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Project : ROAD PAVEMENT AND DRAINAGE ON PIPE YARD "J" IN SENIPAH

OWNER
Contract No.
:
:
TOTAL E&P INDONESIE
4500002831
INSPECTION AND TEST PLAN Date
Revision
:
:
5-Jan-06
0
Subject : Description of the scope of work
DOC. No. : QC - JG -06
RESPONSIBILITY
No. DESCRIPTION APPLICABLE DOCUMENT ACTIVITY ACCEPTANCE NORM STATUS REMAKS
KRS TI TPT MIGAS

1 Scope of Work Contract Document Document Review - Asphalt road R C


- New steel culvert made from
scrapped pipes
- Retaining Wall
- Drainage

2 Material Contract Document Document Review PT. Kaliraya Sari shall provide C R
assistance, labour, electricity or any
equipment which are considered
normally required for examination,
measurement or test.

3 Technical Specification and Drawing Contract Document Document Review TOTAL E&P INDONESIE Technical R C
Specifications consist of but not
limited to :
- DKE/CST/CIV Technical Specifications
General Civil Works
- DKE/CST/CIV Specifications hot Asphalt
Mixtures
- GS-CIV-101 General Earth Works
- GS-CIV-201 Design and Constructions
of Roads and Stabilized Areas

Contract Document Document Review DRAWING.


TOTAL E&P INDONESIE supplies 1 (one) R C
set of Technical Drawings as the reference of
the CONTRACT.

4 Work Schedule Contract Document Document Review PT. Kaliraya Sari shall provide a weekly C R
progress report and submit it to TOTAL E&P
Indonesie representative on site.

Status : I=Inspection W=Witness Point R=Review Document A=Approved P= Provide E=Engineering C=Construction KRS=PT. Kaliraya Sari TI=TOTAL E&P INDONESIE TPT=Third Party
H=Hold Point MIGAS=Dirtek Minyak dan Gas Bumi
Project : ASPHALTING IN WARE HOUSE SENIPAH
OWNER
Contract No.
:
:
TOTAL E&P INDONESIE
4500002550
INSPECTION AND TEST PLAN Date
Revision
:
:
23-Sep-05
0
Subject : Asphalt works
DOC. No. : QC - JC -04
RESPONSIBILITY
No. DESCRIPTION APPLICABLE DOCUMENT ACTIVITY ACCEPTANCE NORM STATUS REMAKS
KRS TI TPT MIGAS

1 Hot Mix ( ATB ) ASTM Inspection a. To Check the quality of Stability QC W/I
Marshalt
b. To Check the quality of Sive
Analysis
c. To Check the quality of Air Void

Status : I=Inspection W=Witness Point R=Review Document A=Approved P= Provide E=Engineering C=Construction KRS=PT. Kaliraya Sari TI=TOTAL E&P INDONESIE TPT=Third Party
H=Hold Point MIGAS=Dirtek Minyak dan Gas Bumi
Project : ASPHALTING IN WARE HOUSE SENIPAH
OWNER
Contract No.
:
:
TOTAL E&P INDONESIE
4500002550
INSPECTION AND TEST PLAN Date
Revision
:
:
23-Sep-05
0
Subject : Earth Works
DOC. No. : QC - JC -04
RESPONSIBILITY
No. DESCRIPTION APPLICABLE DOCUMENT ACTIVITY ACCEPTANCE NORM STATUS REMAKS
KRS TI TPT MIGAS

1 Exavation ASTM Inspection To check the elevation and location QC W/I

2 Compaction ASTM Inspection To check the compaction of the foundation QC W/I

3 Filling ASTM Inspection To check the filling of the foundation QC W/I

Status : I=Inspection W=Witness Point R=Review Document A=Approved P= Provide E=Engineering C=Construction KRS=PT. Kaliraya Sari TI=TOTAL E&P INDONESIE TPT=Third Party
H=Hold Point MIGAS=Dirtek Minyak dan Gas Bumi
Project : ASPHALTING IN WARE HOUSE SENIPAH
OWNER
Contract No.
:
:
TOTAL E&P INDONESIE
4500002550
INSPECTION AND TEST PLAN Date
Revision
:
:
23-Sep-05
0
Subject : Field Test
DOC. No. : QC - JC -04
RESPONSIBILITY
No. DESCRIPTION APPLICABLE DOCUMENT ACTIVITY ACCEPTANCE NORM STATUS REMAKS
KRS TI TPT MIGAS

1 CBR Test ASTM Inspection QC W/I


To check the quality of Surface and
specification

a. Sub Grade CBR Value Min 20%


b. Base Coarse CBR Value Min 80%

2 Prime Coat ASTM Inspection QC W/I


To check the quality of Surface according
with specification

Status : I=Inspection W=Witness Point R=Review Document A=Approved P= Provide E=Engineering C=Construction KRS=PT. Kaliraya Sari TI=TOTAL E&P INDONESIE TPT=Third Party
H=Hold Point MIGAS=Dirtek Minyak dan Gas Bumi
Project : ASPHALTING IN WARE HOUSE SENIPAH
OWNER
Contract No.
:
:
TOTAL E&P INDONESIE
4500002550
INSPECTION AND TEST PLAN Date
Revision
:
:
23-Sep-05
0
Subject : Material Test
DOC. No. : QC - JC -04
RESPONSIBILITY
No. DESCRIPTION APPLICABLE DOCUMENT ACTIVITY ACCEPTANCE NORM STATUS REMAKS
KRS TI TPT MIGAS

1 Soil Material ASTM Inspection To check the classification and quality soil QC W/I
material , sieve analysis

1 2 Sandy Gravel Material ASTM Inspection To check the quality and specification QC W/I
material sandy gravel , Clayey Lump , Sieve
analysis

3 Aggregate material ASTM Inspection To check the quality and specification QC W/I
material aggregate , Clayey Lump , Sieve
analysis

4 Sand Material ASTM Inspection To check the quality and specification QC W/I
material sand , Clayey Lump , Abration,
Sieve analysis

Status : I=Inspection W=Witness Point R=Review Document A=Approved P= Provide E=Engineering C=Construction KRS=PT. Kaliraya Sari TI=TOTAL E&P INDONESIE TPT=Third Party
H=Hold Point MIGAS=Dirtek Minyak dan Gas Bumi
Project : ROAD PAVEMENT AND DRAINAGE ON PIPE YARD "J" IN SENIPAH
OWNER
Contract No.
:
:
TOTAL E&P INDONESIE
4500002831
INSPECTION AND TEST PLAN Date
Revision
:
:
5-Jan-06
0
Subject : Quality Inspection
DOC. No. : QC - JG -06
RESPONSIBILITY
No. DESCRIPTION APPLICABLE DOCUMENT ACTIVITY ACCEPTANCE NORM STATUS REMAKS
KRS TI TPT MIGAS

1 Survey / Stting Out :


- Location Contrac Document Document Review Locate and mark the positions services C R/W/I
Inspection affected by the work. Arange with the
apropriate authorities for the location and
marking of the positions of main service.

- Elevation Contrac Document Document Review The elevation survey to be carried out by C R/W/I
the engineering PT. KALIRAYA SARI
Inspection
includes

- Drawing Contrac Document Document Review Drawings for all works (plan views, C R
longitudinal and cross-section, cross roads
details, etc)

2 Earth Works / Sub Grade :


- Existing Elevation Contrac Document Document Review The team survey to ensure that, C R/W/I
Inspection co-ordinate, axis X-Y, elevation is maching
with the branchmark or point of referenc.

- Clearing Contrac Document Inspection PT. KALIRAYA SARI shall proceed with C W/I
the felling and uprooting of existing trees
within the areas marked on layout plans.

- After Grading Contrac Document Inspection Grade the site to ground levels of adjacent QC W/I
areas as agreed with COMPANY.

- Ater Back Filling Contrac Document Inspection Prior to the back filling works, QC W/I
PT. KALIRAYA SARI shall complate the
following activities.

- CBR / Density ASTM Inspection To check the quality of surface and QC W/I
specification. Fill material shall be compacted
to a minimum density equal to CBR 20%.

Status : I=Inspection W=Witness Point R=Review Document A=Approved P= Provide E=Engineering C=Construction KRS=PT. Kaliraya Sari TI=TOTAL E&P INDONESIE TPT=Third Party
H=Hold Point MIGAS=Dirtek Minyak dan Gas Bumi
Project : ROAD PAVEMENT AND DRAINAGE ON PIPE YARD "J" IN SENIPAH
OWNER
Contract No.
:
:
TOTAL E&P INDONESIE
4500002831
INSPECTION AND TEST PLAN Date
Revision
:
:
5-Jan-06
0
Subject : Quality Inspection
DOC. No. : QC - JG -06
RESPONSIBILITY
No. DESCRIPTION APPLICABLE DOCUMENT ACTIVITY ACCEPTANCE NORM STATUS REMAKS
KRS TI TPT MIGAS

3 Base Coarse :
- Sieve & Analisys ASTM Inspection To check the quality of sive analisys and QC W/I
specification

- Los Angeles Test ( Abration Test ) ASTM Inspection To check the quality of abration test and QC W/I
specification

- After Compaction Sub Base :


- Elevation ASTM Inspection To check the elevation sub base survey QC W/I
- CBR Test ASTM Inspection To check the quality of surface and QC W/I
specificatin ( 80% CBR )

4 Road / Asphalting Works :


* Trial Test For Agregat & Asphalt ( Laboratory )
- Sieve & Analisys ASTM Inspection To check the quality of sive analisys and QC W/I
specification

- Los Angeles Test ( Abration ) ASTM Inspection To check the quality of abration test and QC W/I
specification

- Mix Design ASTM Inspection To check the quality of mix design and QC W/I
specification

- Marshalt Test ASTM Inspection To check the quality of marshalt test and QC W/I
specification

- Extraction Test ASTM Inspection To check the quality of extraction test and QC W/I
specification

- Cleaning Contrac Document Inspection Shall be done by compressor


- Prime Coat ASTM Inspection To check the quality of surface according QC W/I
with specification

- Asphalt Treated Base : ASTM Inspection To check the quality of surface according QC W/I
- Trial Location with specification
- CBR Soaking
- Core Drill

Status : I=Inspection W=Witness Point R=Review Document A=Approved P= Provide E=Engineering C=Construction KRS=PT. Kaliraya Sari TI=TOTAL E&P INDONESIE TPT=Third Party
H=Hold Point MIGAS=Dirtek Minyak dan Gas Bumi
Project : ROAD PAVEMENT AND DRAINAGE ON PIPE YARD "J" IN SENIPAH
OWNER
Contract No.
:
:
TOTAL E&P INDONESIE
4500002831
INSPECTION AND TEST PLAN Date
Revision
:
:
5-Jan-06
0
Subject : Quality Inspection
DOC. No. : QC - JG -06
RESPONSIBILITY
No. DESCRIPTION APPLICABLE DOCUMENT ACTIVITY ACCEPTANCE NORM STATUS REMAKS
KRS TI TPT MIGAS

5 Concrete Reinforcement :
- Concrete :
- Trial Mix ASTM Inspection To check the quality of surface according QC W/I
with specification

- Slump Test ASTM Inspection To check the quality of slump test and QC W/I
specification

- Crushing Test ASTM Inspection To check the quality of strenght test and QC W/I
specification

- Reinfocement :
- Dimensional Size Check Contrac Document Inspection To check the dimensional size of surface QC W/I
according with drawing (contracc document)

- Lap Splice

- Form Work :
- Alignment
- Cleaness
- Concrete Cover
- Well Support

Status : I=Inspection W=Witness Point R=Review Document A=Approved P= Provide E=Engineering C=Construction KRS=PT. Kaliraya Sari TI=TOTAL E&P INDONESIE TPT=Third Party
H=Hold Point MIGAS=Dirtek Minyak dan Gas Bumi
Project : ROAD PAVEMENT AND DRAINAGE ON PIPE YARD "J" IN SENIPAH
OWNER
Contract No.
:
:
TOTAL E&P INDONESIE
4500002831
INSPECTION AND TEST PLAN Date
Revision
:
:
5-Jan-06
0
Subject : Documentation
DOC. No. : QC - JG -06
RESPONSIBILITY
No. DESCRIPTION APPLICABLE DOCUMENT ACTIVITY ACCEPTANCE NORM STATUS REMAKS
KRS TI TPT MIGAS

1 Inspection Report Contrac Document Compiling The dossier as following QC R/A R


a. Inspection & Test Plan
b. Technical Procedures
c. Inspection Request
d. Field Inspection Report
d. Design Verification
e. As built Drawing

Status : I=Inspection W=Witness Point R=Review Document A=Approved P= Provide E=Engineering C=Construction KRS=PT. Kaliraya Sari TI=TOTAL E&P INDONESIE TPT=Third Party
H=Hold Point MIGAS=Dirtek Minyak dan Gas Bumi
Project : ROAD PAVEMENT AND DRAINAGE ON PIPE YARD "J" IN SENIPAH Date : 5-Jan-06
Client : TOTAL E&P INDONESIE Revision : 0
Contractor : PT. KALIRAYA SARI INSPECTION AND TEST PLAN
Contract no : 4500002831

List of Content
1. Cover

2. List of Content

3. Description of the scope of work

4. Quality Inspection

5. Documentation
Date : 5-Jan-06
INSPECTION AND TEST PLAN Revision : 0
DOC. No. : QA.01/KRS/I/06

PROJECT : ROAD PAVEMENT AND DRAINAGE ON PIPE YARD "J" IN SENIPAH

CLIENT : TOTAL E&P INDONESIE

CONTRACTOR : PT. KALIRAYA SARI

CONTRACT No. : 4500002831

PREPARED BY REVIEWED BY REVIEWED BY REVIEWED BY APPROVED BY,


PT. KALIRAYA SARI PT. KALIRAYA SARI THIRD PARTY TOTAL E&P INDONESIE TOTAL E&P INDONESIE
INSPECTOR QA/QC MANAGER

DATE : DATE : DATE : DATE : DATE :

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