PT. BIRO KLASIFIKASI INDONESIA (Persero) TAPORAN KETIDAK- SESUATAN ‘Non Conformity Report Proyek No: NCR [Obyek > Crawler Crane Fat. Migas Re-certification INCR No. object. Page litem Number: CRS9 [Zerit J aajor FA mtinor Not. tia: Which may lead ols ea serious injury or environmental damage ‘Mejor : Which lead to demage to esentil equipment or have adetrienta effect on operation = Minor": Which may led ta suction that contrite toon accident ort circumstance n which the required standard operation ar not meet finspektur PT: BKI(Persera) Pemakat PT Petrolog indah Inspector User INama/Name : La ode Abdul Sahid M, ST Nama/Name : Rami ITeI/ Date [Tgl/ Date: Agustus 15,2017 FTindakan Korekst Corrective Action 1. Aux Wire was found flatten and permanen bend, shall be replaced [Kesepakatan tanggal penyelesaian tindakan korekst : [Agreed dace for a of corrective action [Tanda-tangan pemakai ‘Tal Agustus 16,2017 User Signature Date Evaluasi penyelesaian dari tindakan Korekst {Evaluation for Completion of corrective action Arn }Tanda-tangan Inspektur: ‘Tpl: Agustus 16,2017 [inspector Signature DatePT. BIRO KLASIFIKASI INDONESIA (Persero) ‘LIST. OF NCR (NON CONFORMITY REPORT) Glient PT Petrolog indah Equipment Crawler Crane Capacity 50.0 ton; Panjang Boom 12.2 m; Radius 3.7 m,9 PL temo. 2 CRS9 Mode! cH 500 Type + Telescopic Boom Serial No. 261339 Location Lahendon, manado North Sulawest ae Satement Date oftssued NCR | Date ofclosed | Remark NCR Aux Wire was found flatten and| |permanen bend, shall be replaced Apistas 15.2047, Aguetas.162017 forte 1, Inspected by, AAD, PT. BIRO KLASIFIKASI INDONESIA (Persero) BERITA ACARA 1921/KS.201/BPC/]2-2017 Sesuai dengan Surat Penunjukan Direktur Teknik dan Lingkungan Migas No. 7344/18.05/DMT/2017 tanggal 02 Agustus 2017, PT Biro Klasifikasi Indonesia (Persero) Cabang Utama Komersil Balikpapan, telah melaksanakan Inspeksi dan uji beban (load test) terhadap 1 (satu) unit Pesawat Angkat "Crawler Crane” dengan data dan hasil sebagai berikut. 1. Data Umum -Pemilik PT Petrolog indah -Peralatan Crawler Crane 3 = Pembuat hi Construction Machinery Limited -Nomor Serial 261339 -Mode! : CCH S00 = Nomor Item + CR59 -Tipe + Lattice Boom -Kapasitas 50.0 ton; Panjang Boom 12.2 m; Radius 3.7 m, 9 PL. Tahun Pembuatan + 2013 ~Tahun Pemakaian 2014 Panjang Boom 21.0 meter ~Beban Kerja Aman (SWL): 25.2 ton ~Referensi/ Code ‘ASME B30.5 2. Hasil Uji Beban (SWI 110%) Panjang Boom) Radius] SuduterfabobanKeqa Aman] Uj Botan No | (meters) | (meters) SWI. (ton) {ton) eer Main Hoist i> 70 10 aa 57 52 Baik 21.0 60 754 252 280 Baile Aum Hoist i [310 | a0-189 [790-560 55 32 Baik Rekomendast : Main Hoist Berdasarkan hasil ui beban (Load Test) peralatan tersebut diatas dapat dioperasikan dengan Maksimal Beban Kerja Aman (SWL) 25.2 ton, dengan panjang boom 21.0 m, Radius Kerja 6. m, dan sudut kerja 75.4, ui beban 28.8 ton, 20.0 mm, 6x (29) IWRC Weert ‘Auchoist :Beban Kerfa aman 50 ton Panjang boom 21.0 m, radius kerja 6. - 18.0.m, dan sudut kerja 79,0 - 56.0", uj beben 5.2 ton, wire rope © 20.0 mm, 1847 IWRC 3 PL Demikian berita acara ini dibuat untuk dipergunakan sepertunya, sambil menunggu diterbitkannya Sertifikat Kelayakan Penggunaan Pesawat Angkat oleh Direktorat Teknik dan Lingkungan Migas. Lahendong Agustus 16,2017 PT Petrologindah PT BKI (Persero) Inspektor MIGaS BKI KOMERSIL BALIKPAPAN LMT, Haryono No, & Ring-road, BALIKPAPAN - 76114 owe lt eel Wed Fa (5) 769 cma: bbls 180 9001: 2008 CERTIFIED COMPANYKEMENTERIAN ENERG! DAN SUMBER DAYA MINERAL REPUBLIK INDONESIA DIREKTORAT JENDERAL MINYAK DAN GAS BUMI toate eetets PENGUJIAN PESAWAT ANGKAT (Testing of iting Equipment) pata emai (sr) Prretrolag nda kes (tocaion Tatendong Manado Nort Sulawes emor tem (tem Number) cRs9 Pemanufactr (anfactare 9) 1 Construction Machinery Lied Nomar Sr (Sera Mmber) 261239 rype (re) =, Lea boom pasts (cacy) 950. ton, panjong boom 12.2 m; rains 3.7m, 9 pl ode! (ode) > eciS00 than Pembuatan (ear Buty 2013 Faun Penggunaan (ear used) 2014 Pengpinoee (Serta). ting Eaiment Panjang Boom (Geom ea) 2.0meter " oor Penggerak Utama (ain motordrie) Y foment (amtocre by) Commins ne fb, Nome set (Seiinumder) rasis02s Je Takun pembuatn {ear but) 2013 Tatan pergaonnen (ear ised) a3 fe. Tenags, Voltage, (Power Voge 149 Kw 2100 Rpm ‘Amper Ampere, HP) ie sing (oi ine / Wire Rope) 2. Uma (iain bts)8 (Type) 200 mm, xP (29) IWRCLP. PL Bante (auc hoss)aChpe/ze) 200mm, 8x7 IWRCLE PL © Bhs (Boom hast ype) 160mm, Gx @5) WRC LP. PL Main Hook Bock 2 Pemansflcar (dtanyjocarea by) 1H Construction Machinery Limited Th Nomor see Seclonbe) o7oist48 eet (capacty) sot pustary Hook Bock Es reverie (Manufactured by) 1 constuction Machinery Limited iy Noe (Seria mamber} ‘Morass © ‘Rapasas (caved) SatonEE HR RE RE EE Ee wa Es ee oe ee KEMENTERIAN ENERGI DAN SUMBER DAYA MINERAL REPUBLIK INDONESIA DIREKTORAT JENDERAL MINYAK DAN GAS BUMI Bona Toppa neta PENGUJIAN PESAWAT ANGKAT (Testing of Lifting Equipment) lPENGUIAN LAPANGAN eet es), 1 FINCHONAL TEST Tanga Boban Dengan Boban (itchout od ‘ath ad) T.Pengangata dan penanian sing Fou = (Uiing ond Lowering Hott Tapets) Ee a Fengegiatee der perenne = ee (Uifting and Lowering Bora) Bak (Good) Talk (Good) » Gora geser trolley & bridge 2 (Rolle and Bridge Travel). Operas rem dan opting aoe (Grates and Cutchs) j aan 7 Gates gis des poe ‘ Limie a Wiches nd Lacking) —_ Rated Eee) 5 Prt pengaman : ; ee oe Bale (Good) Bak (Good) Pb ae sae Balk(Good) ak (Good) 7 tegen re i. ee na Bai (Good) (Goer) Ee Gonkyarr aE (Rotaton Movement) a) Bie (Gooi) 3 Reespatan nal rn EE ro are {iting and Lowering Speed) preston fee) a. Kattutamanall/tarun {ain took Up/bown) iret Tae(oaod] Ta [Saal Masia Balk (Good) Baik (Good) stb pali/toran (Guana Hook Up/Down) = Mine Baik (Good) Baik (Good) Mesto Bal (6008) Balk (Good)KEMENTERIAN ENERG! DAN SUMBER DAYA MINERAL REPUBLIK INDONESIA DIREKTORAT JENDERAL MINYAK DAN GAS BUMI Benak TP Page of PENGUJIAN PESAWAT ANGKAT (Testing of Lifting Equipment) Ju. TEST BEBAN (Load Test) ‘Type: Lattice boom SN 261339 tem No :¢R59 ‘Tanggal Pengujian : August 16,2017 (Date of Testing) Panjang Boom Sudut Radius Kerja [Beban Kerja Aman | Uj Beban oa No} (Boom Length) | (Boom Angle) | (Working Raatus}| (Sw) (Load Test) ay (Meter) Peay (Meter) (Ton) (Ton) Main Hoist o1 210 358 ty 87 52 Baik o 210 754 60 252 2a8 Baik Hux | 01 20 790-560 60-180 50 52. Baik ICATATAN HASHL PENGUTIAN Rekomendasi Beban Kerja Aman (SWI) =25-ton, 1 Marus dibuatian og book/ maintenance services, 2 Laleukan pemeriksaan minggua,bulapan dan tahunan sesu: ASME B30. 3. Main Hoist SWL= 252 ton, dengan panjang boom 21.0 m,dan sudut kerja °, 6PL J# AuxHoist SWL= Ston, dengan panjang boom 21'm,radiis 6.0 18.0 m, dan sudut 72.0-56.0°, 1 PL PT BKI (Persero) Inspector Rounrd FA DudiAndrianto =. Gust Suarnaya Sidemen,LLMPT. BIRO KLASIFIKASI INDONESIA (Persero) COMMERCIAL MAIN BRANCH BALIKPAPAN lowner/User : PT Petrologindah : Crawler Crane : CRS9 + 50.0 ton; panjang boom 12.2 m; radius 3.7 m, 9 pl Lattice boom THI Construction Machinery Limited : 261339 : CCH 500 2013 : 2014 Lahendong, Manado North SulawesiPT. BIRO KLASIFIKASI INDONESIA (Persero) COMMERCIAL MAIN BRANCH BALIKPAPAN : PT Petrolog indah : Crawler Crane : CR59 + 50.0 ton; panjang boom 12.2 m; radius 3.7 m, 9 pl : Lattice boom : IHI Construction Machinery Limited 261339 + CCH500 : 2013 2 2014 : Lahendong, Manado North Sulawesi STEPI Load test on 100% SWL Boom Length : 21.0 metre ‘Angle 235.8" Radius: 18.0 metre Holding time 15 minutesPT. BIRO KLASIFIKASI INDONESIA (Persero) COMMERCIAL MAIN BRANCH BALIKPAPAN lowner/User : PT Petrologindah Equipment Crawler Crane Item No. R59 Capacity 50.0 ton; panjang boom 12.2 m; radius 3.7 m, 9 pl type Lattice boom Manufacturer : IH{ Construction Machinery Limited Serial No. 261339 Model : CCH 500 Year of Built : 2013 Year of Used : 2014 Location : Lahendong, Manado North Sulawesi Load Test Main Hoist STEP I Load test on 110% SWI Boom Length : 21.0 metre Angle 7a" Radius: 6.0 metre. Holding time 15 minutesPT. BIRO KLASIFIKASI INDONESIA (Persero) COMMERCIAL MAIN BRANCH BALIKPAPAN : PT Petrolog indah : Crawler Crane : CRS9 : 50.0 ton; panjang boom 12.2 m; radius 3.7 m, 9 pl : Lattice boom : IHI Construction Machinery Limited + 261339 : CCH 500 : 2013 : 2014 : Lahendong, Manado North Sulawesi STEP I Load test on 110% SWL Boom Length : 21.0 metre Angle 35.8" Radius 18.0 metre Holding time 15 minutes