History Sheet (No NDT) 3 Knss

PT.
SANKYU INDONESIA
INTERNATIONAL
Construction & Project Div.
Piping Area:
KNSS
BLOWING REPORT
Piping Sub- Area:
KNSS
BLOWING
PROJECT SPECIFICATION
CLIENT
PROJECT
DRAWING NO
LINE NO
LINESPECIFICATION
: PT. KNSS
: KNSS-GAPL PROJECT
:
:
SPOOL NO
REPORT NO
DATE
:
:
BLOWING INFORMATION
System
Flushing medium :
Specify other
Air
Other
BLOWING REQUIREMENTS
Blowing Result :
Acceptable
Un - Acceptable
Note :
PT. SANKYU IND INT'L.

Prepared by,
DATE
Checked by,
DATE
DOCUMENT : FORM-OPS-09
Date : June 12 , 2007
Revision : 00
PT. SANKYU INDONESIA

INTERNATIONAL
Piping Area:
KNSS
BLOWING REPORT
Piping Sub- Area:
KNSS
BLOWING
CLIENT
PROJECT
DRAWING NO
LINE NO
LINESPECIFICATION
: PT. KNSS
: KNSS-GAPL PROJECT
:
:
SPOOL NO
REPORT NO
DATE
:
:
BLOWING INFORMATION
System
Flushing medium :
Specify other
Air
Other
BLOWING REQUIREMENTS
Flushing Result :
Acceptable
Un - Acceptable
Note :

Prepared by,
DATE
PT. KNSS
Checked by,
DATE
Approved by,
DATE
Date : June 12 , 2007
Revision : 00
INSPECTION FORM (EXAMPLE)
PT. SANKYU INDONESIA INTERNATIONAL

WELDING POINT RECORD

HISTORY SHEET
GAPL PROJECT
AREA
LINE NO
KNSS 3(EXAMPLE)
WELD
SCH
JOINT WELD
SIZE
(MM)
NO.
TYPE (INCH)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
SW
BW
SCRD
BW
BW
BW
BW
BW
BW
BW
BW
BW
BW
BW
BW
BW
BW
BW
BW
BW
BW
3/4
5
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
80
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
40
24''WKS-HE-C206-B1P1 1OF3 (EXAMPLE)

VISUAL INSPECTION
PLACE
SHOP
FILED
SHOP
SHOP
SHOP
SHOP
SHOP
SHOP
SHOP
SHOP
SHOP
SHOP
SHOP
SHOP
SHOP
SHOP
SHOP
SHOP
SHOP
SHOP
SHOP
DATE
REPORT
NO.
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
DENIS
KOMAR
DENIS
DENIS
DENIS
DENIS
DENIS
DENIS
DENIS
DENIS
DENIS
DENIS
DENIS
DENIS
DENIS
DENIS
DENIS
DENIS
DENIS
DENIS
DENIS
ROOT/FINAL
PASS
WELDING ROD
TG-S50
TG-S50
TG-S50
TG-S50
TG-S50
TG-S50
TG-S50
TG-S50
TG-S50
TG-S50
TG-S50
TG-S50
TG-S50
TG-S50
TG-S50
TG-S50
TG-S50
TG-S50
TG-S50
TG-S50
TG-S50
LB-52
LB-52
LB-52
LB-52
LB-52
LB-52
LB-52
LB-52
LB-52
LB-52
LB-52
LB-52
LB-52
LB-52
LB-52
LB-52
LB-52
LB-52
LB-52
LB-52
LB-52
LINE CHECK
W/P
WELDER
ROOT
FINAL
STAMP
GTAW
GTAW
GTAW
GTAW
GTAW
GTAW
GTAW
GTAW
GTAW
GTAW
GTAW
GTAW
GTAW
GTAW
GTAW
GTAW
GTAW
GTAW
GTAW
GTAW
GTAW
SMAW
SMAW
SMAW
SMAW
SMAW
SMAW
SMAW
SMAW
SMAW
SMAW
SMAW
SMAW
SMAW
SMAW
SMAW
SMAW
SMAW
SMAW
SMAW
SMAW
SMAW
SII-01
SII-01
SII-01
SII-01
SII-01
SII-01
SII-01
SII-01
SII-01
SII-01
SII-01
SII-01
SII-01
SII-01
SII-01
SII-01
SII-01
SII-01
SII-01
SII-01
SII-01
LEAK TEST
CHEMICAL C
PIG CLE
DATE
REPORT NO.
DATE
REPORT NO.
DATE
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
LN/SII/KNSS-000
LN/SII/KNSS-000
LN/SII/KNSS-000
LN/SII/KNSS-000
LN/SII/KNSS-000
LN/SII/KNSS-000
LN/SII/KNSS-000
LN/SII/KNSS-000
LN/SII/KNSS-000
LN/SII/KNSS-000
LN/SII/KNSS-000
LN/SII/KNSS-000
LN/SII/KNSS-000
LN/SII/KNSS-000
LN/SII/KNSS-000
LN/SII/KNSS-000
LN/SII/KNSS-000
LN/SII/KNSS-000
LN/SII/KNSS-000
LN/SII/KNSS-000
LN/SII/KNSS-000
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
LT/SII/KNSS-000
LT/SII/KNSS-000
LT/SII/KNSS-000
LT/SII/KNSS-000
LT/SII/KNSS-000
LT/SII/KNSS-000
LT/SII/KNSS-000
LT/SII/KNSS-000
LT/SII/KNSS-000
LT/SII/KNSS-000
LT/SII/KNSS-000
LT/SII/KNSS-000
LT/SII/KNSS-000
LT/SII/KNSS-000
LT/SII/KNSS-000
LT/SII/KNSS-000
LT/SII/KNSS-000
LT/SII/KNSS-000
LT/SII/KNSS-000
LT/SII/KNSS-000
LT/SII/KNSS-000
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
22
23
24
25
26
27
28
29
30
BW
BW
BW
BW
BW
BW
BW
BW
BW
12
12
12
12
12
12
12
12
12
40
40
40
40
40
40
40
40
40
SHOP
SHOP
SHOP
SHOP
SHOP
SHOP
SHOP
SHOP
SHOP
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
DENIS
DENIS
DENIS
DENIS
DENIS
DENIS
DENIS
DENIS
DENIS
TG-S50
TG-S50
TG-S50
TG-S50
TG-S50
TG-S50
TG-S50
TG-S50
TG-S50
LB-52
LB-52
LB-52
LB-52
LB-52
LB-52
LB-52
LB-52
LB-52
GTAW
GTAW
GTAW
GTAW
GTAW
GTAW
GTAW
GTAW
GTAW
SMAW
SMAW
SMAW
SMAW
SMAW
SMAW
SMAW
SMAW
SMAW
SII-01
SII-01
SII-01
SII-01
SII-01
SII-01
SII-01
SII-01
SII-01
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
LN/SII/KNSS-000
LN/SII/KNSS-000
LN/SII/KNSS-000
LN/SII/KNSS-000
LN/SII/KNSS-000
LN/SII/KNSS-000
LN/SII/KNSS-000
LN/SII/KNSS-000
LN/SII/KNSS-000
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
LT/SII/KNSS-000
LT/SII/KNSS-000
LT/SII/KNSS-000
LT/SII/KNSS-000
LT/SII/KNSS-000
LT/SII/KNSS-000
LT/SII/KNSS-000
LT/SII/KNSS-000
LT/SII/KNSS-000
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
ORM (EXAMPLE)
Document: FORM-OPS-09
Date
: June 12, 2007
Revision : 00
OINT RECORD
RY SHEET
CHEMICAL CLEANING
PIG CLEANING
DRAWING NO
PAGE
DWG NO 1 (EXAMPLE)
1 OF 2
FLUSHING/BLOWING
OIL FLUSHING
REMARK
REPORT NO.
DATE
REPORT NO.
DATE
REPORT NO.
CL/SII/KNSS-000
CL/SII/KNSS-000
CL/SII/KNSS-000
CL/SII/KNSS-000
CL/SII/KNSS-000
CL/SII/KNSS-000
CL/SII/KNSS-000
CL/SII/KNSS-000
CL/SII/KNSS-000
CL/SII/KNSS-000
CL/SII/KNSS-000
CL/SII/KNSS-000
CL/SII/KNSS-000
CL/SII/KNSS-000
CL/SII/KNSS-000
CL/SII/KNSS-000
CL/SII/KNSS-000
CL/SII/KNSS-000
CL/SII/KNSS-000
CL/SII/KNSS-000
CL/SII/KNSS-000
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
FB/SII/KNSS-000
FB/SII/KNSS-000
FB/SII/KNSS-000
FB/SII/KNSS-000
FB/SII/KNSS-000
FB/SII/KNSS-000
FB/SII/KNSS-000
FB/SII/KNSS-000
FB/SII/KNSS-000
FB/SII/KNSS-000
FB/SII/KNSS-000
FB/SII/KNSS-000
FB/SII/KNSS-000
FB/SII/KNSS-000
FB/SII/KNSS-000
FB/SII/KNSS-000
FB/SII/KNSS-000
FB/SII/KNSS-000
FB/SII/KNSS-000
FB/SII/KNSS-000
FB/SII/KNSS-000
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
OF/SII/KNSS-000
OF/SII/KNSS-000
OF/SII/KNSS-000
OF/SII/KNSS-000
OF/SII/KNSS-000
OF/SII/KNSS-000
OF/SII/KNSS-000
OF/SII/KNSS-000
OF/SII/KNSS-000
OF/SII/KNSS-000
OF/SII/KNSS-000
OF/SII/KNSS-000
OF/SII/KNSS-000
OF/SII/KNSS-000
OF/SII/KNSS-000
OF/SII/KNSS-000
OF/SII/KNSS-000
OF/SII/KNSS-000
OF/SII/KNSS-000
OF/SII/KNSS-000
OF/SII/KNSS-000
CL/SII/KNSS-000
CL/SII/KNSS-000
CL/SII/KNSS-000
CL/SII/KNSS-000
CL/SII/KNSS-000
CL/SII/KNSS-000
CL/SII/KNSS-000
CL/SII/KNSS-000
CL/SII/KNSS-000
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
FB/SII/KNSS-000
FB/SII/KNSS-000
FB/SII/KNSS-000
FB/SII/KNSS-000
FB/SII/KNSS-000
FB/SII/KNSS-000
FB/SII/KNSS-000
FB/SII/KNSS-000
FB/SII/KNSS-000
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
17/05/16
OF/SII/KNSS-000
OF/SII/KNSS-000
OF/SII/KNSS-000
OF/SII/KNSS-000
OF/SII/KNSS-000
OF/SII/KNSS-000
OF/SII/KNSS-000
OF/SII/KNSS-000
OF/SII/KNSS-000
Signature
Reported by,
Signature
Approved by,
PT. Sankyu Indonesia Int'l

Date :
PT.Krakatau Nippon Steel Sumikin

Date :
Inspection Report
GAPL PROJECT
PERIODE MAY 2016 ~ DECEMBER 2016
VISUAL INSPECTION FOR WELDING POINT
Project
: GAPL PROJECT
Line No
: 24''WKS-HE-C206-B1P1 1OF3 (EXAMPLE)
Document No.
: FORM-OPS-00
Date
: June 12, 2007
Revision
: 00
Report No. : VS/SII/KNSS-000
Drawing
Page 1/1
: DWG NO 1 (EXAMPLE)
Location : KNSS
WELDING ROOT PASS
JOINT
NO.
DRAWING NO.
SIZE
SCH
WELDING
TYPE
DATE
WELDING
ROD
W/P
WELDING FINAL PASS

WELDER
STAMP
DATE
WELDING
ROD
W/P
VISUAL INSPECTION
WELDER
STAMP
DATE
RECORD
BY
Witness
ASC
RESULT
DWG NO 1 (EXAMPLE)
3/4
80
SW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
DWG NO 1 (EXAMPLE)
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
KOMAR
DWG NO 1 (EXAMPLE)
12
40
SCRD
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
10
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
11
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
12
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
13
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
14
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
15
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
16
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
30-Dec-99
17
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
30-Dec-99
18
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
30-Dec-99
19
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
30-Dec-99
20
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
30-Dec-99
21
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
22
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
23
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
24
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
25
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
26
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
27
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
28
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
29
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
30
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
DWG NO 1 (EXAMPLE)
30-Dec-99
30-Dec-99
###
30-Dec-99
30-Dec-99
###
30-Dec-99
30-Dec-99
Reported by,
Checked by,
Approved by,
PT. SANKYU IND. INT'L
PT. KNSS

Piping Area:
KNSS
Pipe Class
LEAK TEST REPORT
Piping Sub- Area:
KNSS
PRESSURE TEST REPORT

Report No :
LT/SII/KNSS-000
Test Type :
Pneumatic Test
System
Date
###
Pressure Gauge
Serial No.
Range
Calibration Certificate
Validity
Remark
Test Chart Record

Kgf/cm2
Kgf/c
152
m
minutes
Kgf/cm
Kgf/cm
2
Test Data
Kgf/cm
5
minutes
5 minutes
15 minutes
TIME
Initial Check for major

leak.
Test Medium
Air / N2 / Water
Test Pressure
Test Duration
Kgf/cm
Kgf/cm2
Kgf/cm2
Kgf/cm2
2
Design Pressure
Pressure Test
Leak Test
Kgf/Cm
Kgf/Cm2
Kgf/Cm2
Time
Start
Finish
minutes
minutes
minutes
minutes
Test Result
Accept
Reject
Special Comment If Any :
DATE:
Page - 3 -
PT. KNSS
DATE:
Date : June 12 , 2007
Revision : 00

.Construction & Project Div
Piping Area:
KNSS
PICTURE LEAK TEST
Piping Sub- Area:
KNSS
April 30, 2016

PNEUMATIC TEST
UP STREAM (start time)
UP STREAM (finish time)
DOWN STREAM (start

time)
DOWN STREAM (finish

time)
Page - 4 -
Date : June 12 , 2007
Revision : 00

INTERNATIONAL
Piping Area:
KNSS
CHEMICAL CLEANING REPORT
Piping Sub- Area:
KNSS
CHEMICAL CLEANING
CLIENT
PROJECT
DRAWING NO
LINE NO
SERVICE
LINESPECIFICATION
: PT. KNSS
PRESSURE DESI
: GAPL PROJECT
PRESSURE TEST
TYPE OF CLEANIN
: 24''WKS-HE-C206-B1P1 1OF3 REPORT NO
:
DATE
:
kg/cm2.G
:
kg/cm2.G
:
: CL/SII/KNSS-000
:
17/05/16
CLEANING INFORMATION
Cleaning Method :
Water Flushing
Acid / Chemical Cleaning
Air Flushing
Soda Cleaning
Steam Flushing
Cleaning Fluid
Oil Flushing
Pig Cleaning
Other
Steam Condensate / Superheated Steam
Air
Sodium Hidroxide
Pure Water
HCl
HF
Other
CLEANING RESULT
Start time
AM
PM
Finish time
AM
PM
Step
Step
Step
Step
Step
1
2
3
4
5
Cleaning Status :
Comment :
Clean
Clean
Clean
Clean
Clean
Dirty
Dirty
Dirty
Dirty
Dirty
Acceptable
Un - Acceptable
SANKYU IND INT'L.

Prepared by,
Checked by,
PIC AREA
RESPONSIBLE AREA
QC/SPV
_____________
LEAD SPV
_____________
DATE
DATE
KRAKATAU NIPPON STEEL SUMIKIN

Approved by,
Approved by,
_____________
DATE
Page - 5 -
_____________
DATE
DOCUMENT
Date :: FORM-OPS-11
June 12 , 2007
Date : June 12 , 2007
Revision : 00

INTERNATIONAL
Piping Area:
KNSS
FLUSHING & BLOWING REPORT
Piping Sub- Area:
KNSS
FLUSHING & BLOWING

CLIENT
PROJECT
DRAWING NO
LINE NO
SERVICE
LINESPECIFICATION
: PT. KNSS
PRESSURE DESI
: GAPL PROJECT
PRESSURE TEST
TYPE OF FLUSHI
:
DATE
:
kg/cm2.G
:
kg/cm2.G
:
: FB/SII/KNSS-000
:
17/05/16
FLUSHING INFORMATION
System
Flushing medium :
Specify other
Air
Water
Other
FLUSHING REQUIREMENTS
Pressure :
Hold time :
Step
Step
Step
Step
Step
1
2
3
4
5
Flushing Result :
Psi ( Kpa )
Min
Start time
Finish time
Clean
Clean
Clean
Clean
Clean
AM
AM
PM
PM
Dirty
Dirty
Dirty
Dirty
Dirty
Acceptable
Un - Acceptable
Comment :
SANKYU IND INT'L.

Prepared by,
Checked by,
PIC AREA
RESPONSIBLE AREA
QC/SPV
_____________
LEAD SPV
_____________
DATE
DATE

Approved by,
Approved by,
_____________
DATE
Page - 6 -
_____________
DATE
Date : June 12 , 2007
Revision : 00

INTERNATIONAL
Piping Area:
KNSS
OIL FLUSHING REPORT
Piping Sub- Area:
KNSS
OIL FLUSHING
CLIENT
PROJECT
DRAWING NO
LINE NO
SERVICE
LINESPECIFICATION
: PT. KNSS
PRESSURE DESI
: GAPL PROJECT
PRESSURE TEST
TYPE OF FLUSHI
:
DATE
:
kg/cm2.G
:
kg/cm2.G
:
: OF/SII/KNSS-000
:
17/05/16
System
Flushing medium :
Specify other
Air
Water
Other
Pressure :
Hold time :
Step
Step
Step
Step
Step
1
2
3
4
5
Flushing Result :
Psi ( Kpa )
Min
Start time
Finish time
Clean
Clean
Clean
Clean
Clean
AM
AM
PM
PM
Dirty
Dirty
Dirty
Dirty
Dirty
Acceptable
Un - Acceptable
Comment :
SANKYU IND INT'L.

Prepared by,
Checked by,
PIC AREA
RESPONSIBLE AREA
QC/SPV
_____________
LEAD SPV
_____________
DATE
DATE

Approved by,
Approved by,
_____________
DATE
Page - 7 -
_____________
DATE
Date : June 12 , 2007
Revision : 00
Inspection Report
GAPL PROJECT
PERIODE MAY 2016 ~ DECEMBER 2016
VISUAL INSPECTION FOR WELDING POINT
Project
: GAPL PROJECT
Line No
: 24''WKS-HE-C206-B1P1 1OF3 (EXAMPLE)
Document No.
: FORM-OPS-00
Date
: June 12, 2007
Revision
: 00
Report No. : VS/SII/KNSS-000
Drawing
Page 1/1
Location : KNSS
WELDING ROOT PASS
JOINT
NO.
DRAWING NO.
SIZE
SCH
WELDING
TYPE
DATE
WELDING
ROD
W/P
WELDING FINAL PASS

WELDER
STAMP
DATE
WELDING
ROD
W/P
VISUAL INSPECTION
WELDER
STAMP
DATE
RECORD
BY
Witness
ASC
RESULT
DWG NO 1 (EXAMPLE)
3/4
80
SW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
DWG NO 1 (EXAMPLE)
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
KOMAR
DWG NO 1 (EXAMPLE)
12
40
SCRD
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
10
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
11
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
12
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
13
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
14
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
15
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
16
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
30-Dec-99
17
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
30-Dec-99
18
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
30-Dec-99
19
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
30-Dec-99
20
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
30-Dec-99
21
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
22
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
23
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
24
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
25
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
26
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
27
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
28
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
29
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
30
DWG NO 1 (EXAMPLE)
12
40
BW
17-May-16
TG-S50
GTAW
SII-01
17-May-16
LB-52
SMAW
SII-01
17-May-16
DENIS
DWG NO 1 (EXAMPLE)
30-Dec-99
30-Dec-99
###
30-Dec-99
30-Dec-99
###
30-Dec-99
30-Dec-99
Reported by,
Checked by,
Approved by,
PT. KNSS

Piping Area:
KNSS
Pipe Class
LEAK TEST REPORT
Piping Sub- Area:
KNSS
PRESSURE TEST REPORT

Report No :
LT/SII/KNSS-000
Test Type :
Pneumatic Test
System
Date
###
Pressure Gauge
Serial No.
Range
Calibration Certificate
Validity
Remark
Test Chart Record

Kgf/cm2
Kgf/c
152
m
minutes
Kgf/cm
Kgf/cm
2
Test Data
Kgf/cm
5
minutes
5 minutes
minutes
1515
minutes
TIME
Initial Check for major

leak.
Test Medium
Air / N2 / Water
Test Pressure
Test Duration
Kgf/cm
Kgf/cm2
Kgf/cm2
Kgf/cm2
2
Design Pressure
Pressure Test
Leak Test
Kgf/Cm
Kgf/Cm2
Kgf/Cm2
Time
Start
Finish
minutes
minutes
minutes
minutes
Test Result
Accept
Reject
Special Comment If Any :
SANKYU IND INT'L.
DATE:
Page - 3 -
KNSS
DATE:
Date : June 12 , 2007
Revision : 00

.Construction & Project Div
Piping Area:
KNSS
PICTURE LEAK TEST
Piping Sub- Area:
KNSS
April 30, 2016

PNEUMATIC TEST
UP STREAM (start time)
UP STREAM (finish time)
DOWN STREAM (start

time)
DOWN STREAM (finish

time)
Page - 4 -
Date : June 12 , 2007
Revision : 00

INTERNATIONAL
Piping Area:
KNSS
CHEMICAL CLEANING REPORT
Piping Sub- Area:
KNSS
CHEMICAL CLEANING
CLIENT
PROJECT
DRAWING NO
LINE NO
SERVICE
LINESPECIFICATION
: PT. KNSS
PRESSURE DESI
: GAPL PROJECT
PRESSURE TEST
TYPE OF CLEANIN
:
DATE
:
kg/cm2.G
:
kg/cm2.G
:
: CL/SII/KNSS-000
:
17/05/16
CLEANING INFORMATION
Cleaning Method :
Water Flushing
Acid / Chemical Cleaning
Air Flushing
Soda Cleaning
Steam Flushing
Cleaning Fluid
Oil Flushing
Pig Cleaning
Other
Steam Condensate / Superheated Steam
Air
Sodium Hidroxide
Pure Water
HCl
HF
Other
CLEANING RESULT
Start time
AM
PM
Finish time
AM
PM
Step
Step
Step
Step
Step
1
2
3
4
5
Cleaning Status :
Comment :
Clean
Clean
Clean
Clean
Clean
Dirty
Dirty
Dirty
Dirty
Dirty
Acceptable
Un - Acceptable
SANKYU IND INT'L.

Prepared by,
Checked by,
PIC AREA
RESPONSIBLE AREA
QC/SPV
_____________
LEAD SPV
_____________
DATE
DATE

Approved by,
Approved by,
_____________
DATE
Page - 5 -
_____________
DATE
DOCUMENT
Date :: FORM-OPS-11
June 12 , 2007
Date : June 12 , 2007
Revision : 00

INTERNATIONAL
Piping Area:
KNSS
FLUSHING & BLOWING REPORT
Piping Sub- Area:
KNSS
FLUSHING & BLOWING

CLIENT
PROJECT
DRAWING NO
LINE NO
SERVICE
LINESPECIFICATION
: PT. KNSS
PRESSURE DESI
: GAPL PROJECT
PRESSURE TEST
TYPE OF FLUSHI
:
DATE
:
kg/cm2.G
:
kg/cm2.G
:
: FB/SII/KNSS-000
:
17/05/16
System
Flushing medium :
Specify other
Air
Water
Other
Pressure :
Hold time :
Step
Step
Step
Step
Step
1
2
3
4
5
Flushing Result :
Psi ( Kpa )
Min
Start time
Finish time
Clean
Clean
Clean
Clean
Clean
AM
AM
PM
PM
Dirty
Dirty
Dirty
Dirty
Dirty
Acceptable
Un - Acceptable
Comment :
SANKYU IND INT'L.

Prepared by,
Checked by,
PIC AREA
RESPONSIBLE AREA
QC/SPV
_____________
LEAD SPV
_____________
DATE
DATE

Approved by,
Approved by,
_____________
DATE
Page - 6 -
_____________
DATE
Date : June 12 , 2007
Revision : 00

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Piping Sub- Area:

PT. SANKYU IND INT'L.

PT. SANKYU INDONESIA

Piping Sub- Area:

PT. SANKYU IND INT'L.

INSPECTION FORM (EXAMPLE)

PT. SANKYU INDONESIA INTERNATIONAL

WELDING POINT RECORD

24''WKS-HE-C206-B1P1 1OF3 (EXAMPLE)

PT. Sankyu Indonesia Int'l

PT.Krakatau Nippon Steel Sumikin

VISUAL INSPECTION FOR WELDING POINT

: 24''WKS-HE-C206-B1P1 1OF3 (EXAMPLE)

: June 12, 2007

Report No. : VS/SII/KNSS-000

WELDING FINAL PASS

PT. SANKYU IND. INT'L

PT. SANKYU IND. INT'L

PT. SANKYU INDONESIA INTERNATIONAL

LEAK TEST REPORT

Piping Sub- Area:

PRESSURE TEST REPORT

Test Chart Record

Initial Check for major

Special Comment If Any :

PT. SANKYU IND INT'L.

PT. SANKYU IND. INT'L

PICTURE LEAK TEST

Piping Sub- Area:

April 30, 2016

UP STREAM (start time)

UP STREAM (finish time)

DOWN STREAM (start

DOWN STREAM (finish

PT. SANKYU INDONESIA

CHEMICAL CLEANING REPORT

Piping Sub- Area:

Acid / Chemical Cleaning

SANKYU IND INT'L.

KRAKATAU NIPPON STEEL SUMIKIN

PT. SANKYU INDONESIA

FLUSHING & BLOWING REPORT

Piping Sub- Area:

FLUSHING & BLOWING

SANKYU IND INT'L.

KRAKATAU NIPPON STEEL SUMIKIN

PT. SANKYU INDONESIA

OIL FLUSHING REPORT

Piping Sub- Area:

SANKYU IND INT'L.

KRAKATAU NIPPON STEEL SUMIKIN

VISUAL INSPECTION FOR WELDING POINT

: 24''WKS-HE-C206-B1P1 1OF3 (EXAMPLE)

: June 12, 2007

Report No. : VS/SII/KNSS-000

WELDING FINAL PASS

PT. SANKYU IND. INT'L

PT. SANKYU IND. INT'L

PT. SANKYU INDONESIA INTERNATIONAL

LEAK TEST REPORT

Piping Sub- Area:

PRESSURE TEST REPORT