JOB NO.

: 10 - 1617 REV

INSPECTION AND TEST PLAN FOR ELECTRICAL WORKS DOC. NO. : 0

2
(ITP FIELD) DATE : BY CHD APVD
22 Agustus 2020 SGT BR DAY

LEVEL OF RESPONSIBILITY
METHOD OF VERIFYING
No. INSPECTION ACTIVITY/TEST ITEM ACCEPTANCE / PJIT/ REMARKS
INSPECTION DOCUMENT S/C Rekind NR
REFERENCE Migas
1 ELECTRICAL
1.1 20/0.4 kv Power Transformer Distribution

A. Documentation
(1) Completed report Review MDR & ITP Migas Report P R R A
(2) Issued SKKP Review MDR & ITP Migas SK Dirjen Migas P R R A
No. 84 K

B INSPECTION AND TESTING ON SITE :

(1) Inspection of transformer installation condition Visual Enginering Spec. & IFC Inspection Report P V V V
Drawing
(2) Equipment name plate verification with data sheet Visual Data sheet & IFC Inspection Report P V V V
Drawing
(3) Inspection of transformer lay - out base on classification area Visual IFC Drawing & Data Inspection Report P V V V
Sheet
(4) Inspection of Equipment and components condisition from physical damages Visual IFC Drawing & Inspection Report P V V V
Engginering Spec.
(5) Inspection of control panel condition and function test Test IFC Drawing & Inspe.Report & P V V V
Engginering Spec. certificated
(6) Inspection condition and test of the main cable and neutral generator ( size, type, Test IFC Drawing & Inspe.Report & P V V V
indentification of cable ) Engginering Spec. certificated
(7) Inspection of safety personnal and waring sign Visual IFC Drawing & Inspection Report P W W R
Engginering Spec.
(8) Earting measurement test Test IFC Drawing & Inspection Report P W W R
Engginering Spec.
(9) Inspection of fire and gas protection system ( if any ) Visual IFC Drawing & Inspe.Report & P W W R
Engginering Spec. certificated
(10) Vector group test Test Procedure & Inspection Report P W W R
Engginering Spec.
(11) Transformer turning ratio test Test Procedure & Inspection Report P W W R
Engginering Spec.
(12) Insulation resistance test Test Procedure & Inspection Report P W W R
Engginering Spec.
 JOB NO. : 10 - 1617 REV

INSPECTION AND TEST PLAN FOR ELECTRICAL WORKS DOC. NO. : 0

2
(ITP FIELD) DATE : BY CHD APVD
22 Agustus 2020 SGT BR DAY

LEVEL OF RESPONSIBILITY
METHOD OF VERIFYING
No. INSPECTION ACTIVITY/TEST ITEM ACCEPTANCE / PJIT/ REMARKS
INSPECTION DOCUMENT S/C Rekind NR
REFERENCE Migas
(13) Gas Detector relay test Test Procedure & Inspection Report P W W R
Engginering Spec.
(14) Oil temperatur Indication test Test Procedure & Inspection Report P W W R
Engginering Spec.
(15) Winding temperatur indicator test Test Procedure & Inspection Report P W W R
Engginering Spec.
(16) Oil level Indicator test Visual Data sheet & Inspection Report P W W R
Engginering Spec
(17) Cooling fan test Test Procedure & Inspection Report P W W R
Engginering Spec.
(18) insulation oil test Test Procedure & Inspection Report P W W R
Engginering Spec.
(19) Control panel test Test Procedure & Inspection Report P W W R
Engginering Spec.
C For Generator Transformer ( Additional Inspection )
(1) Check the cooling equipment installed properly Visul Procedure & Inspection Report P V V V
Engginering Spec.
(2) Check the components are installed specified and properly ( as gauges, pressure Visul Procedure & Inspection Report P V V V
relay, ect) Engginering Spec.
(3) Check the transformer from oil leaks Visul Procedure & Inspection Report P V V V
Engginering Spec.
(4) Check the transformer tank / casing is grounded properly Visul Procedure & Inspection Report P V V V
Engginering Spec.
(3) Check that crystal in silica gel breather are mostly blue Visul Procedure & Inspection Report P V V V
Engginering Spec.
D COMMISSIONING TEST, FINAL INSPECTION
(1) Energizing and loaded Test Procedure & Inspe. Report & P W W W
Engginering Spec. Certificated
 JOB NO. : 10 - 1617 REV

INSPECTION AND TEST PLAN FOR ELECTRICAL WORKS DOC. NO. : 0

2
(ITP FIELD) DATE : BY CHD APVD
22 Agustus 2020 SGT BR DAY

LEVEL OF RESPONSIBILITY
METHOD OF VERIFYING
No. INSPECTION ACTIVITY/TEST ITEM ACCEPTANCE / PJIT/ REMARKS
INSPECTION DOCUMENT S/C Rekind NR
REFERENCE Migas

1.2 400V LV SWITCHGEAR AND MCC

A Documentation
(1) Completed Report Review MDR & ITP Migas Report P R R A
(2) Issued SKPP Review MDR & ITP Migas SK Dirjen Migas P R R A
No. 84 K
B. Inspection
(1) Inspection of switchgear installation condition Visual Drawing & Procedure, Inspection Report P V V V
Engginering Spec.

(2) Equipment name plate verification with data sheet Visual IFC Drawing & Data Inspection Report P V V V
sheet
(3) Inspection of switchgear lay out based on classification area Visual IFC Drawing & Data Inspection Report P V V V
sheet
(4) Inspection of the equipment and components Condistion from physical damages Visual Drawing & Procedure, Inspection Report P V V V
Engginering Spec.
(5) Check the switchgear are grounded properly Visual Drawing & Procedure, Inspection Report P V V V
Engginering Spec.
(6) Check the power, control and instrumentation cable entering the Switchgear are Visual Drawing & Procedure, Inspection Report P V V V
properly Colour Coded Engginering Spec.
(7) Check the cable feeder termination Visual Drawing & Procedure, Inspection Report P V V V
Engginering Spec.
(8) Check the component install and are specified Visual Drawing & Procedure, Inspection Report P V V V
Engginering Spec.
C. Testing
(1) Current & potensial switchgear test Test Procedure & Inspection Report P W W R
engginering Spec.
(2) Insulation resistance test Test Procedure & Inspection Report P W W R
engginering Spec.
 JOB NO. : 10 - 1617 REV

INSPECTION AND TEST PLAN FOR ELECTRICAL WORKS DOC. NO. : 0

2
(ITP FIELD) DATE : BY CHD APVD
22 Agustus 2020 SGT BR DAY

LEVEL OF RESPONSIBILITY
METHOD OF VERIFYING
No. INSPECTION ACTIVITY/TEST ITEM ACCEPTANCE / PJIT/ REMARKS
INSPECTION DOCUMENT S/C Rekind NR
REFERENCE Migas
(3) Hi-Pot test Test Procedure & Inspection Report P W W R
engginering Spec.
(4) switchgear circuit breaker test Test Procedure & Inspection Report P W W R
engginering Spec.
(5) Electrical & Mechanical Interlock test Test Procedure & Inspection Report P W W R
engginering Spec.
(6) Protective relay and meter test Test Procedure & Inspection Report P W W R
engginering Spec.
(7) Secondary current injection test Test Procedure & Inspection Report P W W R
engginering Spec.
(8) Primery Injection Voltage Test Test Procedure & Inspection Report P W W R
engginering Spec.
(9) Grounding syatem test Test Procedure & Inspection Report P W W R
engginering Spec.
(10) Function Test Test Procedure & Inspection Report P W W W
engginering Spec.
D COMMISSIONING TEST, FINAL INSPECTION
(1) Energizing and loaded Test Procedure & Inspection Report P W W W
engginering Spec.
1.3 20 KV MV SWITCHGEAR
A Documentation
(1) Completed Report Review MDR & ITP Migas Report P R R A
(2) Issued SKPP Review MDR & ITP Migas SK Dirjen Migas P R R A
No. 84 K
B Inspection
(1) Inspection of switchgear installation condition Visual Drawing & Procedure, Inspection Report P V V V
Engginering Spec.
(2) Equipment name plate verification with data sheet Visual IFC Drawing & Data Inspection Report P V V V
sheet
(3) Inspection of switchgear lay out based on classification area Visual IFC Drawing & Data Inspection Report P V V V
sheet
 JOB NO. : 10 - 1617 REV

INSPECTION AND TEST PLAN FOR ELECTRICAL WORKS DOC. NO. : 0

2
(ITP FIELD) DATE : BY CHD APVD
22 Agustus 2020 SGT BR DAY

LEVEL OF RESPONSIBILITY
METHOD OF VERIFYING
No. INSPECTION ACTIVITY/TEST ITEM ACCEPTANCE / PJIT/ REMARKS
INSPECTION DOCUMENT S/C Rekind NR
REFERENCE Migas
(4) Inspection of the equipment and components Condistion from physical damages Visual Drawing & Procedure, Inspection Report P V V V
Engginering Spec.
(5) Check the switchgear are grounded properly Visual Drawing & Procedure, Inspection Report P V V V
Engginering Spec.
(6) Check the power, control and instrumentation cable entering the Switchgear are Visual Drawing & Procedure, Inspection Report P V V V
properly Colour Coded Engginering Spec.
(7) Check the cable feeder termination Visual Drawing & Procedure, Inspection Report P V V V
Engginering Spec.
(8) Check the component install and are specified Visual Drawing & Procedure, Inspection Report P V V V
Engginering Spec.
C Testing
(1) Current & potensial switchgear test Test Procedure & Inspection Report P W W R
engginering Spec.
(2) Insulation resistance test Test Procedure & Inspection Report P W W R
engginering Spec.
(3) Hi-Pot test Test Procedure & Inspection Report P W W R
engginering Spec.
(4) switchgear circuit breaker test Test Procedure & Inspection Report P W W R
engginering Spec.
(5) Electrical & Mechanical Interlock test Test Procedure & Inspection Report P W W R
engginering Spec.
(6) Protective relay and meter test Test Procedure & Inspection Report P W W R
engginering Spec.
(7) Secondary current injection test Test Procedure & Inspection Report P W W R
engginering Spec.
(8) Primery Injection Voltage Test Test Procedure & Inspection Report P W W R
engginering Spec.
(9) Grounding syatem test Test Procedure & Inspection Report P W W R
engginering Spec.
(10) Function Test Test Procedure & Inspection Report P W W W
engginering Spec.
 JOB NO. : 10 - 1617 REV

INSPECTION AND TEST PLAN FOR ELECTRICAL WORKS DOC. NO. : 0

2
(ITP FIELD) DATE : BY CHD APVD
22 Agustus 2020 SGT BR DAY

LEVEL OF RESPONSIBILITY
METHOD OF VERIFYING
No. INSPECTION ACTIVITY/TEST ITEM ACCEPTANCE / PJIT/ REMARKS
INSPECTION DOCUMENT S/C Rekind NR
REFERENCE Migas
D COMMISSIONING TEST, FINAL INSPECTION
(1) Energizing and loaded Test Procedure & Inspection Report P W W W
engginering Spec.

1.4 AC UPS System

A Preparation
(1) Location /Area Classification Visual IFC Drawing Inspection Report M W W -

(2) Foundation as per Civil Data Visual IFC Drawing Inspection Report M W W -

(3) Name plate, rating and layout Visual IFC Drawing & data Inspection Report M W W -
sheet
(4) Check enclosure and safety device Visual IFC Drawing & Inspection Report M W W -
Engginering Spec.
(5) Tools / Equipment Tester Calibration / Procedure & Certificated & M W W -
Review Engginering spec. Inspec. Report
B Installation
(1) Visual & dimensional Visual Drawing, Procedure & Inspection Report M W W -
Engginering Spec.
(2) Check bolting connections Visual Procedure & Inspection Report M W W -
Engginering spec.
(3) Check termination and wiring number Visual Procedure & Inspection Report M W W -
Engginering spec.
(4) Check grounding connection Visual Procedure & Inspection Report M W W -
Engginering spec.
(6) Check battery rack installation Visual Procedure & Inspection Report M W W -
Engginering spec.
(5) Check the electrolyte Visual Procedure & Inspection Report M W W -
Engginering spec.
C Testing

(1) Battery
 JOB NO. : 10 - 1617 REV

INSPECTION AND TEST PLAN FOR ELECTRICAL WORKS DOC. NO. : 0

2
(ITP FIELD) DATE : BY CHD APVD
22 Agustus 2020 SGT BR DAY

LEVEL OF RESPONSIBILITY
METHOD OF VERIFYING
No. INSPECTION ACTIVITY/TEST ITEM ACCEPTANCE / PJIT/ REMARKS
INSPECTION DOCUMENT S/C Rekind NR
REFERENCE Migas
- Visual of Initial Record Visual Procedure & Inspection Report M W W -
Engginering spec.
- Check of Initial Charge Record Visual Procedure & Inspection Report M W W -
Engginering spec.
- Check of Initial Discharge Record Visual Procedure & Inspection Report M W W -
Engginering spec.
- Charging test Test Procedure & Inspection Report M W W -
Engginering spec.
- Back up time measurement (normal load) Test Procedure & Inspection Report M W W -
Engginering spec.
(2) Inverter
- Performance Test Test Procedure & Certificated & M W W -
Engginering spec. Inspec.Report
- Sequence and Alarm Test Test Procedure & Inspection Report M W W -
Engginering spec.
- Insulation Resistance Measurement Test Procedure & Inspection Report M W W -
Engginering spec.
- Noise Level Measurement Test Procedure & Inspection Report M W W -
Engginering spec.
(3) Routine Test
- Insulation / H V test Test Procedure & Inspection Report M W W -
Engginering spec.
- internal test report Test Procedure & Inspection Report M W W -
Engginering spec.
(4) Rectifier test Test Procedure & Inspection Report M W W -
Engginering spec.
(5) Simulation of alarms and contacts Test Procedure & Inspection Report M W W -
Engginering spec.
(6) Bypass operation test (bypass mode test) Test Procedure & Inspection Report M W W -
Engginering spec.
 JOB NO. : 10 - 1617 REV

INSPECTION AND TEST PLAN FOR ELECTRICAL WORKS DOC. NO. : 0

2
(ITP FIELD) DATE : BY CHD APVD
22 Agustus 2020 SGT BR DAY

LEVEL OF RESPONSIBILITY
METHOD OF VERIFYING
No. INSPECTION ACTIVITY/TEST ITEM ACCEPTANCE / PJIT/ REMARKS
INSPECTION DOCUMENT S/C Rekind NR
REFERENCE Migas
(7) Transfer and retransfer test ( Switch over test ) Test Procedure & Inspection Report M W W -
Engginering spec.
(8) Manual By pass Switch test Test Procedure & Inspection Report M W W -
Engginering spec.
(9) Breaker / switch isolation test Test Procedure & Inspection Report M W W -
Engginering spec.

1.5 LV DISTRIBUTION BOARD AND LIGHTING PANEL

A Preparation
(1) Location /Area Classification Visual IFC Drawing Project Spec. M W W -
(2) Foundation as per Civil Data/ Support accepted Visual IFC Drawing Project Spec. M W W -
(3) Pulling cable accepted Visual IFC Drawing Project Spec. M W W -
(4) Check Name plate and Rating Visual IFC Drawing Project Spec. M W W -
(5) Tools / Equipment Tester Calibration / Engineering Spec. Project Spec. M W W -
Review
Installation
(1) Visual & dimensional Visual IFC Drawing Project Spec. M W W -
(2) Board assembly and bolting Visual IFC Drawing Project Spec. M W W -
(3) Busbars bolted connection Visual IFC Drawing Project Spec. M W W -
(4) Check Fuse and Circuit breaker ratings Visual IFC Drawing Project Spec. M W W -
(5) Contact alignment of draw-out mechanism Visual IFC Drawing Project Spec. M W W -
(6) Cable glands, clamping and installation Visual IFC Drawing Project Spec. M W W -
(7) Tag & wire number Visual IFC Drawing Project Spec. M W W -
(8) Check grounding connections Visual IFC Drawing Project Spec. M W W -
(9) Check termination and wiring number Visual IFC Drawing Project Spec. M W W -

C Testing
(1) Continuity test Test IFC Drawing Project Spec. M W W -
(2) Insulation resistance measurement Test Engineering Spec. Project Spec. M W W -
(3) Phase sequence test Test Engineering Spec. Project Spec. M W W -
(4) Operation test Test Engineering Spec. Project Spec. M W W -

1.6 POWER CONTROL CABLE INSTALLATION

 JOB NO. : 10 - 1617 REV

INSPECTION AND TEST PLAN FOR ELECTRICAL WORKS DOC. NO. : 0

2
(ITP FIELD) DATE : BY CHD APVD
22 Agustus 2020 SGT BR DAY

LEVEL OF RESPONSIBILITY
METHOD OF VERIFYING
No. INSPECTION ACTIVITY/TEST ITEM ACCEPTANCE / PJIT/ REMARKS
INSPECTION DOCUMENT S/C Rekind NR
REFERENCE Migas
A Preparation
(1) Location /Area Classification Visual IFC Drawing Project Spec. M W W -
(2) Cable Trench/ Cable Trays accepted Visual IFC Drawing Project Spec. M W W -
(3) Underground conduit accepted Visual IFC Drawing Project Spec. M W W -
(4) Aboveground conduit accepted Visual IFC Drawing Project Spec. M W W -
(5) Tools / Equipment Tester Calibration / Engineering Spec. Project Spec. M W W -
Review

B Installation
(1) Visual inspection during pulling cable Visual IFC Drawing Project Spec. M W W -
(2) Check cable size and installation Visual IFC Drawing Project Spec. M W W -
(3) Check cable route markers Visual IFC Drawing Project Spec. M W W -
(4) Check cable end seal and cable gland Visual IFC Drawing Project Spec. M W W -
(5) Check the cable protection Visual IFC Drawing Project Spec. M W W -
(6) Check underground cable jointing Visual IFC Drawing Project Spec. M W W -
(7) Check cable termination and connection Visual IFC Drawing Project Spec. M W W -
(8) Check grounding connection Visual/ Test IFC Drawing Project Spec. M W W -
(9) Check cable marker Visual IFC Drawing Project Spec. M W W -

C Testing
(1) Continuity test Test IFC Drawing Project Spec. M W W -
(2) Insulation resistance measurement Test Engineering Spec. Project Spec. M W W -
(3) High Voltage test (MV Cable) Test Engineering Spec. Project Spec. M W W -

1.7 GROUNDING SYSTEM

A Preparation
(1) Location /Area Classification Visual IFC Drawing Project Spec. M W W -
(2) Cable Trench/ Excavation accepted Visual IFC Drawing Project Spec. M W W -
(3) Tools / Equipment Tester Calibration / Engineering Spec. Project Spec. M W W -
Review

B Installation
(1) Visual inspection during pulling cable Visual IFC Drawing Project Spec. M W W -
 JOB NO. : 10 - 1617 REV

INSPECTION AND TEST PLAN FOR ELECTRICAL WORKS DOC. NO. : 0

2
(ITP FIELD) DATE : BY CHD APVD
22 Agustus 2020 SGT BR DAY

LEVEL OF RESPONSIBILITY
METHOD OF VERIFYING
No. INSPECTION ACTIVITY/TEST ITEM ACCEPTANCE / PJIT/ REMARKS
INSPECTION DOCUMENT S/C Rekind NR
REFERENCE Migas
(2) Check cable size and installation Visual IFC Drawing Project Spec. M W W -
(3) Check underground cable jointing Visual IFC Drawing Project Spec. M W W -
(4) Check construction electrodes Visual IFC Drawing Project Spec. M W W -
(5) Check cable clamp and layout Visual IFC Drawing Project Spec. M W W -
(6) Check protective measurement Visual IFC Drawing Project Spec. M W W -
(7) Check grounding connection Visual IFC Drawing Project Spec. M W W -

C Testing
(1) Grounding continuity test Test IFC Drawing Project Spec. M W W -
(2) Inspect resistance of each electrodes Test Engineering Spec. Project Spec. M W W -
(3) Insulation Resistance Measurement Test Engineering Spec. Project Spec. M W W -

1.8 LIGHTING FIXTURE AND RECEPTACLE

A Preparation
(1) Location /Area Classification Visual IFC Drawing Project Spec. M W W -
(2) Pulling cable accepted Visual IFC Drawing Project Spec. M W W -
(3) Condition of material accepted Visual Engineering Spec. Project Spec. M W W -
(4) Tools / Equipment Tester Calibration / Engineering Spec. Project Spec. M W W -
Review
B Installation
(1) Visual and dimensional Visual IFC Drawing Project Spec. M W W -
(2) Inspect personal safety device Visual IFC Drawing Project Spec. M W W -
(3) Check grounding connection Visual IFC Drawing Project Spec. M W W -
(4) Check lighting fixture c/w accessories Visual IFC Drawing Project Spec. M W W -
(5) Check receptacle c/w accessories Visual IFC Drawing Project Spec. M W W -
(6) Check the mounting system Visual IFC Drawing Project Spec. M W W -

C Testing
(1) Test operation and setting of time switches photoelectric. Setting / Test Engineering Spec. Project Spec. M W W -
 JOB NO. : 10 - 1617 REV

INSPECTION AND TEST PLAN FOR ELECTRICAL WORKS DOC. NO. : 0

2
(ITP FIELD) DATE : BY CHD APVD
22 Agustus 2020 SGT BR DAY

LEVEL OF RESPONSIBILITY
METHOD OF VERIFYING
No. INSPECTION ACTIVITY/TEST ITEM ACCEPTANCE / PJIT/ REMARKS
INSPECTION DOCUMENT S/C Rekind NR
REFERENCE Migas
(2) Continuity Test Test IFC Drawing Project Spec. M W W -
(3) Insulation resistance measurement Test Engineering Spec. Project Spec. M W W -
(4) Lighting circuit test Test Engineering Spec. Project Spec. M W W -
(5) Illumination quality check Test Engineering Spec. Project Spec. M W W -
(6) Inspect phase sequence of receptacle Test Engineering Spec. Project Spec. M W W -

1.9 COMMUNICATION EQUIPMENT PAGING, INTERCOM AND TELEPHONE

A Preparation
(1) Location /Area Classification Visual IFC Drawing Project Spec. M W W -
(2) Pulling cable accepted Visual IFC Drawing Project Spec. M W W -
(3) Condition of material accepted Visual Engineering Spec. Project Spec. M W W -
(4) Tools / Equipment Tester Calibration / Engineering Spec. Project Spec. M W W -
Review
B Installation
(1) Visual and dimensional Visual IFC Drawing Project Spec. M W W -
(2) Inspect personal safety device Visual IFC Drawing Project Spec. M W W -
(3) Check board assembly and bolting Visual IFC Drawing Project Spec. M W W -
(4) Check the mounting system Visual IFC Drawing Project Spec. M W W -
(5) Check grounding connection Visual IFC Drawing Project Spec. M W W -
(6) Check termination and wiring number Visual IFC Drawing Project Spec. M W W -

C Testing
(1) Continuity test Test IFC Drawing Project Spec. M W W -
(2) Insulation resistance measurement Test Engineering Spec. Project Spec. M W W -
(3) Operation test Test Engineering Spec. Project Spec. M W W -

1.10 CABLE TRAY

A Preparation
(1) Location /Area Classification Visual IFC Drawing Project Spec. M W W -
(2) Foundation as per Civil Data / Support accepted Visual IFC Drawing Project Spec. M W W -
(3) Check enclosure and safety device Visual IFC Drawing Project Spec. M W W -
(4) Condition and type of material accepted Visual Engineering Spec. Project Spec. M W W -
 JOB NO. : 10 - 1617 REV

INSPECTION AND TEST PLAN FOR ELECTRICAL WORKS DOC. NO. : 0

2
(ITP FIELD) DATE : BY CHD APVD
22 Agustus 2020 SGT BR DAY

LEVEL OF RESPONSIBILITY
METHOD OF VERIFYING
No. INSPECTION ACTIVITY/TEST ITEM ACCEPTANCE / PJIT/ REMARKS
INSPECTION DOCUMENT S/C Rekind NR
REFERENCE Migas

B Installation
(1) Visual and dimensional inspection Visual IFC Drawing Project Spec. M W W -
(2) Check support of cable tray Visual IFC Drawing Project Spec. M W W -
(3) Alignment of cable tray Visual IFC Drawing Project Spec. M W W -
(4) Check installation of separator Visual IFC Drawing Project Spec. M W W -
(5) Check tightening bolt & nuts Visual IFC Drawing Project Spec. M W W -
(6) Check grounding connection Visual IFC Drawing Project Spec. M W W -
(7) Check completely of cover with clamp Visual IFC Drawing Project Spec. M W W -

1.11 CONDUIT
A Preparation
(1) Location /Area Classification Visual IFC Drawing Project Spec. M W W -
(2) Support or bracket accepted Visual IFC Drawing Project Spec. M W W -
(3) Check enclosure and safety device Visual IFC Drawing Project Spec. M W W -
(4) Condition and type of material accepted Visual Engineering Spec. Project Spec. M W W -

B Installation
(1) Visual and dimensional Visual IFC Drawing Project Spec. M W W -
(2) Check Support of conduit Visual IFC Drawing Project Spec. M W W -
(3) Alignment of conduit installation Visual IFC Drawing Project Spec. M W W -
(4) Check tightening bolt & nuts Visual IFC Drawing Project Spec. M W W -
(5) Check backfill and compaction of soil or sand ( if underground ) Visual IFC Drawing Project Spec. M W W -
(6) Make sure of conduit's clean and free damages Visual IFC Drawing Project Spec. M W W -
(7) Check bending radius of conduit Visual IFC Drawing Project Spec. M W W -
 Doc. No :
Date :

APPLICATION FOR INSPECTION

PT. PERTAMINA (KPB) :

Inspector

Project Title : EPC Lawe-lawe Facilities RDMP RU-V Balikpapan

Gentlement,

We would like to have your presence for inspection according to the following schedules.

Date and time Place / Area Inspection Item Remarks

Result Accepted Rejected

Reinspection Required Yes No

Comments :

SUBCONT CONTRACTOR ( CPPHK) PT .PERTAMINA ( KPB)

Print Name

Signature

Date
 Date
QI - E.02
Doc. No Page
of

Job no :
Subject : INSULATION RESISTANCE TEST DATA
Client : Test instrument : A

Equipment No. : Type :

Area/ location : Range :
Temperature : Voltage :
Weather : Serial No. :
Reference Drawing : : Manufacture :
NO. CABLE RATING INSTALLED INSULATION RESISTANCE TEST ( M ohm ) CONCLUSION
NO. VOLTAGE FROM TO R-S R-T S-T R-N S-N T-N R-G S-G T-G N-G ACCEPTED REJECTED

Sub-Contractor Contractor Client

CPPHK PT PERTAMINA (KPB)
Print Name
Signature

Date
 Date
QI - E.01.04
Doc. No Page
of

Job :
Subject : INSPECTION FOR CABLE INSTALLATION
Location : Erection by. :
Voltage : Weather :
Conductor Cross section : Temperature :
Cable construction :
Reference drawing :

RESULT ACCEPT
ITEM TO CHECK REMARKS
YES NA DATE SIGNATURE
1 Visual inspection during pulling cable

2 Check cable size and installation

3 Check cable route markers

4 Check cable end seal and cable gland

5 Check the cable protection

6 Check underground cable jointing (if required)

7 Check cable termination and connection

8 Check grounding connection

9 Continuity test

10 Insulation resistance measurement

11
12
13
14
Note : (*) Shop test items, For Field test will be done if required.
Remarks :

Sub-Contractor Contractor Client

CPPHK PT PERTAMINA (KPB)
Print Name

Signature

Date
 Date
QI - E.01.06
Doc. No Page
of

Job no :
Subject : INSPECTION OF LIGHTING & RECEPTACLE INSTALLATION
Location/ Type of installation : Erection by. :
Panel board No. and type : Weather :
Feeder cable size : Temperature :
Voltage :
Reference drawing :

RESULT ACCEPT
ITEM TO CHECK REMARKS
YES NA DATE SIGNATURE
1 Visual & dimensional

2 Inspect personal safety device

3 Check grounding connection

4 Check lighting fixture c/w accessories

5 Check receptacle c/w accessories

6 Check the mounting system

7 Test operation and setting of time switches photoelectric

8 Continuity test

9 Insulation resistance measurement

10 Lighting circuit test

11 Illumination quality check

12 Inspect phase sequence of receptacle

13
14
15
Remarks :

Sub-Contractor Contractor Client

CPPHK PT PERTAMINA (KPB)
Print Name

Signature

Date
 Date
QI - E.01.12
Doc. No Page
of

Job no :
Subject : INSPECTION OF PAGING, INTERCOM & TELEPHONE SYSTEM
Equipment No. : Erection by. :
Location/ station : Weather :
Tag. No. : Temperature :
Reference Drawing :

RESULT ACCEPT
ITEM TO CHECK REMARKS
YES NA DATE SIGNATURE
1 Visual and dimensional

2 Inspect personal safety device

3 Check board assembly and bolting

4 Check the mounting system

5 Check grounding connection

6 Check termination and wiring number

7 Continuity test

8 Insulation resistance measurement

9 Operation test

10

11

Remarks :

Sub-Contractor Contractor Client

CPPHK PT PERTAMINA (KPB)
Print Name
Signature

Date
 Date
QI - E.01.15
Doc. No Page
of

Job no :
Subject : INSPECTION FOR CABLE TRAY INSTALLATION
Location : Erection by. :
Reference drawing : Weather :
Temperature :

RESULT ACCEPT
ITEM TO CHECK REMARKS
YES NA DATE SIGNATURE
1 Visual & dimensional

2 Check support of cable tray accepted

3 Alignment of cable tray correctly

4 Check installation of separator

5 Check tightening bolt & nuts

6 Check grounding connection

7 Check completely of cover with clamp

10

11

Remarks :

Sub-Contractor Contractor Client

CPPHK PT PERTAMINA (KPB)
Print Name

Signature

Date
 Date
QI - E.01.16
Doc. No Page
of

Job no :
Subject : INSPECTION FOR ABOVEGROUND CONDUIT INSTALLATION
Location : Erection by. : A

Type of Conduit : Weather :

Reference drawing : Temperature :

RESULT ACCEPT
ITEM TO CHECK REMARKS
YES NA DATE SIGNATURE

1 Visual & dimensional

2 Check support of conduit

3 Alignment of conduit installation

4 Check tightening bolt & nuts

5 Make sure of conduit's clean and free damages

6 Check bending radius of conduit

Remarks :

Sub-Contractor Contractor Client

CPPHK PT PERTAMINA (KPB)
Print Name

Signature

Date
 Date
QI - E.01.17
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Job no :
Subject : INSPECTION FOR UNDERGROUND CONDUIT INSTALLATION
Location : Erection by. : A

Type of Conduit : Weather :

Reference drawing : Temperature :

RESULT ACCEPT
ITEM TO CHECK REMARKS
YES NA DATE SIGNATURE

1 Visual & dimensional

2 Alignment of conduit installation

3 Check bending radius of conduit

4 Make sure of conduit's clean and free damages

5 Check backfill and compaction of soil or sand

Note : Underground electrical ducts must be adequately protected during construction.

Sub-Contractor Contractor Client

CPPHK PT PERTAMINA (KPB)
Print Name

Signature

Date
 Date
QI - E.01.18
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Job no :
Subject : INSPECTION OF PANEL DISTRIBUTION BOARD & LIGHTING PANEL

Equipment No. : Erection by. :

Location : Weather :
Voltage : Temperature :
Reference Drawing :
RESULT ACCEPT
ITEM TO CHECK REMARKS
YES NA DATE SIGNATURE
1 Visual & dimensional

2 All MCB operational and correct rating.

3 All fuses correct rating.

4 All terminal wiring completed and secure.

5 All cables connected and glanded correctly.

6 Earthing connected and correct.

7 All terminations secured.

8 All internal equipment labeled correctly.

9 Cable tags labeled correctly.

10 Installation Accepted.

11 Insulation Resistance measurement

12 Test anti-condensation heater

13 Phase sequence test

14 Inspect interlock & control correctly operate

15 Test indicating and signaling lamps or devices

16 Operation / Function test

17
18
19
20
Note : (*) Shop test items, for Field test will be done if required.

Sub-Contractor Contractor Client

CPPHK PT PERTAMINA (KPB)
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Signature

Date
 Date
QI - E.06
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Project no :
Subject : ELECTRICAL CONTINUITY TEST DATA
Client Test Instrument A
Location : Type :
Reference Drawing : Range :
Temperature : Serial No. :
Weather : Manufacture :

CABLE WIRE DESCRIPTION CABLE CONTINUITY

NO. NO. FROM TO SPEC. ACCEPTED REJECTED

REMARKS :

Sub-Contractor Contractor Client

Print Name CPPHK PT.PERTAMINA (KPB)
Signature

Date
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QI - E.10
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Project no :
Subject : LIGHTING CIRCUIT TEST DATA
Client : Voltage : A

Equipment : Temperature :
Location : Weather :
Reference Drawing :

BRANCH CIRCUIT
PANEL NO. RESULT REMARKS
CIRCUIT NO. VOLTAGE

REMARKS :

Sub-Contractor Contractor Client

Print Name CPPHK PT.PERTAMINA (KPB)

Signature

Date
 Date
QI - E.18
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Project no : 10-1617
Subject : ILLUMINATION LEVEL MEASUREMENT DATA
Client : Test Intrument A

Battery type : Type :

Location : Range :
Reference Drawing : Serial No. :
Manufacture :

MEASUREMENT HEIGHT FROM ILLUMINATION STANDARD JUDGEMENT

NO.
POSITION GROUND LEVEL ( Lux ) ILLUMINATION (Lux) (Accepted/ Rejected)

REMARKS :

Sub-Contractor Contractor Client

Print Name CPPHK PT.PERTAMINA(KPB)
Signature

Date
 Date
QI - E.20
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Project no : 10-1617
Subject : CHECK LIST FOR UNDERGROUND CABLE LAYING
Description of Items accepted : A

Location :
Reference Drawing :
RED CABLE
1st SAND CABLE 2nd SAND 3rd SAND BACK CABLE ROUTE
EXCAVATION CONCRETE WARNING/
FILLING LAYING FILLING FILLING FILLING MARKER BLOCK
COVER PROTECTION
NOTE

DATE

CHECK MARKS

REMARKS :

PT Rekayasa Industri CONTRACTOR CLIENT

Print Name CPPHK PERTAMINA (KPB)
Signature
Date