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Project : SORIK MARAPI GEOTHERMAL PROJECT

Project : Warehouse Expansion - Base Camp


Contract : -
Location : Mandailing Natal, Sumatera Utara
Client : PT. Sorik Marapi Geothermal Power
INSPECTION AND TEST PLAN
Field Inspection and Test Plan for Civil Works

Document No : SPC-QAQC-C001/CW-002 Legend : Prepared by, Checked by,


Project name : Warehouse Expansion H : Hold Point Sub. Contractor Contractor
W : Witness
SUPRACO SMGP
Contract No : tbd R : Review
Project Location : Base Camp PT. SMGP S : Surveillance
Description : Civil and Structural
Date : 7-Jun-17
Revision : A Printed Name Printed Name

Ref Process Description Inspection Document Inspection Status


Inspection type Refferences
No Inspection Activities Frequency Report Sub. Contractor Contractor
1 CIVIL & ARCHITECHTURAL
1.1 SURVEY
(1) Location, number, stability, area First Line up in H R
mapping and sectioning, every work section
construction stake out and Visual &
protection of coordinates and Dimensional
Benchmark

1.2 SITE PREPARATION


(1) Clearing of contaminated soil During Site H R
Clearance
Visual

(2) Grubbing of all stumps and roots During Site H R


Clearance
Visual

(3) Stripping of all turf and top soil During Site H R


Clearance
Visual

(4) Demolition During Site H R


Clearance
Visual

(5) Debris from clearing, grubbing, During Site H R


stripping and demolition operation Clearance
shall be remove to disposal areas Visual

(6) Temporary Drainage During Site H R


Clearance
Visual

1.3 EXCAVATION
A Preparation
(1) Setting out location, based on shop Set before start H R
drawings and endorsed excavation work
benchmarks Dimension

B Excavation Work
(1) Depth and width of excavation Set during H R
exavation work
Dimension

(2) Line, Slope and Grades according Set during H R


to approved drawings exavation work
Visual &
Dimensional

375207456.xlsx Page : 2 of 44
INSPECTION AND TEST PLAN
Field Inspection and Test Plan for Civil Works

Document No : SPC-QAQC-C001/CW-002 Legend : Prepared by, Checked by,


Project name : Warehouse Expansion H : Hold Point Sub. Contractor Contractor
W : Witness
SUPRACO SMGP
Contract No : tbd R : Review
Project Location : Base Camp PT. SMGP S : Surveillance
Description : Civil and Structural
Date : 7-Jun-17
Revision : A Printed Name Printed Name

(3) Quality of Cleaning Set after H R


exavation work
Visual

1.4 BACKFILL
A Preparation
(1) Quality of cleaning before backfill Set before start H R
Visual backfilling work
(2) Quality of back fill material Random H R
Review

(3) Quality of compaction of soil H R


disposal Test and review

B Placement of Fill
(1) Cleaning (removal of contaminants, Set during H R
debris, etc.) in fill material Visual backfilling work

(2) Final Elevation Set after H R


Dimension backfilling work

C Testing
(1) Compaction test by Sand cone test Set after H R
and Field CBR Test backfilling work

1.5 CONCRETE WORK


A Preparation
(1) Cement type, quality, quantity and Set before start H R
compliance with applicable Concrete work
standard Test & Review and Random

(2) Quality and quantity of aggregate Set before start H R


(sieve test, etc.), cement, water and Concrete work
addmixtures Laboratorium Test and every 50 m3

(3) Mix Design Set before start H R


and during
Review Concrete work

(4) Preparation for placing Set before start H R


(Construction equipment, tools, and during
labour, access, etc.) Visual Concrete work

(5) Storing condition of cement and Set before start H R


aggregate and during
Visual Concrete work

(6) Location and surface condition of Set before start H R


joints Visual & Dim. and during
Concrete work
(7) Cleaning prior to concrete placing Set before start H R
and during
Visual Concrete work

375207456.xlsx Page : 3 of 44
INSPECTION AND TEST PLAN
Field Inspection and Test Plan for Civil Works

Document No : SPC-QAQC-C001/CW-002 Legend : Prepared by, Checked by,


Project name : Warehouse Expansion H : Hold Point Sub. Contractor Contractor
W : Witness
SUPRACO SMGP
Contract No : tbd R : Review
Project Location : Base Camp PT. SMGP S : Surveillance
Description : Civil and Structural
Date : 7-Jun-17
Revision : A Printed Name Printed Name

B Concrete Pouring
(1) Workmanship of placing and Set before start H R
consolidation (drop height, Visual Concrete Pouring
thickness of layer, proper vibration, work
etc.)
(2) Concrete finishing and removal of Set after Concrete H R
laitance Visual Pouring work

C Post Concrete Pouring


(1) Curing (period, method of Set after Concrete H R
preventing moisture loss) work
Visual

(2) Appearance of surface after form Set after Concrete H R


removal (honeycomb, crack, etc.) work
Visual

(3) Mortar finishing (level, chamber, Set after Concrete H R


crack, mortar proportion, etc.) work
Visual

(4) Dimension inspection for completed Set after Concrete H R


casting work
Dimension

(5) Floor Hardener Work Set after Concrete H R


Visual and work
dimensional

D Test
(1) Concrete test (slump, compressive Set Before, during H R
strength, etc.) Test the concrete work
and every 50m3

1.6 REINFORCING BAR WORK


A Preparation
(1) Compliance of material with Set before start H R
standard, Mill Certificate review reinforcing bar
Visual & Dim. work

(2) Handling and storing Set during H R


reinforcing bar
Visual work

375207456.xlsx Page : 4 of 44
INSPECTION AND TEST PLAN
Field Inspection and Test Plan for Civil Works

Document No : SPC-QAQC-C001/CW-002 Legend : Prepared by, Checked by,


Project name : Warehouse Expansion H : Hold Point Sub. Contractor Contractor
W : Witness
SUPRACO SMGP
Contract No : tbd R : Review
Project Location : Base Camp PT. SMGP S : Surveillance
Description : Civil and Structural
Date : 7-Jun-17
Revision : A Printed Name Printed Name

(3) Workmanship in cold bending Set before start H R


operation reinforcing bar
Visual & Dim work

(4) Surface cleaning (to be free from Set before start H R


mud, dirt, grease, loose mill scale, reinforcing bar
etc.) Visual work

B Installation
(1) Location, shape, sizes, numbers, Set during H R
cleaning, spacing of bars and the Visual & Dim. reinforcing bar
concrete cover (concrete spacer) work
(2) Length and location of lap splice Set during H R
Visual & Dim. reinforcing bar
work
(3) Rigidity of rebar assembly to Set during H R
withstand concrete pouring reinforcing bar
Visual work

(4) Strong condition (to prevent Set during H R


corrosion and deformation) reinforcing bar
Visual work

(5) Wire tying Set during H R


reinforcing bar
Visual work

1.7 FORMWORK
A Preparation
(1) Quality and shape of material Set before start H R
formwork
Visual

(2) Formwork construction Set before start H R


Dimension formwork

B Installation
(1) Location, dimension, alignment, Set during H R
plumb and elevation formwork
Dimension

(2) Chamfers Set during H R


Visual formwork

(3) Installation of embedded materials Set during H R


including setting of water-stop formwork
board (location, elevation and
Visual & Dim.
rigidity)

375207456.xlsx Page : 5 of 44
INSPECTION AND TEST PLAN
Field Inspection and Test Plan for Civil Works

Document No : SPC-QAQC-C001/CW-002 Legend : Prepared by, Checked by,


Project name : Warehouse Expansion H : Hold Point Sub. Contractor Contractor
W : Witness
SUPRACO SMGP
Contract No : tbd R : Review
Project Location : Base Camp PT. SMGP S : Surveillance
Description : Civil and Structural
Date : 7-Jun-17
Revision : A Printed Name Printed Name

(4) Installation of embedded materials Set during H R


for pipe sleeper (level, elevation, formwork
location, length, rigidity)
Visual & Dim.

(5) Stability during concrete placing Set during H R


and vibration (sufficiency of support, formwork
shoring, form ties, etc.) Visual

(6) Surface treatment (cleaning and Set during H R


form release agent application) formwork
Visual

(7) Time of removal of formwork, Set during H R


shoring and supports formwork
Visual

(8) Protection or support for colom Set during H R


Brace and Floor slab of form Visual formwork
scaffolding

1.8 ANCHOR BOLT


A Preparation
(1) Compliance of material with Set before start H R
standard, Mill Certificate review setting Anchor
Dimension Bolt

B Installation
(1) Location, direction, elevation and Set during setting H R
upside of template Visual & Dim. Anchor Bolt
(2) Stability of template Set during setting H R
Anchor Bolt
Visual

(3) Location, elevation, plumbness, Set during setting H R


size and number of anchor bolts or Visual & Dim. Anchor Bolt
anchor boxes
(4) A. Bolt protection against movement Set during setting H R
Anchor Bolt
Visual

(5) Protection and cleaning anchor bolt Set during setting H R


threads before and after placing Anchor Bolt
concrete Visual

1.9 DRAINAGE / SWALES


A Preparation
(1) Compliance of material cover Set before start H R
(Grating) with standard drainage / ditch
Dimension & Type work

375207456.xlsx Page : 6 of 44
INSPECTION AND TEST PLAN
Field Inspection and Test Plan for Civil Works

Document No : SPC-QAQC-C001/CW-002 Legend : Prepared by, Checked by,


Project name : Warehouse Expansion H : Hold Point Sub. Contractor Contractor
W : Witness
SUPRACO SMGP
Contract No : tbd R : Review
Project Location : Base Camp PT. SMGP S : Surveillance
Description : Civil and Structural
Date : 7-Jun-17
Revision : A Printed Name Printed Name

(2) Area preparation Set before start H R


Visual drainage / ditch
work

1.10 Drainage / Ditch Work


(1) Excavation as per section Set during H R
Visual & Dim drainage / ditch
work
(2) Straightness, elevation, depth, Set during H R
width and side slope of ditch drainage / ditch
work
Dimension

(3) Form work, rebar installation, Set during H R


grating nosing installation and drainage / ditch
concreting as per section work
Visual & Dim.

(4) Surface finishing Set during H R


drainage / ditch
work
Visual

(5) Backfilling as per section Set during H R


drainage / ditch
work
Visual & Dim.

(6) Plumbing (Clean water and Set during H R


sewage), Sanitation installation drainage / ditch
Visual work

(7) Install Grating cover, Collection Pit Set during H R


and Control Pit Visual & Dim. drainage / ditch
work

C Test
(1) Water flowing test Set after H R
drainage / ditch
Visual
work

1.11 FENCING
A Preparation
(1) Material (conformity to specification Set before start H R
and drawing) fencing work
Visual, Dim. &
Review

375207456.xlsx Page : 7 of 44
INSPECTION AND TEST PLAN
Field Inspection and Test Plan for Civil Works

Document No : SPC-QAQC-C001/CW-002 Legend : Prepared by, Checked by,


Project name : Warehouse Expansion H : Hold Point Sub. Contractor Contractor
W : Witness
SUPRACO SMGP
Contract No : tbd R : Review
Project Location : Base Camp PT. SMGP S : Surveillance
Description : Civil and Structural
Date : 7-Jun-17
Revision : A Printed Name Printed Name

(2) Set-out location Set before start H R


fencing work

Dimension

B Installation
(1) Excavation work as per section Set during fencing H R
work

Visual

(2) Installation of Post (alignment, Set during fencing H R


elevation, location and stability) work

Visual & Dim.

(3) Installation of wire mesh Set during fencing H R


work

Visual

(4) Finishing Set during fencing H R


work

Visual

1.12 CEILING WORK

A Preparation
(1) Confirmation of material with Set before start H R
specification, drawings and acoustic ceiling
exposure placement drawing work
Visual & Dim

(2) Setting of frame Set before start H R


Visual acoustic ceiling
work
(3) Material storage and handling Set before start H R
Visual acoustic ceiling
work

B Installation

375207456.xlsx Page : 8 of 44
INSPECTION AND TEST PLAN
Field Inspection and Test Plan for Civil Works

Document No : SPC-QAQC-C001/CW-002 Legend : Prepared by, Checked by,


Project name : Warehouse Expansion H : Hold Point Sub. Contractor Contractor
W : Witness
SUPRACO SMGP
Contract No : tbd R : Review
Project Location : Base Camp PT. SMGP S : Surveillance
Description : Civil and Structural
Date : 7-Jun-17
Revision : A Printed Name Printed Name

(1) Layout and pattern Set during H R


Visual acoustic ceiling
work
(2) Condition of Installation accepted Set during H R
Visual acoustic ceiling
work

1.13 STEEL DOOR AND WINDOW


A Preparation
(1) Material (conformity to specification Set before start H R
and drawing) Visual & Dim. door and window
installation

(2) Storage & handling of material Set before start H R


Visual door and window
installation

(3) Fabrication Pre-check Set during door H R


Visual & Dim. and window
fabrication work

B Installation
(1) Door and window brick work Set during door H R
opening check complete with Dimensional and window
installation plumbness and level installation
(2) Hardware installation Set during door H R
Visual & Dim and window
installation
(3) Finishing Set during door H R
Visual and window
installation

1.14 STRUCTURAL STEEL


A Preparation
(1) Request Material for Approval Visual, Dimensinal Before start H R
and Review material purchase
and provide Shop
Drawing

(2) Approval of WPS, Cleaning and Visual Set before H R


Painting Procedure commence the
work

B Shop Drawings
(1) Prepare Shop Drawings Submittal Form After Proposed H R
Request for Material for
Approval Approval
approved

C Material Procurement

375207456.xlsx Page : 9 of 44
INSPECTION AND TEST PLAN
Field Inspection and Test Plan for Civil Works

Document No : SPC-QAQC-C001/CW-002 Legend : Prepared by, Checked by,


Project name : Warehouse Expansion H : Hold Point Sub. Contractor Contractor
W : Witness
SUPRACO SMGP
Contract No : tbd R : Review
Project Location : Base Camp PT. SMGP S : Surveillance
Description : Civil and Structural
Date : 7-Jun-17
Revision : A Printed Name Printed Name

(1) Check the Engineering Detail Visual & Every material H R


(conformity to specification and Dimentional arrived to shop
drawing)

D Shop Fabrication as per Vendor


Listed
(1) Cutting, fitting, welding and Visual & During shop H R
dimention check Dimentional fabrication

(2) Montage Attemp / Shop Assembly Visual and Before painting H R


dimensional work

(3) Surface Cleaning and Painting Visual and Test During shop H R
fabrication

(4) Packing and delivery to site Visual after painting work H R

E Site Instalation
(1) Material receiving and handling Visual every material site H R
(Storage, protection and transfering received
to installation location)

(2) Erection (Installation) : Visual and During Site H R


- Anchor Bolts Dimentional check Installation
- Steel Structure installation
- Leveling check
- Plumbness / verticallity
check - Bolts
Tightening - Site
Welding (if any)

C 'Roofing & Siding (Metal Sheet and Dimentional During Site H R


Clading) Installation: - Installation
Lapped Joint (Length & Width)
(1) -Caulking and sealing Visual During Site H R
Installation

(2) -Visual check Visual During Site H R


Installation

1.15 PAINTING FOR BUILDING


A Preparation

375207456.xlsx Page : 10 of 44
INSPECTION AND TEST PLAN
Field Inspection and Test Plan for Civil Works

Document No : SPC-QAQC-C001/CW-002 Legend : Prepared by, Checked by,


Project name : Warehouse Expansion H : Hold Point Sub. Contractor Contractor
W : Witness
SUPRACO SMGP
Contract No : tbd R : Review
Project Location : Base Camp PT. SMGP S : Surveillance
Description : Civil and Structural
Date : 7-Jun-17
Revision : A Printed Name Printed Name

(1) Request Material (as per vendor Visual, Dimensinal Before start H R
Listed) for Approval and Review material purchase
and provide Shop
Drawing

(2) Painting for Building Work Visual Submit before H R


Procedure commence the
work

(3) Material Receiving, Storage and Set before start H R


Handling Visual painting work

B Shop Drawings
(1) Prepare Shop Drawings Submittal Form After Proposed H R
Request for Material for
Approval Approval
approved

C Material Procurement
(1) Check the Engineering Detail Visual & Every material H R
(conformity to specification and Dimentional arrived to site
drawing)

D Site Aplication
(1) Preliminary activities Visual After Preparation, H R
Shop Drawing and
material
Procurement
completed

(2) Surface preparation Visual Each Area of H R


Building ready to
paint, clean and
smooth

(3) Painting Visual Each Area of H R


Building

(4) Pre-handover activities Visual All matters on H R


each Area of
Building finalised,
clean and tidy

375207456.xlsx Page : 11 of 44
SORIK MARAPI GEOTHERMAL PROJECT

Transmission Lines

ON SITE MATERIAL FOR APPROVAL


Project Location : ………………………Discipline : Civil Work - ......................................... Document: SPC-QAQC/_____- ITP01-1
Project No : ………………………Scope of Work : .............................................................. Revision : ........................................................................
Reference Documents : ...............................Area : .............................................................. Date : .........................................
............................................................... .............................................................. Page : ......... Of .............
We Hereby would like to propose material for your approval as mentioned below;
MANUFACTURER ORIGINAL PROPOSED SPECIFICATION DATA
NO. DESCRIPTION REMARKS
(BRAND) SPEC SPEC ORIGINAL PROPOSED
1 Fine Aggregate (Pasir) Lokal √ √ √ √
2 Coorx Aggregate (Gravel) Lokal 2/3 2/3 2/3 2/3
3 Reinforcement Bar BJ-40 BJ-40 BJ-40 BJ-40 BJ-40
4 Cement Semen Padang Type 1 Type 1 Type 1 Type 1

Having received this document, kindly be approved the proposal material within 7 (seven) days.

LEGEND : TYPE OF PROPOSED DOCUMENT : Note :


Org Copy
1. Shop Drawing
2. Sample
3. Brochure
4. Test Certificate
5. Photos

Proposed by, Approved by,


PT. Supraco Indonesia Huadong Engineering Coorporate
SORIK MARAPI GEOTHERMAL PROJECT

Transmission Lines

ON SITE MATERIAL FOR APPROVAL


Project Location : ………………………Discipline : Civil Work - ......................................... Document: SPC-QAQC/_____- ITP01-1
Project No : ………………………Scope of Work : .............................................................. Revision : ........................................................................
Reference Documents : ...............................Area : .............................................................. Date : .........................................
............................................................... .............................................................. Page : ......... Of .............
We Hereby would like to propose material for your approval as mentioned below;
MANUFACTURER ORIGINAL PROPOSED SPECIFICATION DATA
NO. DESCRIPTION REMARKS
(BRAND) SPEC SPEC ORIGINAL PROPOSED
1 Fine Aggregate (Pasir) Lokal √ √ √ √

DATE : DATE
AL FOR APPROVAL
: ........................................................................

al for your approval as mentioned below;

REMARKS

ved the proposal material within 7 (seven) days.

Note :

Huadong Engineering Coorporate


AL FOR APPROVAL
: ........................................................................

al for your approval as mentioned below;

REMARKS
Doc. No : SPC-QAQC/_____ - QI - S.0.01

SORIK MARAPI GEOTHERMAL


PROJECT

Transmission Line

-
Subject : Verticality Survey Report
Project : 66kV Transmission Line Project Type Tower
The type of measuring instrument used
Ref. Drawing :
Ref. BM. No. :
SKETCH

Verticality

Transversal (A-D) Longitudinal (B-C)


Section
Tilted to (mm) Tilted to (mm)
I
II
III
IV
V

Tolerance
H X 1/1000 =

REMARKS :

Prepare By Witnessed By Checked or Review

Survey SPC QA/QC - SPC, HDEC SMGP


Report No. :

Date : November , 2017

Page

of

Checked or Reviewed By

SMGP
Doc. No : SPC-QAQC/_____ - QI - S.0.02

SORIK MARAPI GEOTHERMAL PROJECT


Warehouse Expansion - Base Camp
-
Subject : SURVEY DATA REPORT
Project : Warehouse Expansion - Base Camp
Location :
Ref. Drawings :

ACTUAL COORDINATE ELEVATION ACTUAL


NO POINT
N E DESIGN / TOB ELEVATION 1 2 3 4 5 6 7
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

CONTRACTOR

Print Name

Signature

Date
Report No. :

Date

Page
of

ACTUAL
REMARKS
7 8
OWNER
Doc. No : SPC-HDEC QAQC/_____ - QI-C.0.01

SORIK MARAPI GEOTHERMAL PROJECT

Transmission Lines

Subject : EXCAVATION SET-OUT -

Project :Transmission Lines Project - TA 05 Location : Mandailing Natal, Sumatera Utara

Client :Huadong Engineering Corporate Reference Drawings : INSM-66TL-014-005-2

RESULT
NO ITEM TO CHECK DATE & SIGN REMARKS
YES N/A

1 Approval of drawings, confirmed √


Setout location, based on shop drawings and √
2
endorsed Benchmarks
3 Check as-built's for underground services √
4 Check geotechnical report (if any) √
5 Agreement of stockpile location, confirmed √
6 Verify stockpile location, confirmed √
7 Slope stabilization acceptable √
8 Check all records complete √
9 Complete red-line drawings (if any) √
10 Record punchlist items (if any) √
11

12

13

14

15

Remarks :

CONTRACTOR CONSULTANT / OWNER

Print Name

Signature

Date
Doc. No : SPC-HDEC QAQC/_____ - QI-C.0.02

SORIK MARAPI GEOTHERMAL PROJECT

Transmission Lines

Subject : EXCAVATION WORK -

Project :Transmission Lines Project - TA 05 Location : Mandailing Natal, Sumatera Utara

Client :Huadong Engineering Corporate Reference Drawings :

RESULT
NO ITEM TO CHECK DATE & SIGN REMARKS
YES N/A

1 Demolition or Protection of Existing Facility

2 Investigation of Existing under-ground Facilities


Setout location, based on shop drawings and
3
endorsed Benchmarks
Line, Slope and Grades according to approved
4
drawings
5 Depth of Excavation, confirmed

6 Protection of Slope, accepted

7 Temporary drainage and enviromental controls

8 Curing condition of Subgrade, confirmed

9 Condition of Compaction bottom surface

10 Safety regerding excavation works, confirmed

11 Quality of Cleaning
Result of Compaction Test after excavation,
12
confirmed (if necessary)
13 Check all records complete

14 Complete red-line drawings (if any)

15 Record punchlist items (if any)

Remarks :

CONTRACTOR CONSULTANT / OWNER

Print Name

Signature

Date
Doc. No : SPC-HDEC QAQC/_____

SORIK MARAPI GEOTHERMAL PROJECT

Transmission Lines

Subject : GROUNDING INSTALLATION -

Project :Transmission Lines Project - TA …. Location : Mandailing Natal, Sum

Client :Huadong Engineering Corporate Reference Drawing : INSM-66TL-013-021-

RESULT
NO ITEM TO CHECK DATE & SIGN
YES N/A

1 Material :

Flate Steel 160 x 45 x 4 mm

Round Steel ф 12 mm

Galvanized Boltz M16 x 50

2 The inner ring is 0,2 m outside of the tower foundation pad

The buried depth of the inner ring is same with the foundation pad

The inner ring is connected with the upward ring with ф12 round steel

3 The outer ring is outside the 4 inner rings

4 All the connections use welding

5 Backfilling soil without rock, 500 mm above original ground level

10

Remarks :

CONTRACTOR OWNER

Print Name

Signature

Date
-

Mandailing Natal, Sumatera Utara

INSM-66TL-013-021-1

REMARKS
Doc. No : SPC-HDEC QAQC/_____ - QI-C.2.02

SORIK MARAPI GEOTHERMAL PROJECT


Transmission Lines

Subject : PRE-POURING CONCRETE -

Test / Inspection Items

Placing Location Ref. Dwg.No. INSM-66TL-014-005-2


Area Transmission Lines - TA 05

FORMWORK REBAR

√ Orientation √ Size
√ Location ( Coord. ) √ Spacing
√ Size √ Clearance
√ Elevation √ Cleanliness
√ Clean & Oiled
X Chamfer
X Bracing

EMBEDMENTS MISCELLANEOUS

X Anchor Bolts ( Diameter, Length & Type ) X Blockouts


X Anchor Bolts ( Location & Projection ) √ Type of Finish
X Anchor Bolts Sleeves √ Curing Method
X Thread Protection X Const. Joints
X Angle Iron HOT / COLD Weather Condition
X Inserts Plate Sets/Test Specimen
X pipes X Truck Tickets
X Conduit
X Ground Wire

Remarks :

CONTRACTOR OWNER

Print Name

Signature

Date
Doc. No : SPC-HDEC QAQC/_____ - QI-C.2.03
SORIK MARAPI GEOTHERMAL
PROJECT
Transmission Lines

Subject : REINFORCING BAR INSTALLATION -

Project :Transmission Lines - TA 05 Location : Mandailing Natal, Sumatera Utara

Client :Huadong Engineering Corporate Reference Drawing : INSM-66TL-014-005-2

RESULT
NO ITEM TO CHECK DATE & SIGN REMARKS
YES N/A

1 Size/Length/Quality √
2 Bending Radius / Shape √
3 Spacing B/W Re-bars √
4 Lap Splacing ( Length / Location ) √
5 Extra Length √
6 Hook ( Extra Length / Shape ) √
7 Hoop / Stirrup ( Shape / Location / Pitch / Hook ) √
8 Starter Bar ( Shape / Length / Location ) √
9 Concrete Cover √
10 Slab ( Direction / & Lower ) √
11 Reinforcing for Opening √
12 Column / Beam ( Untorsionality ) √
13 Quality of Cleaning √
14

15

Remarks :

CONTRACTOR OWNER

Print Name

Signature

Date
Doc. No : SPC-HDEC QAQC/_____ - QI-C.2.04

SORIK MARAPI GEOTHERMAL


PROJECT
Transmission Lines

Subject : POURING CONCRETE RECORD

Proj : Transmission Lines - TA 05

Location : Mandailing Natal, Sumatera Utara

Cemen Type : ……………………………………………………………………………..

Specified Strength of Concrete : …………………………………Kg/cm2 ( …………psi )

Request No. / Delivery Time


Date Area / Block
Vol. Order Batch Plan On Site
Remarks :

CONTRACTOR OWNER

Print Name

Signature

Date
O
OF

Slump Poured Total


(inch) Vol. (m3) (m3)
Doc. No : SPC-HDEC QAQC/_____ - QI-C.2.06

SORIK MARAPI GEOTHERMAL PROJECT

Transmission Lines

Subject : PERMIT OF FORMWORK REMOVAL -

Project :Transmission Lines - TA 05 Location : Mandailing Natal, Sumatera Utara

Client :Huadong Engineering Corporate Reference Drawing :

RESULT
NO ITEM TO CHECK DATE & SIGN REMARKS
YES N/A

1 Concrete Pouring Detail :

1.1 Facility Name .................................................

1.2 Concrete Quality Description .........................

1.3 Area Description ............................................

1.4 Date of Pouring .............................................

1.5 Time of Pouring ..............................................

2 Formwork Removal Date and Time

.................................,................. At .....................

3 Concrete surface acceptance

Area Mapping :

Remarks :

CONTRACTOR OWNER

Print Name

Signature

Date
Doc. No : SPC-HDEC QAQC/_____ - QI-C.2.07

SORIK MARAPI GEOTHERMAL PROJECT

Transmission Lines

Subject : CONCRETE FINISH WORK -

Project :Transmission Lines - TA 05 Location : Mandailing Natal, Sumatera Utara

Client :PT. Sorik Marapi Geothermal Power Reference Drawing :

RESULT
NO ITEM TO CHECK DATE & SIGN REMARKS
YES N/A

1 Material Check

2 Water Proofing Work

3 Floor Hardener Work

4 Expansion Joint Work

5 Construction Joint Work

6 Grouting Work

7 Water Stop Work

8 Sealant Work

Area Mapping :

Remarks :

CONTRACTOR OWNER

Print Name

Signature

Date
Doc. No : SPC-QAQC/_____ - QI-C.2.08 Date

SORIK MARAPI GEOTHERMAL PROJECT


Page

Warehouse Expansion - Base Camp of

Subject : Hammer Test Report -

Project :Warehouse Expansion - Base Camp Location :

Client :PT. Sorik Marapi Geothermal Power Reference Drawing :

CONSTRUCTION TESTED DATA :


Structure Identification :
Structure Age Tested :

TECHNICAL DATA :
Reflection angle :
Anvil Calibration : ( Formula = 80/r) r = reflected value of the anvil
Age Estimation :
Test Points :

TEST DATA :
Reflection Values :

Average reflectance value : (A)

CALCULATION:
R1. : Kg / Cm2 (B) (Reading as per rebound curves value)
R2. : Kg / Cm 2
(C) (Reading as per rebound curves value)
(B - A ) : Kg / Cm 2
(D)
Urges stronger when testing :
(σ b) = ( 1 x (Zero Point 2 Decimal of (A) ) + (B) ) x 1,00 = Kg / Cm2 (E)
(D)

Strong urges estimated 28 days = 0,741 x (E) = Kg / Cm2

CONCLUSION :

Robust quality urged concrete characteristics comply with the quality of K - ______ equivalen of FC' _______

CONTRACTOR OWNER

Print Name

Signature

Date
Doc. No : SPC-QAQC/_____ - QI-C.4.01 Date

SORIK MARAPI GEOTHERMAL PROJECT


Page
Warehouse Expansion - Base Camp of

Subject : WALL MASONRY WORK

Project :Warehouse Expansion - Base Camp Location : Mandailing Natal, Sumatera Utara

Client :PT. Sorik Marapi Geothermal Power Reference Drawing :

RESULT
NO ITEM TO CHECK DATE & SIGN REMARKS
YES N/A

1 Bricks material as approved material?

2 Bricks installed surfaces no crack?

3 Horizontal & vertical of bricks flatness accepted

4 Bricks watering treatment is done?

5 Finish plestering & coat of brick wall accepted ?

Remarks :

CONTRACTOR OWNER

Print Name

Signature

Date
Doc. No : SPC-QAQC/_____ - QI-C.4.05 Date

SORIK MARAPI GEOTHERMAL PROJECT


Page
of
Warehouse Expansion - Base Camp

Subject : DOOR & WINDOW WORKS -

Project :Warehouse Expansion - Base Camp Location :

Client :PT. Sorik Marapi Geothermal Power Reference Drawing :

RESULT
NO ITEM TO CHECK DATE & SIGN REMARKS
YES N/A

1 Type and Condition of Materials Accepted

2 Wall Opening check

3 General Operation of Door / Window


Installation of Frames anchored Plumb and Level
4
Accepted
5 Hardware in Good Mechanical Operation

6 Glass Well Bedded and Putty Neatly Trimmed


Operatiom of Overhead or Telescoping Doors /
7
Windows (controls, smoothness and speed)
Telescoping Door Guides Installed, secured and
8
aligned
9 Installation of Hardware Accepted

10 Instruction Manuals for Special Materials Checked

11

12

13

14

15

Remarks :

CONTRACTOR OWNER

Print Name

Signature

Date
Doc. No : SPC-QAQC/_____ - QI-C.6.02 Date
SORIK MARAPI GEOTHERMAL
PROJECT Page
of
Warehouse Expansion - Base Camp

Subject : DRAINAGE / DITCH -

Project :Warehouse Expansion - Base Camp Location : to

Client :PT. Sorik Marapi Geothermal Power Reference Drawing :

RESULT
NO ITEM TO CHECK DATE & SIGN REMARKS
YES N/A

1 Excavation ( Location & Elevation )

2 Field Compaction test Accepted

3 Reinforcement Installation Accepted

4 Formwork Installation Accepted

5 Embedments Installation Accepted

6 Concrete Placement Accepted

7 Removal of Formwork

8 Drainable Slope Acceptable

9 Plumbing Installation Acceptable Clean Water

10 Sewage

11 Sanitation Acceptable

12 Collection Pit Acceptable

13 Control Pit Acceptable

14 Water Flow test Accepted

15

Remarks :

CONTRACTOR OWNER

Print Name

Signature

Date
Doc. No : SPC-HDEC QAQC/_____ - QI-C.6.06

SORIK MARAPI GEOTHERMAL PROJECT

Transmission Lines

Subject : INSPECTION OF STRUCTURAL STEEL ERECTION -

Project :Transmission Lines - TA 05 Location : Mandailing Natal, Sumatera Utara

Client :Huadong Engineering Corporate Reference Drawing :

RESULT
NO ITEM TO CHECK DATE & SIGN REMARKS
YES N/A
Receiving of material component ( Type, Size, Grade,
1
Identification & Mill Certificate )

2 Anchor bolts

3 Dimensional check of anchor bolt holes

4 Location and Plan

Dimensional Inspection ( level, axis, lines,


5
perpendicular/Plumbness )

6 Bolts Specification, Tightening & Size

Welding ( Comsumable Control, Interpass Cleaning &


7
Visual Appearance )
Visual inspection for platform grating, hand rails and
8
ladders

9 Grouting of Base

10 Painting or galvanizing

11

12

13

14

15

Remarks :

CONTRACTOR OWNER

Print Name

Signature

Date
Doc. No : SPC-QAQC/_____ - QI-C.6.07 Date

SORIK MARAPI GEOTHERMAL PROJECT


Page
of
Warehouse Expansion - Base Camp

Subject : ROOFING & SIDING (METAL SHEET & CLADING) -

Project :Warehouse Expansion - Base Camp Location :

Client :PT. Sorik Marapi Geothermal Power Reference Drawing :

RESULT
NO ITEM TO CHECK DATE & SIGN REMARKS
YES N/A

1 Condition of Matrial Accepted

2 Preparation of Framing Accepted

3 Dimensional (Size, Elevation & Slope)

4 Installation of Accessories Accepted

5 Roof thermal insulation (Rock wool) Acceptable

6 Alumunium Foil installation acceptable

7 Roof Mesh installation acceptable

8 Condition of Fastening Accepted

9 Condition of Cleaning Accepted

10

11

12

13

14

15

Remarks :

CONTRACTOR OWNER
Print Name

Signature

Date
Doc. No : SPC-QAQC/_____ - QI-C.6.08 Date

HAWKINS - BCK JO Page


ENGINEERING, PROCUREMENT, CONSTRUCTION AND of
COMMISIONING

Subject : PAINTING FOR BUILDING -

Project :Warehouse Expansion - Base Camp Location :

Client :PT. Sorik Marapi Geothermal Power Reference Drawing :

RESULT
NO ITEM TO CHECK DATE & SIGN REMARKS
YES N/A

1 Preliminary activities :

- Access permission obtained

- Equipment approved/on site (Scaffold/Ladder,

Signage/barricades, Brushes/rollers/drop

sheets)

- Materials approved/on site

2 Surface preparation

3 Painting

- Paint applied to manufacturer’s instructions

- Each coat free of imperfections such as runs,

patchiness, pinholes, misses etc.

- Drying time between coats appropriate

4 Pre-handover activities :

- Touch up

- Final inspection confirms conforming

- Remove scaffold/ladders, clean up etc.

Remarks :

CONTRACTOR OWNER
Print Name

Signature

Date
Doc. No : SPC-QAQC/_____ - QI-C.6.08 Date

HAWKINS - BCK JO Page


ENGINEERING, PROCUREMENT, CONSTRUCTION AND of
COMMISIONING

Subject : PAINTING FOR BUILDING -

Project :Warehouse Expansion - Base Camp Location :

Client :PT. Sorik Marapi Geothermal Power Reference Drawing :

RESULT
NO ITEM TO CHECK DATE & SIGN REMARKS
YES N/A
Form KRH/00/M/----------/MP/601 - QI-C.6.03 :
Revisi R.0

Material Received Inspection Form

Project :

No. Project :

Date : Record No . :
Location : Supplier :

Structure :

Actual size
No. Material Type / Size Quantity Certificate Verification
Ø Length Width Thickness
1

10

Comment :

Reported by, Inspected by, Witnessed/Reviewed by,


HILL - BCK JO HILL - BCK JO ALSTOM CONSORSIUM

Store Keeper Site Engineer Construction Engineer