Project Title: Fasilitas Produksi SP Tapen Form : W-MC-201

Maintenance No:
Work Pack No: SITE : Kawengan
SH1 No : TPN-110-C-0001
MC1 No : TPN-112-C-0001

Welding – Welding Completion Summary Sheet 1 of 2

Equipment Tag No. Description WELLHEAD FLOWLINE, WH TPN- Location SP Tapen

03
P&ID Drawing. TPN-10-P1-PID-001 System 110 Sub-System 112
Drawing No. NDE % Weld Welder WPS Visual UT MPI/PT RT PWHT Remark
No. Id. Acc Rej Acc Rej Acc Rej Acc Rej Acc Rej
PF-0003-B013-3" 100% CW. 1 02 008/WPS/ASM √ - - - √ - √ - - - CR
TIE-IN WELL TPN-03 CW. 2 01 E/EFK/VI/2015 √ - - - √ - √ - - - CR
TO HEADER CW. 3 01 √ - - - √ - √ - - - R1
MANIFOLD (INLET)
CW. 4 01 √ - - - √ - √ - - - R1
CW. 5 01 √ - - - √ - √ - - -
CW. 5A 01 √ - - - √ - √ - - - R1
CW. 06 02 √ - - - √ - √ - - -
CW. 07 02 √ - - - √ - √ - - -
CW. 08 01 √ - - - √ - √ - - -
CW. 09 01 √ - - - √ - √ - - -
CW. 10 07 √ - - - √ - √ - - -
CW. 11 01 √ - - - √ - √ - - - R1
CW. 12 03 √ - - - √ - √ - - -
CW. 13 03 √ - - - √ - √ - - - R1
CW. 14 01 √ - - - √ - √ - - -
CW. 15 01 √ - - - √ - - - - -
Weld Categories P – Shop Weld F – Field Weld O - Offshore Weld R1 – First Repair R2 – Second Repair RW – Re-Weld
Completed By Witnessed By Approved BY Notes:
Company & Function PT. EFK PEPC Reg. 4 PEPC Reg. 4 PF-0003-B013-3" (INLET)
Signature

Print Name Dadan Hamdani Rhexzy D.P Andy Tri K.

Date 03-02-22 03-02-22 03-02-22
 Project Title: Fasilitas Produksi SP Tapen Form : W-MC-201
Maintenance No:
Work Pack No: SITE : Kawengan
SH1 No : TPN-110-C-0001
MC1 No : TPN-112-C-0001

Welding – Welding Completion Summary Sheet 2 of 2

Equipment Tag No. Description WELLHEAD FLOWLINE, WH TPN- Location SP Tapen

03
P&ID Drawing TPN-10-P1-PID-001 System 110 Sub-System 112
Drawing No. NDE % Weld Welder WPS Visual UT MPI/PT RT PWHT Remark
No. Id. Acc Rej Acc Rej Acc Rej Acc Rej Acc Rej
PF-0003-B013-3" 100% CW. 16 01 008/WPS/ASM √ - - - √ - - - - -
TIE-IN WELL TPN-03 CW. 17 01 E/EFK/VI/2015 √ - - - √ - - - - -
TO HEADER CW. 18 01 √ - - - √ - - - - -
MANIFOLD (INLET)
CW. 19 01 √ - - - √ - - - - -
CW. 20 04 √ - - - √ - - - - -

Weld Categories P – Shop Weld F – Field Weld O - Offshore Weld R1 – First Repair R2 – Second Repair RW – Re-Weld
Completed By Witnessed By Approved BY Notes:
Company & Function PT. EFK PEPC Reg. 4 PEPC Reg. 4 PF-0003-B013-3" (INLET)
Signature

Print Name Dadan Hamdani Rhexzy D.P Andy Tri K.

Date 03-02-22 03-02-22 03-02-22
 LIQUID PENETRANT EXAMINATION REPORT
Client : PT.PERTAMINA EP CEPU ZONA 11 Report No. : 002/PT-RUP/ELNS/III/22
Project : PEMBANGUNAN SP TAPEN Date : 01 Maret 2022
Location : SP TAPEN Sheet : 1 of 3

Drawing No. : PF-0003-B013-3" Welding Process : GTAW - SMAW

Material Spec. : A 106 Gr. B Applicable Code : ASME B31.3
Light Equipment/S.N. : Day Light Light Intensity : ≥ 1000 LUX
Dwell Time : 5 - 10 Menit Developing Time : 10 Menit
Brand's Name/Type : MAGNAFLUX Penetrant : SKL-SP2 Cleaner : SKC-S Developer : SKD-S2

Penetrant Mat'I √ Visible Flurescent Dual Sensitivity

Penetrant method : √ Solvent Removable Water Washable Post Emulsifier
Surface Condition : √ As Welded As Ground Other ( )
Time of Exemination : √ After Welding After PWHT Other ( )
Scope of Exemination : √ Base Metal Back Chipping Other ( )
√ Weld Part Repair Weld Other ( )

Part of Weld Number Joint No. Dia ( ɸ) ( Inch ) Sch Welder Stamp Accepted Rejected Remarks

CW 01 3" 40 02 √
CW 02 3" 40 01 √
CW 03 4" 40 01 √
CW 04 4" 40 01 √
CW 05 3" 40 01 √
CW 5A 3" 40 01 √
CW 06 2" 40 02 √
PF-0003-B013-3" CW 07 3" 40 02 √
INLET CW 08 3" 40 01 √
CW 09 3" 40 01 √
CW 10 3" 40 07 √
CW 11 3" 40 01 √
CW 12 3" 40 03 √
CW 13 3" 40 03 √
CW 14 3" 40 01 √
CW 15 3/4" 80 01 √
Examined by, Witnessed & Reviewed by, Witnessed & Reviewed by, Approved by,

NDE Level II
Dadan Hamdani Rhexzy D.P Andy Tri. K
Date : 06 Maret 2022 Date : 01 Maret 2022 Date : 01 Maret 2022 Date : 01 Maret 2022
 LIQUID PENETRANT EXAMINATION REPORT
Client : PT.PERTAMINA EP CEPU ZONA 11 Report No. : 002/PT-RUP/ELNS/III/22
Project : PEMBANGUNAN SP TAPEN Date : 01 Maret 2022
Location : SP TAPEN Sheet : 2 of 3

Drawing No. : PF-0003-B013-3" Welding Process : GTAW - SMAW

Material Spec. : A 106 Gr. B Applicable Code : ASME B31.3
Light Equipment/S.N. : Day Light Light Intensity : ≥ 1000 LUX
Dwell Time : 5 - 10 Menit Developing Time : 10 Menit
Brand's Name/Type : MAGNAFLUX Penetrant : SKL-SP2 Cleaner : SKC-S Developer : SKD-S2

Penetrant Mat'I √ Visible Flurescent Dual Sensitivity

Penetrant method : √ Solvent Removable Water Washable Post Emulsifier
Surface Condition : √ As Welded As Ground Other ( )
Time of Exemination : √ After Welding After PWHT Other ( )
Scope of Exemination : √ Base Metal Back Chipping Other ( )
√ Weld Part Repair Weld Other ( )

Part of Weld Number Joint No. Dia ( ɸ) ( Inch ) Sch Welder Stamp Accepted Rejected Remarks

CW 16 3/4" 80 03 √
CW 17 3/4" 80 01 √
CW 18 1-1/2" 80 01 √
CW 19 1-1/2" 80 03 √
CW 20 1-1/2" 80 03 √

PF-0003-B013-3"
INLET

Examined by, Witnessed & Reviewed by, Witnessed & Reviewed by, Approved by,

NDE Level II
Dadan Hamdani Rhexzy D.P Andy Tri. K
Date : 01 Maret 2022 Date : 01 Maret 2022 Date : 01 Maret 2022 Date : 01 Maret 2022
 Sheet : 3 of 3

Report No. : 002/PT-RUP/ELNS/I/22 Date : 02 Maret 2022

FOTO DOKUMEN PENETRAN

 Project Title: Fasilitas Produksi SP Tapen Form : P-MC-205
Maintenance No:
Work Pack No: SITE : Kawengan
SH1 No : TPN-110-C-0001
MC1 No : TPN-112-C-0001

Piping Test Sheet – Joint Integrity Sheet 1 of 1

Test Package No. Description WELLHEAD FLOWLINE, WH TPN- Location SP Tapen

03
P&ID Drawing TPN-10-P1-PID-001 Isometric Drawing PF-0003-B013-3" INLET System 110 Sub-System 112
Flange Location Joint Torque Tightening Hydraulic Bolt Tensioning Joint Tight Date Remark
Size. (P&ID and Description) Assembly by Required Actual Required Required Actual by Tightened
(Signature) Torque Torque Residual Pressure Pressure (Signature)
Value / Value / Bolt Stress 1st Pass / 1st Pass /
Tool Tool 2nd Pass 2nd Pass
Pressure Pressure
1/2” #150 TPN-10-P1-PID-001 WELLHEAD 119 120 - - - - M12 X 80 MM
TPN-03 TO HEADER MANIFOLD
2” #300 TPN-10-P1-PID-001 WELLHEAD 148 150 - - - - M16 X 110 MM
TPN-03 TO HEADER MANIFOLD
3” #300 TPN-10-P1-PID-001 WELLHEAD 178 180 - - - - M20 X 120 MM
TPN-03 TO HEADER MANIFOLD
3” #300 TPN-10-P1-PID-001 WELLHEAD 178 180 - - - - M20 X 120 MM
TPN-03 TO HEADER MANIFOLD

Completed By Witnessed By Approved BY Tools List

Company & Function PT. EFK PEPC Reg. 4 PEPC Reg. 4 Torque Wrench HVT 7200 200 - 810 LBF
Signature

Print Name Dadan Hamdani Rhexzy D.P Andy Tri K.

Date 03-02-22 03-02-22 03-02-22
 Project Title: Fasilitas Produksi SP Tapen Form : P-MC-301
Maintenance No:
Work Pack No: SITE : Kawengan
SH1 No : TPN-110-C-0001
MC1 No : TPN-112-C-0001
Piping Check Sheet – Piping Completion Check Sheet 1 of 3

Test Package No. Location SP Tapen

Description WELLHEAD FLOWLINE, WH TPN-03 System 110 Sub-System 112
Piping Data
Operating Pressure Test Requirement Hydrostatic /Pneumatic/Fill Water
Operating Temperature Test Medium Water
Design Pressure Test Pressure 1125 Psi
Design Temperature Holding Time 1 Hours
Piping Completion Check
Complete Welding & NDE Yes/No*
Complete Pre-Test Inspection Yes/No*
Complete Cleaning and Flushing Yes/No*
Complete Pressure Test Yes/No*
Complete Post Test Inspection Yes/No*
Complete Joint Integrity Yes/No*
Line No. P&ID No. Isometric No. Service Remark
PF-0003-B013-3" TPN-10-P1-PID-001 TPN-10-L0-DWG-002 Fluida

Reference Document:
1. Piping Spesification Procedure
2. MC-1
Notes:

Completed By Witnessed By Approved BY

Company & Function PT. EFK PEPC ZONA 11 PEPC ZONA 11
Signature

Print Name Dadan Hamdani Rhexzy D P Andy Tri K

Date 02-03-22 02-03-22 02-03-22
 Project Title: Fasilitas Produksi SP Tapen Form : P-MC-301
Maintenance No:
Work Pack No: SITE : Kawengan
SH1 No : TPN-110-C-0001
MC1 No : TPN-112-C-0001
Piping Check Sheet – Piping Completion Check Sheet 2 of 3

Test Package No. Location SP Tapen

Description WELLHEAD FLOWLINE, WH TPN-03 System 110 Sub-System 112

No Description of Check Result Remark

1 Check that the Construction Joint Integrity and/or Flange Check List Register is OK
complete, where applicable, and that all pipework has been installed/re-instated and
flushing and hydrostatic testing has been satisfactorily completed and recorded.
2 Check that the flange alignment is correct and that the correct bolts and gaskets are OK
installed at all mechanical joints to the correct torque setting and that the bolts have
been lubricated. For joints requiring bolt tensioning, that this has been carried out to
the correct Bolt Tensioning Procedure and the results recorded accordingly.
3 Visually check that pipe compound on screwed connections is to specifications. OK
(Note that the use of PTFE tape on screwed connections on Hydrocarbon service is
NOT permitted unless specifically stated in the installation procedure and agreed by
PHE WMO)
4 Check that all vents and drains are correctly installed. OK
5 Check that all temporary vents and drains have been removed and seal welded where OK
applicable.
6 Check that all process blinds and spacers have been correctly installed as indicated on OK
the P&ID.
7 Check that all the spectacle blinds are in the correct position. OK
8 Check that all pipe cleaning and pickling has been satisfactorily completed and OK
recorded.
9 Check that all temporary pipe spools have been removed and all control valves and OK
internals have been re-instated in the correct flow position.
10 Check that all Non Return Valve internals have been re-instated, and the valve has OK
been installed in the correct flow direction, and any ‘jack open’ devices have been
removed. Ensure the valve is functioning properly and that the spindles are
lubricated.
11 Check that all relief valves and Bursting Discs have been correctly installed. OK
12 Check that all gauges have been correctly installed. OK
13 Check that all pump suction strainers have been correctly installed. OK
14 Check that all chain wheels and extended spindles to specified valves have been OK
installed.
15 Check that all locking devices and interlocks to valves are installed. OK
16 Check that all pipes, including supports, have been installed as per design. OK
17 Upon completion of the above and where appropriate, the Joint Integrity Procedure OK
and/or or Flange Check List Register and conformation that all the appropriate joints
have been tagged and the relevant tag I.D. is detailed on the appropriate drawings.

Fire Water Piping

18 For piping associated with the fire water mains, sprinkler and deluge systems, the OK
following checks are to be carried out to ensure the return of pipework under test
to a state of mechanical completion.
19 Check that all sprinkler heads, sprinkler rosettes and sprinkler nozzles have been OK
correctly installed.
20 Check that all hose couplings have been correctly installed. OK
21 Check that all Fire Suppressant agent discharge heads have been correctly installed. OK
 Project Title: Fasilitas Produksi SP Tapen Form : P-MC-301
Maintenance No:
Work Pack No: SITE : Kawengan
SH1 No : TPN-110-C-0001
MC1 No : TPN-112-C-0001
Piping Check Sheet – Piping Completion Check Sheet 3 of 3

Test Package No. Location SP Tapen

Description WELLHEAD FLOWLINE, WH TPN-03 System 110 Sub-System 112
22 Confirm with Mechanical Group that:- OK
i) All fire hydrants have been correctly installed.
ii) All foam monitors have been correctly installed.
iii) All Fire Suppressant agent cylinder loca tions and fixings are correctly installed.
Reference Document:
1. Isometric Drawing
2. Test Pack data

Notes:

Completed By Witnessed By Approved BY

Company & Function PT. EFK PEPC ZONA 11 PEPC ZONA 11
Signature

Print Name Dadan Hamdani Rhexzy D P Andy Tri K

Date 02-03-22 02-03-22 02-03-22
 Project Title: Fasilitas Produksi SP Tapen Form : PI-MC-301
Maintenance No:
Work Pack No: SITE : Kawengan
SH1 No : TPN-110-C-0001
MC1 No : TPN-115-C-0001
Painting and Insulation - Final Paint Acceptance Sheet 1 of 5

Equipment Tag No. Location SP Tapen

Description All P&ID System 130 Sub-System 131
Drawing No. TPN-10-L0-DWG-002 System 130 Sub-System 132
Procedure No. PSPT-21-EFK-CTN-005 System 130 Sub-System 133
System 210 Sub-System 212
Area. All Process System 210 Sub-System 213
Grid Ref. - System 210 Sub-System 214
Elevation. - System 240 Sub-System 241
System 240 Sub-System 242
Test Package. System 250 Sub-System 251
Piping/equipment specification no. PEP-00-L1-0025 System 250 Sub-System 252
System 360 Sub-System 361
System 360 Sub-System 362
System 420 Sub-System 421
System 420 Sub-System 422
System 420 Sub-System 423
System 420 Sub-System 424
System 420 Sub-System 425
System 440 Sub-System 441
System 510 Sub-System 511
System 510 Sub-System 516
System 110 Sub-System 112
Scope of Painitng Completion:
Surface Preparation
- Sandblasting Min. SSPC SP-10 (Near White Metal Blast Cleaning) Or SA. 2.5
- Powertools
Painting
- Primer RAL Grey DFT 75 Micron
- Second RAL Red DFT 200 Micron
- Topcoat RAL 7035/light grey DFT 75 Micron
- Total DFT 350 Micron
- Brand Hempel-Jotun-International (AML)
 Project Title: Fasilitas Produksi SP Tapen Form : PI-MC-301
Maintenance No:
Work Pack No: SITE : Kawengan
SH1 No : TPN-110-C-0001
MC1 No : TPN-115-C-0001
Painting and Insulation - Final Paint Acceptance Sheet 2 of 5
 Project Title: Fasilitas Produksi SP Tapen Form : PI-MC-301
Maintenance No:
Work Pack No: SITE : Kawengan
SH1 No : TPN-110-C-0001
MC1 No : TPN-115-C-0001
Painting and Insulation - Final Paint Acceptance Sheet 3 of 5
 Project Title: Fasilitas Produksi SP Tapen Form : PI-MC-301
Maintenance No:
Work Pack No: SITE : Kawengan
SH1 No : TPN-110-C-0001
MC1 No : TPN-115-C-0001
Painting and Insulation - Final Paint Acceptance Sheet 4 of 5
 Project Title: Fasilitas Produksi SP Tapen Form : PI-MC-301
Maintenance No:
Work Pack No: SITE : Kawengan
SH1 No : TPN-110-C-0001
MC1 No : TPN-115-C-0001
Painting and Insulation - Final Paint Acceptance Sheet 5 of 5

Remark:

This is to certify that all painting as defined above has been completed in accordance with paint specification

Completed By Witnessed By Approved BY

Company & Function PT. EFK PEPC ZONA 11 PEPC ZONA 11
Signature

Print Name Dadan Hamdani Rhexzy D P Andy Tri K

Date 02-03-22 02-03-22 02-03-22