;

METHOD STATEMENT Page I of 12

''l l::
Title DOMESTIC CLEANWATER &
No. MS-ME-MECH-001
IRRIGATIONWATER
muRiilErr INSTALLATION (USING PPR &
(.hJAGAD
*t. t\.rRY,\ r\TERTF,K r!!:\adr.\ Rcvision : 0t)
HDPE PIPE}
Job No ; KWH 3SMART
CAINIAO KIIC LOGISTIC'WAREHOUSE Delete marked sentence
for all page.
REYISION I{ISTORY

Revision Date Secfion Page Revision Summary

0 Original;
Issued for Approval

PREPAREDBY CTMCKEDBY APPROYED BY

Review

COMPANY PT Murinda
JKA ProjectIron Steel
Manager Engineering
LDI Engineering BUREAUVERITAS

Joli Aliyanto Feriadi Irawan

NAME
(Project Manager) ( ) (Construction Manager)

SIGN

Uy W
Date:

Ref.;
 METHOD STATEMENT Page 2 of 12
Title ; DOMESTIC CLEAN WATER &
No. MS-ME-MECH-001
IRRIGATION WATER
INSTALLATION (USING PPR &
Revision : 00
HDPE PIPE)
Job No ; CAINIAO SMART
KWHLOGISTIC
3 KIIC WAREHOUSE

INDEX OF CONTENTS

TABLE OF CONTENTS

REVISION HISTORY .............................................................................................................................................. 1

1 PURPOSE .......................................................................................................................................................... 4
2 SCOPE OF WORK ............................................................................................................................................ 4
3 REFERENCE DOCUMENTS ........................................................................................................................... 4
4 RESPONSSIBLE PERSONNEL ....................................................................................................................... 4
5. DEFINITIONS ................................................................................................................................................... 6
6. METHOD STATEMENT .................................................................................................................................. 6
6.1. GENERAL ......................................................................................................................................................... 6
6.2. INSTALLATION OF DOMESTIC CLEAN WATER PIPE (PPR PIPE)......................................................... 7
6.3. INSTALLATION OF DOMESTIC CLEAN WATER & IRRIGATION WATER PIPE ON
UNDERGROUND (PPR & HDPE PIPE) ......................................................................................................... 8
7. MANPOWER AND EQUIPMENT ................................................................................................................. 10
7.1. MANPOWER .................................................................................................................................................. 10
7.2. TOOLS, EQUIPMENT & MACHINERY....................................................................................................... 10
8. SAFETY PLAN ............................................................................................................................................... 12

Delete
marked Delete marked word,
word. Change become "Auxillary"
 METHOD STATEMENT Page 3 of 12
Title ; DOMESTIC CLEAN WATER &
No. MS-ME-MECH-001
IRRIGATION WATER
INSTALLATION (USING PPR &
Revision : 00
HDPE PIPE)
Job No ; CAINIAO SMART LOGISTIC WAREHOUSE

ATTACHMENT:

ATTACHMENT – 1: HIRADC
ATTACHMENT – 2: INSPECTION AND TEST PLAN (ITP)
 METHOD STATEMENT Page 4 of 12
Title ; DOMESTIC CLEAN WATER &
No. MS-ME-MECH-001
IRRIGATION WATER
INSTALLATION (USING PPR &
Revision : 00
HDPE PIPE)
Job No ; CAINIAO SMART LOGISTIC WAREHOUSE

1 PURPOSE
This method statement is prepared to provide a good, safe & reliable procedures in carrying out
the domestic clean water & irrigation water installation procedure.

2 SCOPE OF WORK
This method statement describe cold water installation procedure with the following scope of
work:
 Procurement (See Contract Documents), re-checking of shop drawing, and installation.
 Carry out inspection, testing and validation of all installation.
 Submit As Built drawings. Delete marked sentence,
Change with "based on Clean
3 REFERENCE DOCUMENTS Water and Irrigation water
work material approval".
1. Approved Shop Drawing
Delete marked sentence,
2. Approved Material
Change with "and test".
3. Approved Method Statement
Delete marked sentence
4. HIRADC

4 RESPONSSIBLE PERSONNEL
Personnel who are responsible for ensuring that the work steps carried out must be in
accordance with method statements.
1. Site Manager
 Responsible for the proper implementation of these method statements and for ensuring
that the work is carried out in a safe procedure, and according to the specification and
time specified.
 Responsible for the work on the site and provide man power, equipments, and approved
materials.
 Responsible for safety of all personnel working on site.

2. Site Engineer
 Responsible for the overall work execution of applicable shop drawings, and also
responsible for following all HSE and quality procedures.
 METHOD STATEMENT Page 5 of 12
Title ; DOMESTIC CLEAN WATER &
No. MS-ME-MECH-001
IRRIGATION WATER
INSTALLATION (USING PPR &
Revision : 00
HDPE PIPE)
Job No ; CAINIAO SMART LOGISTIC WAREHOUSE

 Responsible for the overall contract documents and approval shop drawings to be applied
in this work.

3. Supervisor
 Responsible for supervision, manage man power, and the overall work execution.

4. Quality Control
Responsible for the materials used are in accordance to the specification that have been
approved and control the implementation of the work carried out properly and correctly. The
important things that are done during the installation process, among others:
 Inspection the material on site and storage of materials
 Prepare QC Induction for all worker before starting work.
 Making RFI (Request for inspection) shall be submitted to consultant / owner.
 Ensure that work from fabrication, installation, testing until completion of work is not
found to have any defects.

5. HSE
 Responsible for implementing all safety requirements, ensuring that work is carried out
with safe and appropriate procedures, and preparing HIRADC.
 Responsible for implementing work safety procedures in the site and ensuring that the
Risk Assessment in this method statement is followed, including:
a. Work will commence as per safety regulation laid down in the contract specification
and project safety plan.
b. Proper safety harness to be used and secured, if required.
c. All personal protective equipment shall be used as appropriate according to the nature
of job.
d. Work can only start prior to approval of the Permit To Work.
e. Housekeeping shall be of good standard and all cut lengths and debris shall be
removed.
 METHOD STATEMENT Page 6 of 12
Title ; DOMESTIC CLEAN WATER &
No. MS-ME-MECH-001
IRRIGATION WATER
INSTALLATION (USING PPR &
Revision : 00
HDPE PIPE)
Job No ; CAINIAO SMART LOGISTIC WAREHOUSE
6. Worker (Skill and Helper)
 Skill : Someone who has expertise in the field of measurement and setting.
 Helper : Someone who assists in job preparation, setting processes and job protection.

5. DEFINITIONS
- BV : Bureau Veritas
- MIS
JKA : PT.
PTMurinda Iron Steel
Jagad Konstruksi

- WH : Warehouse
- PTW : Permit To Work

6. METHOD STATEMENT
6.1. GENERAL
a. Ensure that approved material required to carry out work will be available (on site) and approved
by owner based on contract / specification / shop drawing approved.
b. Ensure that the tools and auxiliary materials to be used are functioning properly and have been
inspected by HSE and tagged (OK).
c. Prior to commencement of work, area and access will be inspected to confirm that the site is ready
to commence the work.
d. Prior to commencement of work, make sure the area has electrical power available such as jointing
and welding.
e. All relevant documentation and material applicable to particular section of works will be checked
by site engineer before commencement.
f. Prepare shop drawing as a reference for work in the site.
g. Prepare scaffolding for install pipe on high. Use Scaffolding that has been checked and tagged (OK)
by HSE.
h. All personal protective equipment shall be used as appropriate according to the scope of job.
i. Proper safety harness to be used and secured, if required.
j. All lifting operations shall be monitored by Safety Officer.
 METHOD STATEMENT Page 7 of 12
Title ; DOMESTIC CLEAN WATER &
No. MS-ME-MECH-001
IRRIGATION WATER
INSTALLATION (USING PPR &
Revision : 00
HDPE PIPE)
Job No ; CAINIAO SMART LOGISTIC WAREHOUSE
6.2. INSTALLATION OF DOMESTIC CLEAN WATER PIPE (PPR PIPE) Delete marked
a. Make sure all equipment and tools needed for installation is available. sentence.
b. Before installing pipe, mark domestic clean water pipe installation route as the approved shop
drawing with string, make it straight and precision.
c. Coordinate route, level / elevation and make sure there is no obstruction to other installation.
d. Make sure to create enough space for maintenance, watch the distance between installation.
e. PPR pipe connection using a pipe heater in accordance with the procedures and recommendations
from the manufacturer, which refers to the temperature and heating time.
- For connection with heating devices see Method Statement of Pipe Connection with butt
welding, glue, and threaded.
f. Pipe support intallation accordance with approved shop drawing and comply technical spesification
guidelines regarding the type and distance between PPR pipe support. Where there are two types of
support, that is fixed support and flexible support.
- Fixed support made from UNP iron (designed comply with shop drawing and technical
sepsification) than fastened with U-bolt and tightened with galvanized nut.
- Flexible support made from long drat hanged by UNP/ C channel / elbow / clamp ballon
(designed comply with shop drawing and technical spesification) than fastened with U-bolt and
tightened with galvanized nut.
- Provision:
 The thread that comes out of the nut is a minimum of 3 threads or a maximum of 5 threads
(ideally 3cm).
 No need to use ring plat on support, ring plat installed only for accessories.
 If the accessories are close to the vibration source (before & after pump) must use plate
rings and spring rings.
g. Connect the pipes every 2-4 rods, ensure PPR pipe conditions are clean and dry before heating
process.
h. Use Hoist or Chain Block to raise the pipe that is already connected, then put the pipe to Fixed
Support or Flexible Support, then tighten the Nut on the U-Bolt. The pipe height / elevation (B. O.
P.) must be in accordance with the Shop Drawing.
i. Set and check domestic clean water pipe installation with waterpass.
 METHOD STATEMENT Page 8 of 12
Title ; DOMESTIC CLEAN WATER &
No. MS-ME-MECH-001
IRRIGATION WATER
INSTALLATION (USING PPR &
Revision : 00
HDPE PIPE)
Job No ; CAINIAO SMART LOGISTIC WAREHOUSE
j. Use Hoist / Chain Block to raise valves / accessories in several main pipe positions accordance with
shop drawing.
k. Make sure that every pipe connection to equipment such as pumps and tanks accordance with size
and type of connection based on shop drawing.
l. Make sure every pipe connection to gate valve, check valve, flow switch and strainer accordance
with size and type of connection based on shop drawing.
m. Makes sure every accessories in this domestic clean water installation is installed properly.
n. Make sure each pipe connection to user point is accordance with size and type of connection based
on shop drawing.
o. Temporarily cover all unconnected pipe using pipe caps or cast plastic.

6.3. INSTALLATION OF DOMESTIC CLEAN WATER & IRRIGATION WATER PIPE ON

UNDERGROUND (PPR & HDPE PIPE) Delete marked sentence.
a. Make sure all equipment and tools needed for installation is available.
b. Before installing pipe, mark domestic clean water & irrigation water pipe installation route as the
approved shop drawing with string, make it straight and precision.
c. Coordinate route, level / elevation and make sure there is no obstruction to other installation.
d. PPR/HDPE pipe connection using a pipe heater in accordance with the procedures and
recommendations from the manufacturer, which refers to the temperature and heating time.
- For connection with heating devices see Method Statement of Pipe Connection with butt welding,
glue, and threaded.
e. Dig the pipe depth as required at least 30 cm from ground level / according to the pipe depth based
on shop drawing.

Picture 1. Illustration of digging the ground using a hoe and shovel

 METHOD STATEMENT Page 9 of 12
Title ; DOMESTIC CLEAN WATER &
No. MS-ME-MECH-001
IRRIGATION WATER
INSTALLATION (USING PPR &
Revision : 00
HDPE PIPE)
Job No ; CAINIAO SMART LOGISTIC WAREHOUSE
f. Make sure the surrounding soil has been compacted before the installation of pipes.
g. Mark the zero-point.
h. Add sand as the first layer with a thickness ± 10 cm.
i. Compact the sand using stamper machine.
j. Placed the pipe on the sand according to BOP on shop drawing.
k. After the pipe is installed, check the depth of pipe again using a meter.
l. Before the pipe is filled with soil, invite consultant / owner to witness that the work has been
completed.
m. Then fill the pipe with sand at least 10 cm from top surface of the pipe. After that, fill again with
soil.
n. Do a leak test of pressurized pipes that coming from pump with a pressure of 1.5 x work pressure.
See leak test method of pressurized pipe. Delete marked sentence.
o. Temporarily close all unconnected pipes using pipe caps / cast plastics.
 METHOD STATEMENT Page 10 of 12
Title ; DOMESTIC CLEAN WATER &
No. MS-ME-MECH-001
IRRIGATION WATER
INSTALLATION (USING PPR &
Revision : 00
HDPE PIPE)
Job No ; CAINIAO SMART LOGISTIC WAREHOUSE

7. MANPOWER AND EQUIPMENT

7.1. MANPOWER
The manpower that may be required are shown in below table:
Quantity
No. Position
(Person)
1 Supervisor 1
2 Quality control 1
3 Safety man 1
4 Foreman 1
5 Worker 10~20

Delete marked word, Change

become "Equipment and Auxillary"
7.2. TOOLS, EQUIPMENT & MACHINERY
All of the machinery, equipment and tools shall be inspected by the safety department
of PT Karya
JAGADIntertek
CITRAKencana.
The tools, equipment and machinery that may be required are shown on below table:
No Equipment Quantity Remarks
1 PPR Pipe
2 HDPE Pipe
Auxiliary Material Add number of equipment and
3
(Hanger, etc.) auxillary at part number 1 to 19 .
4 Cutting Tools
5 Scaffolding
6 Hand Bor
7 Waterpass
Metering
8
(Calibrated)
9 Test Pump
10 Pressure Gauge
 METHOD STATEMENT Page 11 of 12
Title ; DOMESTIC CLEAN WATER &
No. MS-ME-MECH-001
IRRIGATION WATER
INSTALLATION (USING PPR &
Revision : 00
HDPE PIPE)
Job No ; CAINIAO SMART LOGISTIC WAREHOUSE
Hand Grinding
11
Machine
12 Safety Gloves
13 Face Shield
14 Fire Extinguisher
Personal Protective
15
Equipment (PPE)
16 Tackel or Pulley
PPR/HDPE Pipe
17
Heater
PPR/HDPE Pipe
18
Cutter
19 Stamper Machine
 METHOD STATEMENT Page 12 of 12
Title ; DOMESTIC CLEAN WATER &
No. MS-ME-MECH-001
IRRIGATION WATER
INSTALLATION (USING PPR &
Revision : 00
HDPE PIPE)
Job No ; CAINIAO SMART LOGISTIC WAREHOUSE

8. SAFETY PLAN
Before work started Permit To Work (PTW) must be applied, site coordinator, supervisor,
and quality control must gather sub-contractor labor in the morning. All workers should
equipped with;
- Helmet Project.
- Safety Shoes.
- Mask.
- Body Hardness.
- Gloves.
 Doc.No. Revision :

0A
003-ITP-ME-2022
Inspection & Test Plan of Domestic Clean Water Installation Sheet: Of:
Project No. : MD - 2408 DATE PREPARED CHECKED APPROVED BY
QC
Project : Cainiao Smart Logistic Warehouse 25/05/2022 Site QC Project Manager
Manager

Responsbility*
No Item Description/Inspection Activity & Test Plan Method of Inspection Acceptance Criteria / Reference Verifying Document Time Inspection / Frequency Remarks
Murinda BNBV CN
Domestic Clean Water Installation
A Prepare Material
1 Booster pumps Review, Visual
2 Filter pumps Review, Visual - CAI-DWG-ME-DD-PL-GE-6001,
3 Pressure Reducing valve Review, Visual - The Brand, Size, Dimension, kind of others material
4 Sand fitlter Review, Visual accordance to material Approved
5 Carbon filter Review, Visual
6 Gate valve visual
QC-ME-GEN-002 Per as execution M W SW
7 Butterfly Valve visual
8 Swing Check valve visual - CAI-TS-PL-01,
9 Strainer Y-type visual - The Brand, Size, Dimension, kind of others material
10 Flexible joint visual accordance to material Approved
11 HDPE Pipe and fittings visual
12 PPR Pipe and fittings visual

B Implementation Work
1 Install pipe Visual Daily
MS-ME-MECH-001, CAI-DWG-ME-DD-PL
2 Install the accessories Visual QC-ME-INS-005 Daily M W SW
3 Install pump & Filter Visual, Measurement CAI-DWG-ME-DD-PL-P1-2001 Daily
4 Cleaning material after working Visual Place should be clean from residual material - Daily SW SW SW

C TESTING

Review, Visual, Pressure test on clean water pipe is 1.5 x 5.5 bar =
1 Pressure Test QC-ME-TST-002 Per as execution SW W W
Measurement 8,25 bar = 9 bar

-, Review
2 Continuity & megger test CAI-TS-EP-01, MS-ME-EL-009, MS-ME-EL-010 QC-ME-TST-004, 005, 006 Per as execution SW W W
-, Visual
-, Visual QC-ME-COM-005 & QC-ME-
3 Testing commissioning Filter pump CAI-TS-PL-01 Per as execution SW W W
-, Measurement COM-006
-, Visual QC-ME-COM-005 & QC-ME-
4 Testing commissioning Booster pump CAI-TS-PL-01 Per as execution W W W
-, Measurement COM-006

-, Closing of all outstanding NCR

-, Submission complilation of relevant inspection -, Final Document
D -, Review
Completion of Work record / Reports and Contract checklist, -, Certificate of Completion (COC) Per as execution H H H
-, Visual
Documentations, Completed and signed-off punchlist / -, Certificate of Origin (COO)
NCR

* Legend :

M : Field Inspection or/and Test which is performed by the subcontractor

R : Review of Inspection/Test Record and Other Document
I : Inspection/Test Record to be submitted only for information
P : Issue/Provide Document
SW : Spot Witness, This activity may perform during perform during construction where interim measurements,
and/or witness of activity normally take place, prior to final measurement or inspection being done
W : Witness point of inspection/test, is an activity during construction where inspection, measurements
or testing must take place and documented
H : Hold Point is defined as critical steps in the installation and testing process. Otherwise
owner issue waiving letter, the Project Team cannot proceed to the next work activity until the
inspection, measurement or test has been witnessed and approved by the attending parties
 Doc.No. Revision :

0A
004-ITP-ME-2022
Inspection & Test Plan of Irigation Water Installation Sheet: Of:
Project No. : MD - 2408 DATE PREPARED CHECKED APPROVED BY
QC
Project : Cainiao Smart Logistic Warehouse 25/05/2022 Site QC Project Manager
Manager

Responsbility*
No Item Description/Inspection Activity & Test Plan Method of Inspection Acceptance Criteria / Reference Verifying Document Time Inspection / Frequency Remarks
Murinda BNBV CN
Irigation Water Installation
A Prepare Material
- CAI-DWG-ME-DD-PL-GE-6001,
1 Irigation pumps Review, Visual - The Brand, Size, Dimension, kind of others material
accordance to material Approved
2 Gate valve visual
QC-ME-GEN-002 Per as execution M W SW
3 Butterfly Valve visual
- CAI-TS-PL-01,
4 Swing Check valve visual
- The Brand, Size, Dimension, kind of others material
5 Strainer Y-type visual accordance to material Approved
6 Flexible joint visual
7 PPR Pipe and fittings visual

B Implementation Work
1 Install pipe Visual Daily
MS-ME-MECH-001, CAI-DWG-ME-DD-PL
2 Install the accessories Visual QC-ME-INS-006 Daily M W SW
3 Install pump Visual, Measurement CAI-DWG-ME-DD-PL-P1-2001 Daily
4 Cleaning material after working Visual Place should be clean from residual material - Daily SW SW SW

C TESTING

Review, Visual, Pressure test on clean water pipe is 1.5 x 3.5 bar =
1 Pressure Test QC-ME-TST-002 Per as execution SW W W
Measurement 5,25 bar = 6 bar

-, Review Continuity & megger test (QC-

2 Cable Power & Control Installation CAI-TS-EP-01, MS-ME-EL-009, MS-ME-EL-010 Per as execution SW W W
-, Visual ME-TST-004, 005, 006)
-, Visual QC-ME-COM-005 & QC-ME-
3 Testing commissioning Irigation pump CAI-TS-PL-01 Per as execution SW W W
-, Measurement COM-006

-, Closing of all outstanding NCR

-, Submission complilation of relevant inspection -, Final Document
D -, Review
Completion of Work record / Reports and Contract checklist, -, Certificate of Completion (COC) Per as execution H H H
-, Visual
Documentations, Completed and signed-off punchlist / -, Certificate of Origin (COO)
NCR

* Legend :

M : Field Inspection or/and Test which is performed by the subcontractor

R : Review of Inspection/Test Record and Other Document
I : Inspection/Test Record to be submitted only for information
P : Issue/Provide Document
SW : Spot Witness, This activity may perform during perform during construction where interim measurements,
and/or witness of activity normally take place, prior to final measurement or inspection being done
W : Witness point of inspection/test, is an activity during construction where inspection, measurements
or testing must take place and documented
H : Hold Point is defined as critical steps in the installation and testing process. Otherwise
owner issue waiving letter, the Project Team cannot proceed to the next work activity until the
inspection, measurement or test has been witnessed and approved by the attending parties
 Attached : Date:
KIIC
CAINIAO SMART KWH 3 WAREHOUSE
LOGISTIC QC-ME-GEN-002

PROJECT Doc.No. : Page: 00 of 00

Subject : Receiving Material Project No. MD2408

Location :

Ref. Drawing :

Remarks
No. Description Comments
Applicable (A) Not Applicable (NA)

Provide the name plate, name tag, & others

1
information of material

2 Information of material is appropriate

In accordance to material transmittal (approved

3
status)

Product catalogue & instruction manual available, if

4
main equipment

In accordance to material data sheet, if main

5
equipment

In accordance to sample submittal, if any sample

6
material approval

7 Size or dimension is appropriate

8 Colour is appropriate

9 Physical or Visual check for damage

10 Material are stored properly

11 Others specification, if any

Notes :

PREPARED BY CHECKED BY APPROVED BY

SPV QC Site Co

NAME

SIGNATURE

DATE
 Attached : Date:
CAINIAO SMART LOGISTIC WAREHOUSE QC-ME-INS-005

PROJECT Doc.No. : Page: 00 of 00

Subject : Domestic Clean Water Installation Project No. MD2408

Location :

Ref. Drawing :

RESULT
No. ITEM TO CHECKED REMARKS
YES NO
INSTALLATION
1 Brand, dimensions and installation according to specifications
2 The installation of the pipe sparing & sleeve is according to the drawing.
3 Installation of piping does not leak, straight and parallel.
4 Installation & flange dimensions are according to specifications.
5 Valve installation (Gate valve, Check valve etc.)
6 Calibration of Pressure Gauge & Inspection Instrument
7 Installation of air venting is done
8 Installation of hanger/pipe support is sturdy and safe.
9 Painting / labeling the pipe is correct.
10 Grouting work is done.

Notes :

PREPARED BY CHECKED BY APPROVED BY

SPV QC Site Co

NAME

SIGNATURE

DATE
 Attached : Date:
CAINIAO SMART LOGISTIC WAREHOUSE
KIIC KWH3 QC-ME-INS-006

PROJECT Doc.No. : Page: 00 of 00

Subject : Irrigation Water Installation Project No. MD2408

Location :

Ref. Drawing :

RESULT
No. ITEM TO CHECKED REMARKS
YES NO
INSTALLATION
1 Brand, dimensions and installation according to specifications
2 The installation of the pipe sparing & sleeve is according to the drawing.
3 Installation of piping does not leak, straight and parallel.
4 Installation & flange dimensions are according to specifications.
5 Valve installation (Gate valve, Check valve etc.)
6 The position of the pressure gauge has been installed properly and correctly
7 Installation of air venting is done
8 Installation of hanger/pipe support is sturdy and safe.
9 Painting / labeling the pipe is correct.
10 Grouting work is done.

Notes :

PREPARED BY CHECKED BY APPROVED BY

SPV QC Site Co

NAME

SIGNATURE

DATE
 Attached : Date:
QC-ME-TST-002
CAINIAO SMART LOGISTIC
WAREHOUSE PROJECT Doc.No. : Page: 00 of 00

Subject : Pressurized Pipe Leakage Test Project No. MD2408

Location :

Ref. Drawing :

Start Finish
Installation : Installation :
Location : Location :
Date : Date :
Duration : Duration :
Time : WIB Time : WIB
Pressure : Bars Pressure : Bars
Weather : Weather :
Media test : Media test :
Note: Note:

Comments Conclusions:
Approved
Change "Approved" Approved w/ comments
become "Witnessed" Not approved
Commented & Resubmitted

Prepared Reviewed Approved Approved Approved Approved

SPV QC PT Murinda Iron Steel PT LDI Engineering Bureau Veritas Cainiao
Name

Delete this columb Delete this columb

Signature

Date
 Attached : Date:
QC-ME-TST-004
CAINIAO SMART LOGISTIC
WAREHOUSE PROJECT Doc.No. : Page: 00 of 00

Subject : Continuity Test Project No. MD2408

Location :

Reference Drawing :

Result Result
No. Cable No. Remark No. Cable No. Remark
Pass Fail Pass Fail

Note : Tools Used

X : Not Good • L : Line • G : Grounding • Merk
√ : Good • N : Neutral • Type
Comment : Conclusion :
Change "Approved"
Approved
become "Witnessed" Approved with comment
Not Approved
Revised & Resubmit
Prepared Reviewed Approved Approved Approved Approved
SPV QC PT Murinda Iron Steel PT LDI Engineering Bureau Veritas Cainiao
Name

Delete this columb. Delete this columb.

Signature

Date
 Attached : Date:
CAINIAO SMART LOGISTIC WAREHOUSE QC-ME-TST-005

PROJECT Doc.No. : Page: 00 of 00

Subject : Insulation Resistance Test / Megger Test Insulation - 1 Phase Project No. MD2408

Location :
Ref. Drawing :

Insulation Resistance Test

Grouping Result
No. Cable Type L-N L-G N-G Remarks
From To MΩ MΩ MΩ Pass Fail

Note : Tools Used

X : Not Good • L : Line • G : Grounding • Merk

√ : Good • N : Neutral • Type

Comments Conclusions:
Change "Approval"
Approved
become "Witnessed"
Approved w/ comments

Not approved

Commented & Resubmitted

Prepared Reviewed Approved Approved Approved Approved

SPV QC PT Murinda Iron Steel PT LDI Engineering Bureau Veritas Cainiao
Name

Delete this columb Delete this columb

Signature

Date
 Attached : Date:
QC-ME-TST-006
CAINIAO SMART LOGISTIC WAREHOUSE PROJECT Doc.No. : Page: 00 of 00

Subject : Insulation Resistance Test / Megger Test Insulation - 3 Phase Project No. MD2408
Location :

Reference Drawing :

GROUPING INSULATION RESISTANCE TEST RESULT

No. BUSDUCT LINE R-S R-T R-N R-G S-T S-N S-G REMARK
T-N T-G N-G
FROM TO PASS FAIL
Ω Ω Ω Ω Ω Ω Ω Ω Ω Ω

Note : Tools Used

X : Bad • R : Phase 1 • T : Phase 3 • G : Phase G • Merk :
√ : Good • S : Phase 2 • N : Phase N • Type :
Comment Conclusion :
Approved
Change "Approved"
Approved with comment become "Witnessed"
Not Approved
Revised & Resubmit
Prepared Reviewed Approved Approved Approved Approved
SPV QC PT Murinda Iron Steel PT LDI Engineering Bureau Veritas Cainiao
Name

Delete this columb. Delete this columb.

Signature

Date
 Attached : Date:
CAINIAO SMART LOGISTIC WAREHOUSE QC-ME-COM-005

PROJECT Doc.No. : Page: 00 of 00

Subject : Pre-Startup & Commissioning Water Pump Project No. MD2408

Location :

Ref. Drawing :

READY
No. ITEM TO CHECKED REMARKS
YES NO
1 Check the installation / condition of the unit
2 Check the installation of rubber mounting
3 Check the alignment of the motor and pump couplings
4 Check the installation of pipes and accessories
5 Check installation control level

6 Check the installation of the power cable from the starter panel to the motor terminal

7 Check starter control panel and test simulation

Check the connection / termination of the wires on the motor terminals and the
8
starter panel
9 Check the installation of the faucets (valve)
10 Check the installation of the filter (strainer)
11 Check the installation of the pressure gauge
12 Check valve installation (check valve)
13 Check motor and pump safety
14 Ready to start up

Notes :

PREPARED BY CHECKED BY APPROVED BY

SPV QC Site Co

NAME

SIGNATURE

DATE
 Attached : Date:
CAINIAO SMART LOGISTIC QC-ME-COM-006
WAREHOUSE PROJECT Doc.No. : Page: 00 of 00

Subject : Test Commissioning Water Pump Project No. MD2408

Location :
Ref. Drawing :

PUMP PANEL
Check Point Design Actual Unit Remarks
R-S Phase Input Voltage Volt
S-T Phase Input Voltage Volt
T-R Phase Input Voltage Volt
R-N Phase Input Voltage Volt
When Run Phase R Ampere
When Run Phase S Ampere
When Run Phase T Ampere
ELECTRO MOTOR
Check Point Design Actual Unit Remarks
Brand
Type / Model
Power kW
Speed Rpm
Electric Data V/Ph/Hz
Current Ampere
PUMP
Check Point Design Actual Unit Remarks
Brand
Model
Type
Head m
Pressure Water In kgf/cm²
Pressure Water Out kgf/cm²

PREPARED BY CHECKED BY APPROVED BY

SPV QC Site Co
NAME

SIGNATURE

DATE