was subsequent sealed by us No Seria No. Tago. [ eeitaie SMRV-180918-01 3470180 inaumentType: | Sei Nor [Calton Dun Date| Gal Gartner [Wace Digital Pressure Gauge | 1AO0TCIOH2F | 07" December 2023 PSLP21464562 | NMIM Roference Standard instrument Used: Reference Document: 1. Reference Test Standard: Inspection of Pressure Relieving Devices, API Recommended Practise 576, 3 Esition, Clause 6.2.9 Tosted By, Reviewed and}al}provad By: Asmawe Bikgiémran Henry Ronnyi Lita Instrument technician Senior Technical Engineer "This documents ssubd byte Company under its General enon of Service aocesibe ot ua ss convenes an-Con Aton erin of sin of ty, demieaton a juieSton eevee Osh re ‘oy holrof thie socumart i cies hat information contsned heron rect the Company's ngs athe fie ft tenerton ery and within Ine drats of Clen’sinsbuctons, any. The Companys ste espensioy os Glen ana is coset does not wconerae pate to a ransacion omexering ab ther ihis and bligatone uncer he ranestoncosiments Any unouthasee atortion, erry o iaation ofthe conan ‘pearance of is Cocumen i unlawhl and offenders ay be prosecuted ft ust eter of eI” GS lays) Sd. Bhd 407 (Geary Re 18717)| SGS (Malaysia) Sdn. Bhd. cnn sons | INSPECTION REPORT Thorough Examination of Lifting Accessories Report No: F580101/L87101 1 ‘Attention Custerner Across Custeriar PO No. Date Of inspection. Mr Saravannan ‘Serba Mahie Sdn Bhd Labuan FT 20° September 2022 Date Of Repost Job No ‘Compliance Standard to 'SGS inspecton Guidelines No, LEA Code of Practice LEA Code of Practice ya Mest Page 1 of 1 20" September 2022 IN. 60912022 EN 1341412 & EN 13680 W-TM.185/Ver 00/18 08.2016 \WLTM-203/Ver.00/18.08 2016 Section 15: Clause 158 Section 19; Clause 19.8 ‘THIS IS TO REPORT thao undersigned Surveyorto i Socely allends at Serba Mahir Sdn Bhd, Open Yard, Labuan FT forthe purpose of visual inspection a descibed blow, Details of Liting Accessories: er Dotas wae REF cos. fs ‘im xt / Four lg Fel secured hard aeancaaee .c20250:20 | eye dotvend /ordnary timble mastorirkew | STON | GONV 18-0075, —____| assemtiy 1(0-480¢9) | l ening Sd rT) om, 20 may | cameos |*eterse= | arco | ai a, cry | czrnoc | MEiRgeM | areron | cow won a) anv 30 = Shackles (A-0) Yoke i fooseeesco0e20 1. No Wale dtc wae und atte inet recon + Yeuneerea entin ope mas ee Shoes 3. Sein mendot or tual coma Inspected By: proved B; Honry Ronnyi Lita Senior Technical Engineer Sharhdut Bation ‘Surveyor {54 "ne Congas ane ttprcotiy ett hem cso ats ta anf ee nen wesc oe Cpe a Pama $68 laaysia Sd.Bbd. for 98 10. sag (Gerpany 8747) 20108 wiRnon-Ds¥Sign & Chop (ifany) Name: Date: D ] SM-Fa2 “INSPECTION MAINTENANCE REPORT Tope gt AIR COMPRESSOR Service Order No. ‘Type of Equipment Name of tirer/ Client at Model as Contact Person/Tel Serial No. Location Alternator Model Technician Cleietes Petras Serial No, 44 SB lo2ys Date 14.04.3073 Hour Meter 18 ITEM MAINTENANCE, INSPECTION | TOP UP | ADJUST | CHANGE | REMARKS Drain condensate from separator recciver a 7 Staak a (Check ai iter element clogging Zz Check compressor ol evel 7 - “Check looses in pipe comeing par, | Fle = and wear and tear of hose tube. 5S. | Check parking brake vA 6.__| Check oil, water, fuel and air leak. 2 7, | Check performance of gauge and | indication lamps. 8.__| Cheek safety valve performance [9 | Check oit separator clogging 10._| Chock ai receiver tank Remark: “Change the cagie oll 'Sw40, oil Qiter fuer Cites and ic pew fitier Hae bdjuer ihe fon berlin and wosh tue dieser tenk eH tun Bowinit pencfine cunning is goed! Job done stistactory and Seat ‘for SERBA MAHIR SDN BHD Chong, Sign & Chop (if any) Name: Che ches Date: 14-04. 2023