INSPECTION FORM

PT. SANKYU INDONESIA INTERNATIONAL

Construction & Project Div.

WELDING POINT RECORD

HISTORY SHEET

CA-5 PLANT PHASE-6 EXPANSION

PROJECT

JOINT NO

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21

AREA

LINE NO

Example Area

Example Line Number

WELD
TYPE

SW

WELD
SIZE
(INCH)

3/4

SCH (MM)

VISUAL INSPECTION
PLACE
DATE

80

LEAK TEST

RESULT

DATE

RESULT

CHEMICAL CLEANING
PIG CLEANING
DATE

RESULT

FLUSHING
DATE

22
23
24
25
26
27
28
29
30

Reported by,
PT. Sankyu Indonesia Int'l

Date :

INSPECTION FORM

PT. SANKYU INDONESIA INTERNATIONAL

Construction & Project Div.

WELDING POINT RECORD

HISTORY SHEET

CA-5 PLANT PHASE-6 EXPANSION

PROJECT

JOINT NO

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21

AREA

LINE NO

Example Area

Example Line Number

WELD
TYPE

SW

WELD
SIZE
(INCH)

3/4

SCH (MM)

VISUAL INSPECTION
PLACE
DATE

80

LEAK TEST

RESULT

DATE

RESULT

CHEMICAL CLEANING
PIG CLEANING
DATE

RESULT

FLUSHING
DATE

22
23
24
25
26
27
28
29
30

Reported by,
PT. Sankyu Indonesia Int'l

Date :

TION FORM
Document No
Date
Revision

POINT RECORD
ORY SHEET

: FORM-OPS-09
: June 12, 2007
: 00

DRAWING NO

PAGE

DWG NO 1

FLUSHING

OIL FLUSHING
REMARK

RESULT

DATE

RESULT

Approved by,
Krakatau Nippon Steel Sumikin

Date :

TION FORM
Document No
Date
Revision

POINT RECORD
ORY SHEET

: FORM-OPS-09
: June 12, 2007
: 00

DRAWING NO

PAGE

DWG NO 1

FLUSHING

OIL FLUSHING
REMARK

RESULT

DATE

RESULT

Approved by,
Krakatau Nippon Steel Sumikin

Date :