NOMOR / Number :

INSPECTION AND TEST PLAN

EXAMPLE REVISI / Revision
TANGGAL / Date
: 0
:
DRY CARGO VESSEL 18500 DWT ( M.000225 )
HALAMAN / Page : dari / of
DISAKSIKAN / Witness Reference Document
BAGIAN YANG DIPERIKSA JENIS PEMERIKSAAN Verified KETERANGAN
NO DI BENGKEL / In Shop DI KAPAL / On Board and OR
Item of Inspection Kind of Inspection Document Remarks
PAL CLS OS REC'D PAL CLS OS HM REC'D Acceptance Criteria
I. ITEMS INSPECTION FOR HULL CONSTRUCTION
1 Main Structure & Super Structure
a. Fabrication Ident. Material 0 # # - - - - PS.T.4.D.001 Insp. Record
Marking 0 - - - - - - - -
Cutting & Bending 0 - - - - - - - -

b. Assembly Block Fitting / Scantling 0 - - - - - - - -

Welding 0 0 0 . - - - - - PS.T.4.D.001 Insp. Record
Deformation 0 0 0 . - - - - - PS.T.4.D.001
Blasting & Painting 0 - 0 . - - - -

c. Joint Block Fitting - - - - 0 - - - -

Welding - - - - 0 0 0 - . PS.T.4.D.001 Insp. Record
Deformation - - - - 0 - - - -
Radiography (NDT) - - - - 0 0 0 - . 04.QE.008 Insp. Record
Leak test - - - - 0 0 0 - . In area Under water

2 Tanks Leak test - - - - 0 0 0 - . PS.T.4.D.001 Insp. Record

Strength test - - - - 0 0 0 - .

3 Keel Sight Alignment Check - - - - 0 0 0 - * PS.T.4.D.001 Insp. Record

4 Draft Mark Measurement - - - - 0 0 0 - * PS.T.4.D.001 Insp. Record

5 Freeboard Measurement - - - - 0 0 0 - * PS.T.4.D.001 Insp. Record

6 Main Dimension Measurement - - - - 0 0 0 - * PS.T.4.D.001 Insp. Record

7 Incilining Test Measurement - - - - 0 0 0 - * Rule Class Insp. Record

(TP & TR)

Notes :
0 = To be Inspection . = Invitation sheet (UPP 2) # = Random Check
- = No Inspection = To be Record

Marine ITP-(Sceme)
 NOMOR / Number :
INSPECTION AND TEST PLAN
EXAMPLE REVISI / Revision
TANGGAL / Date
: 0
:
DRY CARGO VESSEL 18500 DWT ( M.000225 )
HALAMAN / Page : dari / of
DISAKSIKAN / Witness Reference Document
BAGIAN YANG DIPERIKSA JENIS PEMERIKSAAN Verified KETERANGAN
NO DI BENGKEL / In Shop DI KAPAL / On Board and OR
Item of Inspection Kind of Inspection Document Remarks
PAL CLS OS REC'D PAL CLS OS HM REC'D Acceptance Criteria
2. ITEMS INSPECTION FOR HULL & ACCOMODATION OUTFITTING
1 Rudder
Rudder Blade Fitting & Welding Check 0 0 0 - - - - . . PS.T.4.D.001 Insp. Record
Leak Test 0 0 0 - - - - . .
Painting Internal Check 0 - 0 - - - - . .

- Rudder Pintle Material Ident. 0 0 0 - - - - . . PS.T.4.D.002 & Insp. Record

PS.T.4.A.002
- Rudder Stock Material Ident. 0 0 0 - - - - . . Insp. Record

- Stock with Rudder Blade Contact Surface Check 0 0 0 - - - - . . Insp. Record

Alignment Check 0 0 0 - - - - . .

- Rudder Horn Center Alignment Check - - - - 0 0 0 . . Insp. Record

- Boss for Rudder Stock Fitting Check - - - - 0 0 0 . . Insp. Record

- Boss for Rudder Pintle Fitting Check - - - - 0 0 0 . . Insp. Record

- Rudder Pintle & Nut Tightening - - - - 0 0 0 . . Insp. Record

2 Steering Gear Material Ident. - - - - 0 0 0 - . PS.T.4.D.002 &

Fitting Check - - - - 0 0 0 - . PS.T.4.A.002
Inserting Bolt - - - - 0 0 0 - . Insp. Record
Chock fast - - - - 0 0 0 - . (TP & TR)
Adjusment Rudder angle Ind. - - - - 0 0 0 - .
Function Test - - - - 0 0 0 -

3 Windlass Material Ident. - - - - 0 0 0 - . PS.T.4.D.002 & Insp. Record

Install Check - - - - 0 0 0 - . PS.T.4.A.002 (TP & TR)
Chock fast - - - - 0 0 0 -
Function Test - - - - 0 0 0 - .

Notes :
0 = To be Inspection . = Invitation sheet (UPP 2) # = Random Check
- = No Inspection = To be Record

Marine ITP-(Sceme)
 NOMOR / Number :
INSPECTION AND TEST PLAN
EXAMPLE REVISI / Revision
TANGGAL / Date
: 0
:
DRY CARGO VESSEL 18500 DWT ( M.000225 )
HALAMAN / Page : dari / of
DISAKSIKAN / Witness Reference Document
BAGIAN YANG DIPERIKSA JENIS PEMERIKSAAN Verified KETERANGAN
NO DI BENGKEL / In Shop DI KAPAL / On Board and OR
Item of Inspection Kind of Inspection Document Remarks
PAL CLS OS REC'D PAL CLS OS HM REC'D Acceptance Criteria
ITEMS INSPECTION FOR HULL & ACCOMODATION OUTFITTING
4 Bolards and Fairleads Install Check - - - - 0 0 0 - . PS.T.4.A.002 Insp. Record

5 Mooring & Equipment Material Ident. - - - - 0 0 0 - . PS.T.4.D.002 & Insp. Record

Install Check - - - - 0 0 0 - . PS.T.4.A.002 (TP & TR)
Function Test - - - - 0 - 0 - .

6 Anchor & Chain Cable Material Ident. - - - - 0 0 0 - . PS.T.4.D.002 & Insp. Record
Function Test - - - - 0 0 0 - . PS.T.4.A.002 (TP & TR)

7 Deck Crane Material Ident. - - - - 0 0 0 - . PS.T.4.D.002 & Insp. Record

Install Check - - - - 0 0 0 - . PS.T.4.A.002 (TP & TR)
Function Test/ Load test - - - - 0 0 0 - .

8 Llife boat davit Material Ident. - - - - 0 0 0 - . PS.T.4.D.002 & Insp. Record

Install Check - - - - 0 0 0 - . PS.T.4.A.002
Function Test/ Load test - - - - 0 0 0 - .

9 Rescue boat davit Material Ident. - - - - 0 0 0 - . PS.T.4.D.002 & Insp. Record

Install Check - - - - 0 0 0 - . PS.T.4.A.002
Function Test/ Load test - - - - 0 0 0 - .

10 FO (Hose Handling) Davits Material Ident. - - - - 0 0 0 - . PS.T.4.D.002 & Insp. Record

Fitting Check - - - - 0 0 0 - . PS.T.4.A.002 (TP & TR)
Function Test/Load test - - - - 0 0 0 - .

11 Life Boat Material Ident. - - - - 0 0 0 - . PS.T.4.D.002 & Insp. Record

Function Test - - - - 0 0 0 - . PS.T.4.A.002 (TP & TR)
Inventory Check - - - - 0 0 0 - .

Notes :
0 = To be Inspection . = Invitation sheet (UPP 2) # = Random Check
- = No Inspection = To be Record

Marine ITP-(Sceme)
 NOMOR / Number :
INSPECTION AND TEST PLAN
EXAMPLE REVISI / Revision
TANGGAL / Date
: 0
:
DRY CARGO VESSEL 18500 DWT ( M.000225 )
HALAMAN / Page : dari / of
DISAKSIKAN / Witness Reference Document
BAGIAN YANG DIPERIKSA JENIS PEMERIKSAAN Verified KETERANGAN
NO DI BENGKEL / In Shop DI KAPAL / On Board and OR
Item of Inspection Kind of Inspection Document Remarks
PAL CLS OS REC'D PAL CLS OS HM REC'D Acceptance Criteria
ITEMS INSPECTION FOR HULL & ACCOMODATION OUTFITTING
12 Rescue Boat Material Ident. - - - - 0 0 0 - . PS.T.4.D.002 & Insp. Record
Function Test - - - - 0 0 0 - . PS.T.4.A.002 (TP & TR)
Inventory Check - - - - 0 0 0 - .

13 Life Raft Material Ident. - - - - 0 0 0 - . PS.T.4.D.002 & Insp. Record

Install Check - - - - 0 0 0 - . PS.T.4.A.002 (TP & TR)

14 Windows Install Check - - - - 0 0 0 - . PS.T.4.D.002 & Insp. Record

Hose Test - - - - 0 0 0 - . PS.T.4.A.002

15 Clear View Screen, Wipers, Function Test - - - - 0 - 0 - . PS.T.4.A.002 Insp. Record

Heater

16 Piping in Double Bottom Space Material Ident. 0 0 0 - - - - - . PS.T.4.D.002 & Insp. Record
Install Check - - - - 0 0 0 - . PS.T.4.A.001
Hydro Test 0 0 0 - - - - - .
Leak Test - - - - 0 0 0 - .

17 Piping in Accomodation Space Material Ident. 0 0 0 - - - - - . PS.T.4.D.002 & Insp. Record

AD,SC,FM,FW Install Check - - - - 0 0 0 - . PS.T.4.A.001
Hydro Test 0 0 0 - - - - - .
Leak Test - - - - 0 0 0 - .

18 Hydrolic Pipe
a. Hatch Cover Material Ident. 0 0 0 - - - - - . PS.T.4.D.002 & Insp. Record
Install Check - - - - 0 0 0 - . PS.T.4.A.001
Hydro Test 0 0 0 - - - - - .
Leak Test - - - - 0 0 0 - .

b. System Ballast/Bilge/HFO Install Check - - - - 0 0 0 - .

Pressure Test - - - - 0 0 0 - .

Notes :
0 = To be Inspection . = Invitation sheet (UPP 2) # = Random Check
- = No Inspection = To be Record
7 \/ 18

Marine ITP-(Sceme)
 NOMOR / Number :
INSPECTION AND TEST PLAN
EXAMPLE REVISI / Revision
TANGGAL / Date
: 0
:
DRY CARGO VESSEL 18500 DWT ( M.000225 )
HALAMAN / Page : dari / of
DISAKSIKAN / Witness Reference Document
BAGIAN YANG DIPERIKSA JENIS PEMERIKSAAN Verified KETERANGAN
NO DI BENGKEL / In Shop DI KAPAL / On Board and OR
Item of Inspection Kind of Inspection Document Remarks
PAL CLS OS REC'D PAL CLS OS HM REC'D Acceptance Criteria
ITEMS INSPECTION FOR HULL & ACCOMODATION OUTFITTING 7 \/ 18
19 Refrigerated Provision Store Material Ident. - - - - 0 0 0 - . PS.T.4.D.002 &
Leak Test of Pipe - - - - 0 - 0 - . PS.T.4.A.002 Insp. Record
Set Protec Device Test - - - - 0 - 0 - .
Cooling Down Test - - - - 0 - 0 - .

20 Ceiling & Lining Install Check - - - - 0 - 0 - . PS.T.4.D.002 & Insp. Record

PS.T.4.A.002

21 Deck Covering Install Check - - - - 0 - 0 - . PS.T.4.D.002 & Insp. Record

PS.T.4.A.002

22 Air Condition System Material Ident. - - - - 0 - 0 - . PS.T.4.D.002 (TP & TR)

Leak Test of Pipe - - - - 0 - 0 - .
Set Protec Device Test - - - - 0 - 0 - .
Cooling Down Test - - - - 0 - 0 - .

23 Insulation Material Ident. - - - - 0 0 0 - . PS.T.4.D.002 & Insp. Record

Install Check - - - - 0 0 0 - . PS.T.4.A.002

24 Steel Door and Small Hatch Install Check - - - - 0 0 0 - . PS.T.4.D.002 & Insp. Record
Chalk Test - - - - 0 - 0 - .
Hose Test - - - - 0 0 0 - . PS.T.4.A.002

25 Galley Equipments Install Check - - - - 0 - 0 - . PS.T.4.D.002 & Insp. Record

Function Test - - - - 0 - 0 - . PS.T.4.A.002

26 Lavatory & Sanitary Equipment Install Check - - - - 0 - 0 - . PS.T.4.D.002 & Insp. Record
Function Test - - - - 0 - 0 - . PS.T.4.A.002

27 Laundry Equipment Install Check - - - - 0 - 0 - . PS.T.4.D.002 & Insp. Record

Function Test - - - - 0 - 0 - . PS.T.4.A.002

Notes :
0 = To be Inspection . = Invitation sheet (UPP 2) # = Random Check
- = No Inspection = To be Record

Marine ITP-(Sceme)
 NOMOR / Number :
INSPECTION AND TEST PLAN
EXAMPLE REVISI / Revision
TANGGAL / Date
: 0
:
DRY CARGO VESSEL 18500 DWT ( M.000225 )
HALAMAN / Page : dari / of
DISAKSIKAN / Witness Reference Document
BAGIAN YANG DIPERIKSA JENIS PEMERIKSAAN Verified KETERANGAN
NO DI BENGKEL / In Shop DI KAPAL / On Board and OR
Item of Inspection Kind of Inspection Document Remarks
PAL CLS OS REC'D PAL CLS OS HM REC'D Acceptance Criteria
ITEMS INSPECTION FOR HULL & ACCOMODATION OUTFITTING
28 Fire Fighting System & Install Check - - - - 0 0 0 - . PS.T.4.D.002 & TP & TR
Equipment Leak Test - - - - 0 0 0 - . PS.T.4.A.001
Function Test - - - - 0 0 0 - .

29 Cathodic Protection Install Check - - - - 0 - 0 - . PS.T.4.D.002 Insp. Record

30 Painting Final Inspection 0 - 0 . 0 - 0 - . Building Spec. & Insp. Record Under water porsion
Paintmaker spec. Record to be "O"

31 Live Saving Equipment Quantity & Position Check - - - - 0 0 0 - . PS.T.4.D.002 & Insp. Record
PS.T.4.A.002

32 Inventory Quantity Check - - - - 0 - 0 - . PS.T.4.D.002 & Insp. Record

PS.T.4.A.002

33 Ventilation Install Check - - - - 0 0 0 - . PS.T.4.D.002 & Insp. Record

Function Test - - - - 0 - 0 - PS.T.4.A.002 (TP & TR)

34 Mast, Post and Rigging Instal Check - - - - 0 0 0 - . PS.T.4.D.002 & Insp. Record
PS.T.4.A.002

35 Man Holes Instal Check - - - - 0 0 0 - . PS.T.4.D.002 & Insp. Record

36 Hand Railing Instal Check - - - - 0 0 0 - . PS.T.4.D.002 & Insp. Record

37 Bottom Plug Instal Check - - - - 0 0 0 - . PS.T.4.D.002 & Insp. Record

Vacuum Check - - - - 0 0 0 - . PS.T.4.A.002

38 Bow Thruster Surface prep.& painting check - - - - 0 - 0 - . PS.T.4.D.002 & Insp. Record
Install Check - - - - 0 0 0 - . PS.T.4.A.002 ( TP & TR)
Operation Test - - - - 0 0 0 -

Notes :
0 = To be Inspection . = Invitation sheet (UPP 2) # = Random Check
- = No Inspection = To be Record

Marine ITP-(Sceme)
 NOMOR / Number :
INSPECTION AND TEST PLAN
EXAMPLE REVISI / Revision
TANGGAL / Date
: 0
:
DRY CARGO VESSEL 18500 DWT ( M.000225 )
HALAMAN / Page : dari / of
DISAKSIKAN / Witness Reference Document
BAGIAN YANG DIPERIKSA JENIS PEMERIKSAAN Verified KETERANGAN
NO DI BENGKEL / In Shop DI KAPAL / On Board and OR
Item of Inspection Kind of Inspection Document Remarks
PAL CLS OS REC'D PAL CLS OS HM REC'D Acceptance Criteria
ITEMS INSPECTION FOR HULL & ACCOMODATION OUTFITTING
39 Furniture Manufacture Check - - - - 0 . 0 - . PS.T.4.D.002 & Insp. Record
Fitting Check - - - - 0 . 0 - . PS.T.4.A.002

40 Accessories Room Fitting check - - - - 0 . 0 - . PS.T.4.D.002 & Insp. Record

41 Wet Space Flooding test - - - - 0 . 0 - . PS.T.4.D.002 & Insp. Record

42 Ladder
- Accomodation Ladder Material ident - - - - 0 0 0 - . PS.T.4.D.002 & Insp. Record
Install check - - - - 0 0 0 - . PS.T.4.A.002 (TP & TR)
Load test - - - - 0 0 0 - .

- Pilot ladder Material ident - - - - 0 0 0 - . PS.T.4.D.002 & Insp. Record

Install check - - - - 0 0 0 - . PS.T.4.A.002 (TP & TR)

- Life raft boarding ladder Material ident - - - - 0 0 0 - . PS.T.4.D.002 & Insp. Record
Install check - - - - 0 0 0 - . PS.T.4.A.002 (TP & TR)

- Ladder for tanks & mast, etc Material ident - - - - 0 0 0 - . PS.T.4.D.002 & Insp. Record
Install check - - - - 0 0 0 - . PS.T.4.A.002 (TP & TR)

43 Hatch Cover Material ident - - - - 0 0 0 - . PS.T.4.D.002 & Insp. Record

Install check - - - - 0 0 0 - . PS.T.4.A.002 (TP & TR)
Hose test - - - - 0 0 0 - .
Function test - - - - 0 0 0 - .

44 Food Lift Install Check - - - - 0 . 0 - . PS.T.4.D.002 & Insp. Record

Load test - - - - 0 . 0 - . PS.T.4.A.002 (TP & TR)
Function test - - - - 0 . 0 - .

Notes :
0 = To be Inspection . = Invitation sheet (UPP 2) # = Random Check
- = No Inspection = To be Record

Marine ITP-(Sceme)
 NOMOR / Number :
INSPECTION AND TEST PLAN
EXAMPLE REVISI / Revision
TANGGAL / Date
: 0
:
DRY CARGO VESSEL 18500 DWT ( M.000225 )
HALAMAN / Page : dari / of
DISAKSIKAN / Witness Reference Document
BAGIAN YANG DIPERIKSA JENIS PEMERIKSAAN Verified KETERANGAN
NO DI BENGKEL / In Shop DI KAPAL / On Board and OR
Item of Inspection Kind of Inspection Document Remarks
PAL CLS OS REC'D PAL CLS OS HM REC'D Acceptance Criteria
ITEMS INSPECTION FOR HULL & ACCOMODATION OUTFITTING
45 CO2 Cylinder Material Ident. - - - - 0 0 0 0 . PS.T.4.D.002 & Insp. Record
Content Check - - - - 0 0 0 - . PS.T.4.A.002 (TP & TR)
Blow test - - - - 0 0 0 - .
Release valve test - - - - 0 0 0 - .
Function test - - - - 0 0 0 .

46 Cargo Hold cleaning System Material Ident. - - - - 0 . 0 - . PS.T.4.D.002 & Insp. Record
Install Check - - - - 0 . 0 - . PS.T.4.A.002 (TP & TR)
Function test - - - - 0 . 0 - .

47 Air Supply/ Control Air service Fitting Check - - - - 0 . 0 - . PS.T.4.D.002 & Insp. Record
Function test - - - - 0 . 0 - . PS.T.4.A.002

48 Tank measuring pipe of ballast Fitting Check - - - - 0 0 0 - . PS.T.4.D.002 & Insp. Record
and Draft Pressure test - - - - 0 0 0 - . PS.T.4.A.002 (TP & TR)
Function test - - - - 0 0 0 .

49 Sounding Pipe Fitting Check - - - - 0 . 0 - .

Function test - - - - 0 . 0 - .

50 Bilge Well Fitting Check - - - - 0 0 0 - . PS.T.4.D.002 & Insp. Record

Pressure test - - - - 0 0 0 - . PS.T.4.A.002 (TP & TR)
Function test - - - - 0 0 0 .

51 Ballast Pipe Fitting Check - - - - 0 0 0 - . PS.T.4.D.002 & Insp. Record

Pressure test - - - - 0 0 0 - . PS.T.4.A.002 (TP & TR)
Function test - - - - 0 0 0 .

52 Hydraulic Unit For Cargo Hatch Material Ident. - - - - 0 . 0 - . PS.T.4.D.002 & Insp. Record
Cover & system Install Check - - - - 0 . 0 - . PS.T.4.A.002 (TP & TR)
Safety device - - - - 0 . 0 - .
Function test - - - - 0 . 0 - .

Notes :
0 = To be Inspection . = Invitation sheet (UPP 2) # = Random Check
- = No Inspection = To be Record

Marine ITP-(Sceme)
 NOMOR / Number :
INSPECTION AND TEST PLAN
EXAMPLE REVISI / Revision
TANGGAL / Date
: 0
:
DRY CARGO VESSEL 18500 DWT ( M.000225 )
HALAMAN / Page : dari / of
DISAKSIKAN / Witness Reference Document
BAGIAN YANG DIPERIKSA JENIS PEMERIKSAAN Verified KETERANGAN
NO DI BENGKEL / In Shop DI KAPAL / On Board and OR
Item of Inspection Kind of Inspection Document Remarks
PAL CLS OS REC'D PAL CLS OS HM REC'D Acceptance Criteria
ITEMS INSPECTION FOR HULL & ACCOMODATION OUTFITTING
53 Emergency Diesel Generator Material Ident. - - - - 0 0 0 - . PS.T.4.D.002 & Insp. Record
Install Check - - - - 0 0 0 - . PS.T.4.A.002 (TP & TR)
Safety device - - - - 0 0 0 .
Load test - - - - 0 0 0 .

54 Water Ingress Detector Fitting & install - - - - 0 0 0 . PS.T.4.D.002 &

Function test - - - - 0 0 0 . PS.T.4.A.002 Insp. Record

55 Carving Certificate
- IMO Number Fitting & install - - - - 0 0 0 - PS.T.4.D.002 &
- Official number Fitting & install - - - - 0 0 0 - PS.T.4.A.002
- Netto tonage Fitting & install - - - - 0 0 0

Notes :
0 = To be Inspection . = Invitation sheet (UPP 2) # = Random Check
- = No Inspection = To be Record

Marine ITP-(Sceme)
 NOMOR / Number :
INSPECTION AND TEST PLAN
EXAMPLE REVISI / Revision
TANGGAL / Date
: 0
:
DRY CARGO VESSEL 18500 DWT ( M.000225 )
HALAMAN / Page : dari / of
DISAKSIKAN / Witness Reference Document
BAGIAN YANG DIPERIKSA JENIS PEMERIKSAAN Verified KETERANGAN
NO DI BENGKEL / In Shop DI KAPAL / On Board and OR
Item of Inspection Kind of Inspection Document Remarks
PAL CLS OS REC'D PAL CLS OS HM REC'D Acceptance Criteria
3. ITEMS INSPECTION FOR MACHINERY OUTFITTING
1 Stern Tube Bush & Material Ident. 0 0 0 . - - - - - PS.T.4.D.003 & Insp. Record
Simplex Seal Fitting Check - - - - 0 0 0 - . PS.T.4.A.003
Welding Check - - - - 0 0 0 -
Leak Test - - - - 0 0 0 - .
Inserting of Bush aft side - - - - 0 0 0 - .
Inserting of Bush fore side - - - - 0 0 0 - .
Leak Test of LO. Tube Inside - - - - 0 0 0 - .
Alignment - - - - 0 0 0 - .
Chock Fast - - - - 0 0 0 - .
Clearance Shaft & Bush - - - - 0 0 0 - .
Wear Down Gauge - - - - 0 0 0 - .

2 Propeller Material Ident. 0 0 0 . - - - - - PS.T.4.D.003 & Insp. Record

Contacf Surface - - - - 0 0 0 - . PS.T.4.A.003
Fitting Check - - - - 0 0 0 - .

3 Shaft Propeller Material Ident. 0 0 0 . - - - - - PS.T.4.D.003 & Insp. Record

Deflection on the late - - - - 0 0 0 - . PS.T.4.A.003
Alignment Check - - - - 0 0 0 - .
Coupling bolt Fitting - - - - 0 0 0 - .

4 Main Engine Material Ident. 0 0 0 . - - - - - PS.T.4.D.003 & Insp. Record

Final Alignment - - - - 0 0 0 - . PS.T.4.A.003
Chock Fast - - - - 0 0 0 - .
Barcall Test - - - - 0 0 0 - .
Thightening Bolt of M/E with Engine
Bed - - - - 0 0 0 - .
Deflec. Check of Crank Shaft - - - - 0 0 0 - .
End Chock Bolt - - - - 0 0 0 - .
Side Chock Bolt - - - - 0 0 0 - .
Wiring cable & system - - - - 0 0 0 - .
Setting safety device - - - - 0 0 0 - .
Operation Test/mooring test - - - - 0 0 0 - .
Over houl - - - - 0 0 0 - .
Notes :
0 = To be Inspection . = Invitation sheet (UPP 2) # = Random Check
- = No Inspection = To be Record

Marine ITP-(Sceme)
 NOMOR / Number :
INSPECTION AND TEST PLAN
EXAMPLE REVISI / Revision
TANGGAL / Date
: 0
:
DRY CARGO VESSEL 18500 DWT ( M.000225 )
HALAMAN / Page : dari / of
DISAKSIKAN / Witness Reference Document
BAGIAN YANG DIPERIKSA JENIS PEMERIKSAAN Verified KETERANGAN
NO DI BENGKEL / In Shop DI KAPAL / On Board and OR
Item of Inspection Kind of Inspection Document Remarks
PAL CLS OS REC'D PAL CLS OS HM REC'D Acceptance Criteria
ITEMS INSPECTION FOR MACHINERY OUTFITTING
5 Gear Box Material Ident. - - - - 0 0 0 - .
Install Check - - - - 0 0 0 - .
Operation Test - - - - 0 0 0 -
Safety device test - - - - 0 0 0 -

6 Pipes in Engine Room Material Ident. 0 0 0 - - - - - PS.T.4.D.003 & Insp. Record

- Fuel Oil System & Lubrication Install Check - - - - 0 0 0 - . PS.T.4.A.003
Oil System Pressure Test 0 0 0 . - - - -
Leak Test - - - - 0 0 0 - .
Flushing Check - - - - 0 0 0 - .

- Compressed Air System Material Ident. 0 0 0 - - - - . PS.T.4.D.003 & Insp. Record Leak test
Auxiliary Air Compressor & Install Check - - - - 0 0 0 - . PS.T.4.A.003 on board
Air Reservoir Pressure Test 0 0 0 . - - - -
Leak Test - - - - 0 0 0 - .
Setting Safety Div. Test - - - - 0 0 0 -
Operation Test - - - - 0 0 0 - .

- Sea Water System Material Ident. 0 0 0 - - - - - PS.T.4.D.003 & Insp. Record Leak test
Install Check - - - - 0 0 0 - . PS.T.4.A.003 on board
Pressure Test 0 0 0 . - - - -
Leak Test - - - - 0 0 0 - .

- Fresh Water System Material Ident. 0 0 0 - - - - - PS.T.4.D.003 & Insp. Record Leak test
Install Check - - - - 0 0 0 - . PS.T.4.A.003 on board
Pressure Test 0 0 0 . - - - -
Leak Test - - - - 0 0 0 - .

- Bilge System Material Ident. 0 0 0 . - - - - - PS.T.4.D.003 & Insp. Record Leak test
Install Check - - - - 0 0 0 - . PS.T.4.A.003 on board
Pressure Test 0 0 0 . - - - -
Leak Test - - - - 0 0 0 - .

Notes :
0 = To be Inspection . = Invitation sheet (UPP 2) # = Random Check
- = No Inspection = To be Record

Marine ITP-(Sceme)
 NOMOR / Number :
INSPECTION AND TEST PLAN
EXAMPLE REVISI / Revision
TANGGAL / Date
: 0
:
DRY CARGO VESSEL 18500 DWT ( M.000225 )
HALAMAN / Page : dari / of
DISAKSIKAN / Witness Reference Document
BAGIAN YANG DIPERIKSA JENIS PEMERIKSAAN Verified KETERANGAN
NO DI BENGKEL / In Shop DI KAPAL / On Board and OR
Item of Inspection Kind of Inspection Document Remarks
PAL CLS OS REC'D PAL CLS OS HM REC'D Acceptance Criteria
ITEMS INSPECTION FOR MACHINERY OUTFITTING
- Hydroulic System pitch Material Ident. 0 0 0 - - - - - PS.T.4.D.003 & Insp. Record Leak test
Propeller Install Check - - - - 0 0 0 - . PS.T.4.A.003 on board
Pressure Test - - - - 0 0 0 - .
Operation Test - - - - 0 - 0 - .

7 Main Altenator Engine Material Ident. - - - - 0 0 0 - . PS.T.4.D.003 & Insp. Record

Fitting Check - - - - 0 0 0 - . PS.T.4.A.003
Safety Div. Test - - - - 0 0 0 - .
Load Test - - - - 0 0 0 - . TP & TR

8 Main Air Compressor Material Ident. - - - - 0 0 0 - . PS.T.4.D.003 & Insp. Record

Install Check - - - - 0 0 0 - . PS.T.4.A.003
Safety device - - - - 0 0 0 - .
Carging test - - - - 0 0 0 - .

9 Main Air Reservoir (2 set) & Material Ident. - - - - 0 0 0 - . PS.T.4.D.003 & Insp. Record
System Install & Press. Test Syst - - - - 0 0 0 - . PS.T.4.A.003

10 Deck Air Vessel & System Material Ident. - - - - 0 0 0 - . PS.T.4.D.003 & Insp. Record
Install & Press. Test - - - - 0 0 0 - . PS.T.4.A.003

11 Auxiliary Boiler & System Material Ident. - - - - 0 0 0 - . PS.T.4.D.003 & Insp. Record
Install & Press. Test - - - - 0 0 0 - . PS.T.4.A.003
Safety device - - - - 0 0 0 - .
Function test - - - - 0 0 0 - .

12 Exhaust Gas Boiler Material Ident. - - - - 0 0 0 - . PS.T.4.D.003 & Insp. Record

Install & Press. Test - - - - 0 0 0 - . PS.T.4.A.003
Safety device - - - - 0 0 0 - .
Function test - - - - 0 0 0 - .

Notes :
0 = To be Inspection . = Invitation sheet (UPP 2) # = Random Check
- = No Inspection = To be Record

Marine ITP-(Sceme)
 NOMOR / Number :
INSPECTION AND TEST PLAN
EXAMPLE REVISI / Revision
TANGGAL / Date
: 0
:
DRY CARGO VESSEL 18500 DWT ( M.000225 )
HALAMAN / Page : dari / of
DISAKSIKAN / Witness Reference Document
BAGIAN YANG DIPERIKSA JENIS PEMERIKSAAN Verified KETERANGAN
NO DI BENGKEL / In Shop DI KAPAL / On Board and OR
Item of Inspection Kind of Inspection Document Remarks
PAL CLS OS REC'D PAL CLS OS HM REC'D Acceptance Criteria
ITEMS INSPECTION FOR MACHINERY OUTFITTING
13 Dump Condenser & system Material Ident. - - - - 0 0 0 - . PS.T.4.D.003 & Insp. Record
Install & Press. Test - - - - 0 0 0 - . PS.T.4.A.003

14 Incinerator & system Material Ident. - - - - 0 0 0 - . PS.T.4.D.003 & Insp. Record

Install & Press. Test - - - - 0 0 0 - . PS.T.4.A.003
Safety device - - - - 0 0 0 - .
Function test - - - - 0 0 0 - .

15 Fresh Water Generator & System Material Ident. - - - - 0 0 0 - . PS.T.4.D.003 & Insp. Record
Install & Press. Test - - - - 0 0 0 - . PS.T.4.A.003
Function test - - - - 0 0 0 - .

16 Fw. Hydrophore & System Material Ident. - - - - 0 0 0 - . PS.T.4.D.003 & Insp. Record
Install & Press. Test - - - - 0 0 0 - . PS.T.4.A.003
Function test - - - - 0 0 0 - .

15 Calorifier Unit & System Material Ident. - - - - 0 0 0 - . PS.T.4.D.003 & Insp. Record
Install & Press. Test - - - - 0 0 0 - . PS.T.4.A.003
Function test - - - - 0 0 0 - .

16 Independent Tank Welding Check 0 0 0 - - - - - . PS.T.4.D.003 & Insp. Record

Pressure Test 0 0 0 - - - - - . PS.T.4.A.003
Install Check - - - - 0 0 0 - .
Final Cleaning Check - - - - 0 - 0 - .

17 Pump in Engine Room Material Ident. - - - - 0 0 0 - . PS.T.4.D.003 & Insp. Record

Install Check - - - - 0 0 0 - . PS.T.4.A.003
Operation Test - - - - 0 0 0 - .

18 Seats of Main Equipment Install Check 0 - - - 0 - - - - PS.T.4.D.003 & Insp. Record

Notes :
0 = To be Inspection . = Invitation sheet (UPP 2) # = Random Check
- = No Inspection = To be Record

Marine ITP-(Sceme)
 NOMOR / Number :
INSPECTION AND TEST PLAN
EXAMPLE REVISI / Revision
TANGGAL / Date
: 0
:
DRY CARGO VESSEL 18500 DWT ( M.000225 )
HALAMAN / Page : dari / of
DISAKSIKAN / Witness Reference Document
BAGIAN YANG DIPERIKSA JENIS PEMERIKSAAN Verified KETERANGAN
NO DI BENGKEL / In Shop DI KAPAL / On Board and OR
Item of Inspection Kind of Inspection Document Remarks
PAL CLS OS REC'D PAL CLS OS HM REC'D Acceptance Criteria
ITEMS INSPECTION FOR MACHINERY OUTFITTING
19 FO & LO Purifier Material Ident. - - - - 0 0 0 - . PS.T.4.D.003 & Insp. Record
Install Check - - - - 0 - - - . PS.T.4.A.003
Operation Test - - - - 0 - 0 - .

20 Oil Bilge Water Separator Material Ident. - - - - 0 0 0 - . PS.T.4.D.003 & Insp. Record
Install Check - - - - 0 0 0 - . PS.T.4.A.003
Operation Test - - - - 0 0 0 - -

21 Sewage Collecting Material Ident. - - - - 0 0 0 - . PS.T.4.D.003 & Insp. Record

Install Check - - - - 0 0 0 - . PS.T.4.A.003
Operation Test - - - - 0 0 0 - -

22 Engine Work Shop Equipment Material Ident. - - - - 0 - 0 - . PS.T.4.D.003 & Insp. Record
Install Check - - - - 0 - - - . PS.T.4.A.003
Operation Test - - - - 0 - 0 - .

23 Over Head Crane in E/R Material Ident. - - - - 0 0 0 - . PS.T.4.D.003 & Insp. Record
Install Check - - - - 0 0 0 - . PS.T.4.A.003
Funtion Test/Load Test - - - - 0 0 0 - .

24 INSULATION
Exhasut Gas (Piping System in
Funnel) Install Check - - - - 0 - 0 - . PS.T.4.D.003 & Insp. Record Insp. Before
HFO Day & Settling Tank Install Check - - - - 0 - 0 - . PS.T.4.A.003 Ceiling & Lining
Engine Control Room (ECR) Install Check - - - - 0 - 0 - .
Work Shop Install Check - - - - 0 - 0 - .
Electric Store Install Check - - - - 0 - 0 - .
Fuel Valve Test Bech Room Install Check - - - - 0 - 0 - .
Engine Store Install Check - - - - 0 - 0 - .
Escape Trunk Install Check - - - - 0 - 0 - .
Engine Casing Install Check - - - - 0 - 0 - .
Under Main Deck Install Check - - - - 0 - 0 - .

Notes :
0 = To be Inspection . = Invitation sheet (UPP 2) # = Random Check

Marine ITP-(Sceme)
 NOMOR / Number :
INSPECTION AND TEST PLAN
EXAMPLE REVISI / Revision
TANGGAL / Date
: 0
:
DRY CARGO VESSEL 18500 DWT ( M.000225 )
HALAMAN / Page : dari / of
DISAKSIKAN / Witness Reference Document
BAGIAN YANG DIPERIKSA JENIS PEMERIKSAAN Verified KETERANGAN
NO DI BENGKEL / In Shop DI KAPAL / On Board and OR
Item of Inspection Kind of Inspection Document Remarks
PAL CLS OS REC'D PAL CLS OS HM REC'D Acceptance Criteria
- = No Inspection = To be Record
ITEMS INSPECTION FOR MACHINERY OUTFITTING
HFO Piping System Install Check - - - - 0 - 0 - . PS.T.4.D.003 & Insp. Record
Tracing Pipe Install Check - - - - 0 - 0 - . PS.T.4.A.003

25 TANKS
M/E LO Circulation Tank Final Cleaning Check - - - - 0 - 0 - .
FO Drain Tank Final Cleaning Check - - - - 0 - 0 - .
Cooferdam Aft Side Final Cleaning Check - - - - 0 - 0 - .
Cooferdam Fore Side Final Cleaning Check - - - - 0 - 0 - .
MDO DB. Tank (S) Final Cleaning Check - - - - 0 - 0 - .
Overflow DB. Tank (S) Final Cleaning Check - - - - 0 - 0 - .
MDO DB. Tank (P) Final Cleaning Check - - - - 0 - 0 - .
Oily Bilge Tank (P) Final Cleaning Check - - - - 0 - 0 - .
Sludge Tank (P) Final Cleaning Check - - - - 0 - 0 - .
A/E LO Storage Tank Final Cleaning Check - - - - 0 - 0 - .
HFO Day Tank Final Cleaning Check - - - - 0 - 0 - .
HFO Settling Tank Final Cleaning Check - - - - 0 - 0 - .
M/E LO Storage Tank Final Cleaning Check - - - - 0 - 0 - .
M/E LO Settling Tank Final Cleaning Check - - - - 0 - 0 - .
A/E LO Settling Tank Final Cleaning Check - - - - 0 - 0 - .
Cylinder Oil Storage Tank Final Cleaning Check - - - - 0 - 0 - .
Cylinder Oil Settling Tank Final Cleaning Check - - - - 0 - 0 - .
LO S/T Gravity Tank Final Cleaning Check - - - - 0 - 0 - .
MDO Day Tank Final Cleaning Check - - - - 0 - 0 - .

26 Spare Part Material Ident. - - - - 0 0 - - .

Notes :
0 = To be Inspection . = Invitation sheet (UPP 2) # = Random Check

Marine ITP-(Sceme)
 NOMOR / Number :
INSPECTION AND TEST PLAN
EXAMPLE REVISI / Revision
TANGGAL / Date
: 0
:
DRY CARGO VESSEL 18500 DWT ( M.000225 )
HALAMAN / Page : dari / of
DISAKSIKAN / Witness Reference Document
BAGIAN YANG DIPERIKSA JENIS PEMERIKSAAN Verified KETERANGAN
NO DI BENGKEL / In Shop DI KAPAL / On Board and OR
Item of Inspection Kind of Inspection Document Remarks
PAL CLS OS REC'D PAL CLS OS HM REC'D Acceptance Criteria
- = No Inspection = To be Record
4. ITEMS INSPECTION FOR ELECTRIC & ELECTRONIC OUTFITTING
1 Cable way Welding Check - - - - 0 0 0 - . PS.T.4.D.004 & Insp. Record
PS.T.4.A.004

2 Wiring Cable Material Ident. 0 0 0 . - - - - - PS.T.4.D.004 & Insp. Record

Install Check - - - - 0 0 0 - . PS.T.4.A.004
Megger Test - - - - 0 0 0 -

3 Switch Board
- Main Switch Board (MSB) Material Ident. - - - - 0 0 0 - . PS.T.4.D.004 & Insp. Record
Install Check - - - - 0 0 0 - . PS.T.4.A.004
Function Test - - - - 0 0 0 -

- Emerg' Switch Board Material Ident. - - - - 0 0 0 - .

Install Check - - - - 0 0 0 - .
Function Test - - - - 0 0 0 -

- Distribution Board Install Check - - - - 0 - 0 - .

Function Test - - - - 0 0 0 -

- Emerg' stop system Install Check - - - - 0 - 0 - .

Function Test - - - - 0 0 0 - .

- ECC + BCC Install Check - - - - 0 - 0 - .

Function Test - - - - 0 0 0 - .

4 Power system
- Main Altenator Material Ident. - - - - 0 0 0 - . PS.T.4.D.004 & Insp. Record
Install Check - - - - 0 - 0 - . PS.T.4.A.004
Function Test - - - - 0 0 0 -

- Emerg' Altenator Material Ident. - - - - 0 0 0 - .

Install Check - - - - 0 - 0 - .
Function Test - - - - 0 0 0 -
Notes :
0 = To be Inspection . = Invitation sheet (UPP 2) # = Random Check

Marine ITP-(Sceme)
 NOMOR / Number :
INSPECTION AND TEST PLAN
EXAMPLE REVISI / Revision
TANGGAL / Date
: 0
:
DRY CARGO VESSEL 18500 DWT ( M.000225 )
HALAMAN / Page : dari / of
DISAKSIKAN / Witness Reference Document
BAGIAN YANG DIPERIKSA JENIS PEMERIKSAAN Verified KETERANGAN
NO DI BENGKEL / In Shop DI KAPAL / On Board and OR
Item of Inspection Kind of Inspection Document Remarks
PAL CLS OS REC'D PAL CLS OS HM REC'D Acceptance Criteria
- = No Inspection = To be Record
ITEMS INSPECTION FOR ELECTRIC & ELECTRONIC OUTFITTING
- Shaft Altenator Material Ident. - - - - 0 0 0 - . PS.T.4.D.004 & Insp. Record
Install Check - - - - 0 - 0 - . PS.T.4.A.004
Function Test - - - - 0 0 0 -

- Main Lighting Install Check - - - - 0 - 0 - .

Function Test - - - - 0 0 0 -

- Emergency lighting Install Check - - - - 0 - 0 - .

( AC 220 V, DC 24 V ) Function Test - - - - 0 0 0 -

- Navigation & Signal light Install Check - - - - 0 - 0 - .

Function Test - - - - 0 0 0 0 .

5 Internal Communication
- Automatic telephone Install Check - - - - 0 - 0 - . PS.T.4.D.004 & Insp. Record
Function Test - - - - 0 - 0 - PS.T.4.A.004

- Sound power telephone Install Check - - - - 0 - 0 - .

Function Test - - - - 0 0 0 -

- Fog gong & Bell Install Check - - - - 0 - 0 - .

Function Test - - - - 0 - 0 - .

- PA / Talk Back system Install Check - - - - 0 - 0 - .

Function Test - - - - 0 0 0 -

- Hospital call Install Check - - - - 0 - 0 - .

Function Test - - - - 0 - 0 - .

- General Alarm Install Check - - - - 0 - 0 - .

Function Test - - - - 0 0 0 -

Notes :
0 = To be Inspection . = Invitation sheet (UPP 2) # = Random Check
- = No Inspection = To be Record

Marine ITP-(Sceme)
 NOMOR / Number :
INSPECTION AND TEST PLAN
EXAMPLE REVISI / Revision
TANGGAL / Date
: 0
:
DRY CARGO VESSEL 18500 DWT ( M.000225 )
HALAMAN / Page : dari / of
DISAKSIKAN / Witness Reference Document
BAGIAN YANG DIPERIKSA JENIS PEMERIKSAAN Verified KETERANGAN
NO DI BENGKEL / In Shop DI KAPAL / On Board and OR
Item of Inspection Kind of Inspection Document Remarks
PAL CLS OS REC'D PAL CLS OS HM REC'D Acceptance Criteria

ITEMS INSPECTION FOR ELECTRIC & ELECTRONIC OUTFITTING

- CO2 Alarm Install Check - - - - 0 - 0 - . PS.T.4.D.004 & Insp. Record
Function Test - - - - 0 0 0 - . PS.T.4.A.004

- Engine Telegraph Install Check - - - - 0 - 0 - .

Function Test - - - - 0 0 0 -

- Fire Alarm Material Ident. - - - - 0 - 0 - .

Install check - - - - 0 - 0 - .
Function Test - - - - 0 0 0 0

- Communial Aerial system Install Check - - - - 0 - 0 - .

( TV & Radio) Function Test - - - - 0 - 0 -

- Rudder Angle Indicator Install Check - - - - 0 - 0 - .

Function Test - - - - 0 0 0 -

6 Nautical Equipment
- Giro compass & Auto pilot Material Ident - - - - 0 - 0 - . PS.T.4.D.004 & Insp. Record
Install Check - - - - 0 - 0 - . PS.T.4.A.004
Function Test - - - - 0 0 0 0

- Echo sounder Material Ident - - - - 0 - 0 - .

Install Check - - - - 0 - 0 - .
Function Test - - - - 0 0 0 -

- Speed Log Material Ident - - - - 0 - 0 - .

Install Check - - - - 0 - 0 - .
Function Test - - - - 0 0 0 -

- Magnetic Compass Material Ident - - - - 0 - 0 - .

Install Check - - - - 0 - 0 - .
Function Test - - - - 0 0 0 0

Notes :
0 = To be Inspection . = Invitation sheet (UPP 2) # = Random Check

Marine ITP-(Sceme)
 NOMOR / Number :
INSPECTION AND TEST PLAN
EXAMPLE REVISI / Revision
TANGGAL / Date
: 0
:
DRY CARGO VESSEL 18500 DWT ( M.000225 )
HALAMAN / Page : dari / of
DISAKSIKAN / Witness Reference Document
BAGIAN YANG DIPERIKSA JENIS PEMERIKSAAN Verified KETERANGAN
NO DI BENGKEL / In Shop DI KAPAL / On Board and OR
Item of Inspection Kind of Inspection Document Remarks
PAL CLS OS REC'D PAL CLS OS HM REC'D Acceptance Criteria
- = No Inspection = To be Record
ITEMS INSPECTION FOR ELECTRIC & ELECTRONIC OUTFITTING
- D G P S (Differensial Global Install Check - - - - 0 - 0 - . PS.T.4.D.004 & Insp. Record
Positioning System) Function Test - - - - 0 - 0 - PS.T.4.A.004

- AIS (Automatic Identification Install Check - - - - 0 - 0 - .

System) Function Test - - - - 0 - 0 - .

- Air Whistle Install Check - - - - 0 - 0 - .

Function Test - - - - 0 0 0 -

- Clear View Screen Install Check - - - - 0 - 0 - .

Function Test - - - - 0 - 0 - .
- Annemometer Install Check - - - - 0 - 0 - .
Function Test - - - - 0 - 0 -

- Weather facsimile Material Ident - - - - 0 - 0 - .

Install Check - - - - 0 - 0 - .
Function Test - - - - 0 - 0 -

- Radar Material Ident - - - - 0 - 0 - .

Install Check - - - - 0 - 0 - .
Function Test - - - - 0 0 0 0

- VDR (Voyage Data Record) Material Ident - - - - 0 - 0 - .

Install Check - - - - 0 - 0 - .
Function Test - - - - 0 0 0 -

- Ship's Security Alert System Install Check - - - - 0 - 0 - .

Function Test - - - - 0 0 0 0

7 Radio Communication
- MF/HF SSB Radio Telp. Material Ident - - - - 0 - 0 - . PS.T.4.D.004 & Insp. Record
Install Check - - - - 0 - 0 - . PS.T.4.A.004
Function Test - - - - 0 0 0 0
Notes :
0 = To be Inspection . = Invitation sheet (UPP 2) # = Random Check

Marine ITP-(Sceme)
 NOMOR / Number :
INSPECTION AND TEST PLAN
EXAMPLE REVISI / Revision
TANGGAL / Date
: 0
:
DRY CARGO VESSEL 18500 DWT ( M.000225 )
HALAMAN / Page : dari / of
DISAKSIKAN / Witness Reference Document
BAGIAN YANG DIPERIKSA JENIS PEMERIKSAAN Verified KETERANGAN
NO DI BENGKEL / In Shop DI KAPAL / On Board and OR
Item of Inspection Kind of Inspection Document Remarks
PAL CLS OS REC'D PAL CLS OS HM REC'D Acceptance Criteria
- = No Inspection = To be Record
ITEMS INSPECTION FOR ELECTRIC & ELECTRONIC OUTFITTING
- VHF (Very Hight Frequency) Material Ident - - - - 0 - 0 - . PS.T.4.D.004 & Insp. Record
Install Check - - - - 0 - 0 - . PS.T.4.A.004
Function Test - - - - 0 0 0 0

- Immarsat C Install Check - - - - 0 - 0 - .

Function Test - - - - 0 0 0 -

- EPIRB (Emergency Position Material Ident - - - - 0 - 0 - .

Indicating Radio Beacon) Install Check - - - - 0 - 0 - .
Function Test - - - - 0 0 0 0

- SART (Search And Rescue Material Ident - - - - 0 - 0 - .

Radar Transponders) Install Check - - - - 0 - 0 - .
Function Test - - - - 0 0 0 0

- Two Way Radio Telp. Install Check - - - - 0 - 0 - .

Function Test - - - - 0 0 0 - .

- NAXTEX Material Ident - - - - 0 - 0 - .

Install Check - - - - 0 - 0 - .
Function Test - - - - 0 - 0 -

Notes :
0 = To be Inspection . = Invitation sheet (UPP 2) # = Random Check

Marine ITP-(Sceme)
 NOMOR / Number :
INSPECTION AND TEST PLAN
EXAMPLE REVISI / Revision
TANGGAL / Date
: 0
:
DRY CARGO VESSEL 18500 DWT ( M.000225 )
HALAMAN / Page : dari / of
DISAKSIKAN / Witness Reference Document
BAGIAN YANG DIPERIKSA JENIS PEMERIKSAAN Verified KETERANGAN
NO DI BENGKEL / In Shop DI KAPAL / On Board and OR
Item of Inspection Kind of Inspection Document Remarks
PAL CLS OS REC'D PAL CLS OS HM REC'D Acceptance Criteria
- = No Inspection = To be Record
5. ITEMS INSPECTION OF OFFICIAL SEA TRIAL
1 Adjustment Of Magnetic Operation Test - - - - 0 0 0 0 . Rule of Government Insp. Record
Compass

2 Ballasting and De-Ballasting Operation Test - - - - 0 0 0 - . Pump Capacity Insp. Record

3 Progressive Speed Trial Operation Test - - - - 0 0 0 - . Contract / Building (TP & TR)
Spec.
4 Endurance & FO Consumption Operation Test - - - - 0 0 0 - . Contract / Building (TP & TR)
Spec.
5 UMS Operation Test

6 Hull Vibration Measurement Operation Test - - - - 0 0 0 - . ISO / TC / 108 / SC 2 (TP & TR)

7 Noise Level Measurement Operation Test - - - - 0 0 0 - . IMO Ass Resolution (TP & TR)
A 468 (x1)
8 M/E Start / Stop Test Operation Test - - - - 0 0 0 - . Rules BV Insp. Record

9 Anchor Lowering & Hoisting Operation Test - - - - 0 0 0 - . Rules BV (TP & TR)
Test

10 Turning CycleTest Operation Test - - - - 0 0 0 - . Contract / Building (TP & TR)

Spec.
11 Fresh Water Generator Test Operation Test - - - - 0 0 0 - . Contract / Building (TP & TR)
(Evaporator) Spec.

12 Crash Stop Astern & Ahead Operation Test - - - - 0 0 0 - . Contract / Building (TP & TR)
Test Spec.

Notes :
0 = To be Inspection . = Invitation sheet (UPP 2) # = Random Check

Marine ITP-(Sceme)
 NOMOR / Number :
INSPECTION AND TEST PLAN
EXAMPLE REVISI / Revision
TANGGAL / Date
: 0
:
DRY CARGO VESSEL 18500 DWT ( M.000225 )
HALAMAN / Page : dari / of
DISAKSIKAN / Witness Reference Document
BAGIAN YANG DIPERIKSA JENIS PEMERIKSAAN Verified KETERANGAN
NO DI BENGKEL / In Shop DI KAPAL / On Board and OR
Item of Inspection Kind of Inspection Document Remarks
PAL CLS OS REC'D PAL CLS OS HM REC'D Acceptance Criteria
- = No Inspection = To be Record
ITEMS INSPECTION OF OFFICIAL SEA TRIAL
13 Minimum Revolution Test Operation Test - - - - 0 0 0 - . Contract / Building (TP & TR)
Spec.
14 Steering Gear Test Operation Test - - - - 0 0 0 - . Contract / Building (TP & TR)
Spec.
15 Torsional Vibration Operation Test - - - - 0 0 0 - . Rules BV (TP & TR)
Measurement

16 Black Out Test Operation Test - - - - 0 0 0 - . Rules BV (TP & TR)

17 Crank Shaft Deflection Check Operation Test - - - - 0 0 0 - . Rules BV (TP & TR)

18 Opening 1 Cylinder Visual check - - - - 0 0 0 - . Building Spec Insp. Record

Notes :
0 = To be Inspection . = Invitation sheet (UPP 2) # = Random Check

Marine ITP-(Sceme)
 NOMOR / Number :
INSPECTION AND TEST PLAN
EXAMPLE REVISI / Revision
TANGGAL / Date
: 0
:
DRY CARGO VESSEL 18500 DWT ( M.000225 )
HALAMAN / Page : dari / of
DISAKSIKAN / Witness Reference Document
BAGIAN YANG DIPERIKSA JENIS PEMERIKSAAN Verified KETERANGAN
NO DI BENGKEL / In Shop DI KAPAL / On Board and OR
Item of Inspection Kind of Inspection Document Remarks
PAL CLS OS REC'D PAL CLS OS HM REC'D Acceptance Criteria
- = No Inspection = To be Record

Marine ITP-(Sceme)