Electrical Inspection Form Rev 0

JOIN INSPECTION
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EL-1
GROUNDING SYSTEM TEST REPORT

Client
Project no.
Project Name
: PT. ANEKA TAMBANG

: 025/9231/DAT/2012
: BELT CONVEYOR FeNi - 1
Date
Subcontractor
Location
: 23 - 09 - 2013
: PT. MCB
::
Below Ground
_____________________ Check ground system compliance with drawing and specifications
_____________________ Check ground rod accessbility in ground well
_____________________ Check grid wire sizes and color indentification
Above Ground
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
Check connection for tightness

Test Continuity -Ground well and ground terminal bars
Test ground rods or electrodes in electrical equipment
Check Resistance Ground
Check visual Cable Bare Copper
Others (_________________________________________)
Others (_________________________________________)
Others (_________________________________________)
Location
Type
(1) Rod
Grounding for
(2) Loop
Test Method/Instrument Used :

General
Comment :
WITNESSED/APPROVED
BY
ANTAM
Resistance to Ground Ohms
(3) Grid
WITNESSED BY
WIKA
Check Continuity
(4) Equipment
Remarks
(5) Other - Specify
PREPARED/TESTED BY
Reviewed and Approved
Inspected
_____________________
Date :
_______________
Date :
JOIN INSPECTION
NEW ELECTRICAL EQUIPMENT
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EL-2
POWER TRANSFORMER TEST REPORT

Client
Project no.
Project Name
Equipment Description
Manufacturer
Type :
: PT. ANTAM (Persero) Tbk

: 025/9231/DAT/2012
: BELT CONVEYOR MOP FeNi-1
Primary kV :
Primary Amp :
Equipment Number :
Secondary kV :
Secondary Amp :
Date
Subcontractor
:
:
Standard :
Rating :
Vector Group :
_____________________ Check all component for poper identification per

the drawings and specifications.
_____________________ Check nameplate rating, impedance, and avalaible
tab positions
_____________________ Inspect ground connection to transformer ground
_____________________ Inspect ground resistor if supplied and connection
_____________________ Inspect ground CT if supplied and connection
_____________________ Check tank, Cooling fins, Valve, Fitting and gasket
surfaces for tightness and any evidence of oil leakage
_____________________ Others (__________________________________________________________________________)
_____________________ Others (__________________________________________________________________________)
Set Transformer Taps
List Tap position
Function Test - Safety Interlocks

Description of system
:
Function Test - Auxiliary Devices

_____________________ Liquid temperature device and alarms
_____________________ Pressure device/Relay and alarms
_____________________ Level device and alarm
_____________________ Others Control
General Comment :
Inspected
_____________________
Date :
_______________
Date :
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EL-3
LOW VOLTAGE MOTOR STARTER

Client
Project no.
Project Name
:
:
:
Manufacturer
HP :
kW :
Power Wire Size

Control Wire Size
Ground Wire Size
:
:
:
_____________________
_____________________
_____________________
_____________________
Check starter/breaker component for cleanliness

Check control fuse size, type, and rating
Check control power transformer size and rating
Check wiring for control code and identification per
drawing & specification
Check Mechanical function of starter/breaker
Check terminations at starter including lugs
Check breaker size, rating and instantaneous setting
Check Motor space heaters
Check draw out cubicles and wireways for cleanliness
remove shipping and blocking material from MCC
Check wire markers, and terminal block connections are secure and properly identified
Set motor circuit protectors
Check the phasa rotation of the voltage on the main bus
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
Date
Subcontractor
:
:
Equipment Number :
Volt :
F.L.A :
Rating :
O. L. Relay setting
CT Ratio
Ground CT Ratio
:
:
:
(If applicable)
(If applicable)
Function Test - Control Circuit

_____________________ Close and trip starter from ALL control devices
_____________________ Start, Stop and Lamp Test from ALL control devices
ITEM TESTED
Phasa A to Ground
Phasa B to Ground
Phasa C to Ground
Phasa A to phasa B
Phasa B to phasa C
Phasa C to phasa A
MEGGER TEST INSULATION RESISTANCE IN MEG-OHMS
General Comments :
Inspected
_____________________
Date :
_______________
Date :
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EL-4
LOW VOLTAGE MOTOR

Client
Project no.
Project Name
:
:
:
Manufacturer
HP :
RPM :
Equipment Number :
Volt :
Date
Subcontractor
:
:
F.L.A :
Rating :
_____________________ Measure and Record motor speed, Temperature Rise, Voltage And Current
_____________________ Check motor rotation arrow to verivy that it conforms to driven equipment
Requiments.
_____________________ Check motor ground connections
_____________________ Check RTD's
_____________________ Check power and Control conduits and Cable for proper tagging
_____________________ Check all equipment items for comformance to area clasification
_____________________ Check for proper equipment labelling
_____________________ Check Wire terminations at motor including lug installation
_____________________ Others (____________________________________)
Test - Insulation Resistance - motor only - (megaohms - 1 minute test - 1000 volt megaohmeter)
T1 - Grd_____________
T2 - Grd ________________
T3 - Grd ____________
Test - Insulation Resistance - Cable and motor (megaohms - 1 minute test - 1000 volt megaohmeter)
T1 - Grd_____________
T2 - Grd ________________
T3 - Grd ____________
Function Test - Motor (Uncoupled)
Alat Ukur
_____________________
_____________________
_____________________
_____________________
Merk
Range Tegangan
Tegangan pengujian
Verivy proper rotation

Record no-Load current
Record Vibration
Record bearing temperature
_________________
_________________
_________________
General Comment :
Inspected
_____________________
Date :
_______________
Date :
JOIN INSPECTION LIGHTING
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EL-5
LIGHTING
Client
Project no.
Project Name
Manufacturer
Location
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
: PT. ANTAM Tbk

:
: BELT CONVEYOR P3FP FeNi-1 PROJECT
Date
Subcontractor
:
:
Equipment Number
Area Clasification
Check lighting fixture nameplate voltage, wattage, temperature rating, and type.
Check size of power and grounding cable
Check Wire terminations at lighting
Check all equipment items for comformance to area clasification
Check proper operation of all lighting fixture and lamps
Good general condition - no mechanical damage
Check cable lighting are suitable with calculation
Others (______________________________________________________________________)
Others (______________________________________________________________________)
Others (______________________________________________________________________)
General Comment
Inspected
_____________________
Date :
_______________
Date :
JOIN INSPECTION CABLE TRAY
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EL-6
CABLE TRAY
Client
Project no.
Project Name
: PT. ANTAM Tbk

: 025/9231/DAT/2012
: BELT CONVEYOR P3FP FeNi-1 Project
Manufacturer
Location
Cable Tray Material
Alumunium _________
Date
Subcontractor
Equipment Number
Hot Dipped Galvanized Steel ________________
Fiberglass Polyester _________________________
Stainless Stell ___________________
Fiberglass Vinyl-Ester ________________
Cable Tray Type

Ladder ______________
Through _______________
Cable tray Covers

Required ___________
General Comment :
:
:
Not Required ___________
Comment ___________________________

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EL-7
UPS
Client
Project no.
Project Name
:
:
:
Date
Subcontractor
Manufacturer
Type :
Input Voltage :
_____________________
_____________________
_____________________
_____________________
Cable entry (Top/Bottom)

All cabinets, enclosures and rooms clean
All vendor (manufacturer) manuals are available
Verivy inverter checkout by vendor representative
:
:
Equipment Number :
General Comment :
_____________________
Date :
_______________
Date :

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EL-8
GENSET
Client
Project no.
Project Name
:
:
:
Manufacturer
Current :
Speed :
Rating Output :
temperature Rise :
Equipment Number :
Voltage :
Weight :
Date
Subcontractor
:
:
F:
Pf :
RPM :
Hz
General
_____________________ Nameplate date in accordance with drawings, Specifications and Requistions
Location and orientation Correct
_____________________ Access and Fixing Correct
Check diesel, generator panels and enclosure for any visible signs of damage
_____________________ Check electrical panel labelling
_____________________ Check pilot lamp test
_____________________ are connection are tight
_____________________ Grounding connected are tight
_____________________ All cabinet, Enclosures and rooms clean.
_____________________ All vendor (manufacturer) manuals are available
_____________________ All sthe starting systems, protection, alarm, functional tests to be checked
_____________________ Verivy all voltmeter/ammeter are callibrated and correct
_______________ohms
_______________ohms
_______________ohms
Generator Winding Resistance Phas2 1 to 2

General Comment :
_____________________
Date :
_______________
Date :

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EL-9
SURGE ARRESTER
Client
Project no.
Project Name
Manufacturer
Type :
:
:
:
Date
Subcontractor
:
:
Equipment Number :
General
_____________________ Inspect for physical damage, such as damaged insulation or mounting bracket
Verivy location and name plate rating
_____________________ Continuity test of ground connections from arrestor to ground grid system
_____________________
_____________________
_____________________
_____________________
Others (______________________________________________________________________)
Others (______________________________________________________________________)
Others (______________________________________________________________________)
Others (______________________________________________________________________)
General Comment :
_____________________
Date :
_______________
Date :
JOIN INSPECTION CABLE MV
Page ....... Of .........

EL-10
Client
Project no.
Project Name
Manufacturer
Type
General
_____________________
_____________________
_____________________
_____________________
_____________________
: PT. ANTAM Tbk

: 025/9231/DAT/2012
: BELT CONVEYOR P3FP FeNi-1 PROJECT
Date
Subcontractor
:
:
Equipment Number :
Location
Inspect cables for physical damage and proper connection in accordance with SLD
Verivy proper terminals and crimping die are used on cable and that crimping procedure
Verivy cable color coding or phasing
Perform continuity test to insure proper cable connection
Inspect shield grounding, cable support, and terminations
General Comment :
Megger test on each cable with respect to ground and adjacent cable. For cables 250 Volt, and less use 500 voltmegger, for cable
250 Volt to 600 Volt use 1000 voltmegger, for cable above 600 volts and less than 1200 volt use 2500 voltmeggger.
_____________________
_______________

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EL-11
BATTERY CHARGER
Client
Project no.
Project Name
Manufacturer
Type :
:
:
:
Input Voltage :
Output Voltage :
Visual Inspection
Is there any mechanical damaged
Is there size and input voltage corresponding with site
Equipment Number :
Ampere :
Ampere :
Date
Subcontractor
:
:
F:
F:
V:
V:
Hz
Hz
_______________
_______________
Signaling
Check correct measurement
Battery
Visual Inspection
Battery type and Specifications
_______________
_______________
Site Informations
is the site suitable to contain the battery charger
Which kind of load connected
Is the mains also supllied by diesel generator
Diesel Generator type and specifications (if applicable)
_______________
_______________
_______________
_______________
General Comment :
_____________________
Date :
_______________
Date :

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EL-12
METERING DEVICES
Client
Project no.
Project Name
:
:
:
Manufacturer
Type :
Input Voltage :
Date
Subcontractor
:
:
Equipment Number :
Visual Inspection
Compare equipment with drawing and specifications
Inspect physical and mechanical condition
Inspect cover gasket, cover glass, condition of spiral spring, disk clearence
cantact as applicable
Verify the unit is clean
Verivy freedom of movement, end play
_______________
_______________
_______________
_______________
_______________
General Comment :
_____________________
Date :
_______________
Date :
JOIN INSPECTION
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EL-13
JUNCTION BOX
Client
Project no.
Project Name
Manufacturer
Location
Material
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
:
:
:
Date
Subcontractor
:
:
Equipment Number
Area Clasification
Spesification
Check JB
Check Wire terminations at JB & Receptackle
Others (______________________________________________________________________)
Others (______________________________________________________________________)
Others (______________________________________________________________________)
Others (______________________________________________________________________)
Others (______________________________________________________________________)
General Comment
Inspected
_____________________
Date :
_______________
Date :
JOIN INSPECTION
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EL-14
VARIABLE SPEED DRIVES

Client
Project no.
Project Name
:
:
:
Date
Subcontractor
Manufacturer
Location
:
:
Equipment Number
Area Clasification
_____________________ Verivy ratings of the VSD and motor are correct for the proposed
installation by reviewing the engineering drawings and specifications
_____________________ Check nameplate voltage and current rating for breakers, contactors and fuses
_____________________ Verivy grounding is correctly installed and connected to the main grounding system
_____________________ Inspect for physical damage, missing part. Check compartment and
equipment for cleanliness
_____________________ Verivy wiring and conductor sizing is correct and are propoerly terminated
_____________________ Vendor manuals are available
_____________________ Verivy motor is uncouple and safely isolated against accidental contact by personel
Set Speed
Frequency
Voltage
Current
Remark
0%
5%
25%
50%
75%
100%
Note :
Verivy motor accelerate smoothly. Check motor for noise, vibration, heating. If any abnormally occurs
check initial setting and consult manufacturer drive installation setup instruction.
Reduce speed to minimum and verivy motor decelerates smoothy without any noise or vibration.
Stop the motor and control relays operate to properly disconnect power from the motor
Couple the motor to the load
General Comment
Inspected
_____________________
Date :
_______________
Date :
JOIN INSPECTION
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EL-15
CATHODIC PROTECTION RECTIFIER

Client
Project no.
Project Name
:
:
:
Manufacturer
Location
Cable connection/terminals tight ?
Rectifier case grounded ?
Move taps of rectifier to minimum setting or
adjust potensiometer to minimum before energizing
DC Positif (+) cable between rectifier and anode bed
properly labeled and connected
DC Positif (-) cable between rectifier and structure
properly labeled and connected
Date
Subcontractor
:
:
Equipment Number
Area Clasification
_____________________
_____________________
_____________________
_____________________
_____________________
AFTER ENERGIZING
Record values shown on Volt and Amp meters________________DC Amp______________________DC Volt.
Increase rectifier output to obtain design output value_______________DC Volt_______________DC Amp
Note
Turn off the rectifier before changing the output setting
_____________________
Check all DC connections to ensure that there is no excessive heat at the connection (loose connection
generates excessive heat), if excessive heat present, turn off the system, then tighten the loose connection.
Total anode bed resistance
_____________________
General Comment
_____________________
Date :
Inspected
_______________
Date :
JOIN INSPECTION
Page ....... Of .........
EL-16
IMPRESSED CURRENT CATHODIC PROTECTION

Client
Project no.
Project Name
:
:
:
Date
Subcontractor
Manufacturer
Location
Rectifier type
Type of anode bed
CP system capacity
Anode type
Operating Output
:
:
Equipment Number
Area Clasification
_____________________
___________Remote______________
_____________________
_____________________
_____________________
Rectifier Rating
Distributed
_____________________
Number of anode
_____________________
SURVEY DATA
Junction Box No.
_____________________
Date :
Anode No.
Anode Output (A)
Inspected
_______________
Date :
JOIN INSPECTION
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EL-17
SACRIFICIAL ANODE CATHODIC PROTECTION

Client
Project no.
Project Name
:
:
:
Date
Subcontractor
Manufacturer
Location
CP system type
Type of anode
CP system capacity
Anode type
Operating Output
:
:
Equipment Number
Area Clasification
_____________________
_____________________
_____________________
_____________________
____________V____________A
Rectifier Rating
Type of anode bed
____________V____________A
_________Deep________Surface
SURVEY DATA
Anode Number
Current output at
commisioning (A)
Current output at
Polarization (A)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
Rating of anode shunt

_____________________
Date :
_______________mV_________________A
Inspected
_______________
Date :
JOIN INSPECTION
BUSDUCT
Page ....... Of .........
EL-18
BUSTDUCT
Client
Project no.
Project Name
Manufacturer
Location
: PT. ANTAM
:
: BELT CONVEYOR
Date
Subcontractor
:
:
Equipment Number
Area Clasification
Check Visual Busduct

_____________________
Check Calibrated torque
_____________________
or porous weld, damaged insulation
Check tightness of accessble bolted bus joints by
_____________________
Measured resistance
_____________________
_____________________ Others (_________________________________________)
_____________________ Others (_________________________________________)
_____________________ Others (_________________________________________)
General Comment
_____________________
Date :
Inspected
_______________
Date :
JOIN INSPECTION
Page ....... Of .........
EL-19
RECEPTACKLE'S
Client
Project no.
Project Name
Manufacturer
Location
Material
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
:
:
:
Date
Subcontractor
:
:
Equipment Number
Area Clasification
Spesification
Check Receptackles
Check Wire terminations at Receptackle
Others (______________________________________________________________________)
Others (______________________________________________________________________)
Others (______________________________________________________________________)
Others (______________________________________________________________________)
Others (______________________________________________________________________)
General Comment
Inspected
_____________________
Date :
_______________
Date :
JOIN INSPECTION
Page ....... Of .........
EL-20
DISTRIBUTION BOARD
Client
Project no.
Project Name
Manufacturer
Location
Material
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
:
:
:
Date
Subcontractor
:
:
Equipment Number
Area Clasification
Spesification
Name Tag provided on the front panel of every distibution board
Distribution boards securely mounted on suitable support
A suitable switch provided to control each distibution board
The breaking capacity of MCB is comply with Load
Circuit connected to MCB or fuse in accordance with the schematic diagram
Check Wire terminations at Distribution board
Check distibution board for comformance to area clasification
Check grounding connection to distribution board
Check metering devices with good function
Others (______________________________________________________________________)
Others (______________________________________________________________________)
Others (______________________________________________________________________)
General Comment
Inspected
_____________________
Date :
_______________
Date :

Page ....... Of .........
EL-
NGR
Client
Project no.
Project Name
:
:
:
Manufacturer
Type :
Input Voltage :
Date
Subcontractor
:
:
Equipment Number :
Visual Inspection
Lifting eyes aligned and tightened
Enclosure is free of scratches, dents and paint chips
Insulator and bushings are properly installed and tightened
Resistor are properly installed and free of detects
Current transformer(s) is/are properly installed (if applicable)
Potential Transformer is properly installed (if applicable)
All wiring is properly installed and Tightened
Ground stud is installed (if applicable)
The ID tag contain's the correct information
Hi - Pot test @ ________ kV for 60 Seconds
____________________ Nominal resistance (from I.D tag)
____________________ Ohms, Measured Resistance
____________________ %, Percent Differernt
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
_______________
%, Percent Differernt
= ((Measured resistance - Nominal Resistance)/Nominal resistance)*100
General Comment :
_____________________
Date :
_______________
Date :
ELECTRICAL INSPECTION PULLING, WIRING & CONTINUITY
No
1
2
3
4
5
6
7
8
9
10
11
12
13
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
Equipment name
41-WO-001
41-WO-002
41-WO-003
41-PU-001
41-PU-002
41-PU-331
41-PU-332
41-PU-311
41-VR-601
41-PU-351
41-PU-361
41-PU-362
41-MOV-001
41-CP-001
41-LP-401
41-LP-501
41-LP-601
41-BL-501
41-BL-502
41-PU-301
41-PU-302
41-PU-341
41-PU-342
41-PU-343
41-PU-344
41-PU-345
41-PU-321
41-PU-322
41-PU-391
41-BL-601
41-BL-602
41-ACUPS-001
41-DCUPS-001
41-SDP-001
41-SDP-002
41-SDP-003
Pulling cable
From
To
MCC - Field/PD Field/PD-Mtr
NA
NA
NA
Termination
From
To
Continuity
From
To
Remark
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
9888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888
q199
No
Equipment name
From
1 41-SDP-001
2
3
4
5
6 41-SDP-001
7
8
9
10 41-SDP-001
11
12
13
14
15
16
17
18
To
41L-LP-101
41L-LP-102
41L-LP-103
41L-LP-104
41L-LP-105
PD-371
PD-374
PD-381
41-LP-201
41-LP-301
41-LP-302
41-LP-303
41-LP-304
41-LP-305
Pulling
Wiring
Continuity
Remark
No
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
Equipment name
MCC
41-WO-001
41-WO-002
41-WO-003
41-PU-001
41-PU-002
41-PU-331
41-PU-332
41-PU-311
41-VR-601
41-PU-351
41-PU-361
41-PU-362
41-MOV-001
41-CP-001
41-LP-401
41-LP-501
41-LP-601
41-BL-501
41-BL-502
41-PU-301
41-PU-302
41-PU-341
41-PU-342
41-PU-343
41-PU-344
41-PU-345
41-PU-321
41-PU-322
41-PU-391
41-BL-601
41-BL-602
41-ACUPS-001
41-DCUPS-001
41-SDP-001
41-SDP-002
41-SDP-003
Percent
Pulling cable
To
DCS
Termination
To
DCS
Continuity
To
DCS
Remark

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Page ....... Of .........

GROUNDING SYSTEM TEST REPORT

: PT. ANEKA TAMBANG

Check connection for tightness

Test Method/Instrument Used :

Resistance to Ground Ohms

(5) Other - Specify

Reviewed and Approved

POWER TRANSFORMER TEST REPORT

: PT. ANTAM (Persero) Tbk

_____________________ Check all component for poper identification per

Function Test - Safety Interlocks

Function Test - Auxiliary Devices

Reviewed and Approved

LOW VOLTAGE MOTOR STARTER

Power Wire Size

Check starter/breaker component for cleanliness

Function Test - Control Circuit

MEGGER TEST INSULATION RESISTANCE IN MEG-OHMS

Reviewed and Approved

LOW VOLTAGE MOTOR

Function Test - Motor (Uncoupled)

Verivy proper rotation

Reviewed and Approved

JOIN INSPECTION LIGHTING

Page ....... Of .........

: PT. ANTAM Tbk

Reviewed and Approved

JOIN INSPECTION CABLE TRAY

Page ....... Of .........

: PT. ANTAM Tbk

Hot Dipped Galvanized Steel ________________

Fiberglass Polyester _________________________

Stainless Stell ___________________

Fiberglass Vinyl-Ester ________________

Cable Tray Type

Cable tray Covers

Not Required ___________

JOIN INSPECTION CABLE TRAY

Cable entry (Top/Bottom)

JOIN INSPECTION CABLE TRAY

Generator Winding Resistance Phas2 1 to 2

JOIN INSPECTION CABLE TRAY

JOIN INSPECTION CABLE MV

Page ....... Of .........

: PT. ANTAM Tbk

JOIN INSPECTION CABLE TRAY

JOIN INSPECTION CABLE TRAY

Reviewed and Approved

VARIABLE SPEED DRIVES

Reviewed and Approved

CATHODIC PROTECTION RECTIFIER

Reviewed and Approved

IMPRESSED CURRENT CATHODIC PROTECTION

Reviewed and Approved

Anode Output (A)

SACRIFICIAL ANODE CATHODIC PROTECTION

Rating of anode shunt

Check Visual Busduct

Reviewed and Approved

Reviewed and Approved

Reviewed and Approved