V-31A0-001-A-042_2

Total Sheet 28VENDOR's name : PT. DHARMA PRATAMA SEJATI

OWNER's name : PT. DONGGI SENORO LNG

PURCHASER's name : PT. JGC INDONESIA AND JGC CORPORATION CONSORTIUM

Project name Donggi Senoro LNG Project

Purchase Order No. : 0-5151-P-31A0-001-A

Equipment/Material name : PAINTING WORKS

Item number

Document title: Inspection and Test Plan

(Shop Painting)

VENDOR's document No.:

ISSUE PURPOSE FA

RESPONSIBLE DEPT. :

JOB NO.

ORIG. SERIAL REV.

V - 042 2

( )

N : Not Approved; F : Not Subject to Review

DSLNG Project

RESULT CODE : A, B, N, F ( )

NEXT STATUS : FA, FI, FC, AB ( )

RESUBMISSION DATE : ( )

REVIEWED BY :

Review Date:

A : Approved without Comment; B : Approved with Comment

( )

( )

( )

Approval or review hereunder shall not be construed to relieve Supplier / Subcontractor of his responsibilities and liability under the Contract.

0-5151-20

PURCHASER DOC. NO.

PURCHASE ORDER NO.

31A0-001-A

INDRA17-SEP-2012

07692_melia

テキストボックス

FC

07692_melia


A

07692_melia


FC

07692_melia


TBA

07692_melia


FQC

07692_melia


S. Kuritsubo

07692_melia


15-Sep-2012

Donggi Senoro LNG Project JGC Doc. No. : V-31A0-001-A-042 Rev. 2 Inspection and Tes Plan DPS Doc. No. : DPS-DSLNG-QCL-002 Rev. 2 External Painting Work Sheet No. 2 of 17

LIST OF CONTENTS 1. GENERAL ................................................................................................................ 3 1.1 Purpose ............................................................................................................. 3 1.2 Scope ................................................................................................................ 3 1.3 Reference .......................................................................................................... 3 1.4 Definition ........................................................................................................... 3 2. PLAN ....................................................................................................................... 4 3. LIST OF VERIFYING DOCUMENT FORMAT…….............................................................

4

ATTACHMENT Attachment-01 : Inspection & Test Plan

Appendix-1 Painting Inspection Record Sheet (FORM NO. 01 (JGC Register)) Appendix-2 Daily Progress Report (FORM NO. DPS-QCPF-PROG) Appendix-3 Repair Painting Daily Report (FORM NO. DPS-QCPF-PROG-R) Appendix-4 Temporary Facilities and Eqp Check List (FORM NO. DPS-QCPF-TFEC) Appendix-5 Equipment Inspection Report (FORM NO. DPS-QCPF-EQIR) Appendix-6 Master List Calibration (FORM NO. DPS-QCPF-MLCA) Appendix-7 Adhesion Test Certificate (FORM NO . DPS-QCPF-ADTC) Appendix-8 Material Inspection Acceptance (FORM NO. DPS-QCPF-MTIA-1) (Abrasive Material) Appendix-9 Material Inspection Acceptance (FORM NO. DPS-QCPF-MTIA-2) (Paint Material) Appendix-10 Surface Chloride Test Certificate (FORM NO. DPS-QCPF-SCTC) Appendix-11 Blotter Test (FORM NO. DPS-QCPF-BLTC)

INDRA17-SEP-2012


1. GENERAL 1.1 Purpose This Inspection & Testing Plan (ITP) is a guide for Painting Work executors who assigned to

prepared and establish a quality for painting work and execute the plan to measure the workmanship compliance to the specified standard and criteria.

The purpoase of this ITP is to ensure that painting work are inspected and tested in accordance

with the relevant standard and codes and project specification. This ITP shall covers the inspection and testing activities during the external blasting and

painting activities at the Fabrication Shop (Cilegon), including the inspection that shall be done by each party involved in the project.

1.2 Scope This ITP was developed and made after review of JGC’s document related to Inspection and test

Plan, External Painting at Fabrication Shop ( Cilegon ). This ITP shall be covered for Painting Work for Piping, Flange and Fitting ( included Pipe

Support and Accessoriess). 1.3 References Specification for Painting, issued by JGC Doc. No. S-900-13A0-001. Specification for Piping material Identification, issued by JGC Doc. No. S-900-1360-003. 1.4 Definition

1.4.1. Hold Point (H)

The inspection and test activity is mandatory witness point to Contractor, Company, and Authority (if applicable) and the subsequent activity beyond this point must not proceed without the approval by these parties.

1.4.2. Witness (W)

Physically attend the inspection activity to check the correct execution. Witness must documented using the approval Inspection Form.

1.4.3. Review (R) Assess adequacy and completeness of Quality Control Document, such as the inspection and test record, other Quality Qontrol Records and Certificate. Review must be ducumented using the approved Inspection Form.

1.4.4. Inspection (I) Implementation of inspection and test activity such as measuring, surveying, examining, testing and comparing the results with specified requirements, inorder to establish whether conformity is achieved for ach caracteristic. Inspection and test must be documented using approved Inspection Form.

1.4.5. Spot Witness (SW) Witness by sampling ; subcontractor can proceed with the test/inspection when the JGC inspector is not present at the notified time.

INDRA17-SEP-2012


1.4.6. Surveillance (S)

Monitoring of work in progress, test and inspections. 2. PLAN The Detail of Inspection & Testing Plan (ITP) shall be shown in Attachment-01 “Inspection &

Test Plan (ITP)”. 3.

LIST OF VERIFYING DOCUMENT FORMAT

Tabel for verifying document format which is applicable for this ITP as below:

Appendix No. Description DPS Form No.

Appendix-1 Painting Inspection Record Sheet FORM NO. 01 (JGC Register)

Appendix-2 Daily Progress Report FORM NO. DPS-QCPF-PROG

Appendix-3 Repair Painting Daily Report FORM NO. DPS-QCPF-PDR

Appendix-4 Temporary Facilities and Eqp Check List FORM NO. DPS-QCPF-TFEC

Appendix-5 Equipment Inspection Report FORM NO. DPS-QCPF-EQIR

Appendix-6 Master List Calibration FORM NO. DPS-QCPF-MLCA

Appendix-7 Adhesion Test Certificate Form No . DPS-QCPF-ADTC

Appendix-8 Material Inspection Acceptance (Abrasive Material) FORM NO. DPS-QCPF-MTIA-1

Appendix-9 Material Inspection Acceptance (Paint Material) FORM NO. DPS-QCPF-MTIA-2

Appendix-10 Surface Chloride Test Certificate FORM NO. DPS-QCPF-SCTC

Appendix-11 Blotter Test FORM NO. DPS-QCPF-BLTC

INDRA17-SEP-2012

DonggiSenoroLNG Project JGC Doc. No. V-31A0-001-A-042 Rev. 2 Inspection and Test Plan DPS Doc. No.DPS-DSLNG-QCL-002 Rev.2 External Painting Work Sheet No.5 of 17

INSPECTION AND TEST PLAN DPS Ref. No.*2 As above Rev.No. 2

Attachment 01 Rev.Date 10/04/12

Status For Construction

DESCRIPTION OF WORK / LOCATION 1 : EXTERNAL PAINTING AT FABRICATION SHOP

Item Activity Description *3

Extent *4

Controlling Document/ Method *5

Acceptance Criteria *6 [Applicable QC Work

Instruction No.] Frequency *7

Contractor Responsible Personnel *8

Verifying Documents/

QCR's *9

Responsibility Category 10 DPS JGC Owner

I : Inspection ; H : Hold Point ; R : Review ; W : Witness ; SW : Spot Witness ; S : Surveillance

0 All construction drawings are available at site

--- All documents required for earth work

Available on site with ‘Approved For Construction’ status

Before starting work --- --- H --- ---

0.1 Blasting and painting Equipments inacceptable condition.

--- Workshop, equipments, facilities and inspection tools shall be in accordance with project specification which describe in related JGC's documents

Inspection acceptance for workshop and facilities are available. Certificate of Compliance for construction equipment are available. Calibration certificates for inspection tools are available and maintained.

Before starting work.

QC Inspector,Supervisor, Mechanic

DPS-QCPF-TFECDPS-QCPF-EQIRDPS-QCPF-MLCA

H (*) ---

1. PAINT MATERIAL RECEIVING (Abrasive, Paint, Thinner, etc)

1.1 Check abrasive brand name and type

Random Sampling

Supplier's material data sheet, Visual check, Check by label indication

The material will be selected by Contractor in accordance with Specification for Painting, JGC Doc. No.S-900-13A0-001:

Aluminum oxide, garnet, steel grit or steel shot shall be used for blasting carbon steel. As per ISO 8504-2. [QWI-102].

Once/ Each batch at material receiving

Material Controller, QC Inspector

DPS-QCPF-MTIA-1

I W SW

(*) Initial stage of facility setting to be checked

INDRA17-SEP-2012







Extent *4






QCR's *9



Aluminum oxide, garnetor other abrasives (free from any chloride of iron/steel contamination) shall be used for blasting stainless steel and aluminum. As per ISO 8504-2. [QWI-102].

1.2 Check correct size of abrasive

Random Sampling


Depend on Supplier’s instruction to achieve a required surface cleanliness & surface roughness.[QWI-102], [QWI-104] [QWI-401]



DPS-QCPF-

MTIA-1

I R R

1.3 Check paint (base and curing agent) brand name and color

All Paint Supplier's material data sheet, Visual check, Check by label indication

The material will be selected by Contractor in accordance with Specification for Painting, JGC Doc. No.S-900-13A0-001,[QWI-101], [QWI-504]



DPS-QCPF-MTIA-2

I W R

1.4 Check thinner brand name

All Thinner PMF's material data sheet, Visual Check, Check by label indication

The material will be selected by Contractorin accordance with Specification for Painting, JGC Doc. No.S-900-13A0-001.[QWI-101], [QWI-504]



DPS-QCPF-MTIA-2

I W R

1.5 Check paint shelf life All Paint Visual check, Check by PMF’s batch label indication, etc.

PMF 's material data sheet [QWI-101], [QWI-103], [QWI-504]



DPS-QCPF-MTIA-2

I R R

INDRA17-SEP-2012







Extent *4






QCR's *9



2. PAINTING CONDITION

2.1 Weather Random Sampling

Specified weather condition must be required for the application of Surface Preparation and Painting, check by visual

No rain, strong wind, fog or mist. [QWI-001]

Min. 4 times/Dayor once before surface preparation & paint application

Foreman, QC Inspector

Form-01. JGC Doc. No.S-900-13A0-001

I S/R R

2.2 Atmospheric Temperature

Random Sampling

Supplier's material data sheet,Checked and Measured by Thermometer

Supplier's material data sheet and Specification for Painting, JGC Doc. No.S-900-13A0-001, Sec. 14.6(1) [QWI-002]




I S/R R

2.3 Substrate Surface Temperature

Random Sampling of all surface

Supplier's material data sheet, Checked and Measured by Substrate Surface Thermometer

Surface shall be 3OC above dew point, Supplier's material data sheet and Specification for Painting, JGC Doc. No.S-900-13A0-001, Sec. 14.6(2) [QWI-003]




I S/R R

2.4 Relative Humidity Random Sampling

Supplier's material data sheet, Checked and Measured by hygrometer.

RH shall not exceed 85%, Supplier's material data sheet and Specification for Painting, JGC Doc. No.S-900-13A0-001, Sec. 14.6(3) [QWI-004]




I S/R R

INDRA17-SEP-2012







Extent *4






QCR's *9



2.5 Surface Condition All Surface Supplier's material data sheet, Visual Check

No impurities [QWI-301], [QWI-401], [QWI-501], [QWI-502], [QWI-503]

Min. once before surf. preparation & painting work


- I W SW

3. COMPRESSED AIR/ABRASIVE

3.1 Dryness, Contamination of Compressed Air

Random Sampling

Supplier's material data sheet, Visual Check and/or White Cloth Test by “Blotter Test” correct terminology.

No impurities Min. 2 times/day or once prior to use

Foreman, Mechanic

DPS-QCPF-BLTC

I S/R R

3.2 Pressure of Compressed Air

Random Sampling

Supplier's material data sheet, Visual Check, measured byPressure Gauge(Hypodermic Needle Pressure Gauge)

Supplier's material data sheet

Min. 2 times/days or once prior to use


DPS-QCPF-EQIR

I S/R R

3.3 Contamination of Abrasive Material

Random Sampling

Supplier's material data sheet, Visual Check and/or Chloride Ion Test Kit

For Abrasive salt test: value of not more than 25mS/m2, as per PMF’s Recommendation.


QC Inspector

DPS-QCPF-SCTC

I W R

3.4 Dryness of Abrasive Material

Random Sampling

Supplier's material data sheet, Visual Check

No impurities Once/day or each batch prior to use


DPS-QCPF-SCTC

I SW R

4. SURFACE PREPARATION

4.1 Check abrasive brand name and type

Random Sampling


Same as Item 1.1 of this ITP [QWI-102], [QWI-104], [QWI-401]

Once/ Each batch prior to use


DPS-QCPF-MTIA-1

I S/R R

INDRA17-SEP-2012







Extent *4






QCR's *9



4.2 Check correct size of abrasive

Random Sampling


Same as Item 1.2 of this ITP [QWI-102] [QWI-401], [QWI-406]

Once/ Each batch prior to use

Foreman , QC Inspector

DPS-QCPF-MTIA-1

I S/R R

4.3 Check surface condition before surface preparation (Degreased with solvent cleaning and/or washed with fresh water)


Supplier's material data sheet, Visual checkinclude Sieve test. Washing water chloride content shall be in accordance with project specification.

Free from water/oil/mud/ welding splatter etc., Supplier's material data sheet and Specification for Painting, JGC Doc. No.S-900-13A0-001,[QWI-301]

Once/ Prior to surface preparation


DPS-QCPF-SCTC

I W R


Random Sampling


Same as Item 2.2 of this ITP [QWI-001], [QWI-002]




I S/R R

4.5 Substrate Surface (steel) Temperature







I S/R R







I S/R R

INDRA17-SEP-2012







Extent *4






QCR's *9



4.7 Check the removal of contaminants after abrasive blasting

Random Sampling

Supplier's material data sheet, Visual check

Free form water/oil/mud/ welding spatter etc., Supplier's material data sheet and Specification of Painting JGC Doc. No.S-900-13A0-001.[QWI-301] , [QWI-501]

Once/item prior to painting. Chloride contamination check for stainless steel, if necessary

Foreman, QC Inspector, Painting Supervisor


I W R

4.8 Check the surface cleanliness

All Surface Supplier's material data sheet, Visual check confirm with ISO 8501-1

In accordance with specifiedrequirements

Min. once/during & after surface preparation work

Foreman, QC Inspector,Painting Supervisor


I W SW

Random sampling

Checked using adhesive tape as ISO 8502-3:1992

Max dust quantity rating : 2 and sizeclass : 2


Foreman, QC Inspector,


I W SW

4.9 Check Surface Roughness

All Surface

Supplier's material data sheet, Visual check: Confirm with magnifying glass.

Supplier's material data sheet and Specification of Painting JGC Doc. No.S-900-13A0-001.[QWI-406]




I W R

Random sampling: min. 1 spot/10m2 of all surface and/or min.3 spots for less than 100 m2 substrate

Supplier's material data sheet, Visual check & ISO 8503-1 surface profile comparator or equivalent.Testex tape is required as a permanent record.

Supplier's material data sheet and Specification of Painting JGC Doc. No.S-900-13A0-001.




I W R

INDRA17-SEP-2012







Extent *4






QCR's *9



4.10 Salt Test Random Sampling

ISO 8502-6 and ISO 8502-9 or PMF’s Recommendation

As per PMF’s Recommendation Once prior to primer

QC Inspector,Painting Supervisor

Form No. DPS-QCPF-SCTC

I W R

5. PAINT APPLICATION (Primer)

5.1 Check interval between surface preparation and primer application

All paint application

Supplier's material data sheet or Technical data sheet.

Supplier's material data sheet and Specification of Painting JGC Doc. No.S-900-13A0-001, Sec. 13(9).Normally within 4 hours after blasting. [QWI-501], [QWI-502]

Confirmation by application time record sheet

Foreman, Painting Supervisor, QC Inspector


I S/R R

5.2 Check base paint and curing agent (Brand name, Generic type, Shelf life, Pot life, Batch No., Color)

Each paint prior to use

Supplier's material data sheet, Check by label indication, Check by color chart

Same as Item1.3 of this ITP [QWI-504]

Min. once/during & before paint application work



I S/R R

5.3 Check thinner (Brand name, Shelf life, thinner condition)

Each thinner prior to use

Supplier's material data sheet, Check by label indication

Same as Item 1.4 of this ITP [QWI-504]




I S/R R

5.4 Check mixing ratio of base paint/ curing agent/ thinner



Supplier's material data sheet, Specification of Painting JGC Doc. No.S-900-13A0-001, Sec. 14.3 [QWI-505]




I S/R R

INDRA17-SEP-2012







Extent *4






QCR's *9



5.5 Paint material Condition


Supplier's material data sheet, Visual check, Agitating by Stirrer

Supplier's material data sheet, No gelling, skinning, high viscosity, sedimentation, etc. to a large degree [QWI-505], [QWI-501], [QWI-502]


ForemanQC Inspector


I S/R R


Random Sampling



Min. 4 times/Dayor once before paint application



I S/R R








I S/R R







I S/R R

5.9 Check application of stripe coat for spray application

All Stripe Coat To all weld joints and sharp edges by visual check

Applied by brush prior to spray application in accordance with PMF’s Instruction[QWI-501]

every application work

Foreman --- I S/R R

5.10 Check wet film thickness for spray application

Random Sampling of all work surfaces

Supplier's material data sheet, Check and Measurement by WFT Comb or equivalent

Supplier's material data sheet and Specification of Painting JGC Doc. No.S-900-13A0-001, Sec. 14.5 (3) [QWI-510]

Min. once during paint application work

Spray painter, Foreman.

WFT Checkednot

record.

I S S

INDRA17-SEP-2012







Extent *4






QCR's *9



5.11 Check dry film thickness

5 spots (1 spot = Ave. of 3 reading s)/10m2substrate and/or Min. 4spot for less than 10m2 substrate

Supplier's material data sheet, Check by SSPC-PA2 and measurement by DFT Magnetic Gauges

Supplier's material data sheet and Specification of Painting JGC Doc. No.S-900-13A0-001, Sec. 14.5 [QWI-511]

Min. once after drying or curing paint film of each paint application work phase


Form-01 JGC Doc. No.S-900-13A0-001

I W SW

6. PAINT APPLICATION (Intermediate)

6.1 Check overcoat interval All paint application


Supplier's material data sheet and. [QWI-503]

Confirmation by application time record

Foreman, Painting Supervisor, QC Inspector

--- I S/R R

6.2 Check base paint and curing agent (Brand name, Generic Name, Shelf life, Pot life, Batch No., Color)


Supplier's material data sheet, Check by label indication, Check by color chart

Same as Item1.3 of this ITP [QWI-505]



DPS-QCPF-MTIA-2


I S/R R

6.3 Check of thinner (Brand name, Shelf life, thinner condition)

Each thinner prior to use

Supplier's material data sheet, Check by label indication

Same as Item 1.4 of this ITP [QWI-504]



DPS-QCPF-MTIA-2


I S/R R

INDRA17-SEP-2012







Extent *4






QCR's *9



6.4 Check mixing ratio of base paint/ curing agent/ thinner



Supplier's material data sheet, Specification of Painting JGC Doc. No.S-900-13A0-001, Sec. 14.3 [QWI-505]


Foreman QC Inspector


I S/R R

6.5

Check substrate condition (If existing paint film is damaged /contaminated, shall be repaired /cleaned )


Supplier's material data sheet, Visual check

Free from paint damage/contamination, Supplier's material data sheet [QWI-503], [QWI-502] [QWI-501]

Once/ Each batch prior to succeeding paint application



I S/R R


Random Sampling






I S/R R








I S/R R







I S/R R

6.9 Check wet film thickness

Random Sampling of all work surfaces

Supplier's material data sheet, Check and Measurement by WFT Comb or equivalent

Supplier's material data sheet and Specification of Painting JGC Doc. No.S-900-13A0-001, Sec. 14.5 (3) [QWI-510]

Min. once during paint application work

Spray painter, Foreman

WFT Checked not record.

I S S

INDRA17-SEP-2012







Extent *4






QCR's *9



6.10 Check dry film thickness

5 spots (1 spot = Ave. of 3 reading s)/10m2substrate and/or Min. 4 spot for less than 10m2 substrate

Supplier's material data sheet, Check by SSPC-PA2 and measurement by DFT Gauges

Supplier's material data sheet and Specification of Painting JGC Doc. No.S-900-13A0-001, Sec. 14.5 [QWI-511]

Min. once after drying or curing paint film of each paint application work phase



I W SW

7. ADHESION TEST

7.1 Adhesion Test for sample panel test

Random Sampling

ASTM D4541 : Pull Off Strength of coating using Portable Adhesion Tester, when paint system are fullyCured

Min. 3 MPa. 3 times (initial, mid and last term

of painting schedule at shop/field)


DPS-QCPF-

ADTC

I

W

SW

Random Sampling

ASTM D3359 :Test Methodefor Measuring Adhesion by Tape Test.

Min. Classification 4A. 3 times (initial, mid and last term

of painting schedule at shop/field)


DPS-QCPF-

ADTC

I

W

SW

8. FINAL INSPECTION FOR TOTAL COAT

8.1 Check Color Difference Random sampling, min 30% of all surface

Visual check, compare with color sample, color specimen

Coloring shall be comply with Specification of Painting JGC Doc. No.S-900-13A0-001, Appendix-3.[QWI-701]

Min Once after paint application work


Form-01 & 02. JGC Doc. No.S-900-13A0-001

I W SW

INDRA17-SEP-2012







Extent *4






QCR's *9



8.2 Check Appearance/Defect etc.

All surface Visual Check No Mottling, Sagging, Blistering, Cracking, Flaking, Peeling, Deposit Impurities, Porosity [QWI-701]

Min Once after paint application work



I W SW

8.3 Check Color Coding All Pipe/ Fitting

Visual Check Color Coding shall be comply with Specification for piping material identification JGC Doc. No.S-900-1360-003.

After finish painting work

Painting Supervisor, QC Inspector

--- I S/R R

8.4 Issue "CERTIFICATE OF COMPLIANCE"

All Painting Work Finished

Inspection summary report for Job description, Surface cleanliness, Surface profile, Dry film thickness, Appearance and Color

Supplier's material data sheet and project specification [QWI-704]

--- Painting Supervisor, QC Inspector (Issue/Order/ Item No.)

1. Form-01. JGC Doc. No.S-900-13A0-001

2. FORM NO. DPS-QCPF-PROG

I R R

9. INSPECTION FOR REPAIR PAINTING WORK (AFTER FABRICATION)

9.1 In General, same step

as Item No. 2, 3, 4, 5, 6 and 8 of this ITP. (Except 3.1, 3.2, 3.3, 4.9, 4.10 for unit testing are included on main painting work)

Damaged paint film surface

Inspection summary report for Job description, Surface cleanliness, Surface profile, Dry film thickness, Appearance and Color .

In accordance with specified requirements (Specification of Painting JGC Doc. No.S-900-13A0-001)

After finish repair painting work

Painting Supervisor, QC Inspector (Issue/Order/ Item No.)

1. Form-01. JGC Doc. No.S-900-13A0-001

2. FORM NO. DPS-QCPF-PDR

I W SW

INDRA17-SEP-2012







Extent *4






QCR's *9



Note :

1. Description of Work/Location – The particular work and its general location on site. 2. DPS Ref. No. – The unique Document Registration Number of a specific ITP. 3. Activity Description – Specific and sequential activities or the detailed work elements leading to the completion of the work. 4. Extent –min. extent of the inspection shall complete in order to meet JGC requirement. 5. Controlling Documents – The document(s) applicable to or related to the specific activity, which are used as a reference for conducting of inspections and tests as

mentioned in Project Quality Plan (Doc. No. V-31A0-0010-A-041).The specifications, codes & standards, and local regulations, etc. with an identified section No. to be applied to the inspection and test shall be referred to in conjunction with Inspection and Test Methods.

6. Acceptance Criteria – The specific benchmark defined by the Project Document for acceptance of the work by Company, including the requirements and criteria associated with local regulations and codes and standards.

7. Frequency– The frequency of inspection, verification or testing that needs to be conducted for a particular activity. 8. Contractor Responsible Personnel – The Contractor’s personnel directly responsible for the conduct of verification for the particular activity. 9. Verification Documents / QCRs– This identify the QCR pro-forma inspection report form to be used to verify and record acceptance of the work activity. 10. Responsibility Category – Use to identify the extent of involvement of each organization per activity in terms of :

· Inspection – I; · Review – R ; · Hold Point – H; · Spot Witness – SW ; · Witness – W ; · Surveillance – S ;

INDRA17-SEP-2012

PAINTING INSPECTION RECORD SHEET

Document : Sheet No. :

Job No :Client :Project Name :Area of Unit :Name of Substrate :( Equipment No. or Line No. or Identification No.)

Start (Year, Month, Date, Time)Finish (Year, Month, Date, Time)

2 Painting System No. :3 Surface Preparation :

(1) Surface Preparation : Spec. /Result(2) Surface Roughness : Spec. Ry5 µm/Result Spec. Ry5 µm(3) Application Conditions : Atmospheric Temperature : oC

Substrate Surface Temperature : oCRelative Humidity : %Weather

(4) Salt Test : Criteria as per ResultPMF'sRecommendation

4 Paint Data Primer Coat Intermediate Coat Top Coat

Material : - Manufacture Name :- General Name/Type :- Product Name :- Color :- Shelf Life :- Batch No. :

5 Paint Application(1) Method ( spray, Roller, Brush, etc )(2) No. of Coat(3) Application Conditions

- Atmospheric Temperature :- Substrate Surface Temperature :- Relative Humidity : % % %

- Weather :6 Paint Film :

(1) Appearance of Paint Film- Color- Defect, etc :

(2) DFT ( Spec.) :(3) DFT (Min./Max.) :

7 Others :

- Memo

Signature : DS JGC PT DPSDate :Inspected by :

Witnessed/Reveiwed by :

Appendix-1FORM NO.-01

Top CoatIntermediate Coat 1 Inspection Date and Time : Primer CoatSurface Preparation

INDRA17-SEP-2012

PT. DHARMA PRATAMA SEJATI FORM NO. DPS-QCPF-PROGDS LNG ProjectCilegon Shop

Report No.:Date :

DIAL

Inch (m) Work V (M²) Date1234567891011121314151617181920

SUB TOTAL

Prepared byPT. Dharma Pratama Sejati

.

Work Step

T E

E

Flan

ge

Blin

d Fl

ange

DAILY PROGRESS REPORTBlasting & Painting Work for External Pipe

Painting System :

No Description

SCH

Redu

cer

Blin

d Fl

ange

Cap

Redu

cer

Oth

er

HEA

T N

O.

Elbo

w 4

5°

Elbo

w 4

5°

Pipe

Pipe

JGC

Oth

er

SIZE

Flan

ge

Item Quantity (ea)Pipe

Work Volume (M²)

T E

E

Appendix-2

Blasting ( SP )&

Primer Coat

Approved by

Elbo

w 9

0°

Elbo

w 9

0° Job Card. No.Ca

pINDRA

17-SEP-2012

PT. DHARMA PRATAMA SEJATI FORM NO. DPS-QCPF-PDRDS LNG ProjectCilegon Shop

Report No.:Date :

DIA

Inch1

234567891011121314151617181920

Prepared byPT. Dharma Pratama Sejati

. .

SIZE

HEAT NO.

JGC

Work Step

Job Card. No./ Spool clearance No.

REPAIR PAINTING DAILY REPORT(For Welding Portion and Damage by Handling)

Painting System :

NoDescription

(Spool no.,Weld joint no.)SCH

Approved by

Blasting ( SP )&

Primer Coat

Applied Date

Remarks

Appendix-3

INDRA17-SEP-2012

Donggi Senoro LNG ProjectPT Dharma Pratama Sejati

Job. No. :

Date :

Ref. No. :

System No. :

PCWBS :

FWBS :

Purpose : [ ] for Commencement of Work[ ] Demonstration/Test-run

Item Check Point Result

1. Permit [ ] Construction permit [ ] Accept

[ ] Reject

2. Plan [ ] Overall Execution Plan [ ] Accept

[ ] Work Method Statement [ ] Reject

[ ] Work Instruction Procedure

3. Workshop [ ] Enclosing of blasting/painting area [ ] Accept

[ ] Ventilation for blasting/painting [ ] Reject

[ ] Abrasive recycle

[ ] Lighting

[ ] Fire prevention/Fire extinguisher

[ ] Paint storage

[ ] Abrasive storage

[ ] …………………………………………….

4. Equipment Condition [ ] Folk lift(s) [ ] Accept

[ ] Compressor(s) [ ] Reject

[ ] Blasting tank(s) & hose ass'y

[ ] Airless spray(s) & hose ass'y

[ ] Paint Mixer(s)

[ ] Generator Set(s)

5. Inspection Tool [ ] Inspection Tool(s) & List [ ] Accept

[ ] Calibration Certificate(s) & List [ ] Reject

FINAL JUDGEMENT [ ] Accept[ ] Reject

Prepared by, Approved by, Approved by,PT DPS JGC DS

________________Date : Date : Date :

FORM NO. DPS-QCPF-TFEC

TEMPORARY FACILITIES AND EQUIPMENT CHECK LIST

Remarks

Appendix-4

INDRA17-SEP-2012

Donggi Senoro LNG ProjectPT Dharma Pratama Sejati

Job. No. :

Date :

Ref. No. :

System No. :

PCWBS :

FWBS :

NO QTY IDENTIFICATION CAPACITY CONDITION

PREPARED BY CHECKED BY APPROVED BYPT DPS JGC JGC

Date : Date : Date :

EQUIPMENT INSPECTION REPORT

FORM NO. DPS-QCPF-EQIR

EQUIPMENT NAME REMARKS

Appendix-5

INDRA17-SEP-2012

Donggi Senoro LNG Project Job. No. :

PT Dharma Pratama Sejati Report No. :Report Date :Sheet No. :System No. :PCWBS :

FWBS :

No Equipt. No. Location Frequency Calibration Date

Calibration Bureau

Tolerance

Prepared by Verified byPT DPS PT DPS

Date : Date :

Brand Name Remarks

Appendix-6FORM NO. DPS-QCPF-MLCA

MASTER LIST CALIBRATION

Calibration Method

INDRA17-SEP-2012

Donggi Senoro LNG Project Report Date :

PT Dharma Pratama Sejati Record No. :

System No. :

PCWBS :

FWBS :

1. Test Date :

2. Location :

3. ITP No. :

4. Painting System No. :

5. Application by :

6. Adhesion Test Standard :

7. Inspection Tools :

8. Method :

9. Weather Condition : Dew Point :Air Temperature : Relatif Humidity :Substrate Temperature :

10. Classification Required :

11. Test Result : Accept Reject Not Applicable

psi

Note : Calibration of Certificate for Inspection Equipment see attached

12. Remarks :

Test Carried out by, Checked by, Approved by,PT DPS/PMF's JGC DS

Name : Name : ________________ Name : Date : Date : Date

Classification Result

Percentage of DFT

DFT Before adhesion pull off test

Appendix-7

Average

ISO DRAWING AREA Dolly Test No.

Form No . DPS-QCPF-ADTC

ADHESION TEST CERTIFICATE

DFT After adhesion pull off test

INDRA17-SEP-2012

Job. No. :Donggi Senoro LNG Project Report Date :PT Dharma Pratama Sejati DN No. :

Delivery Date :System No. :PCWBS :FWBS :

Sheet No. of

Abrasive Type

Brand Name Supplier Size Unit Qty Packing Contaminant Size Unit QtyTotal Qty

Received by Verified by, Approved by Approved byPT DPS PT DPS JGC DS

Material Control QA/QC Officer QC Manager QC ManagerDate Date : Date : Date :

Appendix-8FORM NO. DPS-QCPF-MTIA-1

No.DESCRIPTION VERIFICATION

Remark

(ABRASIVE MATERIAL)MATERIAL INSPECTION ACCEPTANCE

INDRA17-SEP-2012

Job. No. : Donggi Senoro LNG Project MATERIAL INSPECTION ACCEPTANCE Report Date : PT Dharma Pratama Sejati (PAINT MATERIAL) DN No. :

Delivery Date : System No. : PCWBS : FWBS : Sheet No. :

PMF's Packing Color Self Life Unit Qty

Received by Verified by, Approved by Approved byPT DPS PT DPS JGC DS

........................................... ........................................... ........................................... ...........................................Date : Date : Date : Date :

Curing Agent

VERIFICATIONTotal Qty

DESCRIPTION

Generic Type Brand Name

Appendix-9

Batch No.No.

FORM NO. DPS-QCPF-MTIA-2

RemarkBase Paint

INDRA17-SEP-2012


PT Dharma Pratama Sejati Report Date :

Record No. :

System No. :

PCWBS :

FWBS :

1. Test Date :

2. ITP No. :

3. Location :

4. Item Test


6. Method :

7. Tested Area : m2 Used Distilled Water: ml

Measured Value : µS /㎝ (microsiemens) per centimetre

Zero reference : µS /㎝ (microsiemens) per centimetre

8. Test Result : mg/m2 ppm

Acceptance Criteria: Less than 30 ppm chloride for authentic stainless steel

Accept Reject Not Applicable

* All salts are considered as NaCl or Sodium Chloride

* The total surface density of soluble salts (S) in mg/m2 is:(S) in mg/m2 = 6 x (Measured Value - Zero Reference)

9. Remarks

Test Carried out by: Checked by, Approved by,PT DPS JGC DS

………………………… ……………………….. ……………………………..Date : Date : Date

SURFACE CHLORIDE TEST CERTIFICATE

FORM NO. DPS-QCPF-SCTCAppendix-10

INDRA17-SEP-2012


PT Dharma Pratama Sejati Report Date :

Record No. :

System No. :

PCWBS :

FWBS :

1. Test Date :

3. Location :

4. Item Test


6. Method :

8. Test Result : No oil discoloration on the collector; no water contaminant on the collector

Acceptance Criteria:No oil discoloration on the collector; no water contaminant on the collector

Accept Reject Not Applicable

9. Remarks

Test Carried out by:QC

…………………………Date :

FORM NO. DPS-QCPF-BLTC

BLOTTER TEST

Appendix-11

INDRA17-SEP-2012

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