lNDeONistANWaIDINGsrJcfi'rY

BATA M

DATAREPORT
MANUFACTURE
( TANKNAfnE)
TA N KN O . :T B N

INDEX
t. LISTOF APPROVEDWPS
A. APPROVED
WPS (INCLUDE
LIsTOFAPP.WPS)

2. TISTOF QUALIFIEDWETDERS
A. WETDER
CERTIFICATE (TNCLUDE
USTOFQUAr'DWETDERS)

3. DATA REPORT
INSPECTION
3.I MATERIALINSPECTION
REPORT
t-<-t h (4c**<
A' Mltts CERTIFICATES -1 t\\?r' q c5\t-'' ''(th

3.2 BOTTOM PLATE:

A. FINATDIMENSION& TRACEABILITY
REPORT
B. WETDINGINSPECTION5Ui'IMARYSHEET
C. NDT REPOR.T
D. VACUUM TESTREPORT
3.3 SHETTPLATE :
A. FINAL DIMENSION& TRACEABIIITY
REPORT
B. WETDINGINSPECTION SUMMARYSHEET
C. NDT REPORT
D. ROUNDNESS TESTREPORT
E. PLUMBNESS TESTREPORT
F. PEAKINGTESTREPORT
3.4 ROOF PIATE:
A. FINATDIMENSION& TRACEABITITY
REPORT
B. WETDINGINSPECTIONSUMMARYSHEET
C. NDTREPORT
3.5 ACCESSORIES:
A. MANHOTE : SHELT& ROOF
B. NOZZTE : sHEu., ROOF & BOTTOM (SUMP)
C. TADDER
4. ERECTION
TESTINGREPORT
A. OII TESTREPORT
B. PNEUMATIC TESTREPORT
C. HYDROSTATICTESTREPORT
D. ROOF PNEU'VIATIC
REPORT

5. PAINTING DATA REPORT

A. EXTERNAI
B. |NTERNAI

6. PHOTOCOPYOF TANK NAtvlEPLATE

A< RIIIIT T T DAIA,ING
I weLDrNG
s.rcrarr
, llT.iTt,^N

Doie
Job N o
INSPECTION
REPORT
FOR ROUNDNESSOF ISTTANK SHELLPLATE

Cus?omer

Proiect Tiile

Nome of Equipment ;
ond ldentificotion No.
180"

Meosured Meosured Meosured Inside

Meosured Dimension Meosured Dimension Dio. Remorks
Point ( A ) Point (B) (D)= (A )+ (B )

Mox. Dio. 6005 - Min. Dio. s995 r0 Actuol Difference

Note:
1. Toleronce of Roundness:

2. D- 6000 ( Dio. Of Morking For Meosure )

3. Actuol Tonk Diometer Will Decreose Due To Welding Shrinkoge.

4. lnspedion Method
The dimension between Shell Plote ond morking for meosurement sholl be meosured.

Signoture : Signoture :

N om e r N cme r
REI-QCInspector ( Owner Rep. )

Dote : Dofe :
 lve[DtNt6SOC|aTI
INDaONiS|AN
DAIA/VI

INSPECTION
REPORT
OF TANK SHETLPLATECOURSENo : I sl Course
FOR.PLUTYIBNESS

Client

Proiect Title

Nome of Equipment
& ldentificotion No.

Check Meqsured Dimension(mm) Out-of- Check Meosured Dimension{mm) Out-of -

Point T op (A) Bottom ( B ) Plumb(mm) Point Top (A) Bottom ( B ) Plumb (mm)

Nofes : I st course Plumb check sfter welding of corner weld. A(Top)

l. Inspection Method : Plumb bob method.

2. Toleronce for out - of- plumb * 9 mm
3. - Shows leoning to inside. B ( Bofom )
4. * Shows leoning to oulside.

Signoture : Signoture :

N ome
( REI- aC Inspector )
i o;;; n"p.r
Dote
 weLD|l.lG
ItiDaoNeStAN srJcleru

PROJECT : R .F.l N o. :

JO B No : D A TE :
I|NE/PARTNo. : SUBCON : LOCATION :

DRAWING No. PRE- FAB JOTNT WELDER WELDING MATERIAI- NDT REQUIRED
WPS No ?EMARK:
& REV.NO. MARK F/UP srzE TYPE NO. ROOT COVER PROCESS TYPE IHK VI PT MT RT UI

L E G E ND; INSPECTED
BY: REQUESTED
BY
BW BUTTWELD
sw/Fw WELD
socKET/FTLLET
LET socKoLET/WELDOLET
soF SLIP-ON
FLANGE
WEB BUTTWELDON WEB
rL BUTTON BEAMFTANGE DATE: D A TE :
J

I
I el.roaTY
, ilT.iXr,^N "vaLDrNG

EXCESS,-SHORTAGE
& DA.TMAGE
REPORT

CLIENT :
PROJECT : PROJECT
NO. :

NON-CONFORMANCE REPORT
NO.

l-l u*.r* l-l *t'rs cERTrFrcArE D A TE

[--l sno*toou l-l ,*ot',rDENTrFrcATroN

GtRNO.

[l oo^acr [-l otnrR(sPEcrFrc] CARGOINVOICE

E5& DRA I S E DBY : D A TE

[--l *o*EHousE[-l .. ENG PO REF.NO.

'"tr. l-l
DESCRIPTION
OF MATERIAT REQUEST
NO.

PO ITEM NO. OUANTITY

DESCRIPTION
OF NON-CQNFORMANCE'

CORRECTIVE
ACTION

RECOMMENDED
ACTION AcroNEDBY oeeaRTMENT
I

REPLACE'UENT
ACTION

*rr*artrn, l--l YEs l-l YES METHoD

oF l--l ocEAN
URGENTSHIPPING SHTPPING
REQUTRFD
t]
No tl NO REPIAcEMENT [-l o'*

DELIVERY
EXAMINATION;

RAISEDBY APPROVEDBY

DEPARTMENT DEPARTMENT

DATE D A TE
t iocrerY
weLDrNG
, llur"?Xt,^N

CLOSEOUT
NO.
ES&DREPORT :

ACTIONINGDEPARTMENT:

wAREHousrf] QUATITYDEPT
n ENGTNEERTNc
f]
puRcHASTNG
orrt.l-l

C O M M E NT S :

MATERIAL
REPLACEMENT
DATE ARRIVED GIR NO. APPROVEDBY.

P O RE FNO
.

REQUEST
NO.

COMMENTS:

ES&D CLOSEOUT

tl REPLACEMENT
MATERIAL
:l CLIENTAPPROVAL

n REPLACEMENT
CERTIFICATE

SIGN AT U RE
:l OTHERS

D A TE:
ES&DCLOS E OUTB Y
NAME
t-
I
w+DrNG
rNDirrNisrAN socrfn
,
BAT A ^
(

I I rND(
INDONESIAN
WELDING
SOCIETY
I RECORDOF
MANUFACTURER's
I I *ELDER/*
/ WETDTNG
WELDER OPERATORQUAUFTCATTON
TESTS
WELDERNAME STAMPNO. CERTIFICATE
NO.,

WELDINGPROCEDURE GAS TYPE :

NO,
SPECIFICATION PERCENTAGECOMPOSIIION
i

WELDINGPROCESS TYPE
BACKING WETDINGPROGRESSION
: UPHILL/ DOWNHILL
POSITION OTHER

MATERIAL
SPECIFTCATION FOR ONT-Y
To
'NFORAIANON
P.No./Group No. : F No.

Plote/Pipe : Ihk/Schd, A No.

RANGEQUATIFIED : POSITION THICKNESS DIAMETER Diometer

Trode Nome

METALSPEC.(SFANo)
FILLER Monufocturer

AWS Closs Other

Orher ARC FLUXTRADENAME

SUBMERGED

ELECTRIC
CHARACTERISTIC
CURRENT
AC OR DC GAS METALARCWELDINGSHIELDGAS TRADENAME
POLARITY

GUIDEDBENDTESTRESUTT
IESTING SPECIMEN REPORT
TOCATIONOF FAILURE RESULT
DATE TYPE No. No.: DATE

N /A
RADIOGRAPHIC
RESUTT
FORALTENATIVE
QUALIFICAT'ON
OF GROOVEWfTD S BY RADIQGRAPHY

RADIOGRAPHIC
RESULT. REPORTNO I DATE
FILLETWELDTESTRESUTT
FRACIURI TESr( DfSCRTBfrH€ TOCATON, NAruRE AND S|ZEOF ANy CRACKOR TEAR'NGOF rHf SPECIMIN )

LENGTHAND PERCENT
OF DEFECTS ' NIA CONVEXITY
OR CONCAVITY NiA
MACROTEST- FUSION . N/A
- FILLFISIZE(LEG) :
APPEARANCE N/A REPORT
No. , N/A
DATE : N/A

WE CERTIFYTHATTHESTATEMENTS
IN THISRECORDARECORRECTAND THATPREPARATION,
WELDING AND TESTINGOF THETEST
WELDSCONFORMTO THEREQUIREMENTS
OF THECODE/STD/SPEC; DATEOF TEST:

INDONESIANwEtDlNG SOCIETY I cuenfs rNspEcroR I rxrno pARrytNspEcroR

COMPANY:
WIT NESSED
BY: CHECKED
By: I REVIEwED/AppRovEo
By I prvtrwtD/AppRovEDBy

SIGNATURE;
DerJ|l€5U\|l )YtLDlFlG SOCIETY
\TAM

MATERTAt
tNSPECTrOjt
REPORT
f JECT REPORT
No.
ENT PLACE
OF INSPECTION
: BAT,AM
FABRICATION
YARD
B No. DATE
OF INSPECTION
:

DESCRIPTION

REMARKS

COMPANY IN D ON ES IAN SOCIETY

W E L D IIN G INSP.
AUTHORISED THIRDPARTY LEGEND-
REPORTED
BY BY
CHECKED APPROVED
BY
SIGNATURE DIM : DIMENSION

NAME REJ : REJECT

 \-

)to|rESrAfrwEtDtNrcsoctEf?
T AM

Fo r m N o .B- Qe - F? :

i:.ROJEC|" REPORT
No. :

JOtsNo. ITP/WPSNo. 3

LINENo DATE:

NON DESTRUCTIVE
TESTING
DRAWINGNo.

INDONESIAN
WETDING
SOCIETY
COMPANY THIRDPARTYINSPECTOR

ACC : ACCEPTED
REJ: REJECTED
W.No : WELDERIDENTIFICATION
No.
VI : VISUAT
INSPECTION
RFI : REQUESTFORINSPECTION
DEOfI[5lAf'l\,Vt[Dll'lG SOqlffY
\TAM

BY :
PREPARED
' R OJEC TNAM E I
BY :
CHECKED
: L I ENT :
D ATE i
OB No. :
REVISION :

CODE TEST
QUALIFICATION QUALIFICATION
WELDER MATERIAL
wPs OR WELDING MATERIAL W E TD IN G THK
REMARKS
a) DIA
No . P/Gr No
NAME ID I T YPE
PROCESS FITIER POS PfGrNo D IA THK PROCESS PO S A^IN I MAX MIN I MA X
STD

BY:
REVTEWED/APPRoVED

C LIE N T'RSE P ,
I D'EOl.l
[Sl ]\]l Wil.D]l]16 SOClftY
ATAM

ECTNAME PREPARED
BY
{l BY
CHECKED
N o. DATE
REV.No.
WE LDING MATERIAL FILLERMETAL
R ev CODE APPROVED
PS N o. P Q RNo. GROUP TYPE& AWS REMARKS
N o. PROCESS(ES)
POS P No. IH}CKNESS
F No. A N o . /sTD
No. GR A D E crAss SPEC BY DATE

REVIEWED& APPROVED
BY: