PT PLN (Persero) ptj PUSAT MANAJEMEN PROYEK CCROUT _| DATE REVIEW FOR APPROVAL OF DRAWINGS / DOCUMENTS 24-2019 DRAWINGS / DOCUMENT NUMBER DRAWINGS / DOCUMENTS TITLE PLN REV. CONTRACTOR REV. STATUS A FIELD INSPECTION AND TEST PLAN FOR INSTRUMENT TKCPO-YYB-G-05-049 CABLE KALSELTENG 2 CFSPP (2X100 MW) COMMENT — a ‘COMMENT PLN COMMENTS CONTRACTOR RESPONSE No. | No. 1 ‘Approved [ Review by. ] Response by: | Date: Sign | Approved by: 2a uMCONTRACTOR DOCUMENT REVIEW co = [mecn to [LJ BATE 5 [eect iw IE) commno & fiec — AE) aeenoveo SupORT 8D] APPROVED AS NOTE CONTRACTOR T | Nor APPROVED RECORD t + TE INFORMATION | womnino socuen _ ERROR OR DEVIATIONS © af _ _ Ea E | Eq DATE, 6 tos [BATE - cur Jeountno 7 [paca (sued For opie CANE CONSORTION BUSMINPRO nev | _oare DESCRIPTION PREPARED s CHECKED | APPROVED ‘OWNER PT. PLN ( PERSERO } Jl. Trunojoyo Blok M 1/135 Kebayoran Baru Jakarta 12610 Phone : +82-21-7261875 7261122 7262234 Fax : +62-21-7221830 e-mail : webmaster@pin.coie Contract Agreement No, 1504,PJ/DAN.02,0U/DIRI2016 PROJECT KALSELTENG 2 CFSPP(2x100MW) PT. PLN ( PERSERO ) PUSAT MANAJEMEN PROYEK FON pocno. L1]9/ 4] 1] 8[ 8] - | 0] of -[G]-]o] 5|- [y[¥]el- (o][4/9]- [o[s]- |o|1| ‘CONTRACTOR CONSORTIUM OF PT TRUBA JAYA ENGINEERING- HYUNDAI ENGINEERING CO. LTD.- ITOCHU CORPORATION Truba penn. fal] Ahyungal sTOEWS ‘SUB CONTAEROOR RE. DOC.NO PREPARED & DATE TITLE cHeckeo sy | a7-pee anac CABLE CONSORTIUM JZ APPROVED DATE CONTRACTOR DOCUMENT NUMBER. REV, PLN 2016 FIELD INSPECTION AND TEST PLANS FOR INSTRUMENT patePROUECT KALSELTENG 2 CFSPP(2x100MW) CONTRACTOR DOG NO. IKCPO-YYB-G-05-049 CONTRACTOR Trobe FIELD INSPECTION AND TEST PLANS FOR ARvunoa INSTRUMENT CABLE Rona TABLE OF CONTENT COVER TABLE OF CONTENT INSPECTION AND TEST PLANS FOR CABLE ATTACHMENT (Inspection & Test Report Form) = Continuity, meger and termination power cable - Continuity termination control cable - Cable laying (arrangement cable) installation ISSUED DATE 27-DEC-2018 REVISION t Page eonFIELD INSPECTION AND TEST PLANS FOR INSTRUMENT CABLE [oweo| Drezner areunen: fee INSTALLATION roms [nstirenc? 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IKCPO-YYB.G-05-049 CONTRACTOR | TITLE Trak FIELD INSPECTION AND TEST PLANS FOR tu INSTRUMENT CABLE OCW ATTACHMENT TSSUED DATE 27-DE02018 REVISION 1PLN KALSELTENG 2 CFSPP (2X100 MW) Tria AHO Foc eal coazl / Consortia at Pr. (PusMaNRO) at LPP KALBAGTENG CONTINUITY, MEGER AND TERMINATON POWER: Doeno, JPAGENO CABLE evn INSTRUMENT Description Report no 5 Drawing No : Date Testing Instruemnt Location / Area Serial no: we cameo cxscesucinm — | szqam|taascan| irre) ueqin| ceeoin| som] wom | corTmureane | gsr rewaes Comment: _ a Inspected Wiiness Approved PrN (uPP Halogen) ateuvpatsncrine KALSELTENG 2 CFSPP (2X100 MW) [pec vo Pe: CONTINUITY AND TERMINATION CONTROL cante |” INSTRUMENT [Description [Dae eportno: [beatin / re Tester [rage Hype serial no DrawingNo- No ‘able ust caBLe size FKOm 70 conratenn Result | T | Comment: Inspected ‘ness Approved Quay Conrat Consortium PT PLA (PUSMANFRO) PrPLN (UPP albaperg) Date Date DateLPP KALBAGTENG zo & KALSELTENG 2 CFSPP (2X100 MW) Trae been rows CABLE LAYING (ARRANGEMENT CaBLs ) INSTALLATION [°° = Re. no: INSTRUMENT Description: Date: Report no Location / Area locner Equipment /System no. Paine [sub System: Drawing No. system T RESULT No. ITEM To CHECK REMARK ves [NO] NA 1. [Visual inspection 1 2 [confirm sie ofcable is corest [ 3. [Verify redressing cable & te wrapping comect 4 [Deseripcion cable marker is correct (any) 5 cable specitcation correctas required 6 |Layoutmain cable way are correct, 7 |enecang power & signal cable of erase secoon correct 8 [Contem thatthe cable bending radius ie satsartary 9 [eearness on cable ladcer 10 [No contice with oer instalation 11 |eavietire protection instanaton (ay) i 12 [lnstaation cover plate after eelease(\Fany ) comment tim re roxusnaneo) rancor raages)