FORM PENGAJUAN SERTIFIKASI

DATE OF INSPECTION :
LOCATION : ELNUSA - Workshop Balikpapan
PROJECT : VICO
EXPIRE DATE : Januari 2019
REQUEST DATE : 20 Januari 2019
PIC : Lendy S / Ricky S
METHOD OF INSPECTION INSTALL

NO DESCRIPTION QTY DATE ID TAG

DIMENSIO PRESSURE COLOUR
PAD EYE THICKNESS HARDNESS TEST HYDROTEST VISUAL MT/PT LOAD TEST PULL TEST WHITNESS SS BAND IT ID PLATE FOR TRANSPORT
SHACKLE SLING 1 LEG SLING 2 LEG SLING 4 LEG NAL Sertifikasi TEST CODE RENTAL
(EA) (SPOT) (SPOT) (UNIT) (UNIT) (EA) (UNIT) (UNIT) (UNIT) TAG NO FOR LIFTING (DAY)
(UNIT) (UNIT) (EA)
UNIT GEAR
1 Gin pole 1 6 6
2 Basket Conter balance 1 4 4
3 Conterbalance 1 4 4
4 Tong arm 1 4 4
5 Work basket 1 4 4
6 Jack Assembly 1 2 4
7 Jack Basket 1 4 4
8 Table Window Adapter 1 4 4
9 Window Working 1 4 4
10 Window Basket 1 4 4
11 Air Compressor 1 4 4
12 Gas Buster Tank 1 4 4
13 Gas Buster 1 2 2
14 Water Tank 200 BBL 1 4 4
15 Pump Engine 1 4 4
16 Pump Unit 1 4 4
17 Fuel Tank 2 8 8
18 Choke Manifold 1 4 4
19 Store Container 1 4 4
20 Barton Skid 1 2 2
21 Goose Neck Gas Buster Tank 1 1 1
22 Electric Junction Box 3 6 6
23 Accumulator 1 4 4
24 Hyd. Oil Basket 1 4 4
25 Concrete Block Guideline 4 16 16
26 Concrete Block Geronimo 2 4 4
27 Guideline/Trifor Box 1 4 4
28 Air Tank 1 2 2
29 Electric Box 1 4 4
30 Long Basket 1 4 4
31 Power Tong Basket 1 4 4
32 Hyd. Hose Basket 1 4 4
33 Wilden Pump 2 2 2
34 Geronimo 1 5 5
35 Console Remote BOP 1 1 1
36 BOP Skid 1 4 4
37 Annular Skid 1 4 4
38 Lifting Cap Rotary Table 1 1 1
39 Lifting Cap BOP 1 1 1
40 Pipe Rack 4 12 12
41 Stand Lamp 3 3 3
42 Eckel Tong 4 1/2" 1 2 2
43 Skid Beam 2 4 4
44 Skid Beam Support 2 8 8
45 Lower Structure 2 4 4
46 Upper Structure 2 4 4
47 Stiffener Beam 2 4 4
48 Spiral Ladder 1 1 2
49 Spiral Ladder 2 1 2
50 Console Substructure 1 2 2
51 Mixing Tank 1 4 4

Prepare By Balikpapan, 20 Januari 2019

Approval by,

Lendy S / Ricky S
Field Coordinator David Indrawan
Koodinator Project