NO:PSS/DOC/2021/TBPST0009 DOCKING REPORT TB. PANCARAN 1312 PT. PANCARAN SAMUDERA TRANSPORT= PT. PANCARAN SAMUDERA SHIPYARD DANG ARON satety > SURAT KETERANGAN DOCKING Nomor. TBPSTOOB/SKD-PANCARAN 1312)PSSIMII2021 Bersema surat ini menerangkan bahwa Nama Kepat PANCARAN 1312 emi Owner PT.PANCARAN SAMUDERA TRANSPORT denis TUGBOAT Class KI Ucuran Utama Kapa Panjang (LOA) 28.00 Meter Tinggi (0) 3.65. Mater (8) 8.00 Meter GRTINRT 199 Gr Telah menjloni docking repair cigalangan kapal milk PT. Pancaran Samudera Shipyard, sebagai berkut Kapa! Masuk Galongan 14 Novernber 2021 Kapal Docking 22. Novermber 2024 epal Undeckng 26 Desember 2021 Demikian kam sampaikan, dengan segaiahormatatas perhatian dan kabjeksanaannya kam ucapkan teria kasih, ital Kartanegara, 28 Desember 2021 PT PANCARAN, RA SHIPYARD ~ARD Head of Shipyard= PT. PANCARAN SAMUDERA SHIPYARD CANGARON Satety'D RITA ACARA ( KAPAL SELESAI PERBAIKAN ) Pod Hari In, Minggutanggal Dua Puluh Enam Oesember Qua Ribu Dua Pulun Satu (26 Desember 2021) yang bertanda tangan dawah ii 1 Nara [ANDR! SUKMA RAMADHAN sbatan Head of Shipyard Perusahaan PT Pancaran Samudera Shipyard Dalam hal ni bertindak untuk dan atas nema PT. Pancaran Semuders Shipyard Untuk selarutnya clebut YARD. ZAINUL ARIFIN ‘Ounar Representative PT. Pancaten Semudera Transport Dalam hatin bertindak untuk dan atas rama PT. Pancaran Samudera Transper, Yang selanjutnya dsebut OWNER REPRESENTATIVE Dengan ini menyatakan dengan sebenarny, bahwa YARD telah menyerahkan 1 (satu) unt kapal kepada OWNER REPRESENTATIVE, yong tech selesai aksanakan semua pertaikanidooking repair dengan data-data sebagai ber! 3 Nama Kapal PANCARAN 1312 Type Tuceoar Ueuran Panjang (LOA) 26.00. Meter Lebar (3) 800 Meter Tinggi (0) 365 Meter cater 199 GT OWNER REPRESENTATIVE telah meneria penyerahan 1 (Sat) unit kapa dar YARD, yang telah seleseidlaksanakan semua perbeikan/docking repair sesual hesepakatan dalam repair is. DDemikin bert ecara ini ibuat dengan sebenarnya untuk dapat dipergunakan sebagaimana mestinya OWNER REPRESENTATIVE PT.PANCARAN SAMUDERA TRANSPORT PP nwconaseReee Pr aa0 Wy. ZAINUL ARIEIN YARD ‘Owner Representative= PT. PANCARAN SAMUDERA SHIPYARD co PANCARAN BERITA ACARA ( SERAH TERIMA DOCUMENT ) Pade Hern, Minggytanggel Ova Pun Enam Desember Dua Ribu Dua Puluh Satu (26 Desember 2021) telah diserahterimakan document berupa 1 Docking Report TUGEOAT PANCARAN 1312 (Original) sebanyak: 1 Rangkap Nomor: TBPSTOOSISKD.PANCARAN 1312/PSS/KIV2024 Yang Menyeratkan ‘Nama ERLANGGA P Jabatan Project Officer Perusahaan PT Pancaran Semudera Shipyard Yang Menerima Nama ZAINUL ARIFIN sebatan ‘Owner Representative Perusahaan PT. Pancaran Samuera Transport Document telah diserahterimakan dengan Kondisi bak dan lengkap. DOemikian berita cara ni cibuat dengan sebenamya untuk dapat cipergunakan sebagaimana mestinya OWNER REPRESENTATIVE SHIPYARD PT.PANCARAN SAMUDERA TRANSPORT Aa Hy lo ZAINUL AEN nner RepresentativePT. PANCARAN SAMUDERA SHIPYARD safety BERITA ACARA { SeRAN TERINA TUOBOAT PANCARAN 1912) Pada Hern, Ming tanggal Dua Puluh Enam Desember Qua Ribu Dua Puluh Satu (26 Oasember 2021) yang bertandstengan dibawah ini 1 Nama ERLANGGA P sabatan Projet Ofcer Perusahaan PT. Pancaren Samudera Shipyacd Dalam hal ni bertindsk untuk donates nama PT, Pencaran Samudera Shipyard, untuk slanjutnya disebut YARD 2 Name ZAINUL ARIFIN. sabatan (Owner Representative Perusahaan PT Pancaren Samudera Trensport Dalam hal ni bertindak untuk dan atas rama PT. Pencaran Samucera Transpor, vang selanutnya dlsebut OVINER REPRESENTATIVE ‘Dengen ini menyatakan dengan sebenarnya, batwa YARD telah menyerahkan 1 (satu) unit kapal kepada OWNER REPRESENTATIVE, yang telah sees) cieksanakan semua perbakan/docking pair dengan data-data sebagal beikut 3 Nama Kapal PANCARAN 1312 Type TUGEOAT Ukuran Panjang (LOA) 28.00. Meter Lebar (6) 800 Meter Tinggi (0) 3.85. Meter GRTmRT 199 GT ‘OWNER REPRESENTATIVE telah menerime penyerahan 1 (satu) uni kal dar YARD Ye! secking repair digalangan PT Pancaren Samudera Shipyara sesual Kesepakatan dalam rep {elah selesa laksanakan semua pertain / ist ‘Adepun Koni Kapal 1 Lambung Hull Kondis bai slesai pengecatan ) 3 Main Deck Kondist bak selesa: pengecatan ) 4 Sistem Kernuat Lengkap (Kendisi Baik) 5 Sistem Kerua Lengkap (Kendlsi Baik) 6 Bolder LLengkap (Kondisi Baik} 7 Zink Anode Kondisi baru (42 pes ) 8 Ban Oaprah Lengkap coking Tug Boot ‘9 Winen Jangkar Lengkap (Konclsi Baik & Bisa dioperesian } Derik benta acara ini cibust dengan sebenarnya untuk dapat dpergunckan sebageimana mestiny varo Over RePReSENTATIVE PIP ERA SHIPYARD PTPANCARN SAMUGERA TRANSPORT uy ARAN ZAINUL ARE ‘SHIPYARD Sener Represetatve= PT. PANCARAN SAMUDERA SHIPYARD aN Safety BERITA ACARA (FINAL INSPEKS! ) Cay i ‘Pada Harn. Minggutanggal Ova Puluh Enam Desember Dua Ribu Dua Puluh Satu (26 Desember 2021) Telah diakukan tna inspeks! ersama pada TUGBOAT PANCARAN 1312 antarapihak owner ang diwali oleh Bp, ZAINUL ARIFIN ‘dan plhak ara yang 6 wakl oleh Bp. ERLANGGA P ‘Owner menyatakan baw pekeraan perbaikan sudah selesa dl lakukan sesuai dengan lst pekerjaan yang ‘Sepakat!antarapihak gaiangan PT. PANCARAN SAMUDERA SHIPYARD dan pihak over PT PANCARAN SAMLDERA TRANSPORT ‘dan kapal TUGBOAT PANCARAN 1312 dinyatakanlayak untuk doperasikan DDemikian beta acaa ini ibuat dengan sebenarnya untuk dapat dpergunakan sebagaimana mestinya vyaRD OWNER REPRESENTATIVE PT PANCARAN, SHIPYARD PT-PANOARAN SAMUDERA TRANSPORT a CARAN S IDERA SHIPYAWO ee= PT. PANCARAN SAMUDERA SHIPYARD < PANCARAN some D BERITA ACARA (Cleaning Area Chain Locker) Pada Han Ini, Minggu tanggal Dua Puluh Enam Desember Dua Ribu Dus Puluh Satu (26 Desember 2021) Tolah selesoidlaksanakan pekerjaan cleaning pada area bulk cargo Kapal TUGBOAT PANCARAN 1312 ‘Setelah di lakukan pengecekan oleh comer representative, maks bulk cargo dinyataken bers, Demikian beta acara in cibuat dengan sebenarnya untuk dapat dpergunakan eabagaimana mestnya OWNER REPRESENTATIVE ‘yaRo Pr PANG -A SHIPYARD PT.PANCARAN SAMUDERA TRANSPORT [eu ‘ FA SHIPYARD cami Karel Projet Offer ‘umes RopesantatveGI§T NVUVONKd ‘2 L cron CAVA VURONMES NVINENYL Id NOISNVEXS T1HHS vw. =|— ZHEL NVRVON "8 | FOISLYOd CuvOmaris NOISNVdX4 TAHSuVAdIHS: ‘vusaniys NVUVONVd ‘Id ‘ldag) i) Zigle @ Bg)TTT i: TIT geg88ias 2 | 3 Sia oimnu ueroe na aim inca | vtrewopa) dw aumin ay ee re]omsates oman ge aDspose = Wf te FZ i cs PL 02 Squsag genous 4ZZ > prancaran Samudera Shipyard REQUISITION for INSPECTION PANCARAN ta ciptioti its tment thei and ACCEPTANCE FORM sa Tana 2 REFERENCE REQUEST No.) R/TBPSTOOS/OOT lcuenr 17. PANCARAN SAMUDERA TRANSPORT provecT cove cuass xr INSPECTION/TEST DATE; 12 November 2021 Jcarecony ANCHOR & ANCHOR CHAIN INSPECTION/TESTTIME ; 30.00:1.00 PROJECT No, REQUEST TO > Dap Qual Contal SECTION TALE ev DESIGNaTiOn ITEM TOBE INSPECTED TANGHOR & ANCHOR GAN Description fff Drawing No 1. clearence Anchor Weight (2) 2. clearence Anchor Chan Diameter (1) Please arrange for inpecion/test tobe performed onthe folowing Tick APPLICABLE DESCRIPTION neu T [incor ATA SPECTON [TRANSFERING HEAT / BATCH NUMBER ur we pepararion sack caus nsrecron si UAL /weuone nsvécron enero [NON DESTRUCTIVE TEST (NOT; RT, MPI, PT, UT, * [asa (rm necro tRUcTUREY [AIR TEST/ VACUUM TEST / HOSE TEST/ HYDROTEST* Tua esr awn [ v lothers (Measurement check) inspection Result Comments / Recommendation Report terlampi * Choose the appropriate requirement Pr, Pancaran Samudera Shipyard SPFROVED BY REQUESTOR ‘QC INSPECTOR PLANNER ‘OWNER REPS Dare DNow-2 ‘TNov-2 SIGNATURE NAME ERLANGGAP. "ABDUL THAN TW 1QBAL RACHIMAN ZAINULARIFINa PT Pancaran Samudera Shipyard PANC REQUISITION for INSPECTION and ACCEPTANCE FORM 1. Clearence Rudder Stock Lower Bearing (2) 2. Clearence Rudder Stock Neck Bearing (2) 3. Cearence Propeller Shaft AFT (2) la. Clearence Propeller Shaft FWD (2) [sar PANCARAN T312 REFERENCE REQUEST No, IR/TBPSTOOS/002 [cunt PT. PANCARAN SAMUDERA TRANSPORT PROJECT CODE cuss ext INSPECTION/TEST DATE: 25 Novernber 2021 CATEGORY PROPULSION SYSTEM INSPECTION/TESTTIME —:10.00-11.00 PROJECT No, REQUEST TO ‘Dep Quality Control SECTION aazac By DESIGNATION TEN TOBE INSPECTED: ‘PROPULSION SYSTEM Description Reff. Drawing No. Please arrange for inspection/test to be performed on the following TICKIF APPLICABLE DESCRIPTION RESULT [ncoWNG MATERIAL ISPECTION [TRANSFERING HEAT / TCH NUMER JFt-ur /weLo pxeranaTion T sual / WELDING insPecTON STRUCTURE)? [sua ina. wsPEcTiON (STRUCTURE) [an TeSt/ vacuum TES / HOSE TEST/HYORO TEsT* JvsuaL @asTING & PAINTING lother (clearence check) accepted inspection Result Comments / Recommendation = Report terlampie or * Choose the appropriate requirement = sour | feb — | Ge (d M2 PT Pancaran Samudera Shipyard REQUISITION for INSPECTION. PANCARAN 1 tocipkia nda tetnepattinntn ra bein and ACCEPTANCE FORM [SHIP PANCARAN 1312 ‘REFERENCE REQUEST No. ‘IR/TBPSTO09/003 lcuewr PT. PANCARAN SAMUDERA TRANSPORT pROIECT CODE : cuass ori INSPECTION/TEST DATE: 8 DESEMBER 2021 carecone Genera ourerns INSPECTION/TESTTIME ; 08,0053.00 PROIECT No. REQUEST TO > Dap Quali Conal sicroW TALE ov DESIGNATION ITEM TORE NSPECTED Description Aft Drawing No 2 Hand Ring (Bridge deck, Top deck Stay Bulwarks Main Deck .Eyluefor Tyre Fender Please arange for inspectlon/test to he performed onthe felowing THCKTF APPLICABLE DESCRIPTION UT T iui rac PeCTON STRUCTURE ist emery [ an st vaca TEST / OSE TES WORD TST® e t over ees : t Inspection Result Comments / Recommendation cover all welding oke Ketokslag/ Kerak las * Choose the appropriate requirement= Pr Pancaran Samudera Shipyard PAN BS REQUISITION for INSPECTION EER SIA ton Gon neal etaneptatintan Te; ne and ACCEPTANCE FORM HP PANCARAN 1312 REFERENCE REQUEST No. IR/TBPSTOOS/004 IculeNT PT. PANCARAN SAMUDERA TRANSPORT PROJECT CODE Ictass. Bxt INSPECTION/TEST DATE = 13 DESEMBER 2021 IcaTecorY HULL STRUCTURE INSPECTION/TEST TIME = 99.00-10.00 PROJECT No, [REQUEST To Dep Quality Control SECTION QAZOG By DESIGNATION TEM TOBE INSPECTED. Description Reff. Drawing No. 1. REPLATED AREA AT CORNER HULL ($8) 2. REPLATED AREA AT STEERING GEAR COMPT. (PS & SB) 2. HULL FENDER (PS & SB) Please arrange for inspection/test to be performed on the following TICK IF APPLICABLE DESCRIPTION RESUTT Jsrur / wo eranron {vsun/wexosinsrecon rRucTuRE* [NON DESTRUCTNE TEST NDT TMP FU, J¥SUAL/ FNAL SPECTON STRUCTURE Jn es vacoun Ts os esr vO TesT* Jorins ro spc Inspection Result Comments / Recommendation ‘overall welding oke * Choose the appropriate requirement Tr. Pancran Smadar Shard TRRROVED ET TEQUESTOR OC:NSPECTOR FORRER OWNERRES ONE TE_DESEMBER 200i | 1S DESEMBER 2027 n SIGNATURE ta (O= \y a ERUANGGAP TROT IWAN TH-TQUALRACHMIAN ZANUCARTN2S PT Pancaran Samudera Shipyard REQUISITION for INSPECTION PANCARAN toscana sertanepraimrten ns, does and ACCEPTANCE FORM | saIP PANCARAN 1312 REFERENCE REQUEST No, IR/TBPSTOOS/005 | lcuenr PT, PANCARAN SAMUDERA TRANSPORT PROJECT CODE cuss 8x! INSPECTION/TEST DATE: 11 Desember 2021 carecony PIPING svsTEM. INSPECTION/TEST TIME: 09,00-10.00 PROJECT No. REQUEST TO Dep Quality Control SECTION ‘ALOE bv DestcnaTion ITEM TOBE INSPECTED Description eff. Drawing No. Uj Kekedapan Valve Please arrange for inspection/test to be performed on the following TICK F APPLICABLE DESCRIPTION RESULT — | nansFERING HEAT /6ATCH NUMBER ore rn : FT-UP/ WELO PREPARATION = pepe eEga ee eo i sul / weLOINs msPeCTON (STRUCTURED is JON DESTRUCTIVE TEST (NDT. RTLMPLPr.UT)# — [ sual / FNAL RSPECTION (STRUCTURE =e lavoro Test* star 5 accepted ores (rsp ane inspection Result Comments / Recommendation “Choose the appropriate requirement PT ancora Ses Spa TERROVED RT REQUESTOR CE NSPECTOR FANE WERTEPE OnE Teczt TiDec21 SIGNATURE fe (O» Wb ) wae ERANGEAR, TOUT THAN TH TGBAL RACHIMIAN ZRRULARNa PT Pancaran Samudera Shipyard REQUISITION for INSPECTION = PANCARAN #to-capticoistasietarepetnrtn Tin fone and ACCEPTANCE FORM SAP 7 TB, PANCARAN T312 REFERENCE REQUEST No, 1 1R/TBPSTODS/005 icuenr + PT. PANCARAN SAMUDERA TRANSPORT PROIECT CODE : cuss. Bk INSPECTION/TEST DATE 29 November 2021 JcaTecoRY INSPECTION/TEST TIME 108.00 -09.00 PROJECT No. REQUESTTO > Dep.Quallty Control SECTION ‘@azac By Project Officer DesicNarion [TEM TOBE INSPECTED: “AIR VANT HEAD Description Reff. Drawing No. 1. AIR VENT HEAD Please arrange for inspection/testto be performed on the following : DESCRIPTION RET TICK APPLICABLE TANSFERING HEAT /OATCH NUMER v-uP WELD PREPARATION [Ack GAUGING NSPECTON a IMSuAL/WELOING.wsPEcHON STRUCTURE INON DEsTAUCTVETESE NDT RT, MPP UF = IL RSPECTON (STRUCTURE? [a eS VACUUM TEST/ HOSE TEST HYDRO TEST™ HSuac Wastin PARTING INSPECTION AIR VANT HEAD inspection Result Comments / Recommendation DIGANT BARU KARENA KONDISI USAC = Choose the appropriate requirement EE aaa a i on = aoe on sown | fA W It NAME [ERLANGGA P. ABDUL JIHAN M. IQBAL RACHMAN, ‘ZAINULARIFIN2 PT Pancaran Samudera Shipyard REQUISITION for INSPECTION PANCABAN te: 6ie tants Ti idomss and ACCEPTANCE FORM SH 8. FANCARAN 1312 REFERENCE REQUEST No. IR/TBPST003/007 lcurent PT, PANCARAN SAMUDERA TRANSPORT PROJECT CODE cuss, 8x! INSPECTION/TEST DATE: 28 November 2021 lcarecony INSPECTION/TEST TIME: 08:00-09:00 PROJECT No. REQUESTTO + Dep Gualty Control SECTION ‘aA7ae lv Project Officer lbesicnarion TEM TOBE INSPECTED "AIR VANT HEAD Description Reff. Drawing No. AIR VENT HEAD Please arrange for inspection/test to be performed on the following. TOK IF APPLICABLE DESCRIPTION TEST T [Neb WATERALINSPECTO |_mansttRNG HEAT /OnTCH NOMDER 1 fee (we pasarion Jack GAUGINGINSPECTION sua WELDINGINSPECTON SAUNT now DesTRUCTVE TES NOT, MP, U, * sua. /smac WSPECTON (STRUCTURE)? 1 unrest vac TST / HOSE TST HYORO TEST HER (Tope) nsrecron an ven eno —RePAiR [inspection Result Comments / Recommendation KONDISI MASI BISA DIPERGAIKY/ DIREPAIR = Choose the appropriate requirement some a Gi \2 PT Pancaran Samudera Shipyard REQUISITION for INSPECTION PANCARAN locator tt tampa Toes and ACCEPTANCE FORM Sar TS PANCARAN 32 REFERENCE REQUEST No, 1R/TBPSTOO9/008 jcuenr PT. PANCARAN SAMUDERA TRANSPORT PROJECT CODE cass: xi INSPECTION/TEST DATE: 01 Desember 2021 JcaTecoRy BLASTING INSPECTION/TESTTIME — 99,001T. PROJECT No. REQUEST TO Dep Quality Control ‘SECTION ‘Gaae By DESIGNATION FTEN TOBE INSPECTED: BLASTING Description Reff. Drawing No. - BLASTING UNDERWATER - BLASTING TOPSIDE & EXTERNAL BULWARK Please arrange for inspection/test to be performed on the following TTICKIF APPLICABLE DESCRIPTION. RESUTT [cones WATERIAL INSPECTION |RANSFERING HEAT /OXTCH NUMBER Jerr /eLo PREPARATION Jaace Gauci nsPEcTiON VIAL / WELOWNG INSPECTION (STRUCTURE)* INOW DESTRUCTIVETEST (NOT) RT. MPL PT, UT, |visuat / Fnac nspecron (srRUcTURE)® [aa tesr/v . [sua BASTING PAINTING [inspection Result Comments / Recommendation = Founded some flash rust/rusty area and area need to grinding on minor area, {QC fully advice to do repair and re inspect is required. Re inspection and final inspection has conducted together Owner reps ae the results satisfying. choose the appropriate requirement Fane ema ipa RET REAUESTOR OC NEPECTOR ER ARETE on SIGNATURE ee ky ! |) AME ERLANGER [WARM wracnatand | —MATORAC RACH ZANOL AAT2 PT Pancaran Samudera Shipyard REQUISITION for INSPECTION PANCARAN itor Gapkton yt etanepatlnata Tis nea and ACCEPTANCE FORM sa Te PANCARAN 1312 ‘REFERENCE REQUES’ No, IR/TBPSTOO9/003, lcuent DT. PANCARAN SAMUDERA TRANSPORT PROJECT CODE lcuass en INSPECTION/TEST DATE: 01 Desember 2021 Jcatecory PAINTING INSPECTION/TESTTIME 09,00 (T PROJECT No. [Request To Dep Quality Control “SECTION ‘aac lav Desicwarion ITEM TOBE INSPECTED PAINTING Description eff. Drawing No. - BLASTING UNDERWATER - BLASTING TOPSIDE & EXTERNAL BULWARK Please arrange for inspection/testto be performed on the following, TICK APPLICABLE ‘DESCRIPTION. REUT [NcowinG WATERIAL INSPECTION [TRANSFERING HEAT BATCH NUMBER JF /eLO PREPARATION [isu /wetcins msEcriON STRUCTURE NON DESTRUCTVETEST NOT, PLP, Ur, * |v FNAL wePEcron sTUCTURE)? 2 | HOSE TES/WYOROTEST™ [Eun aust PANTING inspection Result Commonts / Recommendation Founded some miss coat, low DFT, paint sagging & water mark on minor area, {GC fully advice to do repair and re inspect i required. Re inspection and final inspection has conducted together Owner reps, as the result satisfying = Choose the appropriate requirement PT. Pancaran Samudara Shipyard APPROVED BY REQUESTOR [OC INSPECTOR PLANNER, ‘OWNER REPS DATE TAME ERANGGA WARY MALBAKIM, TWUIQBAL RACHNAN, ZAINULARIFINB LEAK TEST eee = Revision DANGABAN REPORT ae essa TE. PANCARAN 1312 ‘Date of inspection ; G7 Dasomber 2027 lteaktesr = [TJ airtest = [J Hvorotest CO otter « ) HOLD TIME 60. Minute PRESSURE 8 ear ate valve sea ches ato valve sea chest = a = fto4 fa al jos el an saa — roars asLEAK TEST [bee. No, izac-rssyvnvann Revision |- REPORT [Date fir Desember 20 [OWNER Joureace conomon [YZ] we1oe0 race oF exam lweiowornocees [=] craw score or Jexsamurion CURRENT paid oO =e Do esenera. Oo ccce ner CO emxresr = PT. PANCARAN SAMUDERA TRANSPORT 1 crowno rwsn LD) orterwetome FE] eter wvoncsrane Oy smn CO wexcrsons 1 ramen wer Oo Peer eras nm CO omen, > OD wwress COower core enereanr Date of inspection : O #88000 77 DESEMBER 2021 comer > comer > commer > WeLo PART omen ( , VACUUM TEST a0 CCEPTED PREPARED BY CECREDEY| APPROVED SY "ABDUL TAN ERUANGGRF, ZNTC ARE {2 inspector Project Ofcer ‘OwnerAIR TEST [Samer 7T_PANGARAN SAMUDERA TRANSPORT —[Laaaten DRY DOR [Prysct "TS PANCARAN 1312 Doe No Pan War ss Dae Toes AAT Cs csBz MAIN CODE — VESSEL TB. PANCARAN 1312 PANICARAN JARTICLE RUDDER SHAFT CLEARANCE NO. ORDER CONDITION: DOCKING REPAIR SECT 25November 2021 |UNIT STARBOARD & PORT SIDE DATE — @Rudder Stock: 114 mm A Max clearence: 3.14 mm omnes — sorrom ence igs oe @Bottom Pintle: 114 mm ae i Maxclearance: 3.44 mm PORTSIDE STARBOARDSIDE RUDDER STOCK BOTTOM PINTLE RUDDER STOCK BOTTOM PINTLE fz i we 19 06 08 2 PS | s | ps se | | Ps sa | Ps $B 0 | 38 | 06 7] [a8 0 [ts 0 o o T 15 AF © # REVIEW BY, INSPECTED BY, VERIFIED BY, im P fv! dinar | iL “OWNER SURVEYOR== MAIN CODE 5S = |VESSEL TB. PANCARAN 1312 PANCARAN JARTICLE CLEARANCE SHAFT PROPELLER NO. ORDER CONDITION: DOCKING REPAIR ee 25 November 2021 UNIT STARBOARD & PORT SIDE \ saute romansal | on LA ete \ soon g( | 1 \ | ] PORTSIDE ‘STARBOARDSIDE AFTER: FORWARD AFTER FORWARD Top Top Top Top or 03 45 15, PS | SB | PS | SB PS | SB | PS | SB 02 | 02 | 03 | 02 05 | 07 | 05 | 02 0 0 0 0 Bottom Bottom Bottom: Bottom: |Max Clearance : 1%D +2.5=4 |Max Clearance : 1%D +2.5 = 4 REVIEW BY, INSPECTED BY, VERIFIED BY, ale bi fuer Brow / “OWNER SURVEYOR,B= MAIN CODE = VESSEL ‘TB PANCARAN 1312 PANCARAN ARTICLE BALANCING PROPELLER NO. ORDER ICONDITION AFTER REPAIR, ee 13 DESEMBER 202 UNIT : STARBOARD & PORTSIDE. PORT SIDE ‘STARBOARD SIDE ROTATED RESULT ROTATED RESULT [Blade 1 in bottom BALANCE |Blade 1 in bottom: BALANCE |Blade 1 & 2 parallel in bottom BALANCE |Blade 1 & 2 parallel in bottom BALANCE [Blade 2 in bottom BALANCE [Blade 2 in bottom BALANCE [Blade 2 & 3 parallel in bottom BALANCE |Blade 2 & 3 parallel in bottom BALANCE [Blade 3 in bottom BALANCE [Blade 3 in bottom: BALANCE [Blade 3 & 24parallel in bottom BALANCE [Blade 3 & 24paraltel in bottom BALANCE [Blade 4 in bottom BALANCE [Blade 4 in bottom: BALANCE é BY, INSPECTED BY, VERIFIED BY, u p bs : M PROJECT OFFICER “OWNER SURVEYOR= : i EES MAIN CODE. 20/QC-PSS/XIV21 = |VESSEL TB, PANCARAN 1312 PANCARAN JARTICLE ANCHOR WEIGHT NO. ORDER : CONDITION ACCEPTED ae 12 November 2021 UNIT STARBOARD & PORT SIDE fi | Hy Hy AN h\ | Q\ YQ | ( N Wh \ 4 | f NI | SIZ Y/ _Jangkar kiri (PS) Jangkar kanan (SB) Berat Jangkar Original 360 Kg} Berat Jangkar Original 360 Kg| Berat Jangkar sekarang| 340 Ko| Beret Jangkar sekerang| 350 Ke| Standart Lint 10% Standart Limit 10% Berat minimum 326 kg) Berat minimum 325 Kg] Remark ; Masih memenuhi standar dari class BK! REVIEW BY, INSPECTED BY, VERIFIED BY, wee Pp Fedui dtkow PROJECT OFFICER “OWNER SURVEYOR,a= MAIN CODE => =a VESSEL TB PANCARAN 1312 PANCARAN JARTICLE CHAIN MEASUREMENT NO. ORDER : CONDITION: BEFORE ee 12. November 2021 UNIT STARBOARD & PORT SIDE C O's COMMON LINK RANTAI JANGKAR KIRI KANAN, SEGEL Tiara Satuan—[KETERANGAN [horn] Satuan “[FETERANGAN A 49.60 mm 49.20 mm 1 B 20.10 mm Bak 49.70. mm Baik Rate 1985 mm 95 mm A 19.55 mm 19.80 mm W B 20.00, mm Baik 20.00 mm Baik Rata? 1976 om 73.90 mm A 19.30 mm 19.40 mm ui B 13.70 mm Bak 79.80 7m Bak Rata? 19.50 mm 19.60 mm A 19.40 mm 19.20 mm. N B 19.40 mm Baik 19.60 mm Bak att 1940 mm 1049 mm A 16.40 mm 18.90 mm v [8 17.50 mn Bak 19.40 mm Bak Rata’ 16.95 mm 19.15 mm. im 78.00 mm 17.00 mm Mi B 47.50. mm Baik 16.80 mm Baik Rata? i775 mm 76.90 mm Ramark: Kons rants masin memenuistandar aes eran 19mm) 12% |16:72 mm 12% REVIEW BY, INSPECTED BY, VERIFIED BY, p @ Le fy du\_ Jhon PROJECT OFFICER QUALITYCONTROL © “OWNER'SURVEYORBs PT. PANCARAN SAMUDERA SHIPYARD = BLASTING AND PAINTING INSPECTION REPORT CANGABON Project Name TS PANCARAN T37 Report Ne Bate [04 Desember 2027 Component ident Nex ject NS Surface Preparation Cleaning [|v ]BLASTING [rower roouina (_Juvoro serine Sancard of Ceang isazo ‘ot brasve Sica Sand (es3-O - Fir Mirorntar © [ves repectod [UNDERWATER (100%) COMPLETED omelet [ves pected Before ca [Blot Prota ‘Dias Praia iat Profle tach Press -O- Fim) \Atach Press - OF ) tac Press -9- Fim) Compieion af Ceaning [Date owraREDE [ime 10.00 VATA PAINTING TstCoat Bd Coat Ba Ooat Paint ianutacrer TOTUN PANT [Type of Pare TOTAMASTIC OAL AT 7 Z [Batch No. (A ® Decors 2705007 Hype ef Tener JOTUN THINNER NO 17 [atch No 2520668-1 [DP Cr Ae Temp CR wo] we 19, [Sutace Temp & are Z [Sir Date Tine aA wooowna | [WET OFT Merona 7300 Inspected by [Remarks : [Ti i to cert thatthe cbove toms have been iapected and accepted by the Paint Representatives [couPaNy TESS PANT REPRESENTATIVE OWNER GEPyESENTATIVE IsicnaruRe For [Raw TWAHYUWAL HARE ZORLRIFT ‘CANT. ARE foare= PANC/ SAWADERR SHEYARD PT. PANCARAN SAMUDERA SHIPYARD. BLASTING AND PAINTING INSPECTION REPORT [Project Name [TE PANCARAN 137 [Report No Date [0s Gesembar 2027 [Component lident-No-z roject No ‘Surface Preparation Clearing ¥ | BLasTiNG | (Jrower roounc (_)nvpro sernne Sandard of Cleaning ise20 pes of Abrasive [Sia Sina Precs- 0 Fim MirometerID [wea inspected [TOPSIDE (700%) COPLETED Eleomater [rea nspecied Bator Oe [bast Prof | Atach Press - 0 -Fam) Bias Proie | Atach Press - ©. Fim ) catch ian Pre Proce -0- Fim) (Sempleion of eaning [Dale OaTOIET i Tow PAINTING TatCoat Bred Coat re Coat [Pant Wanctoctre TOTUN PANT Ivpe of Pare IOTAMASTIC BU ALRT [ech No. (A © ESIESI 2579600-1 Hypo of Tanner OTN THINNER NO 17 atch No 2520660-4 DP Cr Ar Temp Gi RE 2 7%, [Surace Temp © are [stat Date Time Ta TooowiTa \weT OFT Here 1360 [inspected by (G6 Paint Rop And Owner Rep [Remarks This to certy tat te above lems have been nepectes and accepes by tw Pant Representatives [COMPANY Pas PAINT REPRESENTATNE CGUIRER REPRESENTATIVE SicnaTuRE For zi aE TAS AFAL HARI ZOCKFL AM ZAR ART [DATE4B PT. PANCARAN SAMUDERA SHIPYARD. = BLASTING AND PAINTING INSPECTION REPORT PANCARAN PANGARAN SPRATT STN Pe aie Ee oer StcePopweon/cumie [V | wxmeuamnc — (leowentoous {Lavoe ——— re eee eer eae CC ———— cane Sees — oe ae aaa mae feasraa ears meineelelrey en Sma oe — ar heron ATI oe a ae psmmacrs : sara = 3 ee bathe w]e a 7 =a STS 7 Batch No, y 2523668-1 7 Sone 7 ae ee Z a : Z aaa ee [WET | DFT Micron 7 100 7 a Saas oS feast fst ce eh rpc ay Pat Reger =a = RTE — | — SRE lecurune : hae ARCO eer Soar EAE4 => ANY SAWADERR SHFYARS, PT. PANCARAN SAMUDERA SHIPYARD BLASTING AND PAINTING INSPECTION REPORT Projet Nae [TS PANCARAN T572 epaWe ern, Comaae Date 16 Desenber 2027 " ent Noa Projecto ‘SarecePrparaon/Cleenna [L¥ | HAND CLEANING (power roouns {| wwpnoserninc Sanaarsor cag [ips tare ease Pree O- Fin ner [wes hepected [ToPSive (00% 7 COMPLETTED comets [ies roped % Bist Prot isaatre aa rome (AtachPress-O-Fim) (atch Press -0- Fam |(Aten Press -0-Fim) [Semin a ein Date aaa [ine aT PAINTING Taco Bd Coat Tacoat Pantin JOTUN PANT Hip orPare Z JOTAFIKPU TOPCOAT BLUE ach No o B76 758500571 pe of Tamer JOTONTHANER 70 ach No, a4 [DP Crar Temp G7 Z ae _[ are Tae 7 Surace Temp Z we Z Strate Te | 7 TaoRaAA TaoowaTa [wer OF ne 70 inspects Pat Rep And Owner Rap Remar This sto certy thatthe above tems have been inspected and accepted by the Pant Representatves [SOMPANY, PrASS PAINT REPRESENTATIVE CGWINER RGPRESENTATIVE [sionaruRE 7 aE WaRYO RAR IRL TARO ARN [DATE4 PT. PANCARAN SAMUDERA SHIPYARD = BLASTING AND PAINTING INSPECTION REPORT RAN PANCAI Exe SPARS [Pigject Name [TS PANCARAN 1972 Report No [Component ident No.5. [Project No Sic Popevton Ono [L¥Tuawmcigamns —_ [_leowsmzooune TLavososermne andard oT Cea [Sica Send [Press -O- Fin Veromatr | UNDERWATER (100%) CONPLETTED. ‘cometer os (Bast Prete Bias Proie [Bat Prae ((Atach Prees-0- Fim) | Atach Press -O- Fim) | Stach Press -0-Fim ) (Garpieton af Ciearing Dae TIO ime Ta 30 WTA PAINTING Tcoat Prd Coat Bacoat [Pant Mantecirar 7 JOTUN PANT [ype ot Pane x ‘SEAFORGE SHIELD DARKRED festcn No. @ Z Z 768642 Hype of Tier OTN THINNER [aac no Z Z BeBz013-1 [DP cir Tene C1 Ree Tz =e | we 7m Surface Temp eo Star Date Tine 7 wanraoa 1530 WITA [WET DFT Mieene Zz 1258 inspected by {26 Paint Rep And Over Rep [Remarks : hiss to certy that the above tems have been inspected and aeceped by he Paint Represertatves [COMPAN Py PANT REPDESENTATNE OWNER REPRESENTATIVE SIGNATURE . NAME WARY WAC HARI Zar aa ‘ZANUCARIN, DATEPANICARAMN SAMUDERK SHIPYARD BLASTING & PAINTING PROGRES TB PANCARAN 1312 2 Fie ottom Ine condition2 Topside 3 or cnectes | Ranta jatar Peore6 Piso ark 7 Overview ahr competed pit sppletonThis is to Certify that the Supply of TBT-Free Selfpolishing Antifouling to this ship is compliant with IMO’s AFS Convention* PT. PANCARAN SAMUDERA TRANSPORT TB. PANCARAN 1312 Date of supply 19 DECEMBER, 2021This is to certify that Date of issue 19 December, 2021 “TB. PANCARAN 1312” was coated on the underwater area with TBT-free Self-Polishing Anti Fouling Self- Polishing system In compliance with the IMO Antifouling Systems Convention of 2001 (AFS/CONF/26) This certify is limited to the area which the antifouling system applied at dry docking at PT. Pancaran Samudera Shipyard, December 2021 The product is manufactured by Jotun Coatings and contains the following active ingredients SeaForce I Shield, D Red Dicopper Oxide (CAS Number 1317-39-1) Zineb (CAS Number 12122-67-7) Safeguard Universal ES, Plum(2.comp. primer) was applied to seal off any possibleexisting TBT-antifouling TSS Support = Marine Coatings Indonesia Jotun Coatings This certiicate does not replace the "Certificate of Compliance” issued by the proper authorityDNV-GL Certificate No: TaKoOO01KV TYPE APPROVAL CERTIFICATE This is to cer ‘That the TBT-Free Anti-Fouling Systems with type designation(s) SeaForce Shield Issued to Jotun A/S SANDEFJORD, Norway Js found to comply with DNV GL class programme DNVGL-CP-0110 - Type approval ~ Anti-fouling systems Application : ‘Organotin-free self-polishing ant fouling system. Product(s) approved by this certificate is/are accepted for installation on all vessels classed by DNV GL. ‘This Certificate Is valid until 2024-05-15. Issued at Havik on 2019-05-16 for DNV GL. DNV GL local station: Sandefjord Approval Engineer: Gisle Hersvik aoe Rikard Térnavist Head of Section ‘is Certcate is subjoct totems and contons overeat. Any sigcant change indesign or constrcton may ence this Catt na “The vad date retest he Typ Spproval CarMate thee the pgrore of ceupmenkysems Rete form code: TA Latna ~pavson: 2015 08 oe com Page Tor (Bw Gt 2014, ENV GL andthe Heron Graphic are ademas of ONV GLAS,Job 1d: Certificate N Product description Organotin-free self-polishing hydrolysing anti-fouling paint; SeaForce Shield Colours: ‘The product may be available in various colours. Please contact the local Jotun representative for details. r CAS No. 1317. Cuprous oxide CAS No. 12122-67-7 Zined Manufactured by Jotun COSCO Marine Coatings (Qingdao) Co., Ltd., South of Chunyang Road and East of Huaguan Road, Qingdao National High-tech Industrial Development Zone, Qingdao, Shandong 166109, P.R.China DNY GL local station: Qingdao Jotun Coatings (Zhangjiagang) Co. Ltd., Jiangsu Yangtze River Internat. Chemical Industry Park, Zhangjiagang Free Trade Zone, Jiangsu 215634, P.R. China DNV GL local station: Nanjing Chokwang Jotun Ltd., 30% Block Jisa Science Park, 1205 lisa-dong, Gangseo-gu, Busan 618-230, South Korea, DNV GL local station: Pusan Jotun Paints (M) Sdn Bhd, Lot 9143, PN 38500, Kawasan Perindustrian Nilal, 71800 Nilal, Neger! ‘Sembilan, Malaysia DNV GL local station: Kuala Lumpur Jotun U.A.E Ltd. (LAL.C.), P.0.Box 3671, Al Quoz Industrial Area, Dubai, ULE. DNV GL local station: Dubai Responsibility ‘The Company (stated on the front page of this Certificate) takes the responsiblity that both design and production are In compliance with Rules, Standards and/or Regulations listed on page 1 of this certificate. Application /Limitation The issuance of this certificate is solely connected to the control of the Anti-Fouling System, AFS, with regard to compliance with the International Convention on the Control of Harmful Anti-Fouling Systems on Ships. It does not cover verification of surface preparation, corrosion protection, fire, health and safety precautions, durability of the AFS or environmental properties other than regulated by the Convention. Type Approval documentation Letter from Jotun A/S of 2019-04-01, incl. Application letter of 2019-03-26, Application for Type Approval of 2019-03-22, 1SO 9001-certificate, TDS, SDS and tin test report from Molab as of 2019-02- 2 Form cos TA Revion 2015.5 wen dnagcom | Page 223Job Id: 262.1-031207-1 Certificate No: TAKOOO01KV Tests carried out ‘Type Testing carried out in accordance with Type Approval documentation, with the following test results (ref. Test Report from Molab as, Norway of 2019-02-27): - SeaForce Shield: -<0.02 wi% tin Marking of product Product shall be marked with manufacturer’s name; place of production ané type designation. The marking is to be carried out in such a way that itis visible, legible and indelible. The marking of product is to enable traceability to the DNV GL. Type Approval Certificate. Periodical assessment ‘The scope of the Periodical Assessment is to verify that the conditions stipulated for the Type Approval is complied with and that no alterations are made to the product design or choice of materials. Periodical Assessment to be performed after 2 and 3.5 years (Certificate Retention) and at renewal after 5 years (Certificate Renewal). ‘The main elements of the Periodical Assessment are to: + Ensure that Type Approval documentation is available, + Review design, materials, production process, and performance with respect to possible changes, in order to ensure compliance with Type Approval documentation and/or referenced material specications. Ensure traceability between manufacturer's product marking and the DNV GL Type Approval Certificate. END OF CERTIFICATE Farm cae TA 14318 avo 20508 wi dng Page 303vz] ise | ove se] ase | on eons o em ez] or | aze r9ius 3} evar 2] ow fare cva08 ¢ ree a] ise | axe Breese, e| oe | sie mre shane, ser] aie ear] oie zai ca HORI YARNS 40s Loiseuopul- pfEgoins OL TABLS VAVPNVIG NYMYNND ‘Ld