LEMBAR PENGESAHAN
Disetujui di Jakarta
Pada Tanggal: 17 Mei 2021
Disusun Oleh: Oleh
Specialist QA EPC Kepala Divisi Manajemen Proyek EPC
LEMBAR REVISI
A 28 April 2021
Menambahkan Referensi Permen ESDM No.
B 10 Mei 2021 4 Dipenuhi 38. 2017, SNI 3474, ISO 13847, ASME Sect. II.
Part C
4 Dipenuhi Menambahkan Singkatan
DAFTAR ISI
1. TUJUAN
Dokumen ini menjelaskan mengenai Inspection and Test Plan (ITP) yang diperlukan dalam
Pekerjaan Instalasi Pipeline (Onshore), untuk memastikan aktivitas inspeksi yang dilakukan
dapat secara efektif berdampak terhadap kualitas dari Pekerjaan Instalasi Pipeline (Onshore).
2. LINGKUP KERJA
Dokumen ini diaplikasikan pada Inspection and Test dalam Pekerjaan Instalasi Pipeline
(Onshore).
4. SINGKATAN B
API American Petroleum Institute
ASME American Society of Mechanical Engineers
AWS American Welding Society
SNI Standar Nasional Indonesia
ISO International Organization for Standardization
“I” Inspect : Pemeriksaan wajib terhadap pekerjaan yang telah diselesaikan seperti
yang ditunjukkan pada simbol “I” pada Rencana Inspeksi dan
Pengujian. Kegiatan bisa berupa cek visual, test, pengukuran
dimensional.
INSPECTION & TEST PLAN
ITP Pekerjaan Instalasi Pipeline (Onshore)
PT PGAS SOLUTION
7. RISIKO POTENSIAL B
Risiko potensial yang terjadi dalam menerapkan ITP ini adalah:
No. Tujuan Risiko Potensial dan Rencana Mitigasi
1 Mencegah terjadinya Risiko Potensial:
penggantian utilitas lain Potensi bahaya akibat pipa gas, kabel listrik, atau
utilitas lain yang terdampak galian atau boring.
INSPECTION & TEST PLAN
ITP Pekerjaan Instalasi Pipeline (Onshore)
PT PGAS SOLUTION
Rencana Mitigasi:
Sebelum pekerjaan galian atau boring dimulai,
pelaksana pekerjaan harus melakukan pemeriksaan
terlebih dahulu atas segala instalasi bawah tanah
yang dapat menimbulkan bahaya selama waktu
pekerjaan.
8. LAMPIRAN
Lampiran – 1 Inspection and Test Plan
Appendix -2 Sample of Inspection Report Form
INSPECTION & TEST PLAN
ITP Pekerjaan Instalasi Pipeline (Onshore)
PT PGAS SOLUTION
Lampiran -1
Inspection and Test Plan
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11.2 Personnel Qualification Review Project Specification Project Specification Personnel Certificate P,R R R
11.3 Confirm NDE clearance. Review - - Inspection Report P,R R
11.4 Surface preparation of pipe field joint. Visual Procedure Procedure Inspection Report I,W W
11.5 Field coating application. Visual Manufacturer Manual Manufacturer Manual Inspection Report P,W W
11.6 Visual check of applied coating. Visual Procedure Procedure Inspection Report I,W W R
14 Holiday Test
12.1 Confirm holiday test procedure Review NACE RP 0188 NACE RP 0188 Procedure P,R R R
12.2 Equipment Certification and calibration Review NACE RP 0188 NACE RP 0188 Calibration Report P,R R
Visual, Holiday
12.3 Examination. NACE RP 0188 NACE RP 0188 Inspection Report P,W W
Detection
12.4 Repair Visual Procedure Procedure Inspection Report P,W W
12.5 Reporting and collating of records Review Project Specification Project Specification Inspection Report I,R R R
15 Crossing
17.1 Check crossing location Review, Survey Drawing Drawing Inspection Report I,W W
17.2 Confirm drawing, procedure & permit Review Drawing, Procedure Drawing, Procedure - P,R R
17.3 Pipe installation for road, railway and river crossing Visual Procedure Procedure Inspection Report P,W W
Project Specification, Project Specification,
17.4 Cek pipe crossing accessories Visual Inspection Report I,W W
Drawing Drawing
16 Lowering
14.1 Confirm Lowering procedure Review Procedure Procedure Inspection Report P,R R
14.2 Elevation of the Top of Pipe Visual, Survey Procedure Procedure Inspection Report I,W H R
14.3 Coating damage after lowering Visual Procedure Procedure Inspection Report I,R R
17 Hot Tapping
19.1 Confirm Hot Tapping procedure Review Project Specification Project Specification Procedure P,R R
19.2 Personnel Qualification Review Project Specification Project Specification Personnel Certificate P,R R
19.3 Tapping Visual Project Specification Project Specification Procedure P,W W
19.4 WPS/PQR Review API 1104 API 1104 WPS/PQR P,R R
19.5 Welder qualification Review API 1104 API 1104 Welder Certificate P,R R
19.6 Welding Visual WPS/PQR WPS/PQR Inspection Report I,W W
19.7 NDT MT each layers Visual, NDT ASME V ASME V NDT Report I,W W
18 Anchor Block
20.1 Confirm Anchor Block Location Review, Survey Drawing Drawing Survey Report I,R R
20.2 Piling Work Visual, Load test Drawing Drawing Survey Report P,R R
20.3 Material Anchor Clamp Visual, Review Project Specification Project Specification Material Certificate I,W W
20.4 Instal Anchor Clamp Visual Drawing Drawing Inspection Report P,W W
20.5 Concrete Placement Visual Project Specification Project Specification Inspection Report P,W R
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