5/26/2018 Inspection Log Book PV

1/5

PT. KASNIA INSPEKTINDO

Quality Assurance, Certification, Quality Control

For Industrial and Oil & Gas Services

Cert. No. FS 555915

ISO 9001 : 2008

INSPECTION LOG BOOK

PROJECT/CONTRACT : MIGAS INSPECTION AND CERTIFICATION FOR 6GAS PIPELINE

KI Job Ref. : /BT/XII/12

Client : End User :

ITEMS/SUBJECT TO BE INSPECTED : ITEM/TAG NO QTY

Pressure Vessel - !rubber

See contin!tion "#eet $ Ye" $ No

"#nuf#!turer : P.T. $erb#n% #r#n# B#See contin!tion "#eet $ Ye" $ No

P/' (o. :

)!lient to *#nuf#!turer+

DOCUMENT OF REFERENCE :

Tit%e Re&e'ence No( Re)( A**'o)e+ ,- D!te

Pedo*#n d#n T#t# C#r# ,e*eris##n esel#*#t#ner #t#s inst#l#si ,er#l#t#n d#n teni #n%di,er%un##n d#l#* us#0# ,ert#*b#n%#n *in#d#n %#s bu*i sert# ,en%us#0##n su*ber d##,#n#s bu*i

K it&en "i%#sd (o.3K/4/J"/155

- "I$6 6u%ust15 155

I(PECTI'(.( INSPECTION PLACE :

C#un% J##rt# Ti*ur

( NON CONFORMITIES 0NCR1 :

(CR7s issued durin% re,orted ,eriod: none

8ist of outst#ndin% (CR7s : none

2( INSPECTION DATE :ese*ber 9 212

6( MAIN CONCLUSIONS/REMAR3S)for det#il see !ontinu#tion s0eet+ :T0e ,ressure ;essel is re#d to be 0drost#ti! tested.

4( STAGE INSPECTION :"i%#s Ins,e!tion #nd Certifi!#tion

5( 3IND OF INSPECTION :- o!u*ent Re;ieAT Pro!edure if #nD #nd Client ,e!ifi!#tion.

Ple#se fill u, 0et0er (E ,ersonnel #re u#lifiedL : G11. >eldin% u#lit ;isu#l ins,e!tion on intern#l #nd eHtern#l ;esselD : G12. >0et0er P>AT 0et0er intern#l ,#rt #re inst#lled !orre!tl : G1. Intern#l F eHtern#l surf#!e !ondition #fter re*o;ed te*,or#r #tt#!0*ent : G1. iMe of fillet

5/26/2018 Inspection Log Book PV

5/5

PT. KASNIA INSPEKTINDO

Quality Assurance, Certification, Quality Control

For Industrial and Oil & Gas Services

Cert. No. FS 555915

ISO 9001 : 2008

es!ri,tion :

Intern#l esi%n Pressure Psi%D :esi%n Te*,er#ture +?D :""T +?D :Corrosion 6llo