26071-100-530-GST-00013 Method Statement For Instrument Logic Function Test - 00A

Doc. No.
: 26071-100-530-GST-00013
Job No. : 26071 Rev.00A
Method Statement for

Instrument Logic & Function test
PROJECT : Engineering, Procurement and Construction (EPC) Inside

Battery Limits (ISBL) and Outside Battery Limits (OSBL) for
the Refinery Development Master Plan (RDMP) Project
RU V Balikpapan
LOCATION : Refinery Unit V Balikpapan, East Kalimantan, Indonesia
OWNER : PT PERTAMINA (Persero)
00A 29 Mar 23 ISSUED FOR REVIEW H.K.JANG C.Y.KIM J.H.KIM
REV. DATE DESCRIPTION PREPARED CHECKED APPROVED
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REVISION LOG
REV. NO. DATE PAGE DESCRIPTION
00A 29 MAR 23 - ISSUED FOR REVIEW
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TABLE OF CONTENTS
1 PURPOSE ............................................................................................................................... 4
2 SCOPE OF WORK................................................................................................................. 4
3 DEFINITION .......................................................................................................................... 4
4 REFERENCE ........................................................................................................................... 5
5 WORK PREPARATION ........................................................................................................ 7
6 METHOD OF EXECUTION ................................................................................................10
7 ROLES AND RESPONSIBILITIES ......................................................................................12
8 TOOL & EQUIPMENT........................................................................................................14
9 HAZARDS ............................................................................................................................15
10 CONTROL AND PREVENTATIVE MEASURES ............................................................16
11 ATTACHMENTS ..............................................................................................................17
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1 PURPOSE
The purpose of this Method Statement is to describe and establish HSE and
Commissioning requirements for Logic & Function Test works to be executed by Contractor
for Commissioning Inside Battery Limits (ISBL) and Outside Battery Limit (OSBL) for The
Refinery Development Master Plan (RDMP) Project RU V Balikpapan (hereinafter referred
to as PROJECT).
2 SCOPE OF WORK
This Method Statement covers for all the activities related to Instrument
Logic & Function Test works and provides problem statement or description of work.
3 DEFINITION
Terms Definition
PROJECT Engineering, Procurement and Construction (EPC) Inside

Battery Limits (ISBL) and Outside Battery Limit (OSBL) for
The Refinery Development Master Plan (RDMP) Project RU
V Balikpapan
OWNER PT. Pertamina (Persero)
IPMT Integrated Project Management Team consists of a

combination of OWNER Personnel and PMC.
Communication between OWNER and CONTRACTOR to be

executed through IPMT as representative of OWNER
CONTRACTOR RDMP Balikpapan JO
JO Joint Operation, Joint Operation (JO) Body
SUBCONTRACTOR means any and all persons, firms, partnerships, companies,

bodies, entities or a combination who are hired by
CONTRACTOR to perform a specific site activities as part of
the overall project
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VENDOR means any and all persons, firms, partnerships, companies,

bodies, entities or a combination thereof including
manufacturer, sub-vendors and suppliers, who are providing
GOODS, and the successors and assigns of such persons,
firms, partnerships, companies, bodies, entities or a
combination thereof
PMC Project Management Consultant
ISBL Inside Battery Limit
OSBL Outside Battery Limit
API American Petroleum Institute
PPE Personnel Protective Equipment
PTW Permit to Work
4 REFERENCE
DOC. No. Definition
API RP 551 Process Measurement Instrumentation
26071-100-GPP-GHX-00001 Work Permit Procedure
26071-100-G01-GHX-00002 Project HSE Plan
26071-100-G01-GHX-00005 Health Management Plan
26071-100-GQI-GCQ-00014 Inspection and Test Plan for Instrument Works
Inspection and Test Plan Instrument

26071-100-GQI-GCQ-00019
Installation for Early Work
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26071-100-530-GST-00006 Preservation Procedure
( Refer to attachment #1 ) Control Narrative
( Refer to attachment #1 ) Cause & Effect
( Refer to attachment #1 ) Instrument Index and I/O Schedule - ISBL
26071-200-J0X-000-10001 Instrument Index and I/O Schedule - RFCC
26071-100-J0X-000-20003 Instrument Index and I/O Schedule (OSBL)
Instrument Index and I/O Schedule - Plant

26071-203-J0X-320-20002 Feed & Product Tankage - Early Tank (Unit
320)
Instrument Index and I/O Schedule - Hydrogen
26071-675-J0X-068-20002
Manufacturing Unit (HMU) (Unit 068)
Instrument Index and IO Schedule - Unit 323

26071-203-J0X-323-30001
and Unit 341 (OSBL)
( Refer to attachment #1 ) Instrument Loop Diagram
( Refer to attachment #1 ) Instrument Wiring Layout
Pre-commissioning & Commissioning

26071-100-500-GST-00002
Procedure
26071-100-GQI-GCQ-00014 Inspection and Test Plan for Instrument Work
Inspection and Test Plan Instrument

26071-100-GQI-GCQ-00019
Installation for Early Work
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Site Specific Procedure for Covid-19

26071-100-GPP-GHX-00014
Prevention
26071-000-GPP-GHX-00002 Project Emergency Handling Procedure
Preventative Maintenance and Inspection of

26071-100-GPP-GHX-00026
Plant, Tools and Equipment
Electrical Equipment and Assured Grounding

26071-100-GPP-GHX-00006
Procedure
26071-100-GPP-GHX-00010 LOTO Procedure
26071-100-GPP-GHX-00009 Working at Height Procedure
26071-100-GPP-GHX-00017 Barricade and Signboard Procedure
26071-100-GPP-GHX-00021 Scaffolding Procedure
26071-100-GPP-GCC-00004 SIMOPS PLAN
5 WORK PREPARATION
Before commencement of work, below Logic & Function Test preparation & safety
requirements shall be done by authorized person on site.
5.1 SAFETY INSTRUCTION
 All the personnel working in the field will be given relevant safety orientation training
and formal site induction. All the personnel will be made aware of safety procedures
and requirements to be ensured on the entire task to be executed on site. Daily toolbox
tasks will be held at the site prior to commence of work activities. All the personnel
working in the site shall wear the appropriate PPE.
 Check and confirm all equipment and tools be used at site, having valid and approved
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documents prior to start of work.
 The Permit Holder shall hold PTW while working is ongoing and fully supervise all
activities from safety point of view. Welfare facilities shall be prepared by the
Subcontractor in terms of site requirements.
 Isolate the excavated area with warning tape and warning signs in order to control
access to the work area by unauthorized workers.
 Provide proper access and egress
 Before work starts, ensure that all work permits have been obtained from Company
and other authorities, as required for site conditions.
 Gas monitoring shall be conducted by Authorized Gas Tester who trained & Certified
Company approved 3rd party agency (if required).
 All types of gas detector shall have valid calibration certificate and periodically
calibrated.
 All workers who involved in confined space work shall be conducted medical fitness
exam and special training prior to start work inside confined space.
 Confined space rescue items shall be prepared and entry attendant shall monitor all
confined space works.
 Qualified first aider & trained rescuer shall be standby in case of emergency situations.
 Ensure that all equipment such as winch machine, megger and crane shall have valid
3rd party inspection certificate which issued by the Company approved 3rd party
Agency.
 Heat stress prevention means such as shelter, drinking water, and work regimen shall
be implemented while working hours.
 Inspection of all electrical tools shall be carried out by the Contractor’s inspector prior
to start activities for color coding purpose and operator and / or construction supervisor
shall conduct daily inspection for all electrical tools to ensure good conditions.
 Working inside operation area Supervisor shall follow the Company safety work
practices while working inside operation area.
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5.2 SAFETY REQUIREMENTS OF INSTRUMENT WORK
 Appropriate PPE shall be provided
 Periodical inspection of electrical tools, cables, plugs, sockets
 Do not overload the electrical tools.
 Proper maintenance of the tools shall be conducted.
 Prepare/use the appropriate fire extinguisher / fire blanket and easily accessible /
visible.
 Proper housekeeping all time.
 Make sure the power supply properly turns off or isolated before.
 Apply appropriate first-aid and immediately summon/get medical assistance in case of

accident/injury.
5.3 PERSONNEL PROTECTIVE EQUIPMENT (PPE)

The usage of the following PPE in terms of site PPE color code is mandatory during the
construction work. And all PPE shall be approved by OWNER prior to use it.
 Safety Shoes
 Hand Gloves
 Safety glasses
 Safety Coverall
 Reflective Vest (If required)
 Safety Helmet
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 Gas Detector Portable
 Hearing Protection
 Mask minimum with 2 ply
6 METHOD OF EXECUTION OF LOGIC & FUNCTION TEST [ATTACHEMENT #2]
a) Loop Test shall be completed before Logic and Function Test. In case all of the
associated Loop Test cannot be completed before the Logic Test, those loops shall be
listed as punch in the test report with clear reason. In case of loop not impact on logic
& function test, test shall be carried out with consent from company.
b) FAT and SAT Test result shall be reviewed and shall ensure that comments
have been reflected.
c) The document mentioned in this document shall be prepared for the Logic
Test.
d) Review among Company Operation Group, Company Instrument team, JO

commissioning and instrument team, Vendor Supervisor before start the Test.
Test sequence must be shared among the Test team.
i. During the functional test there is a possibility that some of the process/utility
systems and equipment may have already been commissioned and
simultaneously operated. Hence it needs to be ensured that the
respective Effects are properly isolated so that there is no initiation any
trip/stop/close/open functions of the physical devices. For this reason,
instrument functional testing group to ensure continuous coordination
with the relevant process/ utilities commissioning engineer. (SIMOPS)
ii. Instrument engineer checks that all forcing (override, bypass) required
for the test are implemented in the configuration. These shall be properly
done and recorded. Bypass override should stay active less than a day.
Long term bypass shall be approved before application, recorded and
reported to iPMT.
iii. Electrical engineer checks MCC status (availability, fault status) to be
sure the equipment has been put in test mode. (if relevant) For electrical
motors, Cubicles shall be in “TEST” mode and electrical engineer
confirms that no motors will start on field.
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e) Simulate input condition step by step and check and verify that output changes
are in accordance with the approved Logic Diagram and Cause & Effect.
- Functional tests shall be performed as much as possible in their entirely

agreed case by case, with reasonable exceptions. When the test affects two
or more systems, it will be recommended to complete the Mechanical
completion of whole systems and perform one single test unless it is agreed
based on the MC completion schedule.
f) Alarm and trip conditions shall also be simulated to verify that output is
activated according to Logic Diagram and Cause & Effect.
i. Check is performed by means of imitating the change in the input signal,

by Hart communicator, or by 4 … 20 mA current set point device up to
the level where the signal of the warning / emergency alarm shall be
generated pursuant to the project specification
ii. Controlled Parameters
iii. Correspondence of warning and emergency alarm set point values in BPCS,
SIS and FGS to the values approved in Logic Diagram and Cause & Effect.
iv. Correct displaying of input signal values and generation of appropriate

sound and light alarm signals.
v. Correspondence of the visual status indicator of the emergency and

warning alarm signals to their real status would be presence of the
appropriate records in the alarm log
g) Prompt interlocking algorithm for all input signals, being used in the interlock
algorithm of the process facility shall be tested.
i. Check is performed by means of imitating the input signal, by Hart

communicator, or by 4 … 20 mA current set point device, up to the
interlock trigger level pursuant to the approved drawings of logic
diagram and cause and effect.
iii. Correspondence of interlock set point values in SIS, FGS to the values
in the approved logic diagram and cause and effect
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iv. Correct display of input signal value and presence of changes in the
dynamic shape status on the mnemonic diagram, appearance of
records in the event log, registration of interlock trigger on the
mnemonic diagrams with cause and effect table
v. Correspondence of the visual status indicator of the emergency and

warning alarm signals to their real status would be presence of the
appropriate records in the alar Change in the output discrete signal
levels corresponds to the logic diagram and cause and effect.
h) Parameters such as Range, Engineering Unit, PID Setting, Fail Position and etc.
shall be checked and verified.
i. Check is performed by means of imitating the input signal, by Hart

communicator, or 4 … 20 mA current set point device to the higher or
the lower side from the PID controller set value.
iii. Correspondence of PID controller factor values to the values in

accordance with the approved logic diagram and cause and effect.
iv. Correct displaying of input signal value and presence of changes in the
dynamic shape status.
v. Change in the output analog signal level pursuant to the values set by
the control principle
i) Set value in BPCS, SIS, FGS and Package PLC shall be checked with the set
value in the approved Logic diagram and Cause & Effect.
7 ROLES AND RESPONSIBILITIES

The contractor shall be responsible for all types of inspection/testing of Instrument Logic &
Function Test. But this shall not relieve the contractor from its responsibilities at the site.
Constructions Director has the overall responsibility for this Method Statement and is
responsible for supporting it and for ensuring that all entitles at the Worksite actively
participate.
 Construction Manager
a) The Construction Manager shall ensure that competent persons effectively
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implement this Method Statement and related applicable project specification.
 Subcontractor
a) Execution of the all activities in contract agreements
 Instrument Foreman
a) Responsible for the proper execution of all related works as per this method
statement
 Instrument Manager
a) Shall ensure and control the overall Logic & Function test activates.
b) Shall be responsible for compliance with procedure and provides all resources
necessary to effectively implement throughout the Logic & Function Test period.
c) Shall ensure that all personnel involved in the job are fully aware of all quality
control requirements.
d) Shall monitor the quality and progress of the work and ensure project schedule
archives.
 Instrument Engineer
a) Shall identify any problem, which may affect the completion or progress of the job
and propose the remedial action to instrument manager for resolving the problem.
b) Shall be responsible for Logic & Function test and ensures that work is completed
on the schedule and in conformity with control narrative, cause & effect, instrument
data sheets, loop diagram, and related document & drawing.
c) Shall be responsible for all the coordination work with other departments which
related to the Logic & Function Test
d) Shall be responsible for mobilization of the vendor supervisor, if required.
e) Shall review the appropriate drawings and data sheets and then check safety
condition at the test area according to daily test schedule.
 Instrument Supervisor
a) Shall be responsible for all test equipment has its own certification or is to be
certified and calibrated by recognizing institute.
b) Shall be responsible for the arrangement of all resources required for executing the
planned work.
c) Shall be responsible for the coordination with instrument engineer regarding the
schedule and if any major comment received from the Company inspectors during
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the Logic & Function test.

d) Shall be responsible for the coordination with document controller for the Logic &
Function test preparation.
e) Shall ensure that Logic & Function test is carried out as per latest approved
construction drawings.
f) Shall ensure that the housekeeping of the area is properly done before leaving the
site.
 Document Controller
a) Shall be responsible for maintaining the entire instrument database (such as all
necessary documents including control narrative, cause & effect and loop diagram.).
b) Shall coordinate with instrument engineer and supervisor to check the readiness of
the control narrative, Cause & effect and update the Logic & Function test record.
 QA/QC Manager
a) QA/QC Manager has the overall responsibility for all QA/QC activities of the project.
He shall be interacting with Instrument Manager related to all QA/QC activities. He
shall be responsible for Nonconformance Management and Quality Audit.
 QA/QC Engineer
a) QA/QC Engineer shall be responsible for the QA/QC activities, document control
and traceability, non-conformance management and compilation of instrument work
in Logic & Function test documents.
 QA/QC Inspectors
a) QA/QC Inspectors shall be responsible for Site QA/QC activities, coordination with
HSSE authorities for instrument work in Logic & Function test activities at the site.
 HSSE Officer
a) HSSE Officer shall monitor all the works that they are carried out and advice
supervisors for corrective measures, if required. He shall ensure holding of pre-task
HSSE meeting / daily toolbox talks covering details of specific tasks and specific job
risks involved in the workforce. He shall also ensure the appropriate mode
communication in case emergency.
8 TOOL&EQUIPMENT
 HART Communicator (according to IEC 61158 CP 9/1 HART Version 7)
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 Digital Multifunction Process Meter

 Digital Multi-meter [Portable]
 Process Calibrator
 Decade Resistance Box or YOKOGAWA CA71
 Pneumatic Pressure Calibrator
 Hand Pump
 Cable power extension
 Digital Thermometer
 Various Ranges Standard Pressure Gauge Accuracy; 0.1%
 Pressure Regulators
 Portable Vacuum Pump
 Water Hand Pump - If required
 Air Compressor
 TK3- Kit and Shaker Box If required
 Jumper Cord Wire with Clip
 Adjustable Wrenches
 Screwdrivers
 Hexagonal Head Wrenches
 Long Nose Pliers & etc
 Nitrogen Cylinder
 Heat gun
9 HAZARDS
9.1 Permit Management
9.1.1 Delay for Permit issue : Prompt and accurate PTW process should be addressed
early in the morning with Company's cooperation.
9.1.2 Unnecessary preparation and argument : All work's information should be discussed
with RDMP JO prior to processing the PTW to avoid unnecessary preparation and
argument.
9.1.3 Stop of Permit(work) : Working area should be prepared for required job and cleaned
to avoid the stop of PTW(work).
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9.2 Logic & Function Test
9.2.1 Worker is exposed to the electric shock from the high-voltage equipment and
instruments.
9.2.2 Injury accident due to improper handling of tools / equipment
9.2.3 Use the correct insulated tools during Logic & Function Test
9.2.4 Supervisor shall ensure workers are trained and competent to handle tools and
equipment
9.2.5 Supervisor shall ensure PTW is in place and all workers have signed the JSA prior to
work start
9.2.6 Supervisor shall inform all workers of PTW condition before work starts.
9.2.7 Use approved ladders, scaffolding and safety harness.
9.2.8 Use approved panel wiring system and insure there are lugs on all wires after label
has been placed
9.2.9 Mark terminals before working on wires. Mark unmarked wires.
10 CONTROL AND PREVENTATIVE MEASURES
 Provide common safety equipment such as Fire Extinguishers, Fire Blanket, PPE etc.
at site in accordance with HSE Regulations.
 Develop safety awareness for project team and erection team in any work condition.
 Prior to start of work to ensure that all relevant work permits have been obtained from
RDMP JO, as per requirements.
 Prior to start work, all pieces of construction equipment are to be inspected by the
Subcontractor’s safety department to ensure that all the certificates are valid and are in
accordance with RDMP JO HSE Regulations.
 All certificates and permits relevant to the particular job shall be kept at site for
verification.
 Preventive action and mitigation for lesson learnt in work improvement.
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11 ATTACHMENTS
ATTACHMENT #1. Index for Control Narrative Diagram, Cause & Effect,
Instrument Index, Loop diagram and Wiring diagram
ATTACHMENT #2. ITR (Inspection Test Report) for Instrument Logic function test
ATTACHMENT #3. JSA
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Attachment#1
Index for Control Narrative Diagram, Cause &
Effect, Instrument Index, Loop diagram and
Wiring diagram
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1. Control Narrative
DOC. No. Definition
26071-500-J0Y-059-00001 PROCESS CONTROL NARRATIVE - CCR U059
26071-450-J0Y-082-00001 PROCESS CONTROL NARRATIVE - ISOM U082
26071-550-J0Y-084-00001 PROCESS CONTROL NARRATIVE - NHT II U084
26071-203-J0Y-060-00001 PROCESS CONTROL NARRATIVE - SGC U060
26071-203-J0Y-064-00001 PROCESS CONTROL NARRATIVE - SLPGT U064
PROCESS CONTROL NARRATIVE - NRFCC SWS

26071-203-J0Y-067-00001
U067
26071-203-J0Y-079-00001 PROCESS CONTROL NARRATIVE - ARU II U079
26071-203-J0Y-069-00001 PROCESS CONTROL NARRATIVE - ARU I U069
PROCESS CONTROL NARRATIVE - RFCC SWS

26071-203-J0Y-167-00001
U167
PROCESS CONTROL NARRATIVE - RFCC NHT

26071-300-J0Y-053-00001
U053
26071-600-J0Y-065-00001 PROCESS CONTROL NARRATIVE - ALK U065
26071-600-J0Y-066-00001 PROCESS CONTROL NARRATIVE - WSA U066
PROCESS CONTROL NARRATIVE - DHT U054 /

26071-700-J0Y-054-00001
U083 / DHT H2 COMPRESSOR U085
26071-625-J0Y-169-00001 PROCESS CONTROL NARRATIVE - SRU U169
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26071-800-J0Y-001-00001 Process Control Narrative - CDU-IV U001
26071-800-J0Y-001-00002 INTERLOCK NARRATIVE - CDU-IV U001
26071-900-J0Y-002-00001 PROCESS CONTROL NARRATIVE - VDU II
26071-950-J0Y-003-00001 Process Control Narrative - HCU U003
Control Narrative Fuel Oil And Fuel Gas System (Unit

26071-203-3YD-315-00011
315)
26071-203-3YD-319-00009 Control Narratives for Flare System (319)
Process Control Narrative Plant Feed and Product

26071-203-J0Y-320-00001
Tankage (Unit 320)
Process Control Narratives Caustic Preparation Unit

26071-203-J0Y-325-00001
(Unit 325)
Complex Control Description Steam, Power

26071-203-3BD-331-00001
Generator And Condensate System (Unit 331)
Process Control Narrative Cooling Water System

26071-203-J0Y-332-00001
(Unit 332)
26071-203-J0Y-335-00001 Process Control Narrative Air System (Unit 335)
Process Control Narrative Sea Water Intake,

26071-203-J0Y-337-00001
Desalination and Demineralization System (Unit 337)
26071-203-J0Y-323-30001 Process Control Narrative
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2. Cause & Effect
DOC. No. Definition
Cause and Effect Diagram (North Acid Gas Recovery

26071-203-J4-319-00011
System)
26071-500-J3-059-00001 CAUSE AND EFFECT DIAGRAM - CCR U059
26071-450-J3-082-00001 CAUSE AND EFFECT DIAGRAM - ISOM U082
26071-550-J3-084-00001 CAUSE AND EFFECT DIAGRAM - NHT II U084
26071-203-J3-060-00001 CAUSE AND EFFECT DIAGRAM - SGC U060
26071-203-J3-064-00001 CAUSE AND EFFECT DIAGRAM - SLPGT U064
CAUSE AND EFFECT DIAGRAM - NRFCC SWS

26071-203-J3-067-00001
U067
26071-203-J3-079-00001 CAUSE AND EFFECT DIAGRAM - ARU II U079
26071-203-J3-069-00001 CAUSE AND EFFECT DIAGRAM - ARU I U069
CAUSE AND EFFECT DIAGRAM - RFCC SWS

26071-203-J3-167-00001
U167
26071-300-J3-053-00001 CAUSE AND EFFECT DIAGRAM - RFCC NHT U053
26071-600-J3-065-00001 CAUSE AND EFFECT DIAGRAM - ALK U065
26071-600-J3-066-00001 CAUSE AND EFFECT DIAGRAM - WSA U066
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CAUSE AND EFFECT DIAGRAM - DHT U054/083 /

26071-700-J3-054-00001
DHT H2 COMPRESSOR U085
26071-625-J3-169-00001 CAUSE AND EFFECT DIAGRAM - SRU U169
Fire and Gas Detection System Cause & Effect for

26071-100-U5-000-08002
Outdoor
26071-900-J3-002-00001 Cause and Effect Diagram- VDU II
26071-950-J3-003-00001 Cause and Effect Diagram - HCU U003
26071-800-J3-006-00001 CAUSE AND EFFECT DIAGRAM - LPG_Rec U006

26071-100-U5-000-08003
Outdoor (Revamp)
Cause and Effect Diagram Fuel Gas and Fuel Oil

26071-203-J4-315-00001
System (Unit 315)
Fire and Gas Detection System Cause and Effect for

26071-203-J4-315-18001
Fuel Oil and Fuel Gas Area
Cause and Effect Diagram - Flare System (319)

26071-203-J4-319-00001
Balikpapan Area

26071-203-J4-319-18001
Flare Area
Cause & Effect Diagram Plant Feed and Product

26071-203-J4-320-00001
Storage Unit 320 - Plant Feed and Product Storage

26071-203-J4-320-18001
Plant Feed and Product Tank Area
Cause and Effect Diagram Spent Caustic Treatment

26071-203-J4-325-00001
System and Caustic Preparation System Unit 325
26071-203-J4-325-18001 Chemical Preparation System and Spent Caustic
Treatment Area
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Cause and Effect Diagram - Steam, Power Generator

26071-203-J4-331-00001
And Condensate System (Unit 331)

26071-203-J4-331-18001
Steam and Power Generation Area
Cause & Effect Diagram Cooling Water System (Unit

26071-203-J4-332-00001
332)

26071-203-J4-332-18001
Cooling Water System Area

26071-203-J4-334-18001
Waste Water Treatment Plant Area
26071-203-J4-335-00001 Cause & Effect Diagram Air System (Unit 335)

26071-203-J4-335-18001
IA PA/Nitrogent Area
Cause & Effect Diagram Sea Water Intake,

26071-203-J4-337-00001
Desalination and Demineralization System (Unit 337)
26071-203-J4-337-18001 Sea Water Intake, Raw Water, Demin and Remin
Area
Cause and Effect Diagram Hydrogen Manufacturing
26071-675-J4-068-00005
Unit (HMU #068)
Fire and Gas Detection System Cause and Effect

26071-675-H0X-068-10001
Matrix For Hydrogen Manufacturing Unit (068)

26071-100-U1-341-30403
Common Fasilities Substation-1 (341-SS-103)

26071-100-U1-341-30302
Water Treatment Substation (341-SS-102)

26071-100-U1-341-30904

26071-100-U1-341-30201
Main Utilities Substation (341-SS-101)
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Fire & Gas Detection and Fire Alarm System Cause

26071-100-U1-341-30605 and Effect Diagram Seawater Intake Substation (341-
SS-105)
26071-100-U1-341-30506
26071-100-U1-341-31231 and Effect Diagram Tanjung Batu Control Room
(341-TCR-001)
26071-100-U1-341-31509
East Tank Farm Substation (341-SS-114)

26071-100-U1-341-31108
Tankage Substation (341-SS-113)
26071-100-U1-341-30707 and Effect Diagram New BPP-1 & 2 Main Substation
(341-SS-111)
26071-100-U1-341-33910 and Effect Diagram Utility Control Room (341-UCR-
001)
26071-100-U1-341-33811 and Effect Diagram Offsite Control Room (341-OCR-
001)
26071-100-V1A-JA32-00040 Cause & Effect Of Analyzer shelter
26071-100-V1A-MKAS-00113 Cause & Effect Of A-065-01
26071-100-V1A-MKAS-10213 Cause & Effect Of A-067-05
26071-100-V1B-MBH0-00019 Cause & Effect Of F-053-01
26071-200-V1A-MDVS-00001 Cause & Effect Of Slide valve
26071-200-V1A-MLGC-00009 Cause & Effect Of Clarifier Package
26071-V0A-F-059-01-00006 Cause & Effect Of F-059-01
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26071-V0A-F-1-01AB-00024 Cause & Effect Of F-1-01A/B
26071-V0A-F-2-01AB-00009 Cause & Effect Of F-2-01A/B
26071-V1A-A-052-08-00014 Cause & Effect Of A-052-08
26071-V1A-G-084-02AB-00016 Cause & Effect Of G-084-02A/B
26071-V1A-K-052-01-00770 Cause & Effect Of K-052-01
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26071-V1A-K-053-01AB-00010 Cause & Effect Of K-053-01A/B
26071-V1A-K-059-02ABC-00010 Cause & Effect Of K-059-02A/B/C
26071-V1A-K-060-01ABCD-00010 Cause & Effect Of K-060-01A/B/C/D
26071-V1A-K-085-01ABC-00010 Cause & Effect Of K-085-01A/B/C
26071-V1A-K-169AB-01AB-00032 Cause & Effect Of K-169A/B-01A/B
26071-V1A-K-3-02DE-00403 Cause & Effect Of K-3-02D/E
26071-V1B-K-054-02-00134 Cause & Effect Of K-054-02
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26071-V1B-K-068-04AB-00010 Cause & Effect Of K-068-04A/B
26071-V1B-K-082-01AB-00010 Cause & Effect Of K-082-01A/B
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Job No. : 26071 Rev.00A
3. Instrument Index and I/O schedule – ISBL
DOC. No. Definition

26071-800-J0X-001-R0003 Instrument Index and I/O Schedule - CDU-IV
Revamping
26071-800-J0X-001-00003 Instrument Index and I/O Schedule - CDU Preflash

Unit
26071-900-J0X-002-00003 Instrument Index and I/O Schedule - VDU II

Revamping
26071-800-J0X-006-00003 Instrument Index and I/O Schedule - LPG Recovery

Revamping
26071-300-J0X-053-00003 Instrument Index and I/O Schedule - RFCC NHT Unit
26071-700-J0X-054-00003 Instrument Index and I/O Schedule - DHT I Unit
26071-500-J0X-059-00003 Instrument Index and I/O Schedule - CCR

Platforming Unit
26071-203-J0X-060-00003 Instrument Index and I/O Schedule - Saturated Gas

Concentration Unit
26071-200-J0X-062-00003 Instrument Index and I/O Schedule - RFCC LPG

Treating Unit
26071-200-J0X-063-00003 Instrument Index and I/O Schedule - Propylene

Recovery Unit
26071-203-J0X-064-00003 Instrument Index and I/O Schedule - Saturated LPG

Treater
26071-600-J0X-065-00003 Instrument Index and I/O Schedule - Alkylation Unit
26071-600-J0X-066-00003 Instrument Index and I/O Schedule - WSA Unit
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Job No. : 26071 Rev.00A
26071-203-J0X-067-00003 Instrument Index and I/O Schedule - Non-RFCC Sour

Water Stripping
26071-203-J0X-069-00003 Instrument Index and I/O Schedule - Amine

Regeneration Unit - 1
26071-203-J0X-079-00003 Instrument Index and I/O Schedule - Amine

Regeneration Unit - 2
26071-450-J0X-082-00003 Instrument Index and I/O Schedule - Isomerization

Unit
26071-700-J0X-083-00003 Instrument Index and I/O Schedule - DHT II Unit
26071-550-J0X-084-00003 Instrument Index and I/O Schedule - NHT Unit
26071-750-J0X-085-00003 Instrument Index and I/O Schedule - Common DHT

H2 Compressor Unit
26071-203-J0X-160-00003 Instrument Index and I/O Schedule - Common

Facilities NLP-1
26071-203-J0X-167-00003 Instrument Index and I/O Schedule - RFCC Sour

Water Stripping Unit
26071-950-J0X-003-00003 Instrument Index and I/O Schedule - HCU
26071-200-J0X-052-60103 Instrument Index and I/O Schedule - RFCC Caustic

Loading & Storage (052)
26071-203-J0X-319-00003 Instrument Index and I/O Schedule - Recycle North

Acid Gas Compressor Package
26071-100-J0X-341-00003 Instrument Index and I/O Schedule - Buildings
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26071-625-J0X-169-00003 Instrument Index and I/O Schedule - SRU
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4. Instrument loop diagram
DOC. No. Definition
26071-800-J5-001-00001 Instrument Loop Diagram - CDU-IV Revamping
26071-800-J5-001-00002 Instrument Loop Diagram - CDU Preflash Unit
26071-900-J5-002-00001 Instrument Loop Diagram - VDU II Revamping
26071-800-J5-006-00001 Instrument Loop Diagram - LPG Recovery

Revamping
26071-300-J5-053-00001 Instrument Loop Diagram - RFCC NHT Unit
26071-700-J5-054-00001 Instrument Loop Diagram - DHT I Unit
26071-500-J5-059-00001 Instrument Loop Diagram - CCR Platforming Unit
26071-203-J5-060-00001 Instrument Loop Diagram - Saturated Gas

Concentration Unit
26071-200-J5-062-00001 Instrument Loop Diagram - RFCC LPG Treating Unit
26071-600-J5-065-00001 Instrument Loop Diagram - Alkylation Unit
26071-450-J5-082-00001 Instrument Loop Diagram - Isomerization Unit
26071-700-J5-083-00001 Instrument Loop Diagram - DHT II Unit
26071-550-J5-084-00001 Instrument Loop Diagram - NHT Unit
26071-750-J5-085-00001 Instrument Loop Diagram - Common DHT H2

Compressor Unit
26071-200-J5-052-00001 Loop Diagram - RFCC U052
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26071-200-J5-063-00001 Instrument Loop Diagram - Propylene Recovery Unit
26071-203-J5-064-00001 Instrument Loop Diagram - Saturated LPG Treater
26071-600-J5-066-00001 Instrument Loop Diagram - WSA Unit
26071-203-J5-067-00001 Instrument Loop Diagram - Non-RFCC Sour Water

Stripping
26071-203-J5-069-00001 Instrument Loop Diagram - Amine Regeneration Unit

-1
26071-203-J5-079-00001 Instrument Loop Diagram - Amine Regeneration Unit

-2
26071-203-J5-160-00001 Instrument Loop Diagram - Common Facilities NLP-

1
26071-203-J5-167-00001 Instrument Loop Diagram - RFCC Sour Water

Stripping Unit
26070-203-J5-003-R0001 Basic Instrument Loop Diagram
26071-203-J5-315-00001 Instrument Loop Diagram - Fuel Oil & Fuel Gas

System (Unit 315)
26071-203-J5-319-00001 Instrument Loop Diagram - South Acid & RFCC Gas

Flare System (Unit 319)
26071-203-J5-320-00001 Instrument Loop Diagram - Plant Feed & Product

Tankage (Unit 320)
26071-203-J5-321-00001 Instrument Loop Diagram - Interconnecting Pipe

Racks (Unit 321)
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26071-203-J5-325-00001 Instrument Loop Diagram - Spent Caustic &

Chemical Preparation System (Unit 325)
26071-203-J5-331-00001 Instrument Loop Diagram - Steam & Power

Generation System (Unit 331)
26071-203-J5-332-00001 Instrument Loop Diagram - Cooling Water System

(Unit 332)
26071-203-J5-334-00001 Instrument Loop Diagram - Waste Water Treatment

Plant (Unit 334)
26071-203-J5-335-00001 Instrument Loop Diagram - IA / PA & Nitrogen

Generation Unit (Unit 335)
26071-203-J5-337-00001 Instrument Loop Diagram - Sea Water Intake;

Desalination & Demineralization System (Unit 337)
26071-675-J5-068-00001 Instrument Loop Diagram - Hydrogen Manufacturing

Unit (HMU) Phase-1 (Unit 068)
26071-950-J5-003-00001 Instrument Loop Diagram - HCU
26071-200-J5-052-60101 Loop Diagram - RFCC Caustic Loading & Storage

(052)
26071-203-J5-319-00051 Instrument Loop Diagram - Recycle North Acid Gas

Compressor Package
26071-950-J5-003-10001 Instrument Loop Diagram - HCU 1st TA
26071-625-J5-169-00001 Instrument Loop Diagram - SRU
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26071-203-J5-323-30001 Instrument Loop Diagram Unit 323
26071-203-J5-320-00002 Instrument Loop Diagram - Plant Feed & Product

Tankage - Early Tank (Unit 320)
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5. Instrument wiring layout
DOC. No. Definition

26071-200-J1-062-00001~26 Instrument Wiring Layout -RFCC LPG Treating
& Propylene Recovery Unit
26071-300-J1-053-00001~21 Instrument Wiring Layout - RFCC NHT Unit
26071-600-J1-065-00001~32 Instrument Wiring Layout - Alkylation & WSA Unit
26071-700-J1-054-00001~30 Instrument Wiring Layout - DHT I Unit

26071-700-J1-083-00001~30 Instrument Wiring Layout - DHT II Unit
26071-750-J1-085-00001~10 Instrument Wiring Layout - Common DHT H2
Compressor Unit
26071-500-J1-059-00001~31 Instrument Wiring Layout - CCR Platforming Unit
26071-203-J1-060-00001~44 Instrument Wiring Layout -Common Facilities - 2

(Non Licensor)
26071-450-J1-082-00001~27 Instrument Wiring Layout - Isomerization Unit
26071-550-J1-084-00001~22 Instrument Wiring Layout - NHT Unit

26071-800-J1-001-00001~17 Instrument Wiring Layout - CDU Preflash Unit
26071-800-J1-001-000018~31 Instrument Wiring Layout - CDU-IV Revamping
26071-900-J1-002-00001~9 Instrument Wiring Layout - VDU II Revamping
26071-800-J1-006-00001 Instrument Wiring Layout - LPG Recovery

Revamping
26071-200-J1-052-00001~68 Instrument Wiring Layout - RFCC
26071-203-J1-320-00001~23 Instrument Wiring Layout - Plant Feed & Product
Tankage (Unit 320) - Light Naptha Blending Pumps,
NHT II Feed Pumps, DHT Feed Pumps
26071-203-J1-321-00001~10 Instrument Wiring Layout - Interconnecting Pipe

Racks (Unit 321) - Interconnecting Pipe Racks PR-
321-16
26071-203-J1-325-00001~2 Instrument Wiring Layout - Spent Caustic & Chemical
Preparation System (Unit 325)
26071-203-J1-331-00001~19 Instrument Wiring Layout - Steam & Power
Generation System (Unit 331) - Boilers & Steam
Turbine Generators
26071-950-J1-003-00001~49 Instrument Wiring Layout - HCU
26071-203-J1-319-00051~52 Instrument Wiring Layout - Recycle North Acid Gas
Compressor Package
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Job No. : 26071 Rev.00A
26071-960-J1-201-00001 Instrument Wiring Layout - CDU V

26071-625-J1-169-00001~31 Instrument Wiring Layout - SRU
26071-203-J1-323-30001~2 Instrument Wiring Layout - Unit 323
26071-203-J1-315-00001~2 Instrument Wiring Layout - Fuel Oil & Fuel Gas
System (Unit 315) - Fuel Oil System
26071-203-J1-319-00001~4 Instrument Wiring Layout - South Acid & RFCC Gas
Flare System (Unit 319) - New RFCC Flare K.O.
Drum
26071-203-J1-335-00001 Instrument Wiring Layout - IA / PA & Nitrogen
Generation Unit (Unit 335)
26071-203-J1-332-00001~6 Instrument Wiring Layout ‐ Cooling Water System
(Unit 332) ‐ Utilities Cooling Tower Area
26071-203-J1-337-00001~16 Instrument Wiring Layout - Sea Water Intake;

Desalination & Demineralization System (Unit 337) -
Demin Water and Polishing Area
26071-203-J1X-315-00001~2 Instrument Termination & Wiring Diagram - Fuel Oil &

Fuel Gas System (Unit 315)
26071-675-J1-068-00001~6 Instrument Wiring Layout - Hydrogen Manufacturing
Unit (HMU) Phase-1 (Unit 068)
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Job No. : 26071 Rev.00A
Attachment#2
ITR for Logic & Function Test
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Job No. : 26071 Rev.00A
Inspection and Test Report for
Logic & Function Test
CONTROL LOGIC & FUNCTION TEST
Project Engineering, Procurement and Construction (EPC) Inside Battery Limits (ISBL) and Outside Battery Limit
(OSBL) for The Refinery Development Master Plan (RDMP) Project RU V Balikpapan
Report No. Subsystem No.
Function & Logic No. Diagram No.
Unit No. Package No.
System Supply Vendor

Equipment
Serial No.
Test equipment
Calibration date
Calibration due date
Status Code OK : Item is completed and there is no further work with the check point
N/A : Check in not available for the check point
PL : Punch check
Check Point
No. Items Test result

OK N/A PL
1 Relevant individual loops of ICSS & UCP/LCP have been checked and test sheet is
completed.
2 Check that the latest revision of relevant documents is used as a reference during the test.
3 Pre-defined parameter (timers, default values, etc.) for complex loop verified and checked as
per control narrative into the configuration
4 Overall Function working properly (Basic PID / Cascade / Split Range / Ramp Down /
Sequence logic / Any other control function in documents )
5 Cripple mode tested ( Bad PV input -> Last good value hold output)
6 Bumpless mode transfer (MAN -> AUT, MAN->CAS)
7 Interface with SIS ( Interlock, reset, etc. )
8 Operator Interface (HMI graphic in P&ID, Alarm configuration)
9 Control Narrative / Interlock Narrative / Logic Diagram is marked up showing extents of test
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Job No. : 26071 Rev.00A

Note
Inspection result : □ Accept □ As-noted □ Reject
Inspection by Vendor Contractor IPMT
Name
Signature
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Job No. : 26071 Rev.00A
CAUSE & EFFECT FUNCTIONAL TEST
Project Engineering, Procurement and Construction (EPC) Inside Battery Limits (ISBL) and Outside Battery Limit
(OSBL) for The Refinery Development Master Plan (RDMP) Project RU V Balikpapan
Report No. Subsystem No.
Function & Logic No. Diagram No.
Unit No. Package No.
System Supply Vendor

Equipment
Serial No.
Test equipment
Calibration date
Calibration due date
Status Code OK : Item is completed and there is no further work with the check point
N/A : Check in not available for the check point
PL : Punch check
Check Point
No. Items Test result

OK N/A PL
1 Relevant individual loops of ICSS & UCP/LCP have been checked and test sheet is
completed.
2 Check that the latest revision of relevant documents is used as a reference during the test.
3 Cause & Effect overview graphics display correct
4 Maintenance Override Switch [MOS]
5 Process Override Switch [POS]
6 Alarm and Sequence of event [SOE]
7 Master C&E / Interlock Narrative / Logic Diagram is marked up showing extents of test
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Job No. : 26071 Rev.00A

Note
Inspection result : □ Accept □ As-noted □ Reject
Inspection by Vendor Contractor IPMT
Name
Signature
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Job No. : 26071 Rev.00A
Attachment#3
JSA
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26071-100-530-GST-00013 Method Statement For Instrument Logic Function Test - 00A

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26071-100-530-GST-00013 Method Statement For Instrument Logic Function Test - 00A

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Doc. No.

Job No. : 26071 Rev.00A

Method Statement for

PROJECT : Engineering, Procurement and Construction (EPC) Inside

00A 29 Mar 23 ISSUED FOR REVIEW H.K.JANG C.Y.KIM J.H.KIM

REV. DATE DESCRIPTION PREPARED CHECKED APPROVED

Job No. : 26071 Rev.00A

REV. NO. DATE PAGE DESCRIPTION

00A 29 MAR 23 - ISSUED FOR REVIEW

Job No. : 26071 Rev.00A

5 WORK PREPARATION ........................................................................................................ 7

6 METHOD OF EXECUTION ................................................................................................10

7 ROLES AND RESPONSIBILITIES ......................................................................................12

8 TOOL & EQUIPMENT........................................................................................................14

10 CONTROL AND PREVENTATIVE MEASURES ............................................................16

Job No. : 26071 Rev.00A

PROJECT Engineering, Procurement and Construction (EPC) Inside

OWNER PT. Pertamina (Persero)

IPMT Integrated Project Management Team consists of a

Communication between OWNER and CONTRACTOR to be

CONTRACTOR RDMP Balikpapan JO

JO Joint Operation, Joint Operation (JO) Body

SUBCONTRACTOR means any and all persons, firms, partnerships, companies,

Job No. : 26071 Rev.00A

VENDOR means any and all persons, firms, partnerships, companies,

PMC Project Management Consultant

ISBL Inside Battery Limit

OSBL Outside Battery Limit

API American Petroleum Institute

PPE Personnel Protective Equipment

PTW Permit to Work

DOC. No. Definition

API RP 551 Process Measurement Instrumentation

26071-100-GPP-GHX-00001 Work Permit Procedure

26071-100-G01-GHX-00002 Project HSE Plan

26071-100-G01-GHX-00005 Health Management Plan

26071-100-GQI-GCQ-00014 Inspection and Test Plan for Instrument Works

Inspection and Test Plan Instrument

Job No. : 26071 Rev.00A

26071-100-530-GST-00006 Preservation Procedure

( Refer to attachment #1 ) Control Narrative

( Refer to attachment #1 ) Cause & Effect

( Refer to attachment #1 ) Instrument Index and I/O Schedule - ISBL

26071-200-J0X-000-10001 Instrument Index and I/O Schedule - RFCC

26071-100-J0X-000-20003 Instrument Index and I/O Schedule (OSBL)

Instrument Index and I/O Schedule - Plant

Instrument Index and IO Schedule - Unit 323

( Refer to attachment #1 ) Instrument Loop Diagram

( Refer to attachment #1 ) Instrument Wiring Layout

Pre-commissioning & Commissioning

26071-100-GQI-GCQ-00014 Inspection and Test Plan for Instrument Work

Inspection and Test Plan Instrument

Job No. : 26071 Rev.00A

Site Specific Procedure for Covid-19

26071-000-GPP-GHX-00002 Project Emergency Handling Procedure

Preventative Maintenance and Inspection of

Electrical Equipment and Assured Grounding

26071-100-GPP-GHX-00010 LOTO Procedure

26071-100-GPP-GHX-00009 Working at Height Procedure

26071-100-GPP-GHX-00017 Barricade and Signboard Procedure

26071-100-GPP-GHX-00021 Scaffolding Procedure

26071-100-GPP-GCC-00004 SIMOPS PLAN

5.1 SAFETY INSTRUCTION