LAMPIRAN-1 FORM NO.

: PTRE - FM - 1001
REV. :B
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ELECTRICAL CHECK LIST FOR HAZARDOUS AREA CLASSIFICATION

Job No. : RFP-2022-002861

Project : Upgrading PUNCAK GS
Document No. : SLON-GATHPNCK000-ELE-PLT-PHR-2006-00
Document Title : HAZARDOUS AREA CLASSIFICATION EQUIPMENT LAYOUT PUNCAK GS

No Description Drafter Designer Engineer Lead Eng QC Remarks

General
1 Key Plan Ok - Ok available
2 Scale Ok - Ok 1:1000
3 Match Line Ok - Ok available
4 Note & Legend Ok - Ok available
5 Drawing Head : Ok - Ok available
Number, Revision Number, Reference, Size

Specific
1 The principle & classification of Hazard Sources - Ok Ok none due to
not listed in
SOW
2 The Source Point & Hazardous Area Classification - Ok Ok as per
of Hazard in Plot Plan existing in
other areas

Others
1 As per comment/requirement from client - Ok Ok Ok N/A
2 Schedule target on issue document Ok on sch
3 Make sure for all before issue document Ok 1st issue

No Input Data (Reference) : Drafter Designer Engineer Lead Eng QC Remark

1 Plot Plan Ok - Ok Available
2 Source Data of Hazard (Hazardous Material - Ok Ok none asp er
Source) SOW
3 API-500 Standard - Ok Ok Ok API 500
4 API-505 Standard - Ok Ok Ok -
5 NFPA-497 Standard - Ok Ok Ok -
6 NEC Article 500 Standard - Ok Ok Ok follow
7 Electrical Design Criteria - Ok Ok Ok follow
8 Other relevant for document (if any)

No Responsible Person Date Sign Note

1 Drafter 29/07/2022 GG
2 Designer -
3 Engineer 29/07/2022 ARP
4 Lead Engineer 29/07/2022 DDR
5 QC 29/07/2022 EN