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PT.

SELOKO BATAM SHIPYARD


Marine Construction, General Contractor, Ship Building & Repair
Jlan KH. Ahmad Dahlan, Tanjung Riau – Batam
Telp : ( 0778 ) 381144 ( Hunting ), Fax ( 0778 ) 381140

WORK DONE REPORT

Vessel Name : Date :


DIMENSI
Project Code : PT. Seloko Batam Shipyard Time :
Location : LOA : (Mtr) Displ : ( Ton )
Type of Ship : LPP : (Mtr) Draft : ( Mtr )
Port Registry : B ( mld ) : (Mtr) Fwd : ( Mtr )
Classifica : D ( mld ) : (Mtr) Aft : ( Mtr )
Carried out the following work as specified in the work order, quotation, instructed, and / or marked by the owners and / or representatives, ship's master and / or staff. Telah terlaksanannya
pekerjaan berikut ini sebagaimana ditentukan dalam work order, quotation, instruksi / permintaan oleh pemilik / perwakilan , staff / crew kapal yang sah .

Project / Vessel Code : Start :


Date
Sub - Cont / Trades : Completed :
No Work Descriptions Unit Qty Remark

1 Service / Renew Emergency Light Telah selesai 100% dengan baik

a. Pergantian Automatic Emergency Light di Mesh Room. Unit 1.00

Automatic Emergency Automatic Emergency


Light Lama Light Baru

b. Ganti kabel pada kontaktor panel DC 24 Volt dari NO ke NC (jalur emergency light Unit 1.00
pada panel DC 24 Volt)

Ganti Kabel Kondisi Lampu Emergency Telah Aktif

2 Service / Renew CO2 Alarm Telah selesai 100% dengan baik

1 Ganti limit switch pada box CO2, fire break glass, rotari light alarm, fire alarm bell Pcs 1.00
(masing-masing qty 1 pcs)

limit switch Fire break glass rotary light alarm

fire alarm bell

2 Penarikan kabel supply alarm CO2 dari battery navigasi ke junction box alarm CO2 di Meter 4.00
engine room.

Prepare by / Disiapkan oleh Verified by / Diverifikasi oleh Verified by / Diverifikasi oleh Acknowledge by / Diketahui oleh

Name : Name : Name : Name :


Date : Date : Date : Date :
( Sub-Con Name / Department ) ( PIC - PT Seloko Batam Shipayrd) ( Ship Crew Title - Vessel Name ) Project Manager PT. Seloko Batam Shipyard
The ship Owners / representatives checked and certified the above mentioned work done and signed below :
Approved by / Disetujui oleh

Owner / Rep. Name :

Title : Director / Manager / Superintendent / Owner Representative / Master


( Signature of Owner & Stamp )
Date : / /

PT. SELOKO BATAM SHIPYARD


PT. SELOKO BATAM SHIPYARD
Marine Construction, General Contractor, Ship Building & Repair
Jlan KH. Ahmad Dahlan, Tanjung Riau – Batam
Telp : ( 0778 ) 381144 ( Hunting ), Fax ( 0778 ) 381140

WORK DONE REPORT

Vessel Name : Date :


DIMENSI
Project Code : PT. Seloko Batam Shipyard Time :
Location : LOA : (Mtr) Displ : ( Ton )
Type of Ship : LPP : (Mtr) Draft : ( Mtr )
Port Registry : B ( mld ) : (Mtr) Fwd : ( Mtr )
Classifica : D ( mld ) : (Mtr) Aft : ( Mtr )
Carried out the following work as specified in the work order, quotation, instructed, and / or marked by the owners and / or representatives, ship's master and / or staff. Telah terlaksanannya
Project / Vessel Code : Start :
Date
Sub - Cont / Trades : Completed :
No Work Descriptions Unit Qty Remark

3 Service & bongkar pasang cable HLA penetrasi akses pipe cable Unit 4.00 Telah selesai 100% dengan baik

Kondisi awal HLA penetrasi akses pipe cable

Kondisi setelah service dan repair

4 Bongkar pasang cable penetrasi pipe akses blower Unit 2.00 Telah selesai 100% dengan baik

Pelepasan cable penetrasi akses blower

Pemasangan kembali cable penetrasi akses blower

Prepare by / Disiapkan oleh Verified by / Diverifikasi oleh Verified by / Diverifikasi oleh Acknowledge by / Diketahui oleh

Name : Name : Name : Name :


Date : Date : Date : Date :
( Sub-Con Name / Department ) ( PIC - PT Seloko Batam Shipayrd) ( Ship Crew Title - Vessel Name ) Project Manager PT. Seloko Batam Shipyard
The ship Owners / representatives checked and certified the above mentioned work done and signed below :
Approved by / Disetujui oleh

Owner / Rep. Name :

Title : Director / Manager / Superintendent / Owner Representative / Master


( Signature of Owner & Stamp )
Date : / /

PT. SELOKO BATAM SHIPYARD


PT. SELOKO BATAM SHIPYARD
Marine Construction, General Contractor, Ship Building & Repair
Jlan KH. Ahmad Dahlan, Tanjung Riau – Batam
Telp : ( 0778 ) 381144 ( Hunting ), Fax ( 0778 ) 381140

WORK DONE REPORT

Vessel Name : Date :


DIMENSI
Project Code : PT. Seloko Batam Shipyard Time :
Location : LOA : (Mtr) Displ : ( Ton )
Type of Ship : LPP : (Mtr) Draft : ( Mtr )
Port Registry : B ( mld ) : (Mtr) Fwd : ( Mtr )
Classifica : D ( mld ) : (Mtr) Aft : ( Mtr )
Carried out the following work as specified in the work order, quotation, instructed, and / or marked by the owners and / or representatives, ship's master and / or staff. Telah terlaksanannya
Project / Vessel Code : Start :
Date
Sub - Cont / Trades : Completed :
No Work Descriptions Unit Qty Remark

5 Megger test Unit 7.00 Telah selesai 100% dengan baik

• Data Motor & Generator yang di megger :

BULGE PUMP CARGO BULGE PUMP CARGO STRIPPING PUMP


AREA CARGO AREA

G.S PUMP MOTOR BALAST PUMP GENERATOR AE 1

GENERATOR AE 2

6 Wiring & Install panel supply Navigasi & charger 24Volt Unit 1.00 Telah selesai 100% dengan baik

Kondisi Panel sebelum wiring dan install

Kondisi Panel setelah wiring dan install

Prepare by / Disiapkan oleh Verified by / Diverifikasi oleh Verified by / Diverifikasi oleh Acknowledge by / Diketahui oleh

Name : Name : Name : Name :


Date : Date : Date : Date :
( Sub-Con Name / Department ) ( PIC - PT Seloko Batam Shipayrd) ( Ship Crew Title - Vessel Name ) Project Manager PT. Seloko Batam Shipyard
The ship Owners / representatives checked and certified the above mentioned work done and signed below :
Approved by / Disetujui oleh

Owner / Rep. Name :

Title : Director / Manager / Superintendent / Owner Representative / Master


( Signature of Owner & Stamp )
Date : / /

PT. SELOKO BATAM SHIPYARD


PT. SELOKO BATAM SHIPYARD
Marine Construction, General Contractor, Ship Building & Repair
Jlan KH. Ahmad Dahlan, Tanjung Riau – Batam
Telp : ( 0778 ) 381144 ( Hunting ), Fax ( 0778 ) 381140

WORK DONE REPORT

Vessel Name : Date :


DIMENSI
Project Code : PT. Seloko Batam Shipyard Time :
Location : LOA : (Mtr) Displ : ( Ton )
Type of Ship : LPP : (Mtr) Draft : ( Mtr )
Port Registry : B ( mld ) : (Mtr) Fwd : ( Mtr )
Classifica : D ( mld ) : (Mtr) Aft : ( Mtr )
Carried out the following work as specified in the work order, quotation, instructed, and / or marked by the owners and / or representatives, ship's master and / or staff. Telah terlaksanannya
Project / Vessel Code : Start :
Date
Sub - Cont / Trades : Completed :
No Work Descriptions Unit Qty Remark

7 Installation cable power blower baru top deck Unit 1.00 Telah selesai 100% dengan baik

Pengerjaan meliputi pemasangan saklar, penarikan dan koneksi kabel baru dari Panel
distribusi di mess room ke saklar, dan ke blower top deck.

pemasangan saklar Lokasi Blower Top Deck Penarikan Kabel Power

8 Installation lampu T5 engine room Unit 2.00 Telah selesai 100% dengan baik

Pengerjaan meliputi pengelesan support/breacket lampu TL5, penarikan kabel power


(paralel dengan lampu TL Engine room).

Proses pengelesan support/breacket Proses penarikan power (paralel


lampu TL5 dengan lampu TL Engine room)

Pemasangan dan conection lampu TL5

Prepare by / Disiapkan oleh Verified by / Diverifikasi oleh Verified by / Diverifikasi oleh Acknowledge by / Diketahui oleh

Name : Name : Name : Name :


Date : Date : Date : Date :
( Sub-Con Name / Department ) ( PIC - PT Seloko Batam Shipayrd) ( Ship Crew Title - Vessel Name ) Project Manager PT. Seloko Batam Shipyard
The ship Owners / representatives checked and certified the above mentioned work done and signed below :
Approved by / Disetujui oleh

Owner / Rep. Name :

Title : Director / Manager / Superintendent / Owner Representative / Master


( Signature of Owner & Stamp )
Date : / /

PT. SELOKO BATAM SHIPYARD


PT. SELOKO BATAM SHIPYARD
Marine Construction, General Contractor, Ship Building & Repair
Jlan KH. Ahmad Dahlan, Tanjung Riau – Batam
Telp : ( 0778 ) 381144 ( Hunting ), Fax ( 0778 ) 381140

WORK DONE REPORT

Vessel Name : Date :


DIMENSI
Project Code : PT. Seloko Batam Shipyard Time :
Location : LOA : (Mtr) Displ : ( Ton )
Type of Ship : LPP : (Mtr) Draft : ( Mtr )
Port Registry : B ( mld ) : (Mtr) Fwd : ( Mtr )
Classifica : D ( mld ) : (Mtr) Aft : ( Mtr )
Carried out the following work as specified in the work order, quotation, instructed, and / or marked by the owners and / or representatives, ship's master and / or staff. Telah terlaksanannya
Project / Vessel Code : Start :
Date
Sub - Cont / Trades : Completed :
No Work Descriptions Unit Qty Remark

9 Penggantian fitting lampu engine room

Kondisi fitting lampu Proses pergantian


yang rusak fitting lampu

Kondisi lampu setelah pergantian fiiting

Depan panel engine Samping AE Generator


Di atas AE Generator 1
room 1

10 Installation lighter mess room

Kondisi lighter telah terpasang di mess


room

Prepare by / Disiapkan oleh Verified by / Diverifikasi oleh Verified by / Diverifikasi oleh Acknowledge by / Diketahui oleh

Name : Name : Name : Name :


Date : Date : Date : Date :
( Sub-Con Name / Department ) ( PIC - PT Seloko Batam Shipayrd) ( Ship Crew Title - Vessel Name ) Project Manager PT. Seloko Batam Shipyard
The ship Owners / representatives checked and certified the above mentioned work done and signed below :
Approved by / Disetujui oleh

Owner / Rep. Name :

Title : Director / Manager / Superintendent / Owner Representative / Master


( Signature of Owner & Stamp )
Date : / /

PT. SELOKO BATAM SHIPYARD


PT. SELOKO BATAM SHIPYARD
Marine Construction, General Contractor, Ship Building & Repair
Jlan KH. Ahmad Dahlan, Tanjung Riau – Batam
Telp : ( 0778 ) 381144 ( Hunting ), Fax ( 0778 ) 381140

WORK DONE REPORT

Vessel Name : Date :


DIMENSI
Project Code : PT. Seloko Batam Shipyard Time :
Location : LOA : (Mtr) Displ : ( Ton )
Type of Ship : LPP : (Mtr) Draft : ( Mtr )
Port Registry : B ( mld ) : (Mtr) Fwd : ( Mtr )
Classifica : D ( mld ) : (Mtr) Aft : ( Mtr )
Carried out the following work as specified in the work order, quotation, instructed, and / or marked by the owners and / or representatives, ship's master and / or staff. Telah terlaksanannya
Project / Vessel Code : Start :
Date
Sub - Cont / Trades : Completed :
No Work Descriptions Unit Qty Remark

11 Trouble Shooting Emergency System

Prepare by / Disiapkan oleh Verified by / Diverifikasi oleh Verified by / Diverifikasi oleh Acknowledge by / Diketahui oleh

Name : Name : Name : Name :


Date : Date : Date : Date :
( Sub-Con Name / Department ) ( PIC - PT Seloko Batam Shipayrd) ( Ship Crew Title - Vessel Name ) Project Manager PT. Seloko Batam Shipyard
The ship Owners / representatives checked and certified the above mentioned work done and signed below :
Approved by / Disetujui oleh

Owner / Rep. Name :

Title : Director / Manager / Superintendent / Owner Representative / Master


( Signature of Owner & Stamp )
Date : / /

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