RENCANA INSPEKSI INSTALASI PENGEBORAN DAN/ATAU INTERVENSI SUMUR

Nomor :

Tanggal :

Nama Item : ACS #23 Nomor Seri Mast : M-1518

Tipe : Mobile Rig Daya : 550 HP
Original Manufacturer : SKYTOP BREWSTER Co. Pemilik : PT Asrindo Citraseni Satria
TahunPembuatan : 1998 Pengoperasi : PT Asrindo Citraseni Satria
Notasi:
AR : Approval Required V : Verification W : Witness H : Hold Point PD : Pemeriksaan Dokumen
AI : Actual Inspection R : Review OW : Online Witness P : Provide PF : Pemeriksaan Fisik

Metode Acuan Kriteria Lingkup Kerja

No. Item Inspeksi Dokumen
Inspeksi Penerimaan PT. TIS PT. ACS MIGAS
I. DOKUMEN RIG
PD As Build Drawing Manufacturer Spec. R P -
PD Rig Operation Manual Manufacturer Spec. R P -
PD Rig Maintenance Manual Manufacturer Spec. R P -
PD Rig Maintenance Record and Program Manufacturer Spec. R P -
PD List of Rig Equipment Manufacturer Spec. R P -
PD Rig Organization Chart Owner Spec. R P -
PD Rig Crew List Owner Spec. R P -
PD Rig Crew Certificate Of Competency Owner Spec. R P -
II. STRUCTURE EQUIPMENT
1. Mast / Derrick Visual & PF Visual Inspection Report PT IYP Check List,
AI,P - -
API RP 4G
PD Non Destructive Test (NDT) Report API RP. 4G
R,V P -
(Category IV) with MPI and UT Method
PD Pin & Pin Hole Dimension Measurement API RP 4G R,V P -
PD Legs and Brace Bow Measurement Report API RP 4G R,V P -
PD As build drawing Manufacturer Spec. R,V P -
PD Engineering Calculation Manufacturer Spec. R,V P -
Visual & PD Mast/Derrick Name Plate API Spec. 4F R,V P -
PD Manual Book Manufacturer Spec. R,V P
2. Substructure Visual Visual Inspection Report PT IYP Check List AI,P - -
 Metode Acuan Kriteria Lingkup Kerja
No. Item Inspeksi Dokumen
Inspeksi Penerimaan PT. TIS PT. ACS MIGAS
PD Non Destructive Test (NDT) Report API RP 4F
ASNT TC-1A R,V P -
(Category IV) with MPI Methode
III. HOISTING EQUIPMENT
1. Drawworks Visual & PF Visual Inspection Report PT IYP Check List,
AI,P - -
API RP 7L
Visual & PD Name Plate Manufacturer Spec. R,V P -
PD NDT Report (Category IV) with MPI Methode API RP 4G
R,V P -

PD Manual Book Manufacturer Spec. R,V P -

2. Crown Block Visual & PF Visual Inspection Report PT IYP Check List,
AI,P - -
API RP 8B, RP 7L
PD NDT Report (Category IV) with MPI Methode API RP 8B,
R P -
ASNT TC-1A
Visual & PD Name Plate API: Spec. 4F R,V P -
PD Manual Book Manufacturer Spec. R,V P -
3. Travelling Block & Hook Block Visual & PF Visual Inspection Report PT IYP Check List,
AI,P - -
API RP 8B
PD NDT Report (Category IV) with MPI Methode API RP 8B,
R,V - -
ASNT TC-1A
Visual & PD Name Plate API: Spec. 4F R,V P -
PD Manual Book Manufacturer Spec. R,V P -
PD Certificate Manufacture Manufacturer Spec. R,V P --
4. Dead-line Anchor Visual & PF Visual Inspection Report PT IYP Check List
AI,P - -
API: Spec 8C, RP 8B
PD NDT Report (Category IV) with MPI Methode API RP 8B,
R P -
ASNT TC-1A
Visual & PD Name Plate Manufacturer Spec. R,V P -
PD Manual Book Manufacturer Spec. R,V P -
5. Drilling Line Visual Visual Inspection Report PT IYP Check List,
AI,P - -
API RP 9B
PD Wire Rope Testing Certificate API Spec 9A R P -
PD & Driiling line strength calculation API RP 9B
P - -
Calculation
6. Elevator Link Visual & PF Visual Inspection Report PT IYP Check List,
AI,P - -
API RP 8B
PD NDT Report (Category IV) with MPI Methode API RP 8B, R,V P -
 Metode Acuan Kriteria Lingkup Kerja
No. Item Inspeksi Dokumen
Inspeksi Penerimaan PT. TIS PT. ACS MIGAS
ASNT TC-1A
7. Handling Tools
Slip Visual & PF Visual Inspection Report PT IYP Check List AI,P - -
PD NDT Report (Category IV) with MPI Methode API RP 8B,
R,V P -
ASNT TC-1A, API 7L
Elevator DP / DC Visual & PF Visual Inspection Report PT IYP Check List AI,P - -
PD NDT Report (Category IV) with MPI Methode API RP 8B,
R,V P -
ASNT TC-1A
Manual Tong / Power Tong Visual & PF Visual Inspection Report PT IYP Check List AI,P - -
PD NDT Report (Category IV) with MPI Methode API RP 8B,
R,V P -
ASNT TC-1A
IV. CIRCULATING SYSTEM
1. Tubing Swivel Visual & PF Visual Inspection Report PT IYP Check List,
AI,P - -
API RP 8B
PD NDT Report (Category IV) with MPI Methode ASNT TC-1A R P -
PD Manual Book Manufacturer Spec. R,V P -
PD Maintenance Record Manufacturer Spec. R,V P -
2. Mud Pump Visual & PF Visual Inspection Report PT IYP Check List
AI,P - -
Manufacturer Spec
Visual & PD Name Plate Manufacturer Spec R,V P -
PD Latest Performance Test Report Manufacturer Spec R P -
PD Manual Book Manufacturer Spec. R,V P -
PD Maintenance Record Manufacturer Spec. R,V P -
3. Mud Tank Visual & PF Visual Inspection Report PT IYP Check List
AI,P - -
Manufacturer Spec
4. Stand Pipe Visual & PF Visual Inspection Report PT IYP Check List
AI,P - -
Manufacturer Spec
PD NDT Report (Category IV) with MPI and UT Manufacturer Spec
R P -
Methode.
5. Mud Agitator(s) Visual & PF Visual Inspection Report PT IYP Check List
AI,P - -
Manufacturer Spec.
6. Shale Shaker Visual & PF Visual Inspection Report PT IYP Check List
AI,P - -
Manufacturer Spec.
Visual & PD Name Plate Manufacturer Spec. R,V P -
7. Degasser, Desander, Desilter Visual & PF Visual Inspection Report PT IYP Check List
Manufacturer Spec. AI,P - -
dan Poor Boy.
 Metode Acuan Kriteria Lingkup Kerja
No. Item Inspeksi Dokumen
Inspeksi Penerimaan PT. TIS PT. ACS MIGAS
Visual & PD Name Plate Manufacturer Spec. R,V P -
V. BOP SYSTEM
1. BOP Visual & PF Visual Inspection Report PT IYP Check List
AI,P - -
API RP 53
PD NDT Report with MPI Methode Manufacturer Spec. R P -
Visual & PD Name Plate Manufacture Spec,
R,V - -
API Spec 16D
PD Manual Book Manufacturer Spec. R,V P -
PD Maintenance Record Manufacturer Spec. R,V P -
PD Certificate of Compliance and Testing Manufacturer Spec.
R,V P -
Record API RP 53
2. Accumulator Visual & PF Visual Inspection Report PT IYP Check List
AI,P - -
API RP 53
Visual &PD Name Plate Manufacturer Spec.
R,V P -
API Spec 16D
PD Manual Book Manufacturer Spec. R,V - -
PD Maintenance Record Manufacturer Spec. R,V P -
3. Choke Manifolds Visual & PF Visual Inspection Report PT IYP Check List
AI,P - -
API RP 53
PD Manual Book Manufacturer Spec. R,V P -
PD Maintenance Record Manufacturer Spec. R,V P -
VI. PRIME MOVERS
Diesel Engine(s) Visual & PF Visual Inspection Report PT IYP Check List,
API RP 54, AI,P - -
Spec. 7B-11C
Visual & PD Name Plate Manufacturer Spec. R,V P -
PD Latest Performance Test Report Manufacturer Spec. R P -
PD Manual Book Manufacturer Spec. R,V P -
PD Maintenance Record Manufacturer Spec. R P -
VII. Instrument
1. Weight Indicator Visual & PF Visual Inspection Report PT IYP Check List
AI,P - -

PD Certificate Calibration Manufacturer Spec. R,V P -

2. Driller Console Visual & PF Visual Inspection Report PT IYP Check List AI,P - -
VIII. PERALATAN PENGAMAN
 Metode Acuan Kriteria Lingkup Kerja
No. Item Inspeksi Dokumen
Inspeksi Penerimaan PT. TIS PT. ACS MIGAS
1. Emergency Shut Down Visual & PF Visual Inspection Report PT IYP Check List
AI,P - -
(ESD)
2. Crown O Matic Visual & PF Visual Inspection Report PT IYP Check List,
AI,P - -
API RP 54
IX. PERALATAN LISTRIK
1. Lighting Visual & PF Visual Inspection Report PT IYP Check List
AI,P - -
API 505
X. FUNCTION TESTS
1. Travelling Block up/down Visual Function Test Record and Report PT IYP Check List W P,R AR,H
2. Circulating System Visual Visual Inspection Report PT IYP Check List W P,R AR,H
3. Blow Out Preventer System Visual Visual Inspection Report PT IYP Check List W P,R AR,H
4. Peralatan Pengaman
- Crown O Matic Visual Visual Inspection Report PT IYP Check List API
W P,R AR,H
RP 54
- Emergency Shut Dowm Visual Visual Inspection Report PT IYP Check List API
W P,R AR,H
RP 54
XI. LOAD TEST
- Persiapan Visual Inspection Report PT IYP Check List W P,R AR,H
- Tahapan Uji Beban Visual Inspection Report PT IYP Check List W P,R AR,H

Pekanbaru, 14 Juni 2022

Pemilik, PI, DITJEN

PT. Titis Sampurna Inspection MIGAS
PT. Asrindo Citraseni Satria

ttty htr

Yume Hendra