INSPECTION AND TEST PLAN

Sertifikasi Kelayakan Penggunaan Instalasi (SKPI)

Project :
Location :
Owner / User :
Contractor :
Third Party :

* Legend for Surveillance Activity

A : Approve point SW : Spot Witness point R : Review point
H : Hold point S : Surveillance or monitor point P : Provide
W : Witness point V : Verify point N/A : Not Applicable / involved

Procedure / Reference Surveillance Responsibility

No Activity / Process Description Verified Document Acceptance Criteria
Document Contr Owner PJIT MIGAS

1 DOCUMENT REVIEW
a. Equipment of Process, Utility, and waste treatment Project specification Equip. List, Data sheet, tech./project spec. Government regulation P* P/A R
b. Measuring equipment and metering system Project specification Data sheet, metering certificate Client's specification P* P/A R
c. Piping system Project specification PFD, P & ID, and construction dwg. Project specification P* P/A R
d. Instrumentation system Project specification PFD, P & ID, and construction dwg. Code and Standard P* P/A R
e. Safety devices Project specification Data sheet, Manuf. Certificate P* P/A R
f. Storage tank / equipment Project specification Construction dwg, design calculation P* P/A R
g. Fire fighting and protection system Project specification Drawing, certificate, specification P* P/A R
h. Prevention and Controlling of environment pollution Project specification MIGAS certificate / AMDAL P* P/A R
i. Other equipments Project specification Data sheet, Tech. Spec. P* P/A R
j. Process flow diagram and piping & instrument diagram Project specification P&ID and PFD P* P/A R
k. Equipment lay out Project specification Plot plan and lay out dwg. P* P/A R
l. Civil work Project specification Construction dwg, design calculation P* P/A R
m. Hazardous area classification Project specification Area classification dwg. P* P/A R
n. Electrical one line diagarm Project specification One line diagram, calculation sheet P* P/A R
o. Grounding lay out Project specification One line diagram, calculation sheet P* P/A R
p. Cause & Effect diagram / Safe chart Project specification Cause & Effect Diagram / chart P* P/A R
q. Operating Manual of equipment Project specification Manual and operation procedure P* P/A R
r. Emergency evacuation procedure Project specification Manual & Procedure P* P/A R
s. Approval letter / recommendation from authorised dept. Government regulation Approval letter from authorised dept. P/A R
for programme of management and controlling of P*
environment
t. Other documents
- Design basis and criteria Project specification Design basis and criteria P* P/A R
- Project documents and drawing list Project specification Documents and drawing list P* P/A R
- Safety Management System Project specification SMS Document N/A P/A R
*depend on contract

Page 1 of 11
 INSPECTION AND TEST PLAN
Sertifikasi Kelayakan Penggunaan Instalasi (SKPI)
Project :
Location :
Owner / User :
Contractor :
Third Party :

* Legend for Surveillance Activity

A : Approve point SW : Spot Witness point R : Review point
H : Hold point S : Surveillance or monitor point P : Provide
W : Witness point V : Verify point N/A : Not Applicable / involved

Procedure / Reference Surveillance Responsibility

No Activity / Process Description Verified Document Acceptance Criteria
Document Contr Owner PJIT MIGAS

2 SITE INSPECTION AND VERIFICATION

A. Document Review
a. Contractor QA/QC Manual & Procedure Project specification QA / QC Manual & Procedure Project / client's P R/A R
b. Fabrication and Installation Procedure Project specification Fabrication and Installation Procedure specification P R/A R

B. Civil and Structural Steel Work

a Earth Work
- Excavation Approved const. dwg. Inspection report / check list Government regulation W N/A N/A
- Backfill work Approved const. dwg. Inspection report / check list Client's specification W N/A N/A
- Disposal of surplus soil Project specification Inspection report / check list Project specification W N/A N/A
Approved const. Dwg.
b Piling Work Code and Standard
- Major equipment Approved const. dwg. Piling report W N/A N/A
- Minor equipment Approved const. dwg. Inspection report / check list W N/A N/A

c Concrete
- Reinforcing bar work Approved const. dwg. Inspection report / check list W N/A N/A
- Concrete work Approved const. dwg. Test report W N/A N/A
- Visual and dimensional check (incl. Levelling) Approved const. dwg. Inspection report / check list W N/A N/A

d Structural Steel Work

- Material verification Approved const. dwg. Material certificate W N/A N/A
- Visual and dimensional check (incl. Levelling) Approved const. dwg. Inspection report / check list W N/A N/A
- Ladders, borders, handrail Approved const. dwg. Inspection report / check list W N/A N/A
- Tightened condition (screw and bolt & nut) Project specification Inspection report / check list W N/A N/A

e Building Approved const. dwg. Inspection report / check list W N/A N/A

C. Mechanical Work
C.1 Equipment Intallation - Pumps (which not subject to be individually certified / SKPP)
a. Foundation bolts or anchor holes
- Anchor bolts or anchor holes Approved const. dwg. Inspection report / check list Government regulation W W V
- Surface foundation Approved const. dwg. Inspection report / check list Client's specification W W V
b. Installation Project specification
- Centerline and elevation check Approved const. dwg. Inspection report / check list Approved const. Dwg. W W V
- Measurement of level Approved const. dwg. Inspection report / check list Code and Standard W W V
- Tightness of anchor bolt Approved const. dwg. Inspection report / check list W W V

Page 2 of 11
 INSPECTION AND TEST PLAN
Sertifikasi Kelayakan Penggunaan Instalasi (SKPI)
Project :
Location :
Owner / User :
Contractor :
Third Party :

* Legend for Surveillance Activity

A : Approve point SW : Spot Witness point R : Review point
H : Hold point S : Surveillance or monitor point P : Provide
W : Witness point V : Verify point N/A : Not Applicable / involved

Procedure / Reference Surveillance Responsibility

No Activity / Process Description Verified Document Acceptance Criteria
Document Contr Owner PJIT MIGAS

c Grouting Approved const. dwg. Inspection report / check list W W N/A

d. Alignment of connecting pipe
- Shim inspection Project specification Inspection report / check list W W V
- Parallelness Project specification Inspection report / check list W W V
- Clearance Project specification Inspection report / check list W W V
- Off center Project specification Inspection report / check list W W V
e. Final check and testing
- Measurement of alignment Project specification Inspection report / check list W W V
- All accessories and suplement Project specification Inspection report / check list W W V
- Safety devices Approved const. dwg. Data sheet / certificate W W V
- Running test Project specification Test report W W SW
- Vibration analysis Project specification Test report W W SW
- Bearing temperature measurement Project specification Test report W W SW
- Other testing recommended by manufacturer Project specification Test report W W SW

C.2 Equipment Intallation - Compressors (which not subject to be individually certified / SKPP)
a. Foundation bolts or anchor holes
- Anchor bolts or anchor holes Approved const. dwg. Inspection report / check list W W V
- Surface foundation Approved const. dwg. Inspection report / check list W W V
b. Installation
- Centerline and elevation check Approved const. dwg. Inspection report / check list W W V
- Measurement of level Approved const. dwg. Inspection report / check list W W V
- Tightness of anchor bolt Approved const. dwg. Inspection report / check list W W V
c Grouting Approved const. dwg. Inspection report / check list W W N/A
d. Alignment of connecting pipe
- Shim inspection Project specification Inspection report / check list W W V
- Parallelness Project specification Inspection report / check list W W V
- Clearance Project specification Inspection report / check list W W V
- Off center Project specification Inspection report / check list W W V
e. Final check and testing
- Measurement of alignment Project specification Inspection report / check list W W V
- All accessories and suplement Project specification Inspection report / check list W W V
- Safety devices Approved const. dwg. Data sheet / certificate W W V
- Running test Project specification Test report W W SW
- Vibration analysis Project specification Test report W W SW
- Bearing temperature measurement Project specification Test report W W SW
- Lube oil / seal system test Project specification Test report W W SW

Page 3 of 11
 INSPECTION AND TEST PLAN
Sertifikasi Kelayakan Penggunaan Instalasi (SKPI)
Project :
Location :
Owner / User :
Contractor :
Third Party :

* Legend for Surveillance Activity

A : Approve point SW : Spot Witness point R : Review point
H : Hold point S : Surveillance or monitor point P : Provide
W : Witness point V : Verify point N/A : Not Applicable / involved

Procedure / Reference Surveillance Responsibility

No Activity / Process Description Verified Document Acceptance Criteria
Document Contr Owner PJIT MIGAS

- Other testing recommended by manufacturer Project specification Test report W W SW

C.3 Installation of Pressure Vessel

a. Pressure Vessel verification Approved const. dwg. Data sheet / certificate W W V
b. Foundation / support bolts Approved const. dwg. Inspection report / check list W W V
c. Tightness of bolts Approved const. dwg. Inspection report / check list W W V
d. Safety device verification Approved const. dwg. Data sheet/certificate/inspection report W W V
e. Instrument and accessories Approved const. dwg. Data sheet / certificate W W V
f. Connection to piping (alignment, stress) Approved const. dwg. Inspection report / check list W W V

C.4 Installation Above Ground Welded Storage Tank

a. Design / document review Project specification Project spec., approved drawing W A R
b. Material verification Approved const. dwg. Material certificate W V V
c. Civil work (boundary, drainage) Approved const. dwg. Inspection report / check list W V V
d. Fabrication work (fit-up, welding, repair, etc.) Approved const. dwg. Inspection report / check list W S M
e. Non destructive examination
- Visual inspection Project specification Inspection report / check list W S R
- Non destructive testing Project specification Inspection report / check list W W/A R
f. Dimensional check Approved const. dwg. Inspection report / check list W W R
g. PWHT (if any) Project specification PWHT report W R R
h. Hydrostatic test Project specification Test report W W R
i. Calibration Project specification Inspection and Calibration report W W R
j. Safety devices verification Approved const. dwg. Data sheet / certificate W W V
k. As-built dossier Project specification As-built dossier W A R

c.6 Installation Vent & Flare Stack

a. Design / document review Project specification Project spec., approved drawing W A R
b. Material verification Approved const. dwg. Material certificate W V V
c. Civil work (boundary, drainage) Approved const. dwg. Inspection report / check list W V V
d. Fabrication work (fit-up, welding, repair, etc.) Approved const. dwg. Inspection report / check list W S S
e. Non destructive examination
- Visual inspection Project specification Inspection report / check list W S R
- Non destructive testing Project specification Inspection report / check list W W/A R
f. Dimensional check Approved const. dwg. Inspection report / check list W R R
g. PWHT (if any) Project specification PWHT report W R R
h. Safety devices verification Approved const. dwg. Data sheet / certificate W W V
i. As-built dossier Project specification As-built dossier W A R

Page 4 of 11
 INSPECTION AND TEST PLAN
Sertifikasi Kelayakan Penggunaan Instalasi (SKPI)
Project :
Location :
Owner / User :
Contractor :
Third Party :

* Legend for Surveillance Activity

A : Approve point SW : Spot Witness point R : Review point
H : Hold point S : Surveillance or monitor point P : Provide
W : Witness point V : Verify point N/A : Not Applicable / involved

Procedure / Reference Surveillance Responsibility

No Activity / Process Description Verified Document Acceptance Criteria
Document Contr Owner PJIT MIGAS

C.4 Equipment Installation - General

a. Document review Project specification Project spec., approved drawing W R R
b. Equipment verification Approved const. dwg. Data sheet / material certificate W V V
c. Installation
- Foundation Approved const. dwg. Inspection report / check list W V V
- Connection to other equipment Approved const. dwg. Inspection report / check list W V V
- Other test (if any) Approved const. dwg. Inspection report / check list W V V
d. Testing recommended by manufacturer Project specification Test report W W W

D. Piping Work
a. Material identification / verification Approved const. dwg. Material certificate Government regulation W V V
b. Preparation Client's specification
- Cutting and edge preparation Approved const. dwg. Inspection report / check list Project specification W S M
- Fit-up and alignment check Approved const. dwg. Inspection report / check list Approved const. Dwg. W S M
- Pre-heat WPS / PQR Inspection report / check list Code and Standard W S M
c. Welding
- WPS / PQR Approved const. dwg. WPS / PQR W R R/V
- Welder / welding operator certificate Approved const. dwg. Welder / welding operator certificate W R R/V
- Visual inspection Project specification Inspection report / check list W W V
d. Post weld heat treatment Project specification PWHT report W W R
e. Hardness test Project specification Hardness test report W W R
f. Non destructive testing
- Radiographic testing Project specification Inspection / test report W R/A R
- Ultrasonic testing Project specification Inspection / test report W W/A R
- Magnetic particle testing Project specification Inspection / test report W W/A R
- Dye penetrant testing Project specification Inspection / test report W W/A R
- Other testing Project specification Inspection / test report W W/A R
g. Line check
- Line layout and dimensional check Approved const. dwg. Inspection report / check list W V V
- Size, rating Approved const. dwg. Bill of Material, inspection report W V V
- Valve, fitting, vent, and drain arrangements Approved const. dwg. Bill of Material, inspection report W V V
- Bolt tightening Approved const. dwg. Inspection report / check list W V V
- Supports Project specification Inspection report / check list W V V
- Hydrostatic test package Project specification Test package W R R

Page 5 of 11
 INSPECTION AND TEST PLAN
Sertifikasi Kelayakan Penggunaan Instalasi (SKPI)
Project :
Location :
Owner / User :
Contractor :
Third Party :

* Legend for Surveillance Activity

A : Approve point SW : Spot Witness point R : Review point
H : Hold point S : Surveillance or monitor point P : Provide
W : Witness point V : Verify point N/A : Not Applicable / involved

Procedure / Reference Surveillance Responsibility

No Activity / Process Description Verified Document Acceptance Criteria
Document Contr Owner PJIT MIGAS

h. Pressure testing Project specification Test report W W R

i. Flushing, cleanout, and purging Project specification Flushing report W W R
j. Safety and relief valve verification Approved const. dwg. Data sheet / certificate W V V
E. Electrical Work
E.1 Electric Motor
a. Electric Motor verification (rating and area Project specification Inspection report / check list W V V
Government regulation
classification)
b. Installation Client's specification
- Levelling and Coupling alignment Approved const. dwg. Inspection report / check list Project specification W W V
- Protecting equipment Approved const. dwg. Inspection report / check list Approved const. Dwg. W W V
- Other test (if any) Approved const. dwg. Inspection report / check list Code and Standard W W V
c. Testing
- Continuity of grounding connection Project specification Test report W W SW
- Insulation resistance (Megger) Project specification Test report W W SW

E.2 Bus Duct ( if any )

a. Contact resistance test Project specification Test report W W SW
b. Torque test Project specification Test report W W SW
c. Megger test Project specification Test report W W SW
d. High potensial test Project specification Test report W W SW
e. Installation and levelling Project specification Test report W W SW

E.3 Cable
a. Material verification Approved const. dwg. Material certificate W W V
b. Cable Installation :
- Cable trench Approved const. dwg. Inspection report / check list W S V
- Cable size and rating Approved const. dwg. Inspection report / check list W S V
- Circuit identification & terminal numbering Approved const. dwg. Inspection report / check list W S V
- Cable and seals Approved const. dwg. Inspection report / check list W S V
- Cable glands Approved const. dwg. Inspection report / check list W S V
- Clamps and connections Approved const. dwg. Inspection report / check list W S V
- Cable termination and connection Approved const. dwg. Inspection report / check list W S V
- Cable duct bank Approved const. dwg. Inspection report / check list W S V
- Other test (if any) Approved const. dwg. Inspection report / check list W S V

Page 6 of 11
 INSPECTION AND TEST PLAN
Sertifikasi Kelayakan Penggunaan Instalasi (SKPI)
Project :
Location :
Owner / User :
Contractor :
Third Party :

* Legend for Surveillance Activity

A : Approve point SW : Spot Witness point R : Review point
H : Hold point S : Surveillance or monitor point P : Provide
W : Witness point V : Verify point N/A : Not Applicable / involved

Procedure / Reference Surveillance Responsibility

No Activity / Process Description Verified Document Acceptance Criteria
Document Contr Owner PJIT MIGAS

c. Testing
- Megger test Project specification Test report W W R,V
- Continuity test Project specification Test report W W R,V
- Insulation resistance measurement Project specification Test report W W R,V
- Other test (if any) Project specification Test report W W R,V

E.4 Panel Distribution Board

a. Continuity Project specification Test report W W R,V
b. Megger test Project specification Test report W W R,V
c. Hipot test Project specification Test report W W R,V

E.5 Other inspection / verification

a. Area Classification Project specification Inspection / test report W W R,V
b. Lighting system Project specification Inspection / test report W W R,V
c. Grounding system Project specification Inspection / test report W W R,V

F. Instrumentation Work
F.1 Control Centre
a. Installation of panel board, console, rack, etc. Approved const. dwg. Inspection report / check list Government regulation W W V
b. Installation of control centre wiring Approved const. dwg. Inspection report / check list Client's specification W W V
c. Termination Project Specification Inspection report / check list Project specification W W V
d. Testing Approved const. Dwg.
- Continuity test Project specification Test report Code and Standard W W SW
- Insulation resistance test Project specification Test report W W SW
- Other test (if any) Project specification Test report W W SW

F.2 Instrument Air Supply Piping

a. Material and rating Approved const. dwg. Material certificate W W V
b. Installation (support, fitting, etc.) Approved const. dwg. Inspection report / check list W W V
c. Pressure and leakage test Project specification Test report W W V

F.3 Wiring
a. Material and identification Approved const. dwg. Material certificate W W V
b. Installation (cable, support, marking, etc.) Approved const. dwg. Inspection report / check list W W V
c. Testing
- Continuity test Project specification Test report W W V
- Insulation resistance test Project specification Test report W W V
- Other test (if any) Project specification Test report W W V

Page 7 of 11
 INSPECTION AND TEST PLAN
Sertifikasi Kelayakan Penggunaan Instalasi (SKPI)
Project :
Location :
Owner / User :
Contractor :
Third Party :

* Legend for Surveillance Activity

A : Approve point SW : Spot Witness point R : Review point
H : Hold point S : Surveillance or monitor point P : Provide
W : Witness point V : Verify point N/A : Not Applicable / involved

Procedure / Reference Surveillance Responsibility

No Activity / Process Description Verified Document Acceptance Criteria
Document Contr Owner PJIT MIGAS

F.4 Calibration and Loop Test

a. Calibration Project specification Calibration / Test report W W SW
b. Pre-loop test inspection Project specification Test report W W SW
c. Loop function test Project specification Test report W W SW

F.5 Interlock Project specification Test report W W W

F.6 Control / Shutdown Valves

a. Material / Valve verification Approved const. dwg. Data sheet, material certificate W S V
b. Installation (visual inspection and location) Approved const. dwg. Inspection report / check list W S V
c. Testing
- Calibration of valve positioners Project specification Test report W W SW
- Limit switches Project specification Test report W W SW
- Other test (if any) Project specification Test report W W SW

F.7 Safety and Relief Valves

a. Material / Valve verification Approved const. dwg. Data sheet, material certificate W V V
b. Installation (visual inspection and location) Approved const. dwg. Inspection report / check list W W V

F.8 Others
a. Check wiring system Approved const. dwg. Inspection / test report W W V
b. Check of installation of junction box Approved const. dwg. Inspection / test report W W V
c. Check of installation of panels Approved const. dwg. Inspection / test report W W V
d. Functional test Project specification Inspection / test report W W SW

G. Painting Work
a. Material verification Project specification Data sheet / material certificate Government regulation W W V
b. Surface preparation Project specification Inspection report / check list Client's specification W W R
c. Painting work Project specification Inspection report / check list Project specification W W R
d. Inspection Approved const. Dwg.
- Dry film thickness Project specification Inspection report / check list Code and Standard W W R
- Final check Project specification Inspection report / check list W W R

Page 8 of 11
 INSPECTION AND TEST PLAN
Sertifikasi Kelayakan Penggunaan Instalasi (SKPI)
Project :
Location :
Owner / User :
Contractor :
Third Party :

* Legend for Surveillance Activity

A : Approve point SW : Spot Witness point R : Review point
H : Hold point S : Surveillance or monitor point P : Provide
W : Witness point V : Verify point N/A : Not Applicable / involved

Procedure / Reference Surveillance Responsibility

No Activity / Process Description Verified Document Acceptance Criteria
Document Contr Owner PJIT MIGAS

H. Insulation Work
a. Material verification Project specification Data sheet / material certificate Government regulation W W V
b. Surface preparation Project specification Inspection report / check list Client's specification W W R
c. Insulation work Project specification Inspection report / check list Project specification W W R
d. Final check Project specification Inspection report / check list Approved const. Dwg. W W R
Code and Standard

I. Verification The Compliance of Quality, Safety, and Environment Protection of Equipment

a. Fire fighting equipment Approved const. dwg. Data sheet, Manufacturer certificate Government regulation P* P/A V
b. Fire, heat, smoke, and hazardous gas detector Approved const. dwg. Data sheet, Manufacturer certificate Client's specification P* P/A V
c. Personnel safety and protection equipment Project specification Data sheet, Manufacturer certificate Project specification P* P/A V
d. Communication system Project specification Data sheet, Manufacturer certificate Approved const. Dwg. P* P/A V
e. Emergency shutdown system Project specification Manual and Operating procedure Code and Standard P* P/A V
f. Ladder, lamps, bordes, and handrail Approved const. dwg. Inspection report / check list P* P/A V
g. Flaring Approved const. dwg. Inspection report / check list P* P/A V
h. Rock Muffler Approved const. dwg. Inspection report / check list P* P/A V
i. Equipment for preventing and controlling the Project specification Data sheet, Manufacturer certificate P/A V
P*
environment pollution
j. Protection device to avoid hazard of static electricity and Project specification Data sheet, Manufacturer certificate P/A V
P*
other electricity
k. Safety signs, such as warning sign, restriction, color Project specification Inspection report / check list P/A V
P*
code, and other signs.
*depend on contract

Page 9 of 11
 INSPECTION AND TEST PLAN
Sertifikasi Kelayakan Penggunaan Instalasi (SKPI)
Project :
Location :
Owner / User :
Contractor :
Third Party :

* Legend for Surveillance Activity

A : Approve point SW : Spot Witness point R : Review point
H : Hold point S : Surveillance or monitor point P : Provide
W : Witness point V : Verify point N/A : Not Applicable / involved

Procedure / Reference Surveillance Responsibility

No Activity / Process Description Verified Document Acceptance Criteria
Document Contr Owner PJIT MIGAS

3 VERIFICATION OF EQUIPMENT CERTIFICATE / PERMIT / LICENSE ISSUED BY MIGAS /

OTHER RELATED TECHNICAL DEPT.
a. Safety valves Government regulation SKPP Government regulation N/A P R
b. Pressure vessel, and other typical equipment Government regulation SKPP Government regulation N/A P R
c. Rotating equipment Government regulation SKPP Government regulation N/A P R
d. Electrical equipment Government regulation SKPP Government regulation N/A P R
e. Lifting equipment Government regulation SKPP Government regulation N/A P R
f. Pipeline Government regulation SKPP Government regulation N/A P R
g. Offshore platform Government regulation SKKP Government regulation N/A P R
h. Boiler and steam vessel, navigation device, measuring Government regulation Authorised Dept. Certificate / Permit / Government regulation N/A P R
equipment and metering, scales, helideck, radioactive Licence, Calibration certificate
material, explosive material, etc.
i. Personnel safety and protection equipment Government regulation Manufacturer certificate Government regulation N/A P R

4 TESTING AND COMMISSIONING

a. Pressure test of piping system Project specification Inspection / test report Government regulation W H SW
b. Performance test of equipment Project specification Inspection / test report Client's specification W H W
c. Pre-commissioning test Project specification Inspection / test report Project specification W H W
d. Commissioning and start up Project specification Inspection / test report Code and Standard W H H

5 FINAL DOCUMENTATION / REPORTING

a. Document dossier Project specification As-built dossier Project / client's P A R
b. Certificate of compliance Project specification Certificate of compliance specification P A R

Approved by : Approved by : Acknowledged By

Client PJIT Migas

( ) ( ) ( )

Page 10 of 11
 INSPECTION AND TEST PLAN
Sertifikasi Kelayakan Penggunaan Instalasi (SKPI)
Project :
Location :
Owner / User :
Contractor :
Third Party :

* Legend for Surveillance Activity

A : Approve point SW : Spot Witness point R : Review point
H : Hold point S : Surveillance or monitor point P : Provide
W : Witness point V : Verify point N/A : Not Applicable / involved

Procedure / Reference Surveillance Responsibility

No Activity / Process Description Verified Document Acceptance Criteria
Document Contr Owner PJIT MIGAS

Page 11 of 11